In the article the phenomenon of health as integral notion is revealed from philosophic positions. Universal characteristics, inherent to health, in particular, its attributive, axiological and praxiological meaning, are highlighted. The evolution of representations about health is manifested in the historical context.

The aim of the study. On the basis of fundamental dialectic categories to show the relationship of public and individual health from biosocial point of view.

Methods. The basic dialectic principles, such as unity of quantity and quality, subjective and objective, unique, specific and common are being used.

Results. Similar and differential features between public and individual health, reflected different correlation of quantitative and qualitative manifestations, objective conditions and subjective stimuluses, common, specific and unique characteristics are revealed.

Conclusions. The fundamental dialectic categories may serve as a methodological basis in the analysis of the relationship of public and individual health. They advance integral understanding of health and its ontological meaning in the individual and societal experience.

Goal. To analyze chronic noncommunicable diseases (NCD) mortality dynamics and associated efforts to reach UN sustainable development goals (SDG) in the area of NCD “by 2030, reduce by one third premature mortality from NCD through prevention and treatment“.

Methods. WHO statistics, based on the unified mortality and cause -of- death reports of Member-States countries along with the latest information from global WHO programmes, were used to evaluate NCD mortality trends in 49 countries in 2000, 2010 and 2016 and make comparisons and assessments of different types of community -based, country-wide interventions. Only countries with multiple years of national death registration data and high completeness and quality of cause-of-death assignments were included in the analysis. Cardiovascular disease (CVD) ischemic heart disease (IHD) and stroke, chronic respiratory disease (CRD) bronchial asthma and chronic obstructive pulmonary disease (COPD) lung cancer and diabetes mortality were analysed in 36 high income countries (HIC) and 13 middle income countries (MIC).

Results. The most visible decline was achieved for bronchial asthma 54%, stroke 43% IHD 30% and COPD 29%. Lung cancer and diabetes mortality decline were not statistically significant. Prevalence of tobacco smoking gradually declined in 84% of countries, 55% of countries demonstrated declining prevalence of raised blood pressure. Obesity prevalence was increasing in all countries. CVD and CRD mortality were higher in MIC. HIC better implemented tobacco and diet reduction measures. Same concerns NCD management approach. Air pollution level was higher in MIC.

Conclusions. NCD mortality decline is associated with multiple WHO global life style modifications campaigns, global coordinated prevention and control programmes for hypertension, asthma and COPD and WHO developed “best buy” approach. In order to achieve better results in lung cancer mortality together with early detection, more efforts should be concentrated on early diagnosis, strengthening tobacco cessation, clean air and diet actions. Diet and physical activities along with adequate management and patient education remain key elements to improve diabetes prognosis by the year 2030. Air pollution control could also facilitate achievement of the UN SDG 3.4.

Objective. To evaluate the results of the information and communication campaign to promote a healthy lifestyle through a comparative analysis of the use of the takzdorovo.ru Internet portal in 2018–2019.

Methods. Comparative analysis of the use of the Internet portal takzdorovo.ru in 2018–2019. was carried out by analyzing the data of the Yandex.Metrica web analytics system. As a source of information on the prevalence of risk factors from 2018 to 2019 we used data from a sample observation of behavioral factors affecting the health status of the population and the compilation “Healthcare in Russia – 2019” by Rosstat, as well as data from surveys of VTsIOM and the Public Opinion Foundation.

Results. The total number of visits to the Internet portal takzdorovo.ru after the information and communication campaign increased by 6,4 times. In 2018, the number of unique visitors to the Internet portal reached 449,302 people, in 2019 – 1,82 million people, an increase of 4 times. The number of page views on the site during the reporting period increased by 8,6 times. Also, a number of behavioral characteristics of users of the takzdorovo.ru Internet portal have improved, for example, attendance by time of day, from various types of devices, page viewing depth, number of failures and duration of the visit on the takzdorovo.ru Internet portal.

Conclusion. Conducting a communication campaign within the framework of the federal project “Strengthening Public Health” of the national project “Demography” made it possible to attract citizens to use a reliable Internet resource about healthy lifestyles, which is filled by leading experts in the field of health protection.

The conducted communication campaign has demonstrated the effectiveness of attracting the target audience to information materials on the preservation and promotion of health, and indicates the need to support and replicate this experience in order to attract and further motivate the population to lead a healthy lifestyle.

The formation of a healthy lifestyle is one of the most important tasks of disease prevention. Among the factors that negatively affect the health of the population, smoking is of great importance. The influence of smoking on the formation of occupational diseases in workers in harmful and (or) dangerous working conditions has not been sufficiently studied. Based on the knowledge of the pathogenesis of common diseases, it can be assumed with a high degree of probability that smoking can provoke the development of occupational pathology of the respiratory organs, malignant neoplasms, vascular pathology.

The aim of the work was to study the clinical manifestations of chronic bronchitis, characterizing the state of the bronchopulmonary system, in smokers and non-smokers who had long-term contact with industrial dust, as well as to analyze the literature data on the impact of smoking on the development of occupational lung diseases in workers exposed to asbestos dust.

Materials and methods of research. In the clinic “Research Institute of Occupational Medicine named after Academician N.F. Izmerov”, 55 workers were examined under the influence of industrial aerosols of fibrogenic action. The group of smokers consisted of 45 people: 25 people were coal miners, 20 people were foundry workers. The group of non-smokers consisted of 10 people: 6 coal miners and 4 foundry workers. The severity of the course of professional and non-professional chronic bronchitis in patients was assessed taking into account the clinical manifestations and frequency of exacerbations of the disease, as well as taking into account the severity of respiratory disorders and gas exchange disorders.

Results and discussion. In the group of smoking patients, 93,3% had occupational chronic bronchitis, 6.7% had no such pathology. In the group of non-smoking patients with and without occupational chronic bronchitis, there were equally – 50,0%. In the group of smoking patients, 55,5 of the examined patients had respiratory insufficiency of the II degree; 15,5% were diagnosed with respiratory insufficiency of the III degree; cases without respiratory function impairment (DN0 art.) were only 8,8%. In the group of non-smoking patients, grade II DN was more than three times less frequent, amounting to 20,0%, while 40,0% had grade 0 DN and 40,0% had grade I DN; grade III DN was never diagnosed in this group of patients.

Conclusion. Smoking, as an independent factor, can play a significant, and in some cases, obviously, a determining role in the development and progression of chronic bronchitis in people exposed to industrial aerosols.

The health risks associated with tobacco should be taken into account as an integral part of the assessment of the risks of developing occupational diseases.

Relevance. Unrecorded alcohol in Russia includes a variety of sources of cheap, often highly concentrated, ethanol, the use of which is associated with an increased risk of morbidity and death. Since 1991, various changes in the policy of control of unrecorded alcohol in Russia have been made, which became the subject of the analysis of this work.

Methods. The paper provides a narrative review and analysis of the regulation of unrecorded alcohol in Russia in the period from 1991 to 2021. The sources of information on legislative regulation were the ConsultantPlus and Garant electronic legal reference systems, published key scientific papers and reports of international organizations on the topic of alcohol regulation, and our own analysis of alcohol policy.

Results. During the study period, there was a large-scale restructuring of the regulation of the sphere of alcohol, including unrecorded alcohol, in Russia in the conditions of a new market economy. After the abolition of the Soviet alcohol monopoly and the regulatory pause of the first half of the 1990s, since 1995, the new legislative framework has been developed aimed at strengthening state control over the production and distribution of alcohol. In subsequent years, increased control over unrecorded alcohol by improving federal law No. 171-FZ, tougher sanctions for acts in the field of illegal production and distribution of alcohol through the improvement of the Code of Administrative Offenses and the Criminal Code of the Russian Federation, the introduction of minimum prices for alcoholic beverages, have been made. An electronic system for monitoring the volumes of produced and sold alcoholic beverages was introduced, the Federal Service for the Regulation of the Alcohol Market was established, and bans were introduced on the sale of alcohol-containing products with a low unit cost of ethanol.

Conclusions. Overall, the policy on the control of unrecorded alcohol in Russia in the period after 1991 from the standpoint of public health can be characterized as positive and in line with international standards. However, it is necessary to strengthen control over the implementation of the already existing alcohol control policy measures, as well as to develop and implement new measures aimed at controlling unrecorded medicinal/pharmaceutical alcohol, medicinal alcohol-containing products, illegal alcoholic beverages and non-beverage products used as alcohol surrogates.

The problem of Smoking is widespread among different age groups of the population both in individual countries and in the world as a whole. According to official statistics, the number of regular tobacco users in the world reaches a billion. The harm of tobacco is caused by the content of toxic substances in the inhaled smoke, which have a negative impact on organs and systems, leading to the emergence of diseases or exacerbation of existing ones. Deaths due to diseases associated with tobacco use are not uncommon. Given the high mortality and morbidity from nosological forms, the risk of which is Smoking, prevention and methods of combating addiction are an important topic in modern medicine. This article presents the experience of using the auditory psycho-correction program “NO SMOKE” in the fight against tobacco dependence among employees of the coal Company.