Climate prevention

The concept of climate prevention in medicine appeared thanks to the works of Academician A.I. Mints, who in his monograph “Patophysiology and Clinical Significance of Adaptation to Space Flight Conditions” (1963) showed that under the influence of various unfavorable factors of the space environment, a peculiar, atypically occurring for human pathological process - climatogenic, or cosmic pathogenesis. It is often accompanied by exacerbation of chronic diseases and often leads to acute transplant rejection and other terminal conditions [2–4]. Subsequently, this concept was also used to refer to the prevention of typical diseases and syndromes under the exogenous influence of the climatic zone. Climate-related diseases are described in the works of A.P. Egorov (1925), N.M. Nikitin (1933), K.L. Rip and N.N. Losev (1954), E. Vents (1976 .) and other domestic and foreign authors [5–7]. When characterizing the effects of specific weather and climatic factors on the human body, attention is also paid to climatopathogenic effects, among which the most common are: aclidoetiopathogenesis (term by A.Ya. Kryukov), or nosogenesis of pathology developing after exposure to aclitis (term by N.A. Bondarchuk). Climatic factors contribute to the formation, recurrence and progression of somatic and neurological disorders, especially in patients with chronic diseases, including various forms of allergies. Climatic prevention (the equivalent concept of “climate management” is actively used in the world) is carried out through the targeted use of a complex of medicines, physiotherapeutic procedures, non-pharmacological methods and additional food products (vitamins, microelements), food additives, as well as sanatorium-resort technologies and other treatment and rehabilitation measures related to the prevention and treatment of diseases in a specific ecozone. This is how optimal conditions are created for correcting the course of pathological processes that affect clinical and laboratory manifestations in a specific category of people operating in certain environmental conditions that characterize the polar region [8]. Climatic adaptation is one of the important components of the complex rehabilitation process when forced to stay in a closed region [9]. Among the strategic directions of development of the Russian Federation for the period until 2018. a readiness was laid down to ensure the protection of citizens from emergency situations of various types in peacetime and war, natural and man-made disasters, and accidents at industrial facilities. When implementing this strategy, it was envisaged to create a unified monitoring and forecasting of emergency situations both within the country and of a transboundary nature, introduction of modern information and telecommunication technologies for the prevention and elimination of emergency situations [10]. The complexity and scale of this process required the organization of coordinated interaction with the departmental subsystem of warning and action in emergency situations of the Russian Ministry of Emergency Situations, the State Sanitary and Epidemiological Service, and federal executive authorities authorized to solve problems in the field of protecting the population and territories from emergency situations. The main responsibility falls on the toxicological and biological safety service of Rospotrebnadzor to prevent and stop the development and spread of infectious diseases that are caused by