ECOLOGICAL AND ECONOMIC ASSESSMENT OF PUBLIC HEALTH IN THE KOMI REPUBLIC

The authors assess the economic damage caused by the morbidity and mortality of the working-age population and identify the negative impact of environmental factors on the state of health at the municipal level. To achieve this the authors studied morbidity and mortality of the population in the region and in the municipalities over the past five years according to the international classification of diseases. Via foreign and domestic methodology for assessing, they also analyzed the degree and the spatial structure of the impact of the environmental factors on public health.

Of the two international approaches to measure lost labor income due to premature death and diseases — “costly” and “profitable” — the authors used the second approach, adapted to the domestic information base and the available algorithm for calculating economic damage. Preliminary estimates of the lost profit from morbidity and premature mortality in the Komi Republic have determined the value of the unproduced GRP by years of the period from the impact of all causes for 1.5% of its total volume. The main sources of lost profits due to premature mortality are cardiovascular diseases and cancer, and due to morbidity — musculoskeletal diseases and respiratory infections.

The rating assessment of the most significant diseases made it possible to identify the groups of municipalities, representing territories with high, medium and low risks for mortality and morbidity. Territorial differentiation of environmental factors, adversely affecting the health of the population, pointed out environmentally dependent diseases. Two maps illustrate the study results. The authors have performed the regional environmental and economic assessment of public health in the Komi Republic for the first time, however limited by the deficit of geographically differentiated information, both on health and on the living environment.

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