MEDICAL SAILING DIRECTIONS OF NORTHERN SEA ROUTE

Arctic territory of Russia is a very important strategic and economic region. In accordance of State politic it’s importance to development and supporting of Arctic regions. The authors are aim for revealing of medical supporting amount in North Sea Route (NSR). From this aim it was set tasks: to estimate a structure of medical facilities in seaports of Arctic ocean: to identify a medical qualification about sea medicine in medical facilities; to check a syatistical documents about morbidity, traumatism and death between seamen; to estimate an Russian and international cooperation in Arctic sea medicine. In results were revealed as positive well as problems in medical supporting work. At Western sector of NSR in seaports located a wide multitype clinics that provided a full specialized medical aid. A medical aid in Eastern side may realize by general practitioners in local facilities or by force medical hospitals. They make only primary medical-sanitary aid. A specialized medical aid realized only with sanitary aviation resources by evacuation of patient throw hundreds kilometers to big clinics. Authors detected a lot problem that accordance a medical supporting. They specified for Eastern side of NSR: a great distance between settlements, old and destructed medical facilities, insufciency of medics (especially emergency specialists), it is necessary to interdepartmental coordination of Healthcare management and a medical documentation is not satisfy the International convention requirements. It was attempted to comprehend a problems for Public Healthcare about sailors and other professional groups that work in Polar territory.

1. Todorov A.A. Mezhdunarodnyj tranzitnyj potencial Severnogo morskogo puti: ehkonomicheskij i pravovoj aspekty. Problemy nacional’noj strategii, 2017, No. 3 (42), рр. 149–171 (In Russ.).

2. Hejfec B.A. Severnyj morskoj put’ — novyj tranzitnyj marshrut «odnogo poyasa — odnogo puti». Mezhdunarodnaya zhizn’, 2018, No. 7, рр. 67–87 (In Russ.).

3. Gorbanev S.A., Nikanov A.N., Chashchin V.P. Aktual’nye problemy mediciny truda v arkticheskoj zone Rossijskoj Federacii. Medicina truda i promyshlennaya ehkologiya, 2017, No. 9, рр. 50–51 (In Russ.).

4. Gudkov A.B., Popova O.N., Nebuchennyh A.A., Bogdanov M.Yu. Ehkologo-fiziologicheskaya harakteristika klimaticheskih faktorov Arktiki. Obzor literatury. Morskaya medicina, 2017, Vol. 3, No., No. 1, рр. 7–13 (In Russ.).

5. Karetnikov V.V., Milyakov D.F., Bryanova YаD., Sikarev A.A. Navigacionnoe obespechenie severnogo morskogo puti: problemy i perspektivy razvitiya. Morskaya radioehlektronika, 2017, No. 4 (62), рр. 24–28 (In Russ.).

6. Zalyvskij N.P. Severnyj morskoj put’: potencial ozhidaniya i real’nye problemy funkcionirovaniya. Arktika i Sever, 2015, No. 20, рр. 37–57 (In Russ.).

7. Kazakevich E.V., Arhipovskij V.L., Sereda A.P., Abakumov A.A. Osobennosti organizacii medicinskoj pomoshchi moryakam v usloviyah Arktiki. Medicina ehkstremal’nyh situacij, 2017, Vol. 62, No. 4, рр. 8–14 (In Russ.).

8. Chizhkov Yu.V. Severnyj morskoj put’ v strukture arkticheskoj transportnoj sistemy. Transport Rossijskoj Federacii, 2017, No. 1 (68), рр. 27–32 (In Russ.).

9. Gagarskij Eh.A., Kozlov S.G., Kirichenko S.A. Severnyj morskoj put’ stanet al’ternativnoj mirovoj kompleksnoj transportnoj magistral’yu. Transport: nauka, tekhnika, upravlenie, 2018, No. 7, рр. 22–26.

10. Olerskij V. Kompleksnyj proekt razvitiya Severnogo morskogo puti. Transportnaya strategiya — XXI vek, 2015, No. 29 (2), рр. 8–9 (In Russ.).

11. Tihonov D.G., Platonov F.A., Nikolaev V.P. Arkticheskaya medicina: paradoksy i problemy. Yаkutskij medicinskij zhurnal, 2014, No. 4 (48), рр. 52–55 (In Russ.).

12. Kirchner S. Beyond the polar code: enhancing seafarer safety along the Northern sea route. Zhurnal Sibirskogo federal’nogo universiteta. Seriya: Gumanitarnye nauki, 2018, Vol. 11, No. 3, рр. 365–373 (In Russ.).

13. Mosyagin I.G. Strategiya razvitiya morskoj mediciny na arkticheskom glavnom regional’nom napravlenii nacional’noj morskoj politiki Rossii. Morskaya medicina, 2017, Vol. 3, No. 3, рр. 7–22 (In Russ.).