Main results and directions for imptoving seafarers’ medical care in system of Federal medical biological agency of Russian Federation: retrospective study

OBJECTIVE. Determine the main results and directions for improving the system of seafarers’ medical care, optimize the organizational and staff structure of institutions of the Russia’s Federal Medical and Biological Agency (FMBA) to ensure an optimal interaction in the process of implementing tasks, faced by this organization.

MATERIALS AND METHODS. There was a systematic analysis of organizational work principles of organizations for the period 2014–2021, providing medical care to seafarers and included in the structure of the Russia’s FMBA, and data on the morbidity of seafarers and divers for 2023 were obtained and systematized. The work analysis on medical assistance of persons, employed in vessels, was performed as of June 1^st, 2024 and on the results of activities of 35 health centres, 70 physicians on shipboard, 14 doctors of diving medicine in the structure of the Russian’s FMBA.

RESULTS. For efficient medical assistance of seafarers, coordination of interaction between the specialized department of the Russia’s FMBA and subordinated institutions of the Agency, the head centre of seafarers’ healthcare has been established. The data has been systematized on overall morbidity of seafarers and divers, as well as on newly diagnosed diseases for 2023.

DISCUSSION. Improvement of healthcare management for persons, employed on vessels in the system of Russia’s FMBA, as well as information and analytical healthcare provision for seafarers will be continued. The specified activity is essential for systematizing full information on seafarers, its analysis and the creation of new directions in service development, which corresponds to the requirements of the new Maritime Doctrine of the Russian Federation.

CONCLUSION. As a result of this work the main action lines are identified for improving scientific approaches to the organization and development of marine and diving medicine in the Russian Federation.

marine medicine, Federal Medical Biological Agency, health care of seafarers, Northern Sea Route

1. Казакевич Е.В., Архиповский В.Л., Доронин И.А. Медицинские осмотры плавсостава северного бассейна: результаты, анализ, проблемы // Медицина экстремальных ситуаций. 2018. № 2. С. 172–179 [Kazakevich E. V., Arkhipovskiy V. L., Doronin I. A. Medical examinations of the crew of the northern basin: results, analysis, problems. Medicine of extreme situations. 2018, N 2, рр. 172–179 (In Russ.)].

2. Мызников И.Л. Особенности медицинского обеспечения водолазных спусков в арктике. поражения человека холодом при водолазных работах на малых и средних глубинах // Международный журнал экспериментального образования. 2010. № 11. С. 24-25. [Myznikov I.L. Features of medical support for diving descents in the Arctic. Human cold injuries during diving operations at shallow and medium depths. International Journal of Experimental Education. 2010, No. 11, рр. 24-25. (In Russ.)].

3. Бухарин В. А., Торшин Г. С. Коррекция работоспособности водолазов и спортсменов // Материалы Всероссийской научно-практической конференции «Актуальные проблемы морской и водолазной медицины», Санкт-Петербург, 25–26 июня 2015 г. СПб.: ФГУП НИИ ПММ, 2015. С. 34–35 [Bukharin V. A., Torshin G. S. Correction of the working capacity of divers and athletes. Materials of the All-Russian scientific and practical conference “Actual problems of marine and diving medicine”, St. Petersburg, 25–26 June 2015. St. Petersburg: FGUP NII PMM, 2015, P. 34–35 (In Russ.)].

4. Мосягин И. Г., Казакевич Е. В., Бойко И. М. Роль и место морской медицины в Российском здравоохранении // Морская медицина. 2019. Т. 5, № 1. С. 17–29 [Mosyagin I. G., Kazakevich E. V., Boyko I. M. Тhe role and place of Maritime medicine in healthcare in Russia. Marine medicine, 2019, Vol. 5, No. 1, pp. 17–29 (In Russ.)].

5. Бумай О. К., Иванченко А. В., Абакумов А. А. и др. Подготовка нормативно-правовой базы системы медико-санитарного обслуживания плавсостава морских и речных судов: анализ проблемы, предложения и перспективы // Медицина экстремальных ситуаций. 2017. Т. 59, № 1. С. 65–77 [Bumay O. K., Ivanchenko A. V., Abakumov A. A., et al. Preparation of the regulatory framework for the system of medical and sanitary services for marine and river vessels: analysis of the problem, proposals and prospect. Emergency Medicine. 2017, Vol. 59, No. 1, рр. 65–77 (In Russ.)].

6. Котенко П. К. Медицинские аспекты обеспечения безопасности деятельности спасателей МЧС России в Арктике // Материалы Всероссийской научно-практической конференции «Сервис безопасности в России: опыт, проблемы, перспективы. Арктика — регион стратегических интересов: правовая политика и современные технологии обеспечения безопасности в Арктическом регионе», Санкт-Петербург, 29 сентября 2016 г. СПб., 2016. С. 32–33 [Kotenko P. K. Medical aspects of ensuring the safety of rescuers of the Ministry of Emergency Situations of Russia in the Arctic. Materials of the All-Russian scientific and practical conference “Security Service in Russia: experience, problems, prospects. The Arctic is a region of strategic interests: legal policy and modern security technologies in the Arctic region” , St Petersburg, 29 september 2016. St. Petersburg, 2016, P. 32–33 (In Russ.)].

7. Ятманов А.Н. Математическая модель прогноза заболеваемости курсантов военно-морской академии им. Н.Г. Кузнецова // Вестник новых медицинских технологий. Электронное издание. 2018. № 5. С. 102-107. [Yatmanov A.N. Mathematical model for predicting morbidity among cadets of the N.G. Kuznetsov Naval Academy. Bulletin of New Medical Technologies. Electronic publication. 2018, No. 5, рр. 102-107. (In Russ.)].

8. Солдатов И.К., Евдокимов В.И., Арсентьев В.Г., Макиев Р.Г., Головинова В.Ю. Показатели групп здоровья воспитанников общеобразовательных организаций Минобороны России (2010-2022 гг.) // Известия Российской военно-медицинской академии. 2024. Т. 43, № 1. С. 41-48. [Soldatov I.K., Evdokimov V.I., Arsenyev V.G., Makiev R.G., Golovinova V.Yu. Health indicators of pupils of general education organizations of the Ministry of Defense of Russia (2010-2022). Bulletin of the Russian Military Medical Academy. 2024, Vol. 43, No. 1, рр. 41-48. (In Russ.)].

9. Казакевич Е. В., Архиповский В. Л., Середа А. П., Абакумов А. А. Особенности организации медицинской помощи морякам в условиях Арктики // Медицина экстремальных ситуаций. 2017. № 4. С. 8–20 [Kazakevich E. V., Arkhipovskiy V. L., Sereda A. P., Abakumov A. A. Features of the organization of medical care for seafarers in the Arctic. Emergency medicine, 2017, No 4, рр. 8–20 (In Russ.)].

10. Мельникова И. П. Влияние производственных факторов на здоровье моряков // Гигиена и санитария. 2007. № 1. С. 42–44 [Mel’nikova I. P. The influence of production factors on the health of seafarers. Hygiene and sanitation, 2007, No 1, рр. 42–44 (In Russ.)].

11. Казакевич Е. В., Архиповский В. Л., Бумай О. К. Морские медицинские консультативные центры как элемент системы медицинского обслуживания плавсостава морских судов // Морской вестник. 2016. № 1 (57). С. 112–113 [Kazakevich E. V., Arkhipovskiy V. L., Bumay O. K. Marine medical advisory centers as an element of the medical care system for naval personnel. Marine Bulletin, 2016, No. 1 (57), рр. 112–113 (In Russ.)].

12. Мосягин И. Г., Попов А. М., Чирков Д. В. Морская доктрина России – в приоритете человек // Морская медицина. 2015. Т. 1, № 3. С. 5–12 [Mosyagin I. G., Popov A. M., Chirkov D. V. The naval doctrine of Russia is a priority for people. Marine medicine, 2015, Vol. 1, No. 3, рр. 5–12 (In Russ)].