epidemiologyЭпидемиология и ВакцинопрофилактикаEpidemiology and Vaccinal Prevention2073-30462619-0494«Numicom» LLC10.31631/2073-3046-2021-20-2-93-101epidemiology-1230Research ArticleОБЗОРREVIEWПроблемы оценки социально-экономического ущерба вследствие эпидемийProblems of assessing socio-economic damage due to epidemicsБрюхановаГ. Д.BryukhanovaG. D.

Галина Дмитриевна Брюханова, д. м. н., профессор кафедры инфекционных болезней и эпидемиологии факультета повышения квалификации и переподготовки преподавательского состава Кубанского государственного медицинского университета (Краснодар), профессор кафедры управления и технологий в туризме и рекреации Сочинского государственного университета (Сочи, ул. Пластунская, 94)

Galina D. Bryukhanova, Dr. Sci. (Med.), Professor of department of infectious diseases and epidemiology of faculty of advanced training and retraining faculty of the Kuban state medical University (Krasnodar), Professor of Department of management and technology for tourism and recreation Sochi state University (Sochi, Plastunskaya str., 94)

bryukhanov2@mail.ruhttps://orcid.org/0000-0003-3062-7595ГородинВ. Н.GorodinV. N.

Владимир Николаевич Городин, д. м. н., заведующий кафедрой инфекционных болезней и эпидемиологии факультета повышения квалификации и переподготовки преподавательского состава Кубанского государственного медицинского университета

Краснодар, ул. Седина, 204

Vladimir N. Gorodin, Dr. Sci. (Med.), professor, head of the Department of Infectious Diseases and Epidemiology

Krasnodar, Sedina str., 204

vgorodin@mail.ruРомановС. М.RomanovS. M.

Сергей Михайлович Романов, к. э. н., доцент и декан факультета туризма и сервиса Сочинского государственного университета

Сочи, ул. Пластунская, 94

Sergey M. Romanov, Cand. Sci. (Econom.), Dean of the Department of management and technology for tourism and recreation

Sochi, Plastunskaya str., 94

fts-sgu@mail.ruРедькоА. Н.RedkoA. N.

Андрей Николаевич Редько, д. м. н., профессор, проректор по научно-исследовательской работе

Краснодар, ул. Седина, 204

Andrey N. Redko, Dr. Sci. (Med.), Professor, Vice-Rector for Research, Kuban State Medical University, Ministry of Health of the Russian Federation

Krasnodar

redko2005@mail.ruНосиковД. В.NosikovD. V.

Дмитрий Владимирович Носиков, врач-эпидемиолог высшей квалификационной категории, заведующий эпидемиологическим отделом ГБУЗ «Специализированная клиническая инфекционная больница»

Краснодар, ул. Седина, 204

Dmitry V. Nosikov, doctor-epidemiologist of the highest qualification category, head of the epidemiological department, State Budgetary Healthcare Institution «Specialized Clinical Infectious Diseases Hospital»

Krasnodar, Sedina str., 204

ГриненкоС. В.GrinenkoS. V.

Светлана Викторовна Гриненко, д. э. н., профессор кафедры управления и технологий в туризме и рекреации, и. о. зав. кафедрой Сочинского государственного университета

Сочи, ул. Пластунская, 94

Svetlana V. Grinenko, Dr. Sci. (Econom.), Professor of the Department of Management and Technologies in Tourism and Recreation, Acting Head of Department of Sochi state University

Sochi, Plastunskaya str., 94

sveta.grinenko@gmail.ruФГБОУ ВО Кубанский государственный медицинский университет Минздрава России; ФГБОУ ВО Сочинский государственный университет Минобрнауки РоссииРоссияKuban state medical university of the ministry of health of the Russian FederationRussian FederationФГБОУ ВО Кубанский государственный медицинский университет Минздрава РоссииРоссияKuban state medical university of the ministry of health of the Russian FederationRussian FederationФГБОУ ВО Сочинский государственный университет Минобрнауки РоссииРоссияSochi state University of Ministry of science and education of RussiaRussian Federation20210305202120293101Copyright © Брюханова Г.Д., Городин В.Н., Романов С.М., Редько А.Н., Носиков Д.В., Гриненко С.В., 20212021Брюханова Г.Д., Городин В.Н., Романов С.М., Редько А.Н., Носиков Д.В., Гриненко С.В.Bryukhanova G.D., Gorodin V.N., Romanov S.M., Redko A.N., Nosikov D.V., Grinenko S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epidemvac.ru/jour/article/view/1230

Актуальность. Внезапно возникшие в текущем столетии эпидемиологические осложнения высветили серьёзные затруднения со стороны медицинских служб и государств в целом при реагировании на чрезвычайные ситуации эпидемиологического характера международного значения, что потребовало комплексного изучения масштабности проблемы негативных социально-экономических последствий эпидемий для современного государства. Цель работы состояла в исследовании факторов, определяющих современную конфигурацию медико-социальных рисков в предэпидемический период и формирующих социально-экономическую значимость эпидемий и пандемий в развитом постиндустриальном обществе. Результаты основаны на мониторинге, анализе и агрегировании информации специализированных национальных и международных отраслевых изданий и он-лайн ресурсов (медицинских, социо-экономических), а также материалов рецензируемых работ периодических изданий, на практической разработке авторских подходов и оценок функционирования системы противоэпидемической готовности на международном и национальном уровнях. Выявлены современные факторы, усугубляющие негативные последствия пандемии для демографии, экономики государства при отсутствии средств иммунопрофилактики и специфической терапии. Заключение. Социально-экономическая значимость эпидемиологических событий в современном постиндустриальном обществе существенно выше прогнозируемого уровня, основанного на применявшихся в предшествующем столетии расчётах стоимости клинического случая инфекционной болезни, а именно: без включения затрат на санитарно-противоэпидемические мероприятия в очагах болезни, на развёртывание госпитальной базы; на обеспечение строгого противоэпидемического режима работы в медицинских учреждениях, на реабилитацию и восстановление здоровья лиц, перенесших инфекционную болезнь; на организацию профилактических мероприятий в немедицинских организациях и на предприятиях (в т. ч. на проведение информационно-разъяснительной работы среди населения).

Relevance. The sudden epidemiological complications that have emerged in the current century have highlighted the serious difficulties on the part of medical services and States in general in responding to epidemiological emergencies of international significance, which required a comprehensive study of the scale of the problem of the negative socio-economic consequences of epidemics for the modern state. The aim of the work was to study the factors that determine the current configuration of medical and social risks in the pre-epidemic period and form the socio-economic significance of epidemics and pandemics in a developed postindustrial society. The results are based on the monitoring, analysis and aggregation of information from specialized national and international industry publications and online resources (medical, socio-economic), as well as materials from peer-reviewed periodicals, on the practical development of author's approaches and assessments of the functioning of the anti-epidemic preparedness system at the international and national levels. Modern factors that aggravate the negative consequences of the pandemic for demography and the state economy in the absence of immunoprophylaxis and specific therapy are identified. Conclusion. The socio-economic significance of epidemiological events in the modern post-industrial society is significantly higher than the predicted level, based on the calculations of the cost of a clinical case of an infectious disease used in the previous century, namely: without including the costs of sanitary and anti-epidemic measures in the foci of the disease, for the deployment of a hospital base; for ensuring a strict anti-epidemic regime of work in medical institutions, for the rehabilitation and restoration of health of persons who have suffered an infectious disease; for the organization of preventive measures in non-medical organizations and enterprises (including information and explanatory work among the population); for the organization of medical care for persons with somatic pathology.

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The authors declare that there are no conflicts of interest present.