The main scientific provisions formulated by the author on the basis of the studies carried out:

1. Professional risk assessment should be part of Socio-hygienic monitoring and is not opposed to the system of state rationing. Moreover, the risk methodology is an adequate addition of the hygienic classification of labor and can be successfully used in the sanitary and hygienic characteristics of jobs.
2. Professional risk assessment methodology allows predetermining adequate management decisions to limit risk and optimize the working conditions of workers, develop organizational and technical, medical and preventive measures, to determine the priority of financing improvement activities.
3. The indicators of the health status of workers obtained through the presented methodology and, above all, the prognostic levels of professional risk are diverged with the data of official statistics of professional pathology. The reasons for this, along with social factors, is the insufficient focus of periodic medical examinations and, as a result, the late detection of professional pathology.
4. Quantitative assessment of the degree of risk of damage to workers' health from the action of harmful and dangerous factors of the working environment and workload, according to the probability of health disorders, taking into account their severity, may be the basis for determining economic damage from the impact of these factors, as well as the basis for developing a production insurance system risks.
5. Professional risk assessment methodology is an important additional mechanism and basis for planning and implementing control and supervisory measures and an effective tool for social and hygienic monitoring, coordination of the activities of the service with the executive authorities in the field of labor protection and medical institutions in terms of improving the effectiveness of preliminary and periodic medical inspections.

1. Badkhen V.V. Physiological and hygienic assessment of labor working in raw materials LENMASTOBOMBINATE / V.V. Badkhen, T.G. Veselova, A.V. Melzer // Collection Scientific. Works are ed. prof. Mamulova V.G. and Ignatyuka A.N.: Medico-biological problems of modern industrial production - St. Petersburg., 1990.- p.43 - 44.

2. Mikhailova N.N. Optimization of working conditions and prevention of incidence of working raw materials of meat processing enterprises. Guidelines / N.N. Mikhailova, T.G. Veselova, S.N. Rakhmanina, A.V. Melzer // M., 1991.- 35 p.

3. Vasiliev G.M. Working conditions and the state of health of drivers of urban electric transport / g. Vasiliev, I.V. Kosyreva, A.V. Melzer // Collection of theses to a scientific and practical conference. Hygienic foundations of labor protection - St. Petersburg., 1996.- S.66.

4. Melzer A.V. Organization of work at enterprises and organizations to conduct preliminary and periodic medical examinations of workers. Risk assessment of the health status of working depending on the indicators of working conditions / A.V. Melzer, N.M. Evdokimov, A.V. Kiselev // Collection of articles: new requirements for the implementation of sanitary and epidemiological surveillance of enterprises and organizations. - SPB.: MCENT, 1996. - C.19-23.

5. Kiselev A.V. Recommendations for justifying the risk of health working depending on the conditions of working conditions / A.V. Kiselev, A.V. Melzer // Modern directions In labor protection and protection of workers' health with any forms labor activity: Collection of reports. - SPB: Knowledge, 1996.- C.125 - 126.

6. Friedman K.B. Recommendations on the rationale for the risk of health working depending on the indicators of working conditions / KB Friedman, A.V. Kiselev, A.V. Melzer // Materials of the reports of the Russian Scientific and Practical Conference March 19-20, 1996: Modern areas in labor protection and protection of workers' health in any kinds and forms of employment. - SPB., 2001.- S.9.- 13.

7. Melcher A.V. Assessment of the risk of health working depending on the conditions of working conditions. / A.V. Melzer, A.V. Kiselev // Information bulletin of the administration of St. Petersburg: security and safe working conditions. - SPB., 1999.- №2.- C.25 - 27.

9. Veselova TM Optimization of labor processes associated with physical, intellectual, emotional and sensory loads. Methodical recommendations / TM Veselova, TM Naumova, L.B. Gerasimova, A.V. Melzer // SPb., 1999.- 58С.

10. Melcher A.V. Compensation of moral damage in car accidents, industrial injuries and occupational diseases. Brochure / A.V. Melzer, N.M. Evdokimov, TM Naumova // SPB., TERRATION, 2000.- 40 p.

11. Melzer A.V. Practice of application of the risk assessment system for health working depending on the conditions of working conditions / A.V. Melzer, A.V. Kiselev, L.V. Evustfeeva, I.V. Stefanovskaya // Materials of the Scientific and Practical Conference: Actual problems Sanitary and epidemiological well-being of the population of the North-West Region.-SPb., 2000.- S.95.

12. Melzer A.V. Risk Assessment of Working Health - Compound Part of Social and Hygienic Monitoring / A.V. Melzer, A.V. Kiselev // Collection of theses of the Scientific and Practical Conference: Approaches to the risk assessment of the health of working. - SPB., 2001.- S.9.

13. Melzer A.V. The use of risk assessment models for social and hygienic monitoring of the health of employees / A.V. Melzer, A.V. Kiselev // Materials of the International Scientific and Practical Conference. Herald of SPbGMA. I.I.Mechnikova.- 2001. - No. 2-3 (2) -s.158.

14. Melzer A.V. Application of a health risk assessment system for creating healthy and safe working conditions / A.V. Melzer, A.V. Kiselev // Collection of abstracts of reports at a regional scientific-practical conference: the effect of anthropogenic impact on public health and quality ambient.- SPB., 2001.- p.23-24.

15. Melzer A.V. Criteria for assessing the risk of health working depending on the conditions of working conditions / A.V. Melzer // Materials of the Regional Scientific and Practical Conference.- SPB., 2001, NII SPGSU- C.10-14.

16. Evdokimov N.M. Practical questions of compensation for harm to health workers. Monograph / N.M. Evdokimov, A.V. Melzer, TM Naumova, O.N. Petushkova // SPb.: Publisher "Victoria Plus", 2002. - 128С.

17. Naumova TM The main aspects of the activities of the Centers in the field of labor hygiene / TM Naumova, L.B. Gerasimova, E.P. Obraznyova, A.V. Melzer // Materials of the Scientific and Practical Conference: Results of the activities of state-poidnadzor- SPB., 2002.- S.95.

18. Melzer A.V., Dalitsky A.I. Hygienic assessment air quality in different types Housing in the practice of GosanaPidadzor / A.V. Melzer, A.I. Dalitsky // Health of the population and habitat. - 2002. - No. 5 (110) .- P. 29-31.

19. Evdokimov N.M. Medical and legal assistance: the rights of persons with disabilities. Monograph / N.M. Evdokimov, A.V. Melzer, TM Naumova, O.V. Sirenko // SPb.: Publishing company Nevsky Prospekt, 2002.- 159 p.

20. Melzer A.V. Goals, objectives and responsibility of participants in preventive medical examinations in modern conditions. Brochure / A.V. Melzer, TM Naumova, N.M. Evdokimov, O.V.Sirenko.-SPb.: TRACTION, 2003.- 57С.

21. Melzer A.V. Practice Application Methods for assessing the risk of health / A.V. Melzer, A.V. Kiselev, E.G. Uhorskaya, G.M. Schubenok // Materials of the XXXVII Scientific Conference. Slamian readings. - SPb.: Publishing House SPBMAPO, 2004.- C.148-150.

22. Melzer A.V. What you need to know when applying for medical help. Monograph / A.V. Melzer, A.V. Kiselev, TM Naumova, O.V. Sirenko, N.M. Evdokimov.- SPB.: TERRATION, 2005.- 92C.

23. Melzer A.V. Actual issues of ensuring the sanitary and epidemiological well-being of the population of St. Petersburg in the reform of the StateSanepid Services / A.V. Melzer // Modern problems Labor hygiene. Materials of the All-Russian Scientific and Practical Conference.- SPB., 2005.- S. 104-105.

24. Shcherbo A.P. Assessment of the risk of exposure to production factors on the health of working. Monograph / A.P. Stherbo, A.V. Melzer, A.V. Kiselev. - SPB: TRACTION, 2005.- 116 p.

25. Melzer A.V. Practice of application of the methodology for assessing the risk of health support from the effects of noise / A.V. Melzer // Bulletin SPbGMA. I.I. Mechnikova. - 2006. - No. 2 (7) - p. 40 - 42.

26. Melzer A.V. Family health and professional status of parents / A.V. Melzer // Russian family doctor. - 2006.- T. 10, No. 1.- p.28-29.

27. Melzer A.V. Experience of sanitary and hygienic passportation of carcinogenic industries using the risk models of working / A.V. Melzer // Siberia-East.- Irkutsk, 2006.-№ 7 (103) - p.39-41.

28. Melzer A.V. Methodical approaches to the assessment of professional risk / A.V. Melzer, A.V. Kiselev // Herald of SPbGMA. I.I.Mechnikova. - 2006. - No. 1 (7). - S.57-59.

29. Melzer A.V. Practice of assessing the combined effects of industrial factors with the help of a professional risk methodology / A.V. Melzer, A.V. Kiselev // Herald of SPbGMA. I.I.Mechnikova.- 2006. - No. 3 (7). - S.57- 60.

30. Patsyuk N.A. Scientific and methodological foundations of the hygienic justification of sanitary protection zones in the territories of the metropolis. / I.A. Rakitin, A.V. Melzer, N.A. Patsyuk, N.P. Sukhorka, TM Naumova // Materials of the Scientific and Practical Conference: ensuring the sanitary and epidemiological safety of the population in urban planning solutions: problems, achievements, prospects. - M., 2006.- C.144-147.

31. Melzer A.V. The practice of applying the risk assessment methodology for the impact of noise on the health of working. / A.V. Melzer // Efferent therapy. - 2006.- T. 12, No. 3. - P. 75-77.

32. Melzer A.V. Evaluation of the impact on the population of elevated noise levels following the results of socio-hygienic monitoring / A.V. Melzer, N.V. Borovkov, E.B. Kuznetsov // Collection of conference reports: protection of the population from increased noise effect. - SPB. / Baltic State technical University "Warmeters", 2006.- C.29-30.

33. Lopatin S.A. Problems and prospects for organizing sanitary protection zones in St. Petersburg / S.A. Lopatin, V.A. Kryongkov, A.V. Melzer // Berg College. Industrial Safety. Energy. Ecology. - SPB, 2007. - No. 1 (34). - p.48-50.

34. Rakitin I.A. On the issuance of Sanitary and epidemiological conclusions in the city of St. Petersburg by the Office of Rospotrebnadzor, during the planning and development of St. Petersburg / I.A. Rakitin, A.V. Melzer, N.P. Sukhoraba // Construction and reconstruction. - SPB.- 2007. - No. 2 (92) .- P. 6-8.

35. Gorsky G.A. Geological and anthropogenic features of the exposure of the population of St. Petersburg from natural sources ionizing radiation / G.A. Gorsky, A.V. Melzer, A.I. Potiphors // Collection of reports and abstracts of the Scientific and Practical Conference: Materials X Congress of Hygienists and Sanitary Doctors. - M., 2007.- S. 25-28.

After the hot and smoky summer of 2010, every St. Petersburg team knows that in the heat you need to drink a lot, sleep well and if possible not to work. It is worth believing the generally accepted advice, Alexander Melzer, D.N., Dean, Dean of the Medical and Preventive Faculty of Szgmu. Mechnikov.

Ice cream

"Dr. Peter" asked the doctor if ice cream could have a lot of sugar, thicken blood and thereby breaking work of cardio-vascular systemwhich is no longer working in the heat with a double strength. Alexander Vitalyevich reassured all the lovers of sweets, that from ice cream and even two nothing happens. But what is really worth fearful - it is frosty products.

The main danger of summer is microbiological pollution of products. Ice cream, which was raised, and then re-frozen, can cause. Therefore, I would warn to buy ice cream from street vendors who keep him in the sun and do not observe the temperature regime, "Alexander Melzer explained.

Dr. Peter.

> SIFR: G416371 / 2013/5
Magazine
Hygiene and Sanitation [Text]: Scientific and Practical Journal. - M., 1922 -. - ISSN 0016-9900. - Once every two months
2013 N 5.
Content:
Rakhmanin, Yu. A. The state and actualization of tasks to improve the scientific and methodological and regulatory frameworks in the field of human environment and environmental hygiene / Yu. A. Rakhmanin, O. O. Sinitsyn. - C.4-10. - Bibliogr. At the end of Art. : Tab.
Potential Member States of the WHO European Region in the field of preventing negative effects chemical substances On the health of the population and measures to strengthen it. - C.11-15. - Bibliogr. At the end of Art.
Hamidulin, Khalia Khazbulaevna. The advantages and problems of implementing the combined hazard classification system and chemical production system (SGS) into the practice of domestic preventive toxicology and hygiene / H. Khamidulin, D. N. Rabikova. - p.16-18. - Bibliogr. At the end of Art. : Tab.
Analysis of the dispersed and component composition of dust to assess the exposition of the population in the zones of influence of emissions of industrial stationary sources. - p.19-23. - Bibliogr. At the end of Art. : Fig.
Modern aspects of the condition and improvement of the sanitary and epidemiological well-being of workers and passengers railway transport Russia. - p.24-26. - Bibliogr. At the end of Art. : Tab.
Hygienic aspects of the use of LED light sources for general lighting in schools. - p.27-31. - Bibliogr. At the end of Art. : Tab.
Melzer, Alexander Vitalyevich. Experience in the implementation of the integral assessment method drinking water In terms of chemical harmlessness in St. Petersburg / A.V. Melzer, N. V. Yeras, A. V. Kiselev. - p.31-34. - Bibliogr. At the end of Art. : Fig.
Samutyin, Nikolai Mikhailovich. The influence of the oil and gas industry on environmental safety and public health in KhMAO-Ugra / N. M. Samutin, V. O. Vorobiev, N. N. Butorin. - p.34-36. - Bibliogr. At the end of Art.
Features of changes in the electrochemical parameters of water activated by the structural-strained calcium carbonate in micellar form. - p.37-40. - Bibliogr. At the end of Art. : Fig.
Dobrokhotskiy, Oleg Nariyevich. The main directions of the harmonization of Russian and international requirements for ensuring biological safety when working with pathogenic biological agents / O. N. Dobrochotsky, A. I. Dyatlov. - P.40-44. - Bibliogr. At the end of Art. : Tab.
Harmonization of microbiological and parasitological indicators of epidemic safety of drinking water with international requirements. - p.45-48. - Bibliogr. At the end of Art. : Tab.
European approaches to food safety assessment on microbiological indicators. - p.48-52. - Bibliogr. At the end of Art. : Tab.
Actual problems of improving the risk assessment of the health of the population to ensure sanitary and epidemiological well-being. - S.53-55. - Bibliogr. At the end of Art.
Korenkov, Igor Petrovich. The methodology for an express assessment of radiation risk for the health of the population when exposed to radionuclides present in underground water / I. P. Korenkov, T. N. Laschenov, N. V. Klochakov. - S.56-59. - Bibliogr. At the end of Art. : Fig.
Shur, Pavel Zalmanovich. Identification of social risk factors for children preschool ageliving in territories with high anthropogenic load / P. Z. Shur, N. A. Lebedeva-Nesheverver. - S.59-62. - Bibliogr. At the end of Art.
Prusakov, Valery Mikhailovich. Dynamics of risk of incidence of the population in industrial cities of the Irkutsk region / V. M. Prussakov, A. V. Prussakova, Z. A. Zhikova. - P.63-69. - Bibliogr. At the end of Art. : Fig.
Konstantinova, Ekaterina Danilovna. Determination of the main risk factors for the development of non-infectious diseases: classification trees method / E. D. Konstantinova, A. N. Varaksin, I. V. Zhovner. - S.69-72. - Bibliogr. At the end of Art. : Fig.
Stubayev, Ermek Nigmetovich. Development of health management technologies for the population of Kazakhstan on the basis of an integral assessment of the combined effects of environmental factors / E. N. Stunubayev, B. Serik. - S.73-75. - Bibliogr. At the end of Art. : Fig.
Kalinina, Marina Vladimirovna. Optimization of doses of patients as a basis for assessing the risk of stochastic effects due to medical x-ray radiation / M. V. Kalinina, T. V. Zhukova, N. A. Kononenko. - S.76-78. - Bibliogr. At the end of Art. : Tab.
The study of the territorial distribution of the infections of the Helicobacter Pylori of the working-age population of Moscow during the dispensary of production contingents. - P.79-82. - Bibliogr. At the end of Art. : Tab.
Hygienic assessment of the incidence of the region of the Karachaganak field. - P.83-86. - Bibliogr. At the end of Art. : Fig.
Kiku, Pavel Fedorovich. The prevalence of environmentally dependent diseases of the genitourinary system in the bioclimatic zones of the Primorsky Territory / P. F. Kiku, T. V. Gorborowkova, V. Yu. Ananyev. - P.87-91. - Bibliogr. At the end of Art. : Tab.
Hygienic assessment of the influence of environmental factors on schoolchildren's functional performance. - P.91-94. - Bibliogr. At the end of Art. : Fig.
Bidewkina, Marina Vasilyevna. On the prediction of hygienic standards of chemicals that have electoral action, in the atmospheric air of populated places / M. V. Bidevkina. - P.95-97. - Bibliogr. At the end of Art. : Tab.
To the issue of distribution and problems of hygienic rationing of fungal pollution of the aerial environment of residential and public buildings . - P.98-104. - Bibliogr. At the end of Art. : Tab.
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