The article covers features of governmental and public control in providing sanitary epidemiologic well-being of population and consumers' rights protection. Based on analysis of contemporary legislation, the authors evaluated terms «control» and «supervision», having different legal nature. The authors determined specific traits and define subjects and objects for public control in relationships aimed to provide sanitary epidemiologic well-being of population, evaluated legislative basis of citizens' claims to Rospotrebnadzor, pointed at difficulties in implementation of public control in connection with necessity to create new organizational and legal mechanisms widening control possibilities.

Based on comparative analysis of contemporary clinical and instrumental investigations, the authors justify advantage of ultrasound examination in diagnosis of occupational myofibrosis. Results of ultrasound application helped to specify a classification of occupational myofibrosis according to the disease severity, that considerably increases efficiency of examining connection between the disease and occupation.

The authors evaluated efficiency of rehabilitation in patients with upper limbs occupational polyneuropathy, in accordance with length of service under physical overstrain. The study was based on follow-up of 268 patients. Treatment was initiated after the patients discontinued work hazardous for health. Drug and sanatorium treatment was effective in 67-86% of patients (with differences in occupational groups). The effect was only transitory (for 15-60 days) decrease of the disease clinical manifestations. Rehabilitation prognosis was reliably better in patients who worked during the disease development in conditions with number of stereotypic working movements of hands within hygienic norms. The treatment efficiency is reliably higher when started at younger age, regular drug and sanatorium treatment for many years. Placement of the patients on jobs avoiding physical overstrain enabled nowadays to prevent progression of occupational polyneuropathy.

Evaluation of blood gases and acid-base balance covered patients with carbon monoxide acute poisoning, in accordance with inhalation trauma presence. Evidence is that thermochemical injury of respiratory tract induced severe acid-base dysbalance remaining decompensated for a long time despite the treatment.

Pain syndrome accompanies various diseases of central and peripheral nervous system - that is one of the most imporant problems in contemporary neurology. Many scientists are in search for effective diagnostic and therapeutic tools. The article covers characteristics of the pain syndrome and its mechanisms in patients with upper limbs occupational polyneuropathies.

Clinical and neurophysiologic study covered efficiency of rehabilitation in 40 patients with upper limbs occupational vegetative-sensory polyneuropathy. Each patient underwent infrared thermography and electroneuromyography of hands before and after the treatment. Findings are that post-treatment nerve impulse velocity in right median nerve has improved considerably, thermovisual pictures of both upper limbs also have reliably improved. Electroneuromyography and infrared thermography for evaluation of rehabilitation efficiency are justified. Applied rehabilitation protocol was clinically effective, reliable improvement in the patients state was registered.

Total average daily intake of metals with local food by natives equalled: Cu 2%, Pb 6%, Cd 22%, Hg 40%, Ni 66%, As 157% - in comparison with allowable daily intake. Mushrooms are responsible for total intake of 35% Pb, 55% Cu, 61% Ni and 91% Cd; fish gives 83% Hg and 75% As. The natives' exposure to Ni is caused by mushrooms, wild and cultivated berries and vegetables, exposure to Cd - by mushrooms, that to Hg - by freshwater fish, exposure to As - by salmon and cod. Drinkable water contribution into exposure to metals is negligibly small for Hg, Cd, Pb and Cu, mild for As and considerable for Ni (23%). Total carcinogenous risk with Cu and Pb are negligible, with Cd is 0.22, with Hg 0.39, with Ni 0.81, with As 1.62, with totality of metals for total foods and water - 3.1. Total carcinogenous risks with Pb are minimal (less than 10^-6), with Cd - allowable (less than 10^-5), with As - average (less than 10^-3), with Ni - high (10^-2), with totality of metals for total foods and water - 1,25x10^-2. Increased health risks revealed necessitate recommendations on reduction/exclusion of some local foods intake by the natives and measures on drinkable water purification from nickel, or usage of other sources of clear water.

The results of periodic medical examinations (PME) of workers of the machine-building enterprise are analyzed and factors defining their quality are considered. The criteria of PME quality are proposed and used along with analysis of the defects of medical records. With help of Pareto chart the most significant factors affecting the quality of PME are revealed. These were noted in 76% of cases and included: lack of expertise of fitness to work, the discrepancy of the results of this expertise and the worker's pathology, the lack of registration and collection of complaints and anamnesis.

The authors analysed management and quality of periodic medical examinations among medical staffers of medical establishments of Volgograd city and suggested organizational measures to improve efficiency and quality of periodic medical examinations.

Studies covered respiratory health of 1530 workers of nickel industry, among which were 796 (52,0%) smokers. Findings are that tobacco smoke combined with nickel industry hazards cause potentized negative effects in respiratory organs, with earlier and more frequent chronic bronchitis. For isolated influence of these factors, chronic bronchitis risk is higher from exposure to tobacco smoke vs. occupational hazards (OR = 2,48; DI 1,49-4,13). Chronic obstructive lung disease development in nickel industry workers is caused by smoking. Industrial air pollutants appeared to have no potentizing effect on COLD formation, as well as on toxic pneumosclerosis formation.