UDC

613.1

DOI

10.37482/2687-1491-Z143

Authors

Sergey N. Noskov*/** ORCID: https://orcid.org/0000-0001-7971-4062
Roman V. Buzinov* ORCID: https://orcid.org/0000-0002-8624-6452
Sergey A. Syurin* ORCID: https://orcid.org/0000-0003-0275-0553
Gennadiy B. Eremin* ORCID: https://orcid.org/0000-0002-1629-5435
Aleksandr O. Karelin*** ORCID: https://orcid.org/0000-0003-2467-7887
Andrey B. Gudkov**** ORCID: https://orcid.org/0000-0001-5923-0941
Ol’ga N. Popova**** ORCID: https://orcid.org/0000-0002-0135-4594
Aleksandr N. Nikanov* ORCID: https://orcid.org/0000-0003-3335-4721

*The Northwest Public Health Research Center (St. Petersburg, Russian Federation)
**North-Western State Medical University named after I.I. Mechnikov (St. Petersburg, Russian Federation)
***Academician I.P. Pavlov First St. Petersburg State Medical University (St. Petersburg, Russian Federation)
****Northern State Medical University (Arkhangelsk, Russian Federation)

Corresponding author: Sergey Noskov,
address: ul. 2-ya Sovetskaya 4, St. Petersburg, 191036, Russian Federation;
e-mail: sergeinoskov@mail.ru

Abstract

It is known that terrestrial and space weather can have a significant impact on the functional state of the body, including in the form of meteoropathic reactions, acute illness or recurrence of chronic diseases. It seems necessary to analyse studies that have established cause-and-effect relationships between naturalclimatic factors and morbidity in order to determine the contribution of natural factors to public health risks and to identify priority indicators in order to improve social and hygienic monitoring. This article analyses scientific papers published in 2000–2021. Based on the search results in open data sources, 153 full-text publications were selected, of which 56 fully met the criteria for inclusion in a systematic review. We found that the most frequently studied natural and climatic factors were atmospheric temperature and humidity, atmospheric pressure, air velocity, solar activity, atmospheric electricity, and variations in Earth’s magnetic field, including their frequency and combined effects. The objects of research were mainly patients with circulatory diseases: hypertension, ischaemic heart disease, cerebrovascular disease, and aortic aneurysms. However, according to the results of the studies, none of the factors can be clearly linked to the onset or development of the above diseases. This can be explained by the differences in the climatic conditions of the studies, by the crosseffect of meteorological and heliogeophysical factors, by sex and age differences of the studied groups, and by the influence of confounding factors such as diet, lifestyle, socioeconomic status, and bad habits. Thus, an integrated approach to the analysis of the accumulated data is required to improve our knowledge about the impact of terrestrial and space weather on humans. In order to effectively prevent and predict the development of weather-related health disorders, the key natural factors should be included into the system of social and hygienic monitoring.

Keywords

terrestrial weather, space weather, natural climatic factors, weather-related reactions, weather-related health disorders, meteoropathy prevention

References

1. Bobrovnitskii I.P., Nagornev S.N., Yakovlev M.Yu., Shashlov S.V., Banchenko A.D., Gruzdeva A.Yu., Levi D., Palumbo O. Perspectives of Research of the Impact of Meteorological and Geomagnetic Parameters on the Incidence and Mortality of the Population. Gigiena i sanitariya, 2018, vol. 97, no. 11, pp. 1064–1067 (in Russ.). DOI: 10.18821/00169900-2018-97-11-1064-67
2. Saltykova M.M., Bobrovnitskii I.P., Yakovlev M.Yu., Banchenko A.D., Nagornev S.N. A New Approach to the Analysis of the Influence of Weather Conditions on the Human Organism. Gigiena i sanitariya, 2018, vol. 97, no. 11, pp. 1038–1042 (in Russ.). DOI: 10.18821/0016-9900-2018-97-11-1038-42
3. Gudkov A.B., Nebuchennykh A.A., Popova O.N. Pokazateli deyatel’nosti serdechno-sosudistoy sistemy u voennosluzhashchikh uchebnogo tsentra Voenno-morskogo flota Rossii v usloviyakh Evropeyskogo Severa [Indices of Cardiovascular System Activity in Military Men from Russian Navy Training Center in Conditions of European North]. Ekologiya cheloveka, 2008, no. 1, pp. 39–43.
4. Mironovskaya A.V., Buzinov R.V., Gudkov A.B. Prognoznaya otsenka neotlozhnoy serdechno-sosudistoy patologii u naseleniya severnoy urbanizirovannoy territorii [Prognostic Evaluation of Urgent Cardiovascular Disease in the Population of a Northern Urbanized Area]. Zdravookhranenie Rossiyskoy Federatsii, 2011, no. 5, pp. 66–67.
5. Gudkov A.B., Popova O.N., Nebuchennykh A.A., Bogdanov M.Yu. Ekologo-fiziologicheskaya kharakteristika klimaticheskikh faktorov Arktiki. Obzor literatury [Ecological and Physiological Characteristic of the Arctic Climatic Factors. Review]. Morskaya meditsina, 2017, vol. 3, no. 1, pp. 7–13. DOI: 10.22328/2413-5747-2017-3-1-7-13
6. Mukhina A.A., Smirnova M.D., Badalov N.G., Borodulina I.V., Marfina T.V., Barinova I.V., Blankova Z.N., Ageeva N.V., Ageev F.T. Nonpharmaceutical Treatment and Prevention of Meteopathies in Patients with Arterial Hypertension. Fizioterapiya, bal’neologiya i reabilitatsiya, 2017, vol. 16, no. 6, pp. 291–294 (in Russ.). DOI: 10.18821/1681-3456-2017-16-6-291-294
7. Saltykova M.M., Bobrovnitskii I.P., Yakovlev M.Yu., Banchenko A.D. Effect of Weather Conditions on Patients with Cardiovascular Diseases: Main Directions of Research and Major Issues. Ekologiya cheloveka, 2018, no. 6, pp. 43–51 (in Russ.). DOI: 10.33396/1728-0869-2018-6-43-51
8. Stewart S., Keates A.K., Redfern A., McMurray J.J.V. Seasonal Variations in Cardiovascular Disease. Nat. Rev. Cardiol., 2017, vol. 14, no. 11, pp. 654–664. DOI: 10.1038/nrcardio.2017.76
9. Belyaeva V.A. Influence Exerted by Risk Factors of Space and Earth Weather on Frequency of Emergency Calls from Patients with Acute Cerebral Circulation Disorders. Analiz riska zdorov’yu, 2017, no. 4, pp. 76–82 (in Russ.). DOI: 10.21668/health.risk/2017.4.08
10. Zunnunov Z.R. Vliyanie meteopatogennykh faktorov na obrashchaemost’ naseleniya za skoroy i neotlozhnoy meditsinskoy pomoshch’yu [Influence of Meteopathogenic Factors on Population Visits for Emergency Medical Care]. Terapevticheskiy arkhiv, 2013, vol. 85, no. 9, pp. 11–17.
11. Grigor’ev K.I., Povazhnaya E.L. The Problem of Increased Meteosensitivity in Children and Adolescents. Rossiyskiy vestnik perinatologii i pediatrii, 2018, vol. 63, no. 3, pp. 84–90 (in Russ.). DOI: 10.21508/1027-4065-201863-3-84-90
12. Dikhanova Z.A., Mukhametzhanova Z.T., Iskakova A.K., Altaeva B.Zh., Mukasheva B.G. Vliyanie klimata na organizm cheloveka [The Influence of Climate on the Human Body]. Gigiena truda i meditsinskaya ekologiya, 2017, no. 1, pp. 11–16.
13. Vasilenko A.M., Agasarov L.G., Sharipova M.M. Fizicheskie metody profilaktiki i korrektsii meteopaticheskikh reaktsiy (obzor) [The Physical Methods for the Prevention and Management of Weather-Dependent Pathological Reactions (a Literature Review)]. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury, 2016, vol. 93, no. 5, pp. 58–65. DOI: 10.17116/kurort2016558-65
14. Doroshchuk N.A., Postnov A.Yu., Doroshchuk A.D., Khasanova Z.B., Konovalova N.V., Khesuani Yu.D., Osyaeva M.K., Rodnenkov O.V., Chazova I.E. Pryamoe povrezhdayushchee vozdeystvie na DNK cheloveka neblagopriyatnykh ekologicheskikh i klimaticheskikh faktorov [Direct Human DNA Damage by Unfavorable Environmental and Climatic Factors]. Terapevticheskiy arkhiv, 2014, vol. 86, no. 12, pp. 72–77. DOI: 10.17116/terarkh2014861272-77
15. Revich B.A., Shaposhnikov D.A. Influence Features of Cold and Heat Waves to the Population Mortality – the City with Sharply Continental Climate. Sibirskoe meditsinskoe obozrenie, 2017, no. 2, pp. 84–90 (in Russ.). DOI: 10.20333/2500136-2017-2-84-90
16. Uyanaeva A.I., Tupitsyna Yu.Yu., Rassulova M.A., Turova E.A., L’vova N.V., Ayrapetova N.S. Vliyanie klimata i pogody na mekhanizmy formirovaniya povyshennoy meteochuvstvitel’nosti (obzor) [The Influence of the Climatic and Weather Conditions on the Mechanisms Underlying the Formation of Enhanced Meteosensitivity (a Literature Review)]. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury, 2016, vol. 93, no. 5, pp. 52–57. DOI: 10.17116/kurort2016552-57
17. Azizov V.A., Hatamzade E.M., Rahimova A.S., Alekperova A.K., Sadigova T.A., Mamedzade A.Y. Dependence of Mortality from Cardiovascular System Diseases on Meteorologic Factors Among Population of Baku and Guba. Evraziyskiy kardiologicheskiy zhurnal, 2018, no. 2, pp. 16–27 (in Russ.).
18. Hasnulin V.I., Gafarov V.V., Voevoda M.I., Razumov E.V., Artamonova M.V. Influence of Meteorological Factors in Different Seasons on Incidence of Hypertensive Disease Complications in Novosibirsk Residents. Ekologiya cheloveka, 2015, no. 7, pp. 3–8 (in Russ.).
19. Belyaeva V.A. The Impact of Meteo-Factors on Increase of Arterial Blood Pressure. Analiz riska zdorov’yu, 2016, no. 4, pp. 17–22 (in Russ.). DOI: 10.21668/health.risk/2016.4.02
20. Garganeeva A.A., Kuzheleva E.A., Gorbatenko V.P., Okrugin S.A., Kuzhevskaya I.V. Specifics of Development and Course of Acute Coronary Insufficiency During Extreme Heat Weather Conditions. Cardiovasc. Ther. Prev., 2017, vol. 16, no. 5, pp. 52–56 (in Russ.). DOI: 10.15829/1728-8800-2017-5-52-56
21. Pushkina V.N., Gribanov A.V. Sezonnye izmeneniya vzaimootnosheniy pokazateley kardiorespiratornoy sistemy u yunoshey v usloviyakh tsirkumpolyarnogo regiona [Seasonal Changes of Interrelations Between Cardiorespiratory System Characteristics of Youths in Conditions of Circumpolar Region]. Ekologiya cheloveka, 2012, no. 9, pp. 26–31.
22. Alenikova A.E., Tipisova E.V. Analiz izmeneniy gormonal’nogo profilya muzhchin g. Arkhangel’ska v zavisimosti ot faktorov pogody [Analysis of the Changes in Male Hormone Profile Depending on Weather Conditions in Arkhangelsk]. Vestnik Severnogo (Arkticheskogo) federal’nogo universiteta. Ser.: Mediko-biologicheskie nauki, 2014, no. 3, pp. 5–15.
23. Rusak S.N., Es’kov V.V., Molyagov D.I., Filatova O.E. Godovaya dinamika pogodno-klimaticheskikh faktorov i zdorov’e naseleniya Khanty-Mansiyskogo avtonomnogo okruga [Annual Dynamics of Climatic Factors and Population Health in Khanty-Mansiysk Autonomous Area]. Ekologiya cheloveka, 2013, no. 11, pp. 19–24.
24. Kozlovskaya I.L., Bulkina O.S., Lopukhova V.V., Kolmakova T.E., Karpov Yu.A., Starostin I.V., Baratashvili V.L., Rubinshteyn K.G., Emelina S.V., Borovikov V.P. Dinamika gospitalizatsiy bol’nykh s ostrym koronarnym sindromom i pokazateli sostoyaniya atmosfery v Moskve v 2009–2012 gg. [Trends in Hospitalizations of Patients with Acute Coronary Syndrome and Indicators of the Atmospheric State in Moscow in 2009–2012]. Terapevticheskiy arkhiv, 2014, no. 12, pp. 20–26. DOI: 10.17116/terarkh2014861220-26
25. Barnett A.G., Hajat S., Gasparrini A., Rocklöv J. Cold and Heat Waves in the United States. Environ. Res., 2012, vol. 112, pp. 218–224. DOI: 10.1016/j.envres.2011.12.010
26. Rocklöv J., Ebi K., Forsberg B. Mortality Related to Temperature and Persistent Extreme Temperatures: A Study of Cause-Specific and Age-Stratified Mortality. Occup. Environ. Med., 2011, vol. 68, no. 7, pp. 531–536. DOI: 10.1136/oem.2010.058818
27. Hopstock L.A., Barnett A.G., Bønaa K.H., Mannsverk J., Njølstad I., Wilsgaard T. Seasonal Variation in Cardiovascular Disease Risk Factors in a Subarctic Population: The Tromsø Study 1979–2008. J. Epidemiol. Community Health, 2013, vol. 67, no. 2, pp. 113–118. DOI: 10.1136/jech-2012-201547
28. Revich B.A., Shaposhnikov D.A. Volny kholoda v yuzhnykh gorodakh evropeyskoy chasti Rossii i prezhdevremennaya smertnost’ naseleniya [Cold Waves in the Southern Cities of the European Part of Russia and Premature Mortality of the Population]. Problemy prognozirovaniya, 2016, no. 2, pp. 125–131.
29. McCarthy M. Rural West Has Highest Rate of Cold-Related Deaths in US, CDC Report Shows. BMJ, 2015, vol. 350. Art. no. h1211. DOI: 10.1136/bmj.h1211
30. Kuz’menko N.V., Pliss M.G., Tsyrlin V.A. Zavisimost’ tsirkannual’noy dinamiki arterial’nogo davleniya ot sezonnykh kolebaniy meteorologicheskikh i geliofizicheskikh faktorov. Meta-analiz [The Dependence of Circannual Dynamics of Blood Pressure on Seasonal Fluctuations of Meteorological and Heliophysical Factors. Meta-Analysis]. Rossiyskiy kardiologicheskiy zhurnal, 2019, vol. 24, no. 1, pp. 80–93. DOI: 10.15829/1560-4071-2019-1-80-93
31. Cowperthwaite M.C., Burnett M.G. The Association Between Weather and Spontaneous Subarachnoid Hemorrhage: An Analysis of 155 US Hospitals. Neurosurgery, 2011, vol. 68, no. 1, pp. 132–139. DOI: 10.1227/NEU.0b013e3181fe23a1
32. Monteiro A., Carvalho V., Velho S., Sousa C. The Accuracy of the Heat Index to Explain the Excess of Mortality and Morbidity During Heat Waves – a Case Study in a Mediterranean Climate. Bull. Geogr. Soc. Econ. Ser., 2013, vol. 20, pp. 71–84. DOI: 10.2478/bog-2013-0012
33. Guo Y., Gasparrini A., Li S., Sera F., Vicedo-Cabrera A.M., de Sousa Zanotti Stagliorio Coelho M., Saldiva P.H.N., Lavigne E., Tawatsupa B., Punnasiri K., Overcenco A., Correa P.M., Ortega N.V., Kan H., Osorio S., Jaakkola J.J.K., Ryti N.R.I., Goodman P.G., Zeka A., Michelozzi P., Scortichini M., Hashizume M., Honda Y., Seposo X., Kim H., Tobias A., Íñiguez C., Forsberg B., Åström D.O., Guo Y.L., Chen B.Y., Zanobetti A., Schwartz J., Dang T.N., Van D.D., Bell M.L., Armstrong B., Ebi K.L., Tong S. Quantifying Excess Deaths Related to Heatwaves Under Climate Change Scenarios: A Multicountry Time Series Modelling Study. PLoS Med, 2018, vol. 15, no. 7. Art. no. e1002629. DOI: 10.1371/journal.pmed.1002629
34. Berko J., Ingram D.D., Saha S., Parker J.D. Deaths Attributed to Heat, Cold, and Other Weather Events in the United States, 2006–2010. Natl. Health Stat. Rep., 2014, no. 76, pp. 1–15.
35. Hanzlíková H., Plavcová E., Kynčl J., Kříž B., Kyselý J. Contrasting Patterns of Hot Spell Effects on Morbidity and Mortality for Cardiovascular Diseases in the Czech Republic, 1994–2009. Int. J. Biometeorol., 2015, vol. 59, no. 11, pp. 1673–1684. DOI: 10.1007/s00484-015-0974-1
36. Urban A., Davídkovova H., Kysely J. Heatand Cold-Stress Effects on Cardiovascular Mortality and Morbidity Among Urban and Rural Populations in the Czech Republic. Int. J. Biometeorol., 2014, vol. 58, no. 6, pp. 1057–1068. DOI: 10.1007/s00484-013-0693-4
37. Huang Q., Lin S.-W., Hu W.-P., Li H.-Y., Yao P.-S., Sun Y., Zeng Y.-L., Huang Q.-Y., Kang D.-Z., Wu S.-Y. Meteorological Variation Is a Predisposing Factor for Aneurismal Subarachnoid Hemorrhage: A 5-Year Multicenter Study in Fuzhou, China. World Neurosurg., 2019, vol. 132, pp. e687–e695. DOI: 10.1016/j.wneu.2019.08.048
38. Kellogg M., Petrov D., Agarwal N., Patel N.V., Hansberry D.R., Agarwal P., Brimacombe M., Gandhi C.D., Prestigiacomo C. Effects of Meteorological Variables on the Incidence of Rupture of Intracranial Aneurysms in Central New Jersey. J. Neurol. Surg. A Cent. Eur. Neurosurg., 2017, vol. 78, no. 3, pp. 238–244. DOI: 10.1055/s-0036-1594308
39. Kato N., Hasegawa T., Iizuka H., Kato T., Yamamoto T., Torii J. Meteorological Factors That Affect Stroke Onset. No Shinkei Geka, 2018, vol. 46, no. 6, pp. 481–489. DOI: 10.11477/mf.1436203757
40. Li Y., Zhou Z., Chen N., He L., Zhou M. Seasonal Variation in the Occurrence of Ischemic Stroke: A MetaAnalysis. Environ. Geochem. Health, 2019, vol. 41, no. 5, pp. 2113–2130. DOI: 10.1007/s10653-019-00265-y
41. Neidert M.C., Sprenger M., Mader M., Esposito G., Hosp J.A., Bozinov O., Regli L., Burkhardt J.-K. A HighResolution Analysis on the Meteorological Influences on Spontaneous Intracerebral Hemorrhage Incidence. World Neurosurg., 2017, vol. 98, pp. 695–703.e19. DOI: 10.1016/j.wneu.2016.12.006
42. de Steenhuijsen Piters W.A.A., Algra A., van den Broek M.F.M., Dorhout Mees S.M., Rinkel G.J.E. Seasonal and Meteorological Determinants of Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis. J. Neurol., 2013, vol. 260, no. 2, pp. 614–619. DOI: 10.1007/s00415-012-6687-z
43. Salam A., Kamran S., Bibi R., Korashy H.M., Parray A., Mannai A.A., Ansari A.A., Kanikicharla K.K., Gashi A.Z., Shuaib A. Meteorological Factors and Seasonal Stroke Rates: A Four-Year Comprehensive Study. J. Stroke Cerebrovasc. Dis., 2019, vol. 28, no. 8, pp. 2324–2331. DOI: 10.1016/j.jstrokecerebrovasdis.2019.05.032
44. Wang X., Cao Y., Hong D., Zheng D., Richtering S., Sandset E.C., Leong T.H., Arima H., Islam S., Salam A., Anderson C., Robinson T., Hackett M.L. Ambient Temperature and Stroke Occurrence: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 2016, vol. 13, no. 7. Art. no. 698. DOI: 10.3390/ijerph13070698
45. Schuld J., Kollmar O., Schuld S., Schommer K., Richter S. Impact of Meteorological Conditions on Abdominal Aortic Aneurysm Rupture: Evaluation of an 18-Year Period and Review of the Literature. Vasc. Endovasc. Surg., 2013, vol. 47, no. 7, pp. 524–531. DOI: 10.1177/1538574413497109
46. Baño-Ruiz E., Abarca-Olivas J., Duart-Clemente J.M., Ballenilla-Marco F., García P., Botella-Asunción C. Influence of the Atmospheric Pressure and Other Variable Weather on the Incidence of the Subarachnoid Hemorrhage. Neurocirugia (Astur.), 2010, vol. 21, no. 1, pp. 14–21.
47. Opacic D., Ilic N., Sladojevic M., Schönleitner P., Markovic D., Kostic D., Davidovic L. Effects of Atmospheric Pressure Dynamics on Abdominal Aortic Aneurysm Rupture Onset. Vasa, 2018, vol. 47, no. 2, pp. 137–142. DOI: 10.1024/0301-1526/a000681
48. Wu Z., Li Y., Zhou W., Ji C., Zhao H., Liu X., Han Y. Seasonal Incidence of Ruptured Abdominal Aortic Aneurysm and the Influence of Atmospheric Pressure: A Systematic Review and Meta-Analysis. Int. J. Biometeorol., 2018, vol. 62, no. 9, pp. 1733–1743. DOI: 10.1007/s00484-018-1573-8
49. Velichkovskiy B.T. Prichiny i mekhanizmy nizkogo koeffitsienta ispol’zovaniya kisloroda v legkikh cheloveka na Kraynem Severe [Low Coefficient Causes and Mechanisms of Using Oxygen in Human Lungs in the Far North]. Byulleten’ Vostochno-Sibirskogo nauchnogo tsentra Sibirskogo otdeleniya RAMN, 2013, no. 2-2, pp. 97–101.
50. Lai P.M.R., Dasenbrock H., Du R. The Association Between Meteorological Parameters and Aneurysmal Subarachnoid Hemorrhage: A Nationwide Analysis. PLoS One, 2014, vol. 9, no. 11. Art. no. e112961. DOI: 10.1371/journal.pone.0112961
51. Gill R.S., Hambridge H.L., Schneider E.B., Hanff T., Tamargo R.J., Nyquist P. Falling Temperature and Colder Weather Are Associated with an Increased Risk of Aneurysmal Subarachnoid Hemorrhage. World Neurosurg., 2013, vol. 79, no. 1, pp. 136–142. DOI: 10.1016/j.wneu.2012.06.020
52. Ayrapetova N.S., Badalov N.G., Uyanaeva A.I., Rassulova M.A. Vliyanie klimato-pogodnykh faktorov na formirovanie meteopaticheskikh reaktsiy u bol’nykh s bronkhoobstruktivnymi zabolevaniyami [Influence of Climatic and Weather Factors on the Formation of Meteoropathic Reactions in Patients with Broncho-Obstructive Diseases]. Vestnik vosstanovitel’noy meditsiny, 2010, vol. 39, no. 5, pp. 26–28.
53. Sokolov V.A. Meteopaticheskiy displasticheskiy sindrom kak proyavlenie stromal’no-parenkhimatoznykh vzaimodeystviy soedinitel’noy tkani u bol’nykh s somaticheskimi i revmaticheskimi zabolevaniyami [Meteoropathic Dysplastic Syndrome as a Manifestation of Stromal-Parenchymal Interactions of Connective Tissue in Patients with Somatic and Rheumatic Diseases]. Meditsinskiy al’manakh, 2014, no. 5, pp. 184–186.
54. Bazhenov A.A., Averina A.S., Prikop M.V. Vliyanie geliogeofizicheskikh faktorov na zdorov’e cheloveka [Influence of Heliogeophysical Factors on Human Health]. Byulleten’ Vostochno-Sibirskogo nauchnogo tsentra Sibirskogo otdeleniya RAMN, 2016, no. 6, pp. 125–129.
55. Mikhailova Z.D., Klimkin P.F., Shalenkova M.A., Manyukova E.T., Gaidash S.P. Evaluation of Significance of Melatonin and Some Atmospheric and Heliogeophysical Factors for Patients with Acute Coronary Syndrome. Klinicheskaya meditsina, 2017, vol. 95, no. 10, pp. 888–893 (in Russ.). DOI: 10.18821/0023-2149-2017-95-10-888-893
56. Rakhmanin Yu.A., Bobrovnitskii I.P., Yakovlev M.Yu. Scientific, Organizational and Methodological Approaches to the Formation and Implementation of Programs to Counter the Adverse Effects of Global Climate Changes on the Population Health of the Russian Federation. Gigiena i sanitariya, 2018, vol. 97, no. 11, pp. 1005–1010 (in Russ.). DOI: 10.18821/0016-9900-2018-97-11-1005-10