Problems of Radiation Medicine and Radiobiology

D. A. Bazyka¹,², K. M. Loganovsky¹, O. O. Petrychenko¹,², V. B. Berkovskyy¹

¹State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», 53 Melnykova str., Kyiv, 04050, Ukraine
²National Academy of Medical Sciences of Ukraine, 12 Hertsen Str., Kyiv, 04050, Ukraine

REFORMING OF PUBLIC HEALTH SYSTEM: THE ROLE AND PLACE OF HEALTH CARE FACILITIES OF THE TERTIARY LEVEL IN RADIATION EMERGENCIES IN MARTIAL LAW

The role and place of health care facilities of the highly specialized (tertiary) level in radiation emergencies in the conditions of martial law are considered taking into account the experience of overcoming of the Chornobyl catastrophe consequences. The classification of emergencies and the main scenarios of radiation emergencies (nuclear terrorism, radiation accidents and incidents, the use of nuclear weapons) are presented. The principles of medical preparedness and providing the highly specialized medical care in a radiological emergency are presented on the base of the Chornobyl catastrophe experience. It is determined that the tertiary health care facilities in a radiological emergency should provide as follow: development and implementation of plans and protocols of highly specialized medical care; organization, direct provision, coordination and quality control of the highly specialized medical care; aggregation and coordination of efforts of all three levels of health care facilities; integration into the radiation emergency management system, and analysis and generalization of the experience gained.
Key words: radiation emergency, Chornobyl catastrophe, martial law, reforming of public health system, highly specialized (tertiary) level of medical care.

Problems of radiation medicine and radiobiology.
2018;23:21_36. doi: 10.33145/2304-8336-2018-23-21-36.

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