RESULTS OF EMERGENCY RECOVERY WORK AND ANALYSIS OF MEDICAL SUPPORT DURING THE FLOOD ELIMINATION IN THE TERRITORY OF THE IRKUTSK REGION BY THE AIRMOBILE GROUP OF THE TULA RESCUE CENTER OF EMERCOM OF RUSSIA (FROM JULY 6 TO AUGUST 15, 2019)
Authors: Orlov E. A. , Chernov K. A. 
Published: October 2019

Relevance. Heavy rainfall in June July 2019 and a rise of water levels in rivers caused flooding in the Irkutsk region. About 11 thousand houses, 49 road sections were flooded, 22 bridges were destroyed and damaged. Over 45 thousand people were affected by the flood, 25 people died, 6 went missing. In the areas of disaster, emergency regime was declared. 10 meter dam on the Iya River was broken, the most dangerous flood was in the Tulun town, Irkutsk Region. The powerful pressure of the river, sweeping and destroying everything in its path, surged into the town. Residential houses and farm buildings floated along the river, breaking against a bridge. On June 29 at 2 p.m. there was a maximum water level of 13 m 87 cm, which was almost 2 times higher than the critical level, after which the water began to decline. The flood divided the city into 2 parts.Intention is to present the results of emergency recovery work and analyze the medical support during the flood elimination in the Irkutsk region.Methodology. The airmobile group (AMG) of the Tula Rescue Center of the EMERCOM of Russia was formed in the amount of 100 persons to participate in the emergency response. From July 6 to August 15, 2019 military personnel of AMG performed emergency recovery work during a flood in the Tulun town, Irkutsk Region.Results and analysis. Due to the unfavorable sanitary and epidemiological situation in the area of emergency response, military personnel of the AMG were vaccinated against hepatitis A. During emergency recovery operations, 4941 dump trucks (123,525 m3) of solid waste were removed, 122 houses and adjoining territories were cleared from household rubbish as a result of a bypass and targeted assistance to the population, 210 destroyed residential buildings and 345 outbuildings were dismantled, 390 m of drainage trenches were dug, 23,396 m3 of water was pumped out from courtyards and streets, 10 tons of humanitarian aid were loaded, transported and unloaded, and other works. On August 13, 2019, AMG employees were involved in a rescue operation with the subsequent air medical evacuation of the victim. 47 cases of treatment of the affected people within primary health care were registered. The general morbidity (help seeking) of AMG military personnel was 1190 ‰, i.e. each soldier turned for medical help 1.2 times. In the structure of the general morbidity, the 1st rank was taken by diseases of the skin and subcutaneous tissue (XII chapter according to ICD 10), the 2nd – diseases of the respiratory system (X chapter), the 3rd – diseases of the digestive system (XI chapter). The prevaling cases of treatment were infected foot and leg scuffs, acute respiratory infections, acute toothache, enterocolitis.Conclusion. An algorithm for cooperation with local authorities of the State system for the prevention and liquidation of emergency situations in the territory of the Angara region has been developed. The experience gained in organizing medical support for military personnel of the Tula Rescue Center of the EMERCOM of Russia will allow detailed planning of the forces and means of the medical service in the formation of an airmobile group.