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Recommended regimes for nature management

In this map, environmental functions of landscapes correlate with the recommended regimes of natural resources management. For example, a strictly protective regime of natural resources management is recommended for the goltsy-tundra-thin forest landscapes with the environment-forming function. This type of regime implies the implementation of preventive nature protection measures for any type of the use of the territory. These landscapes are characterized by their high sensitivity towards anthropogenic stresses. In this case, it is always necessary to consider the possibility of the development of any hazardous natural phenomena.

Steppe and dry steppe landscapes characterized by the moistening deficit are no less susceptible to anthropogenic stresses. They have a relatively low ecological potential. Steppe landscapes are more densely populated and developed by humans. Therefore, an operational-protective regime of natural resources management is recommended for these landscapes. It implies the continuous monitoring of the landscape’s condition throughout its use and implementation of scheduled activities aimed at its improvement.

Dark coniferous forests with cedar stands belong to the category of protected forests and are used for cedar nut harvesting and hunting. A protection regime of natural resources management is recommended for these forests.

The operational-protective regime of natural resources management is recommended for moss landscapes with the environment-stabilising function. In these landscapes, anthropogenic impacts accompanied by logging may lead to the increase of soil drying on slopes, and, at the same time, cause marsh formation on flat surfaces with slow runoff. In order to preserve the mossy taiga, which has a great importance for the environment and forest management, it is necessary to constantly monitor its state and control the compliance to the rules of forest management.

The herb taiga and subtaiga landscapes with the environment-protection function are of great economic value. Therefore, a protective-operational regime of natural resources management is recommended for such landscapes. These landscapes have a high ecological potential. Despite experiencing some moistening deficit, they are characterized by relatively favourable conditions for their natural resources management. Therefore, it is necessary to develop and comply to the production and environmental specialisation of nature protection measures.

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Environment-protective infrastructure

The environment-protection infrastructure (EPI) is a component of ecological infrastructure and the most important sector of the current economic complex of the territory. The basic function of the EPI is to minimize the effect on the environment of deposited and utilized wastes (on the territory), discharges (into water bodies), production and consumer emissions (into the atmosphere), provided there is a developed selective (separate) collection of the secondary material resources. The EPI activity helps preserve a favorable environment for humans and use the territory’s resources in a rational manner. This map reflects only the EPI that deals with solid production and consumer wastes, with the latter often referred to as “municipal wastes” in the international practice.

The database includes the data of territorial offices of the Ministry of Natural Resources of Russia, the Russian governmental report on the state of Lake Baikal and measures for its protection (2013), Ministry of Nature, Environment and Tourism of Mongolia (2012), as well as project materials of regional development initiatives. It should be noted that the register of sites for storing (stockpiling or deposition) and burying of production and consumer wastes for individual regions is far from complete (based on  Form 2-TP (Wastes)).

In the Baikal catchment zone (in the lower level administrative districts of the Russian part and aimags in Mongolia), the annual volume of production and consumer waste reaches about 86 million tons. The majority of these wastes goes to the EPI facilities of production enterprises (sludge dumps, tailings ponds, mining waste piles, slag and ash dumps, etc.) and municipalities (predominantly waste dumps and landfills). The official statistics recorded over 600 sites for depositing waste. There is a waste recycling plant (WRP) in Ulan-Ude. There are plans to build three more WRPs (Irkutsk, Ulaanbaatar, and the Special Economic Zone “Baikal Harbor” in the Republic of Buryatia), a waste sorting plant in Chita (Zabaikalsky krai), and several waste collection facilities for processing waste from ships on Lake Baikal.

The total volume of production and consumer waste generation in the Baikal basin is growing annually. The leader is Zabaikalsky krai with almost 2/3 of all registered wastes in the Baikal basin. Irkutsk oblast is leading in terms of the speed of waste generation per unit of Gross Regional Product (tons/million rubles). In terms of the number of registered EPI facilities and their area, Mongolia tops the list, with Buryatia being the second, which corresponds to the territory they occupy in the Baikal basin. The average size of EPI facilities of municipalities and aimags is 4.3 hectares. The size of EPI facilities of Mongolian aimags (6.3 ha) exceeds this indicator by almost 1.5 times, while the size of such facilities in Irkutsk oblast exceeds the average by 1.3 times. There are plans to restart the selective (separate) collection of the utilized portion of generated consumer wastes in the future, which will significantly reduce the size of authorized waste dumps and landfills, as well as numerous unauthorized landfills of solid consumer wastes.

By the structure of economic activity, mining wastes and wastes generated by the thermal power sector make up the largest share in the total volume of generated waste (in Zabaikalsky krai, Irkutsk oblast, and Buryatia their share is over 90%). Wastes of mining companies weighing millions of tons, as well as construction wastes, slag, and ash are classified as Class V by their hazard impact on the environment (not dangerous or low-hazard wastes).

Reference:

Rosgeolfond. Siberian Branch. (2013). On the state of Lake Baikal and measures for its protection in 2012: State report. Irkutsk: Rosgeolfond. p 436.

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Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.

Open full size

Healthcare

Harsh climatic conditions across the entire territory of the Baikal basin and the surface and ground water used for drinking and food purposes that do not meet the drinking water quality standards (first and foremost in Mongolia and Buryatia) coupled with atmospheric emissions from industrial facilities and motor vehicles (in some parts of the territory) are responsible for the state of human health influencing the organization of healthcare. The ecological situation becomes substantially worse during winter months, which is encouraged by the topography of the terrain. In Mongolia, the spring period is very hard time to bear, with sharp temperature differences, abrupt variations in atmospheric pressure, and frequent dust and magnetic storms.

The organizational pattern of healthcare in Russia and Mongolia has much in common. This is a result of the cooperation of the two countries in this sphere and the fact that medical education and healthcare in Mongolia are organized using Russian experience. Today, Mongolian medical facilities operate on the principles of the state-private partnership concurrent with the demonopolization of the state system of medical services. The country has a mandatory and voluntary medical insurance system, in which state-owned and private medical institutions take part. The country also has various health institutes and centers.

The territory of the Baikal basin is experiencing a deficit of medical workers. As of 2012, the availability of physicians varied from 13.8 to 30.1 per 10,000 people in Russian districts and from 16.1 to 29.0 per 10,000 people in Mongolian aimags. The availability of nurses varies from 25.1 to 112.2 per 10,000 people in Russian districts and from 26.4 to 38.2 per 10,000 people in Mongolian aimags. In Ulan-Ude, these indicators have the values of 53.9 and 117.3, while in Ulaanbaatar – 44.1 and 41.2, respectively.

The ratio of doctors and nurses in the Russian part of the basin is between 1:2 to 1:4, while in the Mongolian part it does not exceed 1:2. The World Health Organization (WHO) recommends that this ratio should be 1:4. A narrowing of this indicator causes imbalances in the healthcare system thereby limiting possibilities for further development of the after-treatment, casework and rehabilitation services.

Target indicators of healthcare activity are the standard volume of medical care per inhabitant. Currently, there are plans to decrease the per capita volume of in-patient services and increase the per capita volume of the hospital-replacing care. Accordingly, the number of hospital beds available 27/7 will decrease, while the number of beds in day hospitals will grow. Overall, the available number of hospital beds complies with the calculated standards and meets the demand of the population for the in-patient medical aid.

As of today, in Russia, there is an array of problems relating to the high level of illnesses and disability incidences among the population, and these indicators are continuously growing. Such a situation is the result of inadequate preventive measures. Another important contributing factor to this situation is the increase of the proportion of elderly population and the improved effectiveness of illness detection using new diagnostic methods in the process of the increased number of medical checkups.

The leading illnesses in the structure of morbidity are respiratory illnesses, bloodstream, eye, and digestive and musculoskeletal system diseases, as well as traumas. For many years, circulatory system diseases, neoplasms, and injuries have been the main causes of mortality and disability among the population.

A complex of anthropogenic environmental factors contributes to the growth of morbidity and disability rates among the population with the most important one being air pollution. According to the WHO, atmospheric air pollution is the cause of up to 23% of all illnesses. The amount of pollutant emissions in the atmosphere produced by static sources in different administrative divisions in the Baikal basin differs by more than a thousand times. The most polluted air in the Baikal basin is in the Selenginsky district of Buryatia.

The health of the population and further development of healthcare depend on ecological, social, and economic factors. These problems can be resolved only through comprehensive approaches to the improvement of the quality of life of the population.

The strategic goal of the healthcare systems of Russia and Mongolia is to build a system, which ensures the quality and accessibility of medical services, primarily first aid, and increases the efficiency of medical services, based on the improvement of territorial planning of healthcare. The volume, types, and quality of these services should correspond to the rate of morbidity, population requirements, and the latest achievements of medical science, based on perfecting the system of territorial planning of public health services.