Tashkent Medical Academy Department: communal and labor hygiene Theme: CSS. Hygienic assessment of the sanitary status of consumer services.

The purpose of the activity: Familiarization with normative legal documents in the field of health consumer services Become familiar with the scheme sanitary survey bath, laundry room and a sauna. Seize the methodic of sanitary inspection bath, laundry room and a sauna. Learning to be a description of sanitary bath, laundry room and a sauna. (Act of sanitary inspection). Learn to develop preventive measures to protect public health.

The student should know: The meaning and legal rules governing the relationship of man to man, society and the environment. Apply the basic provisions of each document in its significance. Features of the organization and conduct of sanitary and epidemiological measures to mitigate the adverse effects of risk factors on health and the environment.

The student should be able to: To carry out the current sanitary supervision on controlled utility facilities. Justify their actions in solving the problem. Conduct sanitary inspection of supervision and make the appropriate accounting and reporting documentation.

Motivation Consumer services can be complex and specialized enterprises. In urban areas, these businesses can be represented by complex reception centers and houses of life, as well as a specialized company. The most important specialized consumer services are: baths, laundry, hairdressing, tailoring, repair shops. They play an important role in the social infrastructure of settlements, as have multilateral value: hygienic, epidemiological, medical, general cultural. Hygienic requirements for these objects are reflected in SRN sanitary rules and devices, equipment and maintenance of the baths, laundry and hairdressing. In-depth health survey of consumer services must adhere to the survey design, based on the account of hygienic requirements for a particular object

Saunas Provide ample opportunity for the public on a regular basis to maintain the purity of the body. Radius service baths: km in the city, in rural - up to 2 km.

Types of baths: a) Russian bath with shared locker rooms, soap, steam rooms. Usually has a masculine and feminine office. In small baths can be one unit with sequential washing men and women b) bath shower type with the general and individual cabins c) a bath of mixed type (Department of the Russian bath and shower unit) d) Finnish bath (sauna) e) Turkish baths

The main bath room (for example, Russian bath) a) entrance hall with wardrobe 0.35 m 2/1 place b) Booking c) Waiting room (35% of the seats on the number of seats in the locker room) 0.75 m 2 / place d) the dressing room of 1.75 m 2 / Town e) Soap (75% of the seats on the number of seats in the locker room) of 2.2 m 2 / Town e) a steam bath (10% of the seats 3 m 2 / spot) g) hairdresser

Hygienic requirements for baths:

Water consumption: the centralized water supply liters, with the local water supply liters shower liters per 1 visitor. Requirements for quality water- GOST "Drinking water". Bath waste water is allowed to lower the drainage system of the village. In the absence of general sanitation in small baths should be provided with a septic tank sewage treatment from suspended particles, coagulation and sedimentation of soap water (6-12 hours), chlorination. Purified water can be discharged into the pond or in the ravine. Can also be arranged permeable raked with subsequent removal Cesspool transport. Water consumption: the centralized water supply liters, with the local water supply liters shower liters per 1 visitor. Requirements for quality water- GOST "Drinking water". Bath waste water is allowed to lower the drainage system of the village. In the absence of general sanitation in small baths should be provided with a septic tank sewage treatment from suspended particles, coagulation and sedimentation of soap water (6-12 hours), chlorination. Purified water can be discharged into the pond or in the ravine. Can also be arranged permeable raked with subsequent removal Cesspool transport.

Heating of the bath: central water; in baths to 50 seats permitted furnace heating. The air temperature is not lower than: Dressing C, soap (30 0) C, steam bath to the rest room C. Ventilation in the bedrooms should be mehanicheskaya- plenum, with heated fresh air; vozduha- feed through holes in the ceiling. in the vestibule and in the rest of the premises must be ventilation: in sanuzle- with mechanical drive, in other areas - on natural draft. Indoor Lighting second light is allowed only for storerooms and outbuildings. In the rest of the premises should be natural lighting with light ratio 1: 8 1:10. Artificial lighting (incandescent) - norm -50 lux illumination

Program sanitary survey of the bath. 1. Supreme baths, public or private type, days and hours of operation, its capacity, the number of branches or classes. You must install the approximate range of service bath, the number of staff, number of pomyvok for each resident for the past three months. 2. Plot of independent baths or bath located in a residential area, and the area of health improvement area (tiling, landscaping). 3. Type of sauna: throughput or dressing, number of floors, floor layout departments.

4. The composition of space in each class: A) Waiting room - chairs, bench (number, size) B) wardrobe - the number of hooks and the distance between them C) the dressing room - storage of clothes in lockers or on sofas, sofa width, length at one place, the distance between them D) Soap - material and equipment benches, bench length in one place, the distance between them; E) steam room - a device shelves; 5. The sanitary condition of buildings baths (walls, floor, ceiling, etc. and finishing). 6. Water: how many people there are a couple of taps on the soap as hot and cold running water, sanitary condition cans (gangs) for washing.

7. Drainage: is there a bias in soapy sex, location of traps where waste water is removed and how it is cleaned before descending into the general sewer system within the territory of the bath. Accommodation restrooms. 8. Lighting: natural and artificial. 9. Heating: central furnace or his appearance, temperature and humidity in each room classes; Soap insulation from the dressing room. 10. Ventilation: natural or artificial (the type specifications, respectively), the presence of air vents transoms, mode of ventilation.

11. Is there a bath at the hairdresser, rolled sheets, where it is stored and in what form. Organization selling rockers, soap and brooms. 12. Provision of cleaning bath material, the presence of tracks when and how the disinfection baths, as disinfected areas, benches, theses. 13. The presence of a kiosk with refreshments, its location and sanitary condition. 14. How to ensure the staff overall, if he passes medical examinations periodically 15. Conclusion. Specify the identified shortcomings and sanitary measures are needed to address them.

Laundries.

Program sanitary inspection of the Laundries. Supreme Laundry, what type it belongs to the equipment, its missing the ability to change what contingents of the population served. The composition and size of the premises and their relative positions, corresponding technological processes: receiving and sorting laundry, washing drying, ironing, dismantling, storage and delivery of laundry. Sanitary condition of premises: floors and walls, facing them in different rooms, natural and artificial lighting.

Equipment rooms. Ventilation facilities - artificial or natural. In the presence of mechanical ventilation with mechanical driving force is prepared to note how the supply air, in which zone is fed and from which is removed: the multiplicity of supply and exhaust in a separate laundry room on the project, but the temperature - humidity conditions in individual rooms. Security Laundry with cold and hot water. How to remove waste water and how they are cleaned within the territories of the laundry room.

Quality laundry. what are the comments about the quality of the wash "the book of complaints and suggestions," as the administration responds to these facilities. The sanitary conditions of the personnel. Room for meals. Space for wardrobe. The presence of showers for staff in the dirty and clean offices, security staff overall and how it is used. Security personnel with drinking water.

The incidence of personnel areas: skin diseases, colds, varicose veins, maceration of the skin on the hands. Temporary disability staff facilities. Checking for sanitary book passage staff periodic medical examinations. Conclusion. Specify the shortcomings identified and measures to eliminate them.

New educational technology used in class The method of "Daisies" Indulges in a circle "Daisy" a ruler chamomile written questions on past topics. Each student pulls itself option issue and sends another daisy. All write down their answers. Then there is a discussion. Cross out the wrong answers. By the number of correct answers assess students' knowledge. The method of "Daisies" Indulges in a circle "Daisy" a ruler chamomile written questions on past topics. Each student pulls itself option issue and sends another daisy. All write down their answers. Then there is a discussion. Cross out the wrong answers. By the number of correct answers assess students' knowledge.

The method of "Round Table" Divide the group into small groups of 2-3 people, each SG offer sheet with the issue and ask for 1-2 minutes, write the answer to the question, and then pass another piece of SG and SG to take from the other, and so the next question Thus, if arrange 5 mg (2 students for 1 table), the teacher hands out of 5 questions, and ultimately each piece should be 5 replies. After 12 minutes, the teacher collects all sheets, analyzes the quality of the answers aloud and exposes the evaluation of each SG.

Control questions: 1 What is the most important institution specialized consumer services. 2 List the main room bath. 3 List the problems in the implementation of sanitary doctor CSS for the laundry. 4 List the registration forms filled according to the sanitary survey laundries.

The literature: 1.Ш Т. Отабоев Т. И. Искандаров “Коммунал гигиена ” Т.1994й 2.Акулов К.И. Буштуевой К.А. “Коммунальная гигиена” М. 1986г. 3.“Руководство к лабораторным занятиям по коммунальной гигиене”. Е. И. Гончарук М. 1990г 4.“Гигиена” Под редакцией проф. Демиденко И.М. 2002г.

Additional: The laws of the Republic of Uzbekistan, Uzbek State Standards, SRN, BRN, orders. Tutorials on the EMC.Lecture materials.