(PEBPAJlb 2006
Bpednbie
eosdeucmeun
OKpyxatoujeu
cpedbi
cnoco6cmeyK)m
paseumuio
nopOKa cepdu,a
u uHcynbma.
ceecmu
om epednbix
eosdeucmeuu
cpedbi, manux
KdK saapasnenue
eosdyxa, MbiuibfiK,
ceuneu, u
nepeapee.
BpeflHblG BOSflGMCTBMfl
cpeflbi
Ha cepflqe
MHc/DOpMau,un dnn nowunbix aMepuKaHu.ee u
yxawueaiouj.ux 3a HUMU nuu,
3nanM nM BBI, HTO speflHbie
OKpywsroineM cpeflbi cnocoOcrsyroT
paaBMTMro nopoKa cepflqa M MHcynbia?
BflaHHOM ny6nMKai_(MM onucaHbi
cpaicropbi OKpywaromeM cpeflbi M TO, KBK OHM
Moryr nosnuajb Ha afloposbe noxuribix nrofleM.
B H6M TaioKe flaroTca peKOMeHflai_(MM o TOM, KBK
noKunbie nroflu Moryi csecjn K MMHMMyiviy pucK
noflBepmyibca soafleMCTBUKi aarpasHaKnnnx
Boaflyx n sofly semecTB, Koiopbie
cnoco6cTByidT pasBMTHK) nopoKa cepflqa n
MHcynbia nnn ycyry6naK)T MX CMMirroMbi.
FlopoK cepflqa, aBnaioL^MMca OCHOBHOM
npMHMHOM CMepTHOCTM B CoeflMH6HHblX
LUTaiax, n uncynbT, aBnaioL^MMca TpeibePi
npMHMHOM CMepTHOCTM, o6xOfl3TCa
rocyflapcTsy B COTHM Munnnapflos flonnapoB
B rofl. Flo cseflennaM L(eHTpa no neneHMKi n
npocpunaKTMKe 3a6onesaHMM (CDC), B 2001 r
OT nopoKa cepflqa yMepno 700 000 nenoseK,
HTO cocTasuno 29% ecex CMepTePi B CLUA
cpaxropbi OKpy>KaK)meM cpeflbi
cnoco6cTBytor pasBMTUto
nopoKa cepflua M MHcynbra
SaapnsHeHue eosdyxa e noMemenuu
flioflu, KOTOpbie nposoflfiT MHoro speMenn
B noMeu^eHMM, HBCTO asnaKiTca Han6onee
BOCnpMMMHMBbIMM K 3arpfl3HeHMK> B03flyX3
B noMeu^eHMM. MccneflOBanna noKasbisaioT,
HTO noKMnbienroflM npoeoflaTflo 90%
csoero speMenn B noMeinennM. Boaflyx B
coflep>KMT CMecb aarpasHaKnnnx
B, npoHMKaioinMX c ynnL(bi, n semecTB,
B noMeinennM. Boaflyx B
MTOKBT coflepxaTb BTOpuHHbiM
curapeTHbiPi flbiM, ncnapeHna OTflOManiHux
CpeflCTB M fla>K6 yrapHbIM FB3. 3TM
B nOMeil^eHMM, MOryT6blTbTOKCMHHblMM M
onacHbiMM, oco6eHHO flna Tex, KTO
pucKy nonyneHna MHcynbra n nopoKa
: BTOpuHHbiM curapeTHbiM flbiM
us caMbix speflHbix
sosflyxa B noMeu^eHMM. MasecTHO, HTO Kypenne
cnoco6cTsyeT pasBHTHK) nopoKa cepflqa n
MHcynbra, oflHaKO BflbixaTb TaKyro we floay
BTOpuHHoro curapeTHoro flbiMa TaK>Ke speflHO, KBK
M 3KTMBHO KypMTb.
flpos^Hbie nenn n KaMMHbi Moryr BbipaOaTbisarb
flbiM, coflepxainnM MeriKne HacTML(bi yrna.
3TM HaCTML(bl MOryT CT3Tb npMHMHOM 60J1M B
rpyflu n ynameHHoro cepfli_(e6MeHMa, oflbiniKH n
yroMJieHMfl, oco6eHHO y npecTapenbix nrofleM c
nopoKOM cepflqa.1
Msflennsi 6biTOBOM XMMMM: flpn HenpasunbHOM
MCnOJIbSOBaHMM H6KOTOpbie M3flenna 6blTOBOM
XMMMM Moryr 6biTb oneHb onacHbi flna nrofleM
c cepfleHHbiMM 3a6oneeaHMaMM. FlpM HanMHMM
McnapeHMM OTHMCTHIUMX cpeflcre, pacTBOpMTeneM
KpacKM M necTML(MflOBTpe6yeTCflTinaTenbHoe
nposeTpMsaHMe noMeu^eHMM M orpaHMHeHHoe
McnonbsoeaHMe STMX cpeflcre, HTo6bi epeflHoe
B03fleMCTBM6 6binO MMHMManbHblM.
McnapeHMa OT pacTBOpMTeneM KpacKM, TBKMX
KaKYaMT-cnMpMT, CKMnMflap, MeTaHon M
KCMnon, cosflaioT HarpyaKy Ha nerKMe M
cnoco6cTsya HepoenoMy cepfli(e6MeHMKi.
KpacoK Ha ocnose CBMnqa ceMHac
O, BO MHorMXflOMax, nocrpoeHHbixflo
1978 r, McnojibaosajiMCb KpacKM,
CBMH6L(. FlpMMMTe H606xOflMMbie
npeflOCTOpO>KHOCTM BO BpeMa peMOHTa, HT06bl
CB6CTM K MMHMMyMy KOJlMHeCTBO OTKOJIOBLUeMCa
KpaCKM M o6pa30BaBllieMCa nbLTIM, KOTOpbie
B TOM HMCJie OnaCHOCTb B03HMKHOB6HMa
rMnepTOHMM. OTpasneHMe necTML(MflaMM
H3CTO B03HMK3eT OT B03fl6MCTBMa TOKCMHHblX
CpyMMFHHTOB MflM aflOXMMMKaTOB. K CMMHTOMaM
TaKoro OTpaaneHMa OTHOcaTca apMTMMa MriM
npesMepHO aaMeflneHHbiM nynbc.2 B Taxenbix
cnynaflx TaKoe soafleMCTSMe MTOKST npMeecrM K
cepfleHHOMy npMcryny MriM flaxe CMepTM.
YrapHbiM ras: YrapHbiM raa (CO), He
L|B6Ta M sanaxa, aBnaeTca onacHbiM
Beu^ecTBOM, noTOMy HTO era
TpyflHO o6H3py>KMTb. OH oco6eHHO speflen flna
nrofleM c nopoKOM cepflqa, aaKynopennbiMM
apTepManbHbiMM cocyqaMM MnM aacTOMHOM
cepfleHHOM neflocTaTOHHOCTbro, nocKonbKy OH
3H3HMTenbHO OrpaHMHMB36T CnOC06HOCTb KpOBM
nepenocMTb KMcnopofl. Y nenoseKS, CTpaflaromero
nopoKOM cepflqa, eoafleMCTBMe flaxe HMSKOTO
CO MOK6T Bbl3B3Tb 6onb B rpyflM,
-------
HapymeHMM cepfleHHoro pi/mvia n ipyflHOCTM npn
BbinOJlHeHMM CpM3MHeCKMX ynpa>KHeHMM.3 K MCTOHHHKaM CO
OTHOcsrrcfl McnapeHMfl OT nenePi, rasoebix BOflOHarpeeaTenePi,
KyxoHHbix nriMT, cyuinnoK, oOorpeeaTenePi, flpoeaHbix nenePi,
a Taioxe BbixnonHbie raabi aBTOMo6n.nePi, Haxoflamnxca c
flBuraienaMM B aaKpbiTbix rapawax.
Ha ynuup
noKHJibixnioflePi, noflsepweHHbix pucKy paasnTna
nopoKa cepflqa n MHcynbia, Mower OKaaaibca noneaHbiM
coKpaTMTb epeMH Haxo>KfleHMfl Ha Boaflyxe, aarpasHeHHOM
HacTML(aMM n BbixnonaMM asTOTpaHcnopja.
: MenKne HacTML(bi ca>KM,
soaflyxe, Moryr 6biTb onacHbi n
npeflcraBTiflKiT HanOonbiuyKi yrpoay flna nrofleM, crpaflaKnnnx
nopoKOM cepflqa, xpoHnnecKUM o6cjpyKL(MOHHbiM
saOonesaHneM nerKnx n acTMOM. HacrnL(bi noaanaKiTca us
MHO>KeCTBa MCTOHHMKOB, BKTIKHafl TpaHCHOpT, aneKTpOCTaHL(MM,
flbiMOBbie ipy6bi npoMbiiujieHHbix npeflnpnainPi n noxapbi.
HeKOTOpbie HacTML(bi nonaflaroi B soaflyx cpaay flpyrne
o6pa3yK)Tca B peaynbraie cnroKHbixxuMnnecKnx peaKquM,
nponcxoflai^MX B aiMoccpepe. MacrnL(bi Moryr nepeHocmbca
BeipOM H3 COTHM M TblC^HM MMflb, B03fl6MCTBya
TpaHcnopr: BpeMa, nposoflUMoe B Tpancnopje, Taioxe
csaaaHO c noaaneHneM CMMnioMOB cepfleHHoro npucryna.4
HensBecTHO, nponcxoflmnn aio B CBHSM c sarpaaHeHneM
Boaflyxa TpaHcnopTOM (nanpuMep sarpaaHeHne HacrnL(aMM,
CO), cipeccoM OT HaxroxfleHna B TpaHcnopiHOM noioKe nnn
M3-3a K3Koro-TO flpyroro cpaicropa pucKa.
3arpf\3Hf\\ow,v\e rasbi: OSOH, flMOKCMfl cepbi n flsyoKMCb aaoia
Taioxe aanaioTca sa>KHbiMM cocraBnaKiL^MMM aarpasHeHna
Boaflyxa n OKaabiBaroT He6naronpnaTHoe soafleMCTBue HS
aflopoBbe. OSOH aanaeTca cunbHbiM paaflpaxmeneM nerKnx n
flbixaienbHbix nyrePi n MOKST Bbiabisaib 6onb B rpyflu,
MO>KHO OLUM60HHO npMHflTb 33 Cepfl6HHblM npMCTyn.
eoda
OTOM, HTO HeKoiopbie Meranjibi,
o6Hspy>KeHHbie B nuTbesoM sofle, Moryr cnoco6cTBOB3Tb
P33BMTMKD HOpOKS C6pflL(a MJ1M ycyryOjlflTb ero CMMnTOMbl.
: B03fl6MCTBMe CBMHL(a MOK6T HOBblCMTb KpOBflHOe
. XOTH nroflu nonaflaroT nofl eosfleMCTBue CBMHi_(a
B OCHOBHOM H6p63 Hblflb OT KpaCKM, 611^6 OflHMM MCTOHHMKOM
CBMHL(a aanaeTca nuTbesaa sofla. M ecnn sofla us oeu^ecTBeHHbix
MCTOHHMKOB flonwHa cooTBeTCTBOsaTb CTaHflapiaM YnpaaneHMa no
oxpane OKpyxaromeM cpeflbi (EPA) no coflepxaHMK) CBMHL(a,
TO coflepxaHne CBMHL(a B soflonposoflHOM eofle Moxei npeBbnuarb
flonycTMMbiM ypoeeHb na-aa Hannnna CBMHL(a B Maiepnanax
CTapblX BOflOnpOBOflHblX Tpy6.
MbiujbHK: ripoflon>KMTenbHoe BoafleMcrsne 6onbiuoro
KonnnecTBa MbiwbflKa, npupoflHoro aneMeHTa, coflepxau^eroca
B nuTbesoM sofle B HeKoiopbix paPioHax OKpyra, MOKST HaHecin
spefl cepflL(y. YnpaBneHne EPA paapaOoiano ciaHflapj
nUTbeBOM BOflbl flJlfl o6LL(eCTBeHHblX CMCT6M nUTbeBOM BOflbl,
HTo6bi rapaHTHposajb, HTO nroflu He 6yflyi nofleeprajbca
B03fleMCTBMKD 6onbLUOrO KOJIMHeCTBa MblLUbflKa. ECJIM Bbl
nonynaeTe sofly us nacTHOM CKeaxuHbi nnn He6onbiuoM
CMCieMbi BOflocHa6>KeHMa, o6parnTecb K
Kojopbie Bbi Moxeie npeflnpnHaTb», B KoiopoM Bbi
Sonee noflpo6HyK> MHCpopMaL(MKi o TOM, HTO MO>KHO
b, HTo6bi orpaHUHMTbTaKoe
Cny-iau nepeapeea
Cnynan neperpesa onucbisaKiTca KBK npoflon>KMTenbHbie
nepnoflbi epeMeHM, Korfla TeMnepaiypa npesbiLuaeT cpeflHKDKi
BbicoKyro TeMnepaiypy fljia flaHHOM MecTHOCTM xoia 6bi Ha
10° F (5,5°C). TennosoPi yflap aanaeTca Han6onee cepbeanbiM
us cnncKa cpaKiopoB, annaKDinMX na afloposbe, csaaannbix c
BoaflePicTBueM Tenna. OH cnynaeTca npn oiKaae
i peryjiMposaHMfl TeMnepaiypbi Tena, HTO npusoflUT
K peaKOMy noBbiLuennKi TeMnepaiypbi Tena. TennosoPi yflap
xapaKTepnayejca ropanePi, cyxoPi n noKpacneBiuePi KoxePi, a
TaioKe HeflocjaTOHHbiM noTOOTflenenneM. KflpyruM Tpeeo>KHbiM
npn3H3KaM OTHOCMTCH cnyraHHsa penb n rannKiL(MHaL(MM.
TennoeoPi yflap aanaeTca cepbeaHbiM HapyiueHneM sflopoeba,
Kojopoe Tpe6yei HeMeflneHHoPi MeflML(MHCKoPi noMomn
(nosBOHMTe 911 MJin OTBeaMTe nocTpaflaBLuero nenoseKa B
OTfleneHne HeoinroKHoPi noMomn). Ecnn ocTasnTb nenoseKa
ciennoBbiM yflapoM 6ea neneHna, aio Moxei npusecjn K
cepbeaHOMy n Heo6paTMMOMy nopaxeHHK) >KM3H6HHO ea>KHbix
opraHoe, TaxenoPi HHsannflHOCTM nnn CMepin..
Y JiKDfleii c nopoKOM cepflqa M HHcynbTOM HapymeHbi
MexaHM3Mbi oxna>KfleHMa, nosTOMy OHM 6onee yaaenMbi
B cnynse neperpesa. flpuMeneHne onpeflenennbix
JieKapCTBeHHblX CpeflCTB MO>KeT nOBblCHTb BOCnpHHMHUBOCTb
HeKOTOpbixnioflePi Kneperpeey. 3io OTHOCMTca, HanpuMep, K
aHTHflenpeccaHiaM n HeKoiopbiM neKapcreeHMbiM npenapaia.M
flpn neperpeee nyHiuePi aamnToPi OT B03MO>KHbix
conyTCTByKDinMX aaOoneeaHnPi n OT CMepTM
KOHflML(MOHMpOBaHMe B03flyX3. fla>K6 HeCKOJIbKO H3COB
B fl6Hb C p360T3KDIHMM KOHflML(MOHepOM B03flyX3 MOFyT
3H3HMT6nbHO CHM3MTb pMCK. McCTieflOBSHMa nOK33blBaK)T, HTO
aneicrpuHecKne semwiirropbi acpcpeKTHBHbi TonbKO Torfla,
TeMnepaTypa OKpyxaKni^ePi cpeflbi Huxe TeMnepaTypbi Tena.
OneicrpunecKMe eeHTunaTopbi Moryr o6ecneHMTb KOMCpopT, HO
Korfla TeMnepaTypa noflHMMaeTca Bbiiue 90°F (32,2°C), OHM
ne B cocTOHHMM npeflOTBpaTMTb 3a6onesaHMa, ceasannbie c
neperpeeoM, n flaxe Moryr nanecTM epefl.
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, KOTOpbie Bbl MOKGTe
, Hro6bi noMOHb
nopOK cepflija u
M cnoco6 npocpMJiaicrMKM nopoKa cepflqa M
MHcyjibra - afloposbiPi o6pa3 WMSHM. KpoMe Toro, no>KMJibie
JlKDflMflOJDKHbl OrpaHMHMBaTb KOHT3KT C 3KOJ10rMHeCKMMM
cpaKTOpaMM pMCKa M noflflepwMBaib MeciHbie BJIBCTM
B eonpocax npuHajna Mep no CHMweHMio speflHbix
B03fl6MCTBMM OKpy>KaK>meM Cpeflbl.
KOHtnaKtn c epedHbiMu
(paKtnopaMu OKpyxaiomeu cpedbi
' He Kypure B noMeineHnax: MaOeraMie Ta6aHHoro
flbiMa. flpocMie KypainMX Kypnib Ha ynML(e. MaOeraPrre
HaxoflMTbca B pecTopanax, 6apax M flpyrux
o6mecTBeHHbix Mecrax, rfle Kypsrr He nojibayPrrecb MJIM
orpaHMHbre McnojibaosaHMe flposanbix neneM M IOMMHOB.
• Co6jiK>flaMTe Mepbi npeflocropoKHOCTM, BbinoriHwi
pa6ory no flowy: JlyHiiie nposeTpMBaPrre noMemeHne BO
speMH noKpacKM, nnaHnpya noKpacKy B noMemeHnax Ha
TO speMH, Koifla MO>KHO ocraBHTb OTKpbiTbiMM oma nnn
McnonbaosaTb BeHrnnirropbi. Bo speivia noKpacKH flenaMie
nacTbie nepepbiBbi na csexeivi eoaflyxe. CTapaPrrecb He
Kpacmb KOMHaibi necKonbKO flnePi noflpafl.
flepefl npoeeflenneM peMOHiaflOMa, nocipoeHHoro
flo 1978 r, npuMMie Mepbi npeflocTopo>KHOCTM, HTo6bi
M36e>KaTb B03fl6MCTBMa KpaCKM, COflep>KaiHeM CBMH6L(.
He nonbayMTecbneHTOHHO-LunncpoBanbHbiM ciaHKOM,
nponanosoM naanbHOM naMnoPi, cipyMHbiM cyujmibHbiM
annapaioM, cyxnM CKpe6KOM nnn cyxoPi Ha»KHO McnonbaosaTb necTML(Mflbi, cnanana
scerfla HniaMTe MHCpopMaL(MKi Ha aiMKeiKax n
cneflyMie BceM npasmiaM lexnuKM 6e3onacHoc™
n orpaHMHennaM. flpn pa6oje c necTML(MflaMM
co6nroflaMTe Mepbi saii^MTbi; cneflyMie yKaaann^M n
HafleeaPrre repMeTUHHbie nepnaiKM, flnnHHbie LuiaHbi
n py6aiuKM cflnnHHbiMM pyKasaMM. flocne pa6ojbi c
necTML(Mfl3MM HeMeflJieHHO nepeofleHbiecb n BbiMOMie
pyKM. Ofle»mnM flsuraTeneM
B rapaxe, flaxe ecnn flsepb rapaxa OTKpbua. Cneflme,
npn6opbi 6binn OTperynnposaHbi
o6pa30M. YcTaHOBMTe n ncnonbayPiTe
BeHTunajopbi. npurnaniaMTe oOyneHHoro
npoeepKM, HMCTKM n perynnpoBKM
cucreMbi qeHTpanbHoro OTonnenna (nenn,
B03flyXOnpOBOflbl M flblMOXOflbl) K3>KflyKI OC6Hb.
BO BceM flOMe flSTHMKM yrapHoro rasa.
creneHb BosfleMCTBua rpaHcnopra
n sarpasHeHna sosflyxa Ha ynnue: Cneflme aa
npomoaaMM noKaaaiera KaHecrsa soaflyxa (AQI), 4ro6bi
3H3Tb, Korfla Boaflyx speflen fljia JiroflePi, Bxoflflm,MX B
rpynnbi noBbimeHHoPi HyscrBMTejibHOCTM. FloceTMB ceoero
spana, nonpocMie ero nposepMTb, ne CHMxaeica JIM
ypoeenb BamePi aKTMBHOCTM npM noBbimeHMM noKaaaiejia
AQI. BKJiKHaPiTe KOHflMU,MOHepbi Boaflyxa B pe>KMMe
peu,MpKyjiflu,MM M flep>KMTe OKHB aaKpbiTbiMM
BO epeMH ropoflCKMX MJIM JiecHbix nowapoB.
CoKpam,aPiTe speivia, nposoflMMoe BBMM B Tpancnopre.
M36eraPiTe cpM3MHecKoPi aKTMBHOCTM M orpaHMHbTe
CpM3MH6CKMMM ynpa>KHeHMflMM B6J1M3M
C MHT6HCMBHblM flBMWeHMeM.
MaoeraMTe TennoBoro yqapa: nojibayPrrecb CBOMM
KOHflML(MOHepOM B03flyxa MJIM npOBOflMTe 6oJlbLU6
speMeHM B KOHflMi_(MOHMpyeMbix 3flaHMax saiuero paPiona.
npMHMMaPvre npoxnaflHbiPi flyiu MJIM Banny HocMTe
jierKyro M CBo6oflHyio ofle>Kfly cserjibix TOHOB. CnpocMTe
csoero spana, He noBbiniaror JIM npMHMMaeMbie BBMM
jieKapcTsa saniy socnpMMMHMBOCTb K 3a6ojie
: neperpesoM.
! 6oJlbLU6 >KMflKOCTM, HO M36eraMT6 ;
nanMTKM, coflepxau^Me KocpeMH, ajiKorojib MJIM
Sojibiuoe KOJiMHecTso caxapa. OTM HBHMTKM
o6e3so>KMBaHMe. ECJIM span orpaHMHMsaeT eac B
npM6M6 >KMflKOCTM, o6a3areJlbHO CnpOCMTe, CKOJlbKO
>KMflKOCTM B3M MO>KHO HMTb B >KapK06 BpeMfl.
FleiiTe HMCTyio BOfly: MTo6bi orpsHMHMTb BosflePicTBMe
na eac CBMnqa nepea eofly flaPiTe xojioflHoPi eofle
crenb B TeneHMe XOTO 6bi 30 ceKynfl, a JiyHiue 2-3
MMHyr, npe»KMByil(MM B CTapblX flOMBX, BOflOnpOBOflHbie Tpy6bl
B KOTOpblX COflep>KaT CBMH6L(. ECJIM Bbl FlOJiyHaeTe
BOfly MS MyHML|MnajibHoPi CMCTeMbi, cnanajia Bbi
flOJi>KHbi aanpocMTb B saLuePi MyHML|MnajibHoPi
CMCT6M6 MHCpOpMai(MKI 0 pe3yjlbT3TaX TeCTMpOB3HMa
H3 H3J1MHM6 CBMHL(3 M M6flM B COOTB6TCTBMM C
CpeflepSJlbHblMM Tpe60BaHM3MM, B H3CTHOCTM B flOMBX
Toro psPioHS, rfle Bbi >KMB6Te.
CTSHflSpTYnpSBJieHMa EPAB OTHOLUeHMM MblLUbflKa
ne pacnpocTpanaeTca na He6ojibiuMe CMCTeMbi
BOflocna6>KeHMa, KOTOpbie exeroflno o6ecneHMBaK)T
Menee 15 "ToneK noflKniweHMa" MJIM o6cny>KMBaicn- Menee
25 nejioseK. ECJIM Bbi nojibayeTecb sofloPi MS nacTHoPi
CKB3>KMHbl MJIM He6oJlbLUOM CMCTeMbi BOflOCHa6>KeHMa,
KOTOpaa OCB06o>KfleHa OTTeCTMpOBaHMa, M >KMB6Te B
paPioHe, rfle 6biJio BbiaaneHO noBbimeHHoe coflepwaHMe
MblLUbflKa B TpyHTOBblX BOflBX, Bbl MOK6T6
npOBepMTb CBOKD BOfly H3 HaJIMHMe MblLUbflKa.
flyHLUMM MCTOHHMK KOHKpeTHOM MHCpOpMaL(MM 0
BaiuePi nMTbesoPi sofle - STO saiu nocTasii^MK soflbi.
flOCTaBIHMKM BOflbl, o6cJiy>KMBaKIIHMe OflHMX M
Texwe JiroflePi KpyrnbiPi rofl, flOJi>KHbi nanpaanaTb
CBOMM nOTpe6MT6JiaM 6>KerOflHblM OTH6T 0 KBHeCTBe
BOflbl (MHorfla HasbisaeMbiPi OTHeTOM ysepeHHOCTM
nOTpe6MT6Jia). Csa>KMTeCb C BaillMM nOCTaBLL(MKOM
BOflbl, HT06bl FlOJiyHMTb 3K36MnJiap STOTO OTH6Ta.
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sawn MecrHbie
Mep
MecTHbie BnacTM flon>KHbi npeflnpuHMMaib a™ npocrbie warn
no CHM>KeHMK> pucKa n coo6meHMK) o Mepax npeflocropoKHOCTM,
Kojopbie Moryi npeflnpuH^Tb npecrapejibie nrofln.
• floflqep>KMBaMTe nonnTMKy BosflepnoHnsi or Ky pen MSI
B o6inecTB6HHbix MecTax: Boaflepxneaacb OT Kypenna
B o6mecTBeHHbix Meciax (peciopaHax, 6apax n napKax),
o6LL(eCTBO MO>KeT OrpaHMHUTb B03fleMCTBMe
curapeiHoro flbiMa.
• Floflflep>KMBaMTe cucreMbi
BpeflHoro Ana sflopoBbH neperpesa n cucreMbi
pearupoBaHUfl: 3™ cucreMbi Moryr noMOHb onpeflenmb
speMH eepoaTHOM yrpoabi neperpeea, npeflynpeflMTb xmenePi
n OKaaaib noMoinb nnL(aM, exoflainMM B rpynny pucKa.
CneflMTe sa TeM, HTo6bi npomosbi
KanecTBa sosflyxa o6HapoflOBanncb n BbinonHsuincb:
noKaaaienb KaneciBa eoaflyxa ynpaaneHna EPA- aio
noKaaaienb, KoiopbiM exeflHeeHO yKaabieaei KanecTeo
Boaflyxa. SaPiflMTe Ha CBMT www.epa.gov/airnow
l~IOJlb3yMTeCb o6meCTB6HHblM TpaHCnOpTOM, KOTOpbIM
CHM>KaeT MHTeHCMBHOCTb flOpOKHOfO flBM>KeHlWl M
sarpasHeHne sosflyxa: oeu^ecTBeHHbiM jpaHcnopj
- 3TO nyHLUMM cnoco6 CHuamb aarpyxeHHOCTb flopor,
eoaflyxa n cipecc
• Onpeflennre MecTOHaxo>KfleHMe napKOB,
BejiocuneflHbix flopo>KeK n rponnHOK Bflann or
ocHOBHbix flopor: OnannecKaa aKTMBHOCTb
oflHMM us nyHLUMX cnoco6oB CHMxeHna pucKa
nopoKa cepflqa n MHcynbia. BbinonHaPiTe
ynpa>KHeHna Bflann OT flopor n TpaHcnopia.
KoHmponupyume eauiu ocHoeHbie (paKmopbi PUCKS
paseumun nopoKa cepdu,a u uHcynbma
cpefla - ecero nnnib oflMH us cpaKTOpoe,
Ha nofleepweHHOCTb nenoeeKa nopoKy cepflqa
nnn MHcyjibiy. BOT Han6onee ea>KHbie fleMCTena, Koiopbie
Bbi MOKeie npeflnpunaib flna CHMxeHna cpaKTOpoe pucKa
pasBMTna nopoKa cepflqa n uncynbra:
• MsOeraMTe ra6aHHoro flbiMa
BpeMa ana peryjiapHOM cpusunecKOM
aKTMBHOCTM B TeH6Hlie 30 MMHyT B fl6Hb XOTfl 6bl 5 flH6M
B Heflenio
r.
CneflyiiTe pyKOBOflprBy no fluere onn
PeryjiapHO nocemaiiTe CBoero nocraBinnKa
ycnyr onn nposepKH n jieneHMa noBbiiueHHoro
flaBneHMfl, flna6era n runepnunnfleMnn (noBbiiueHHoro
ypoBHa coflepHOHna nunnflOB
flononHmenbHbie pecypcbi
YnpaBJieHne no oxpane OKpynoKiineM cpeflbi
KanecTsa eoaflyxa: www.airnow.gov
K: www.epa.gov/safewater/arsenic.html
KanecTBO eoaflyxa B noMeu^eHnn: www.epa.gov/iaq/
CBMHeL(: www.epa.gov/lead
MncpopMaL(MOHHbiM
EPA100-F-05-024
FloKpacKa: www.epa.gov/iaq/homes/hip-painting.html
necTML(Mflbi: www.epa.gov/pesticides/
floMa 6ea flbiMa: www.epa.gov/smokefree/
i no jieneHMK) n npocpmiaKTMKe sa6ojieBaHMM
CepfleHHO-cocyflMCTbie 3a6oneBaHna: www.cdc.gov/cvh/
PyKosoflCTBO no cpM3MHecKMM ynpa>KHeHnaM:
http://www.cdc.gov/nccdphp/dnpa/physical/recommendations/
older_adults.htm
PyKOBOflCTBO no fluere Rnn aMepuKaHLieB
www.health.gov/dietaryguidelines/
aflMMHUCTpaiinsi no ynpaBJieHMK) B
www.fema.gov/hazards/extremeheat/heat.shtm
HaunoHanbHan MereopojiorMHecKaa cny>K6a
www.nws.noaa.gov/om/brochures/heat_wave.shtml
AMepiiKaHCKeUi accounaunn no cepfleHHbiM 3a6ojieBaHnaM:
www.americanheart.org
no BonpocaM BosfleMCTBua Ha sflopoBbe:
www. healtheffects.org/about. htm
6ojibiue
i rpynna no BonpocaM i
i B cocTas ynpaaneHMH EPA, pa6ojaeT,
HTo6bi aau^MTMTb 3floposbe no>KM;ibix nroflePi nyreM
KoopflMHai_(MM MccjieflOBaHMM, crpajeruM npocpunaKTHKM
n o6mecTBeHHoro o6pa30BaHna B o6nacrn
cpaKTOpos OKpyxarou^eM cpeflbi. flna
6onee noflpo6noM MHCpopMaL(MM nnn flna aanncn B
cnncoK o6cny>KMBaHMa MHHL(MaTMBHOM rpynnbi no
sonpocaM CTapenna ynpaaneHna EPAaaMflme na CBMT
www.epa.gov/aging. flroKunbie nroflu Moryr ynyHiiiMTb csoe
3flOpOBb6 M KaHeCTBO >KM3HM, 3H351 0 TOM, K3KM6 CpaKTOpbl
OKpy>K3KiineM cpeflbi cnoco6cTByic>T PSSBMTMKI nopoKa
cepflqa n MHcynbia, n KOHiponnpya ocnosHbie cpaKiopbi
pucKa, ne csaaaHHbie c OKpyxaiou^eM cpefloPi.
CHOCKU
1 YnpaeneHne no oxpane OKpy>KaK)LL(eM cpeflbi CLUA. CnpaewnuK
no KcHecmey eosdyxa u saepnsHenuu yacmuu,aMU.
http://www.epa.gov/airnow//aqi_cl.pdf
2 YnpaBneHne no oxpane OKpy>KaK)LL(eM cpeflbi CLUA. HopMbi u
KOHmponb sa ompaenenunMU necmuu,udaMU. 1 999 r.
http://www.epa.gov/pesticides/safety/healthcare/handbook/
Index1.pdf
3 YnpaBneHne no oxpane OKpy>KaK>LL|eM cpeflbi CLUA. Kpumepuu
xayecmea eosdyxa e omHoweHuu codepxamin yeapnoeo
aasa, EPA 600-P-99-001 F. Research Triangle Park, NC:
YnpaBneHne no oxpane OKpy>KaK>LL|eM cpeflbi CLUA, YnpaBneHne
paspaQoioK n pasBMina, TocyflapcTBeHHUM L|eHip ou,eHKM
cocioaHna OKpy>KaK)LL(eM cpeflbi. MioHb 2000 r.
4 Peters, A., S. von Klot, M. Heier, I. Trentinaglia, H. Ines, A.
Hormann, H.E. Erich, H. Lowel. ^BosflewciBue flopo>KHoro
flBMweHMfl Ha SflopoBbe M Ha^ano MHdpapKia MMOKapfla*.
MeflML(MHCKMM wypHan HOBOM AHrnnn. 21 OKia6pa 2004 r. 351
(17): 1721 -30
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