Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot3810.32687/0869-866X-2019-27-3-222-226Научная статьяThe analysis of mortality of population of able-bodied age because of external causesShchepinV. O.-ShishkinE. V.shishkin90@mail.ruThe Federal State Budget Scientific Institution “The N. A. Semashko National Research Institute of Public Health”The Federal State Budget Educational Institution of Higher Education “The Southern Ural Medical Institute” of Minzdrav of Russia1512201927322222606042021Copyright © 2019,2019The article presents analysis of mortality because of injuries, poisonings and other consequences of impact of external causes in able-bodied population of the Russian Federation. In 2016, the study identified 18 subjects of the Russian Federation, where these causes of death occupied first rank, leaving behind mortality of blood circulatory system diseases.The optimization of medical care of persons injured by external causes should be implemented by three main directions: traumatological orthopedic one with organization of traumatological centers; сombustiological one with organization of burn centers; toxicological one with organization of toxicological centers.The established differences in mortality rates between subjects of the Russian Federation testify the necessity of complex and substantive measures of organizing and developing medical care support of persons injured by external causes, considering climatic geographic features of regions, as well as availability of “endemic” zones within the territories of subjects that will make it possible to propose valid recommendations related to organization of new centers and optimization of routing of patients based on actual operating medical organizations and their structural subdivisions.traumapoisoningburnexternal causesdevelopmentorganization of medical careoptimizationroutingpatientтравмыотравленияожогивнешние причинысовершенствование организации медицинской помощиоптимизация медицинской помощимаршрутизация пациентов1.Артюхов И. П., Горный Б. Э., Мажаров В. Ф. Региональные и возрастно-половые особенности смертности от внешних причин социально активного населения Красноярского края (2005-2009 гг.). Дальневосточный медицинский журнал. 2011; (2):99-101.2.Махкамова З. Р., Голубова Т. Н. Анализ смертности населения трудоспособного возраста в Республике Крым. Таврический медико-биологический вестник. 2015;18(4):41-3.3.Маркина А. Ю., Шишкин Е. В. Сравнительный анализ медико-демографической ситуации Уральского экономического района. Проблемы социальной гигиены, здравоохранения и истории медицины. 2016;24(4):242-5.