[Current problems in preventive medicine]

The author presents data on the incidence of diseases involving temporary invalidity among workers of the Moscow Railway. The difference in morbidity levels at various enterprises in this branch of industry is as high as 2.9 to 5.9 times, which fact is regarded as a sign of uncontrollable increase of morbidity among the workers of the predominant part of the production. A system of registration and organizational measures aimed at morbidity prevention, conditionally named Automated Monitoring System 'Morbidity' (AMSM) is presented. Results of distribution of morbidity by "days" in the final line 30 of record file 16BH in relative compatible parameters are described. Introduction of AMSM resulted in reduction of morbidity in 1993 as reflected in line 35 in "days" by 10% vs. the year 1992 and in a different rating of a test enterprise TC-18 in the total group of the Moscow Railway Depot, which moved from the 4th to 10th position. Economical estimation of the benefit due to morbidity reduction and validation of cost efficacy and self support of AMSM are presented.