The paper describes the priorities of health-promoting and medical rehabilitation in railwaymen working under adverse industrial conditions. The authors define the priorities of selection of occupational groups to be primarily referred for sanatorium-and-spa treatment (by taking into account the profile of disease or major industry-associated risk factors), which regulate the medical criteria for selection of contingents (apparently healthy individuals having risk factors, with early morbid signs and significant forms of underlying occupational and industry-dependent diseases). The periodicity of referrals for sanatorium-and-spa treatment and health-promotion depends on the intensity of and exposure to occupational factors, as well as the mean time of development of major forms of abnormalities.

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