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This book for the first time tells in an accessible and unbiased way about the activities of the sanitary organisation in our region, starting from the zemstvo doctors and up to the present day.The stages of development of the service are reflected with the argumentation of thenecessity of structural changes. The stages of service development with the argumentation of the need for structural changes are shown. The contribution of preventive medicine workers to the elimination of epidemiological diseases, stabilisation of the epidemic situation and the impact on factors that negatively affect the health of people is shown.