Using comorbidity assessment in the system of ensuring human environmental well-being

Background. According to the studies of the World Health Organization, the state of the environment in the place of residence of a person makes a significant contribution to the formation of the functional state of his body, determining the burden of disease. The purpose of the study is to take into account the impact of the level of environmental well-being of a person when assessing human comorbidity based on the index of environmental comorbidity. Materials and methods. The study was carried out using an integrated ecosystem approach and methods of analysis and synthesis, grouping and generalization, as well as mathematical and simulation modeling. Results. The article analyzes the existing comorbidity indices, including the ECI ecological comorbidity index; by means of SimInTech, simulation modeling of the state of the territorial technosphere was carried out to assess the ecological well-being of a person; a scale is proposed that takes into account the effect of the level of environmental well-being of a person on the index of environmental comorbidity ECI. Conclusions. Simulation models created using the SimInTech software package make it possible to determine and analyze the integral indicator of the state of the territorial technosphere for various risk factors. The results of the work can be used in determining the ecological comorbidity of a person through an integral indicator of the state of the territorial technosphere, expressed in the form of risk. For practical use, the authors consider the proposed scale of the adjusted environmental comorbidity index ECI+ to be appropriate when making a decision on an individual patient treatment regimen.