The experience of medical support for the evacuation of the civilian population, children and adolescents across the Road of Life in 1941–1942

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Abstract

The organization of medical support during the evacuation of the population, including children and adolescents during the Great Patriotic War, especially in 1941–1942, is unique. Attention is drawn to the scale — the timing of the organization of evacuation, the number of evacuated people, methods — by water, aviation, land transport. Special attention in conditions of shortage deserves catering — all evacuees received a hot lunch and rations for the road in the form 1 kg of bread. Gradually, the prevention of infectious diseases was established, vaccination against dysentery was actively used, teams of epidemiologists and disinfection and washing teams were formed, medical support was provided. In total, from the beginning of the blockade to the end of 1942, about 1 million 100 thousand people were evacuated, of which 871 thousand Leningraders. And during the war, about 1 million 738 thousand people were taken out of Leningrad in an organized manner, of which 1 million 360 thousand Leningraders. Priority in mass evacuation was given to children and adolescents — the future of the country. All the sick and wounded, whose treatment required more than 45 days, were subject to evacuation. Thanks to the precise organization of care for evacuees on the way and during the period of overload from one mode of transport to another, difficulties were transferred to the wounded and sick relatively easily. Thanks to the planned work during the evacuation, mass outbreaks of infectious diseases were prevented by medical workers, mortality was reduced as much as possible and the possibility of restoring normal nutrition and life in the evacuation areas was ensured.

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About the authors

Vadim G. Arsentev

Kirov Military Medical Academy

Author for correspondence.
Email: rainman63@mail.ru

MD, PhD, Dr. Sci. (Med.), Head of the Department of Children's Diseases

Russian Federation, Saint Petersburg

Anastasia A. Tsymbal

Kirov Military Medical Academy; K.A. Rauhfus St. Petersburg Children’s Municipal Multi-Specialty Clinical Center of High Medical Technology

Email: tsymbal.anastasi@gmail.com
SPIN-code: 7484-2225

Head of the Reception Department; Postgraduate Student

Russian Federation, Saint Petersburg; Saint Petersburg

Nikolai P. Shabalov

Kirov Military Medical Academy

Email: rainman63@mail.ru

MD, PhD, Dr. Sci. (Med.), Professor of the Department of Childhood Illness

Russian Federation, Saint Petersburg

Aleksandr N. Tsymbal

North-Western State Medical University named after I.I. Mechnikov; 442nd Military Clinical Hospital

Email: ats421@mail.ru

MD, PhD, Associate Professor of the Department of Mobilization Training of Healthcare and Disaster Medicine; Head of the Сonsultative and Diagnostic Polyclinic

Russian Federation, Saint Petersburg; Saint Petersburg

Sergey B. Kalyadin

Kirov Military Medical Academy

Email: s.kaliadin@yandex.ru
SPIN-code: 5549-0964

MD, PhD, Associate Professor, Department of Children's Diseases

Russian Federation, Saint Petersburg

Mariya A. Pakhomova

Saint Petersburg State Pediatric Medical University

Email: scrcenter@mail.ru
SPIN-code: 3168-2170

Senior Researcher, Research Center

Russian Federation, Saint Petersburg

References

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  9. Sokolov VA, Tsvetkov DS. The contribution of domestic scientists to the development of approaches to the evacuation of the wounded by air transport in the 1930s. Russian military medical journal. 2021;342(3):86–91. (In Russ.) doi: 10.17816/RMMJ82603
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Supplementary files

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2. Fig. 1. Children in a bomb shelter

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3. Fig. 2. Evacuation of children from besieged Leningrad

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4. Fig. 3. Evacuation along the Road of Life

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5. Fig. 4. Alexander F. Tur (1894–1974)

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