[The organization of medical care in the mining and smelting okrugs of the Kama Vyatka region in the pre-reform period (end of XVIII-first half of XIX centuries)].

The article considers becoming of professional medical care in mining and smelting okrugs of the Kama Vyatka region in the pre-reform period (end of XVIII-first half of XIX centuries). The analysis is presented concerning the history of organization in the Kray of hospitals of mining and military departments, sources of financing, provision of curative institutions with medications and active storages, solution of personnel problem, interaction between factorial administration and medical personnel, curative preventive and educational activities of physicians, struggle with smallpox and other epidemiological diseases, counteraction to "traditional medicine", effectiveness of functioning of health care institutions. The conclusions are made that development of medical care during studied period was accompanied by number of such predicaments as material equipping, training and mobilization of specialists, roominess of hospitals (i.e. obvious deficiency in physicians and beds per capita was observed). To the end of studied period hospitals at industrials settlements functioned stably as an integral part of ramified system of establishments of social infrastructure of the Ural.