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It is largely the result of the economic and social upheavals of the postsocialist period, which have impoverished the population and caused a decay of social services.

Growing unemployment, long-term nonpayment of wages and pensions, paid wages that are below the poverty line, unsafe working and road conditions, the spread of infectious diseases, and the impoverishment of public health care systems have caused stress, depression, family breakdown, and rising rates of alcoholism, suicide, homicide, and domestic violence.

Many great rivers transect the country, such as the Dvina, Don, Oka, and Volga in the European heartland and the Ob, Yenisei, and Lena in Siberia; most of these rivers are linked by subsidiary waterways.

Until the advent of railways and roads, the rivers were the only efficient way to travel, and they remain a significant form of transport for people and materials.

Circulatory diseases, accidents, and suicides attributable to alcohol abuse are the leading causes of death among men.