The social hygienic characteristics of deteriorated living environment in Surkhan-Daria area around the Tadjikistan aluminum factory are described. The harmful chemical substances negatively impacting local population health especially women of fertile age are indicated. The structure of morbidity of women of fertile age based on the data of overall medical examination is analyzed. It is demonstrated that the most frequent pathology in the examined area are diseases of endocrine system, blood and hematopoietic organs, digestive system and genitourinary system. The results of studying the poor health conditions developed under the impact of poor ecological environment due to long-term and harmful influence of waste substances of factory on the air, soil and food are discussed. The system of measures targeted on the improvement of the medical care of women of fertile age residing the aluminum factory territories are proposed.