scholarly journals Hygienic assessment of working conditions and health of the workers of mining and processing enterprises

2019 ◽  
Vol 95 (11) ◽  
pp. 1065-1070 ◽  
Author(s):  
E. A. Preobrazhenskaya ◽  
Anna V. Sukhova ◽  
L. A. Zorkina ◽  
M. V. Bondareva

In the article there are presented results of studies on the hygienic assessment of working conditions and health status of 1200 workers of mining and processing enterprises (MPE) developing deposits of iron ores of the Kursk Magnetic Anomaly: Lebedinskiy MPE, Mikhaylovskiy MPE, Stoylenskiy MPE. There were revealed the differences in the character and intensity of adverse occupational factors, there was made the quantitation of the occupational risk level to the health workers of MPE both factories and quarries. The structure of occupational diseases in MPE factories is formed by dust lung diseases and the occupational pathology of the organ of hearing. In the structure of professional pathology in quarries workers vibration disease (61.5%) prevails. The obtained results indicate to the need of the development of the system of measures for the reduction in general and occupational morbidity rate of workers, the creation of safe working conditions, improving the early diagnosis of occupational and common diseases at the stage of preliminary and periodic medical examinations.

Author(s):  
Elvira Timeryanovna Valeeva ◽  
Elmira Radikovna Shaikhlislamova ◽  
Akhat Barievich Bakirov

In the Republic of Bashkortostan, in 2019, despite the deteriorating working conditions at workplaces in almost all industries, extremely low rates of occupational morbidity were observed. At the same time, almost every third employee of the surveyed types of economic activity is engaged in work with harmful and (or) dangerous working conditions. In total, 46 cases of occupational diseases were found in the Republic in 2019. The occupational morbidity rate was 0.42 per 10,000 employees (2018 — 0.32), which is significantly lower than in the Russian Federation (1.03 per 10,000 employees). The highest levels of occupational morbidity are registered in mining, manufacturing, healthcare, and agriculture. The structure of nosological forms of occupational diseases was dominated by diseases associated with physical overload and overstrain of individual organs and systems: sciatica of the lumbosacral level, polyneuropathy of the extremities and occupational diseases from the influence of physical factors: sensorineural hearing loss and vibration disease. Against the background of the continuing deterioration of working conditions in the Republic and the low quality of periodic medical examinations, extremely low rates of registered occupational diseases are observed.


2018 ◽  
Vol 97 (12) ◽  
pp. 1231-1234 ◽  
Author(s):  
Nikolai N. Petrukhin ◽  
N. N. Loginova ◽  
O. N. Andreenko ◽  
S. V. Grebenkov ◽  
S. V. Voronkova

This article presents data on the leading role of the biological factor in the formation of occupational diseases among health workers for an 18-year period of the work at the North-West Scientific Center for Hygiene and Public Health. The purpose of the study is to provide an objective assessment in establishing relationships related to the effects of a biofactor on the health of health workers. A retrospective analysis was made of a sample of case histories with established occupational diseases due to the impact of a biological factor. There were observed in dynamics 67 cases including 52 women (77 %) and 15 men (23%) aged 23-67 years. All of them were examined for the establishment of the relationship between the disease and occupation during the period of 2000-2017. The infectious agent is considered to be the leading harmful production factor when analyzing working conditions. The average work experience with an infectious agent was 14 years. The class of working conditions in most cases was estimated from permissible to harmful of the 1 degree. Based on the data of sanitary and hygienic characteristics of working conditions, the excess of the maximum permissible concentrations of harmful industrial substances in the air of the working area was recorded only in 8% of cases. The detectability of occupational diseases after periodic medical examinations was 6%; by clinical examination - 8%; when contacting a local physician 20%; to the pathologist 20%; as a result of self-reversal 46%. The biological factor is the leading harmful factor in the workplace of medical workers. As the main preventive measure for occupational diseases among physicians, systematic medical examinations followed by preventive, curative and rehabilitative measures are taken. The most effective way to reduce infectious diseases is the compulsory vaccination of medical staff.


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
S. A. Gorbanev ◽  
S. A. Syurin ◽  
N. M. Frolova

Introduction. Due to the impact of adverse working conditions and climate, workers in coal-mining enterprises in the Arctic are at increased risk of occupational diseases (OD).The aim of the study was to study the working conditions, causes, structure and prevalence of occupational diseases in miners of coal mines in the Arctic.Materials and methods. Th e data of social and hygienic monitoring “Working conditions and occupational morbidity” of the population of Vorkuta and Chukotka Autonomous District in 2007–2017 are studied.Results. It was established that in 2007–2017 years, 2,296 ODs were diagnosed for the first time in 1851 coal mines, mainly in the drifters, clearing face miners, repairmen and machinists of mining excavating machines. Most often, the ODs occurred when exposed to the severity of labor, fibrogenic aerosols and hand-arm vibration. The development of professional pathology in 98% of cases was due to design flaws of machines and mechanisms, as well as imperfections of workplaces and technological processes. Diseases of the musculoskeletal system (36.2%), respiratory organs (28.9%) and nervous system (22.5%) prevailed in the structure of professional pathology of miners of coal mines. Among the three most common nosological forms of OD were radiculopathy (32.1%), chronic bronchitis (27.7%) and mono-polyneuropathy (15.4%). In 2017, coal miners in the Arctic had a professional morbidity rate of 2.82 times higher than the national rates for coal mining.Conclusions. To preserve the health of miners of coal mining enterprises, technical measures to improve working conditions and medical interventions aimed at increasing the body’s resistance to the effects of harmful production and climatic factors are necessary.


2021 ◽  
Vol 38 (3) ◽  
pp. 131-140
Author(s):  
L. A. Shpagina ◽  
L. A. Panacheva ◽  
E. V. Zolotukhina

Objective. Taking into account a high prevalence of occupational pathology associated with the exposure of industrial aerosols, to analyze the principles of therapy used for patients with these diseases. Materials and methods. The regulating medical documents, the data of preventive medical examinations as well as the principles of therapy applied for patients with occupational diseases, which are presented in scientific literarure, are analyzed. Results. The role of harmful production factors in the formation of pneumoconiosis and alveolitis, which join the group of interstitial lung diseases (ILD), has been proved. The outcome of these occupational diseases is fibrosing alveolitis with the development of diffuse pulmonary fibrosis. In the treatment of ILD, immunobiological drugs (IBD) are used to suppress the immune processes selectively affecting the monoclonal antibodies, blocking of which interrupts inflammation and in 90 % of cases stops the further development of the disease. Conclusions. The use of immunobiological drugs in clinical practice should be carried out within the framework of ethical and legal regulation between the patient and the doctor.


Author(s):  
A.N. Danilov ◽  
G.A. Bezrukova ◽  
V.F. Spirin

We revealed a decrease of 19.2 percent in the number of workers in hazardous working conditions during the from 2011 to 2017 period based on the analysis of updated data on working conditions in the agricultural sector of the economy, regional levels of occupational morbidity, accessibility of medical organizations to rural residents and occupational morbidity of agricultural workers, which was not accompanied by a corresponding drop in the share of this cohort in the total structure of employees in the agricultural sector, whose share decreased by 4.4 percent. The coverage of agricultural workers with periodic medical examinations increased from 75.6 percent (2011) to 82.7 percent (2017) along with the increase in the provision of rural health institutions with occupational physicians from 43.3 to 60.0 percent of the level for need. The number of subjects of the Russian Federation on whose territory cases of occupational diseases were recorded decreased by 25.6 percent: from 39 to 29 regions during the period from 2011 to 2017. At the same time, the level of occupational morbidity increased by 32.3 percent from 1.27 (2015) to 1.68 (2017) per 10 thousand workers in the industry. 43.7 − 57.2 percent of occupational diseases’ cases were diagnosed in self-referral to the centers of occupational pathology for different years of observation. Most cases of occupational diseases were detected by the centers of professional pathology operating on the basis of scientific organizations of Rospotrebnadzor, research institutes of hygienic profile of federal subordination and institutions of higher professional education of the Russian Ministry of Health.


2018 ◽  
Vol 97 (4) ◽  
pp. 325-331
Author(s):  
Nina S. Kondrova ◽  
E. R. Shaikhlislamova ◽  
I. V. Sandakova ◽  
N. I. Simonova ◽  
N. N. Karpova

The retrospective analysis of the morbidity rate, the loss of the workability in health workers of the Republic of Bashkortostan with occupational diseases over the period from 1960 to 2015 was executed. The distribution of absolute and relative indices of the occupational morbidity rate by years is presented. The factors of the production environment and the labor process contributing to the development of occupational diseases are singled out. The leading place in the structure of the primary morbidity is held by occupational diseases associated with chemical (toxic-allergic) factors, the second - with diseases associated with the impact of physical factors; the third - diseases from the influence of biological factors.


Author(s):  
Tatyana Anatolievna Suvidova ◽  
Galina Vladimirovna Kurenkova

Unfavorable working conditions at the workplaces of agricultural enterprises are the reason for the development of occupational pathology, which makes it necessary to conduct a hygienic assessment of the occupational morbidity of workers in the agricultural sector of the Kemerovo region. The methods used are the analysis of primary statistical forms of accounting for occupational diseases, hygienic assessment of working conditions, and a comprehensive hygienic assessment of occupational morbidity in accordance with the «Methods of computer modeling of the sanitary and epidemiological situation with occupational morbidity in the Kemerovo region. Methodological recommendations» using the cluster analysis program «Cluster Analysis». For the period 2008–2018. In the region, only 58 cases of occupational diseases were registered among agricultural workers, while 90 % of enterprises are classified as objects of the 2–3 group of sanitary and epidemiological welfare. In contrast to the gradual decline in indicators in the country as a whole, the region recorded peaks in the incidence in 2009, 2011, 2013 and 2017. At the same time, the correlation analysis indicates a direct strong correlation between the dynamics of occupational morbidity in the region and in the Russian Federation (R = 0.862702; p < 0.05). The results of the analysis of the method of establishing the diagnosis indicate that in relation to diseases that arose as a result of exposure to physical overload, vibroacoustic factors, only 60 % were detected during periodic medical examinations. The structure of occupational diseases was dominated by radiculopathy — 33 %, vibration disease — 31 %, brucellosis — 25 %. The analysis of cause-and-effect relationships, the clusters of professions obtained using the method of mathematical modeling (driver and blacksmith-cluster distance 1,4, mechanic and plasterer-cluster distance 2,2, independent clusters-tractor driver and wood feller) and the similarity of the development of unfavorable sanitary and epidemiological situations in relation to them should be used in the activities of the Rospotrebnadzor Department as a basis for planning control and supervisory measures and for justifying preventive measures to preserve labor potential.


Author(s):  
N.I. Simonova ◽  
◽  
E.E. Adeninskaya ◽  
V.E. Bulanov ◽  

Abstract: The article analyzes the current medical regulations in Russia for conducting mandatory periodic medical examinations (PME) of employees engaged in harmful working conditions, which are compared with the system for assessing working conditions and the system for diagnosing occupational diseases. It is shown that the requirement to conduct mandatory PME of employees engaged in harmful working conditions in occupational pathology centers is not economically justified and is not socially beneficial. A variant of expert support of mandatory PME by specialists-occupational pathologists of occupational pathology centers in order to increase their effectiveness is proposed.


2017 ◽  
Vol 16 (4) ◽  
Author(s):  
Liliane Ribeiro Trindade ◽  
Alvaro Roberto Crespo Merlo ◽  
Rosângela Marion Da Silva ◽  
Carmem Lúcia Colomé Beck ◽  
Núbia Cristina Goes

Este estudo tem como objetivos identificar e descrever os fatores de adoecimento dos trabalhadores da saúde. Trata-se de uma revisão integrativa de literatura que utilizou para a seleção dos estudos as bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde e Biomedical Literature Ciattions and Abstracts. Empregaram-se os descritores/palavras-chave/MesHterms: “Trabalhadores de Saúde”, “Profissional da saúde”, “Doenças ocupacionais” e “condições de trabalho” e os correspondentes em inglês health personnel AND occupational diseases AND working conditions. Os operadores boolianos adotados nas estratégias foram “and” e “or”, com recorte temporal no período de 2012 a 2015. Compuseram o corpus da análise 20 estudos. Da análise emergiram as categorias: fatores do adoecimento dos trabalhadores; e estratégias para promover a saúde e minimizar o adoecimento. Conclui-se que os trabalhadores da saúde estão expostos a situações do ambiente laboral que podem comprometer a sua saúde psicológica, física e emocional, sendo importante identificar estratégias para minimizar os fatores de adoecimento nesses trabalhadores.


Sign in / Sign up

Export Citation Format

Share Document