scholarly journals The impact of harmful occupational factors on the morbidity rate of workers of the railway-car repair plant

2019 ◽  
Vol 95 (12) ◽  
pp. 1150-1154
Author(s):  
Natalia A. Sudeikina ◽  
G. V. Kurenkova ◽  
E. P. Lemeshevskaya

The rail transport is the one of the leading sectors of the national economy. More than 50% of the employees of the enterprises of the railway complex work under the unfavourable impact of hazardous and dangerous substances and occupational factors. In the literature issues of working conditions and health of employees of railway carrepairing plant are hardly highlighted. The aim of the study is the evaluation of the morbidity rate shaped under the influence of harmful occupational factors for the elaboration of preventive measures. In the work there were used generally accepted methods of hygienic studies, analysis of morbidity rate with temporary disability (TD), according to records of periodic medical examinations, occupational prevalence. The railway car-repairing plant was established to be characterized by the complex of harmful factors of the working environment and labor process: noise, local vibration, industrial aerosols of complex composition, chemicals, low light, hardness of the labor process. The levels of incidence with temporal disability in the studied groups, depending on the work seniority in the harmful labor conditions, significantly decrease with the experience from 5 to 9 years and increase with the experience more than 10 years. Executed in-depth analysis as of the both morbidity rate and TD, as well results of periodic medical examinations of workers of main shops shows that overall indices of the morbidity rate and TD are significantly higher than in the comparison group; levels of the morbidity rate and TD in the observed groups significantly decline depending on the length of service in hazardous working conditions with a length of the experience offrom 5 to 9 years and increase with the increase in the length of experience of 10 years or more. In the structure of morbidity and TD leading positions are occupied by diseases of the respiratory system, musculoskeletal system and connective tissue, circulatory system and digestive system, diseases of the eye and its appendages. The health damage risk coefficients in the studied groups of workers and the average losses of working time due to the morbidity with TD per 1 employee in all shops are higher than those in the comparison group. The level of the occupational morbidity rate is very low. Harmful working conditions contribute to the development of general and occupationally related diseases.

Author(s):  
M.I. Timerzyanov

The article describes the working conditions of convicts involved in productions in penal colonies of the Federal Penitentiary Service of Russia in the Republic of Tatarstan, and presents the data of detection of diseases they have in in-depth medical examination. The target of the work is to study the impact of sanitary and hazardous working condi-tions in the colonies, located on the territory of the Republic of Tatarstan, the emergence of non-communicable diseases identified by the results of in-depth medical examinations of prisoners engaged in various industries. Sanitary and hygienic assessment of working condi-tions of prisoners in various industries was evaluated by a set of unfavorable factors of work-ing environment and labor process: noise, light and vibration level, content in the air of the working zone of hazardous chemicals, physical overload, working position, the presence of sensory load, monotony of work. Analysis of morbidity among prisoners showed that among those with temporary dis-ability diseases in all industries the most common are acute respiratory infections and influ-enza, as well as diseases of the cardiovascular, musculoskeletal and nervous systems. As a result of in-depth medical examination of working prisoners revealed a high incidence of hy-pertension in the foundry workers, garment production and a machine shop. Analyzing the detection of diseases in-depth medical examinations according to the age found obvious increase with age incidence of hypertension. It was prove the connection of age and the number of cases of chronic bronchitis with increasing age. As a result of the data concluded that the sanitary and hygienic assessment of working conditions of prisoners, revealing a complex of unfavorable factors of working environment and labor process – the basis for the development of sanitary measures to optimize working conditions and the prevention of diseases among prisoners.


Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya

Introduction. Professional groups of railway workers engaged in the repair of wagons are directly responsible for the safety of railway traffic. The analysis of literature testifies to insufficient attention of researchers to the hygienic problems associated with labor activity of workers of wagon-repair production.The aim of the study is to assess the occupational risk to the health of wagon repair workers, due to the impact on them of factors of the working environment and the labor process.Materials and methods. The study used comprehensive hygienic studies using the methodology of occupational risk to worker’s health.Results. The leading factors of the working environment (class of working conditions 3.2–3.4), which are exposed to workers depending on the specifics of the work performed. Identified professional groups with medium (significant) high (unbearable) and very high (intolerable) category of a priori occupational risk: in wagon meintenance workshop — 17 groups (94% of jobs), in a wagon assembly workshop — 11 groups (80% jobs), in wagon wheel workshop — 3 group (100% jobs). At the same time, according to the request for medical care, employees were diagnosed with isolated cases of occupational diseases.The levels of morbidity with temporary disability of employees of the main workshops are statistically significant (p<0.05) higher than those of the control group in 1.4–1.9 times. The influence of the complex of chemical factors of low and medium intensity on the levels of morbidity of respiratory diseases in the group of workers of the wagon wheel workshop, which were 1.7–2.0 times higher than in the control group, is confirmed by the average degree of causation of the production condition of this pathology (RR=1.7; EF=42.0%).The combined effect of vibration and severity of the labor process forms a high level of temporary disability of employees of the main workshops in connection with diseases of the musculoskeletal system, which was 2.7–4.4 times higher than in the control group, and also determines the prevalence of this pathology in the structure of diseases detected on medical examinations (23.2%). Diseases of the musculoskeletal system are caused by the production of employees of the wagon meintenance workshop (RR=3,9; EF=74,9%), as the most unfavorable in terms of hygiene on these factors.The stressful influence of the complex of harmful production factors on the health of wagon repair workers is manifested by the high risk of diseases of the cardiovascular system, gastrointestinal tract, neurological disorders, violation of adaptation of the cardiovascular system in 97% of the examined, as well as the predominance of diseases of the digestive system and circulatory system detected on periodic medical examinations.Conclusions. Harmful working conditions (class 3.1–3.4) cause the suspected occupational risk from small (moderate) to very high (intolerable) to 100% of the jobs of wagon repair workers. The results of the study of morbidity and risk of pathology indicate a significant risk of damage to the health of workers.


Author(s):  
Nadezhda Alekseevna Muldasheva ◽  
Liliya Kazymovna Karimova ◽  
Tatyana Kensarinovna Larionova ◽  
Elmira Radikovna Shaikhlislamova

The methodology for assessing occupational risks currently occupies a priority place in assessing the impact of production factors on the health of workers. The main sources of information for assessing the levels of occupational risks include data obtained in the course of state sanitary and epidemiological surveillance, a special assessment of working conditions and production control. To date, there is a need to harmonize legislation on a special assessment of working conditions and sanitary and hygienic requirements in terms of the list of factors of the working environment and the labor process subject to research and measurement. An adequate assessment of occupational risks is possible only on the basis of the use of consolidated databases on working conditions obtained from various sources.


Author(s):  
A.G. Chebotarev ◽  
L.M. Leskina ◽  
N.P. Golovkova

The paper presents the results of hygienic assessment of the working environment and process factors in surface ore mining operations. It analyzes morbidity patterns and levels of occupational diseases among employees engaged in open-pit mining of ores. Occupational risks due to the impact of harmful industrial factors on employees' health are assessed based on the results of a cross-sectional epidemiological study. It has been established that the working conditions of personnel in openpit mines, who are subjected to continuous and intensive exposure to harmful occupational factors in the course of their labour activities, contribute to higher incidence rates and risks concerned with chronic somatic diseases as compared to the intermittent exposure to the same harmful occupational factors.


Author(s):  
D.M. Vagapova ◽  
A.B. Bakirov

This paper focuses on the impact of working conditions of tractor operators on the development of occupational vertebral lumbar-sacral pathology. Clinical and progression specificities of occupational vertebral lumbar-sacral pathology in agricultural tractor operators are presented in there paper. The development of the pathology is related to hazardous occupational factors including general and local vibration, dynamic and static physical loads, incorrect body posture at work, cooling microclimate.


2020 ◽  
Vol 99 (10) ◽  
pp. 1100-1105
Author(s):  
Elena V. Katamanova ◽  
Natalia V. Efimova ◽  
Natalya V. Slivnitsyna ◽  
Lyubov Yu. Belova

Introduction. Teacher’s health problems depend on many factors. However, research has focused on psychological stressors. The goal is to assess the factors of the school environment and determine the impact of seniority and the level of academic load on the health status of secondary school teachers. Material and methods. Assessment of working conditions of teachers was studied on hygienic characteristics and their research in 11 schools. There were studied conditions of the school environment (microclimate, lighting) and the timing of the teachers’ labor process. A clinical and psychological examination of 53 women with an average age of 50.0 (44.0-59.0) years, work experience - 27.0 (19.0-34.0), load - 25.0 (21.0-32.0) hours per week. According to the indices of harmfulness and danger of factors of the working environment, the severity and intensity of the labor process, the class of working conditions in only 25% of the examined corresponded to the permissible class. The frequency of increased irritability, hypertension, emotional exhaustion, reduced stress resistance is higher in the group of teachers with experience of 20 years or more. Discussion. Teachers of secondary general education are exposed not only to occupational stress, but also to the effects of the negative conditions of the school environment and the labor process. Conclusions. Targeted studies of the conditions of the school environment, factors of the educational process must be carried out to identify their impact on the health status of teachers.


2021 ◽  
Vol 6 (3) ◽  
pp. 38-41
Author(s):  
Yurii Yu. Yeliseeev ◽  
Neilya Sh. Ratushnaya ◽  
Yuliya V. Eliseeva

Objective to assess the risk of developing the burnout syndrome in medical workers under the influence of working conditions and psychological environment in the team. Material and methods. To evaluate the level of emotional burnout, 134 medical workers of medical institutions of the Saratov region were tested according to Viktor Boiko methodology, based on the study of the working environment and the labor process, as well as according to Fiedlers methodology of assessing the psychological climate in the team. Results. The study results testified the direct influence of the factors of the labor process that determine the class of working conditions on the risks of developing emotional burnout in medical workers. The 2.0 class of working conditions implies the risk of occupational burnout in 30.7% of doctors after five years of work. The 3.2 class of working conditions leads to burnout in 46.7% of doctors after five years of work. Discussion. The high degree of emotional burnout registered in medical workers in the course of this study was naturally determined by both the level of the class of working conditions and the level of the psychological tension in the team. The prognosis of burnout syndrome development in the teams with positive psychological climate is 20.0%, while in the teams with unfavourable psychological situation the risk of occupational burnout reaches 46.6%. Conclusion. The results obtained in the course of this study were used as the basis for the development of a method for predicting the risk of developing burnout syndrome in medical professionals.


Author(s):  
Ju. A. Ivashova ◽  
E. A. Polevaya ◽  
T. A. Ponomareva

Vibration pathology, including disorders of the vascular, nervous and musculoskeletal systems, occupies one of the first places in the structure of health disorders in workers of vibration-hazardous industries.The aim of the study was to identify informative diagnostic criteria for identifying early signs of upper limb lesions.The observation group consisted of 90 workers aged 46.7±2.5 years (p>0.05), with experience of 22.4±3.9 years; the comparison group–60 workers whose working conditions were not associated with the studied factor; the average age of 45.8±2.4 years, experience of 24.1±4.1 years (p>0.05). The survey included the analysis of working conditions and professional route, clinical examination, questionnaires, laboratory and functional studies, statistical processing of the results, calculation of epidemiological indicators.The analysis of working conditions showed that the level of local vibration exceeded the maximum permissible level by 2–6 dB for the employees of the observation group. The survey showed that going to the doctor is a last resort for workers, even in the case of chronic pain. According to the results of the survey and examination, it was found that the formation of pain syndrome in employees of the observation group occurs against the background of the development of vascular and neurovascular disorders. There was an increase in the estimated age of the arteries of the upper extremities (5.3±2.8 years) in 23.3% of the observation group. Analysis of dynamometry results in dynamics for three years showed a slowly progressive decline in 21.1% of workers in vibration-hazardous professions with 11.3±3.4 years of experience, and only 3.3% of workers in the comparison group with 23.6±6.3 years of experience. In General, there is a high risk of decreased muscle strength, which is prognostically significant for the preservation of professional ability to work. The calculation of epidemiological indicators confirmed the connection of vasospastic reactions with the impact of local vibration (χ2=5.85, p<0.001; F=0.177, p<0.05; RR=2.5, 95% CI=1.7–3.7; EF=65%). Under the influence of local vibration, early signs of upper limb lesions develop with 5 years of experience and are characterized by vascular changes. Clinical syndromes characteristic of vibrational pathology are formed with an average length of service of 10 years. It is necessary to improve the complex of diagnostic measures aimed at identifying early signs of damage to the upper limbs, in order to improve the labor prognosis in workers under the influence of local vibration.


Author(s):  
I. V. Ginko ◽  
T. M. Sushinskaya ◽  
A. L. Rybina

Studies have been conducted to assess the impact of factors of the production environment on employees of the oil refinery ofJSC «Naftan». Significant differences with the comparison group on the indicators of SVT were revealed. Priority nosological forms of employees of the main group are identified.


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.


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