scholarly journals CASES OF MORBIDITY WITH WORK DAYS LOST AMONG EMPLOYEES OF THE EMERCOM OF RUSSIA AND THE WORKING POPULATION IN RUSSIA

Author(s):  
V. I. Evdokimov ◽  
E. V. Bobrinev

Relevance. Activities in extreme conditions likely involve stress on functional reserves and impaired health. Intention. Calculate the medical and statistical indicators of cases of morbidity with work days lost among employees of the EMERCOM of Russia and compare the above indicators with the working population in Russia in 2010–2015.Methodology. We analyzed cases of morbidity with temporary disability in employees of the EMERCOM of Russia units according to the automated database of the All-Russian Order of the Badge of Honor Research Institute for Fire Protection, EMERCOM of Russia, over 2010–2015 in about 80% of all employees who had special military ranks: senior commanding officers (officers, warrant officers), junior commanding officers (sergeants) and rank and file. The indicators are calculated per 1000 employees or in ‰. Cases of morbidity correlated with the International Classification of Diseases and Behavioral Disorders of the 10th Revision (ICD-10). Cases of temporary disability of workers in Russia was obtained from the database of the Unified Interdepartmental Information and Statistical System of Russia.Results and analysis.  The average annual level of morbidity cases with work days lost among the personnel of the EMERCOM of Russia was (374.2 ± 9.6) ‰, including (345.2 ± 9.1) among the employees of the Federal Fire Service, (361.4 ± 28.3) ‰ in the Main Inspectorate for Small Boats, (339.3 ± 20.5) ‰ in the Search and Rescue Units, and (867.6 ± 97.6) ‰ in the Rescue Military Units. In the structure of cases of work days lost in the EMERCOM of Russia, the shares of employees of the divisions were distributed as follows: 81.5, 2.8, 2.1 and 13.6 %, respectively. The leading classes of diseases among the personnel of the EMERCOM of Russia were: respiratory diseases (Chapter X) with morbidity rate (167.7 ± 8.2) ‰ and 44.7% in the structure; injuries, poisoning and some other consequences of external causes (Chapter XIX) (41.8 ± 1.4) ‰ and 11.2 %; diseases of the musculoskeletal system and connective tissue (Chapter XIII) – (34.7 ± 1.2) ‰ and 9.3%; circulatory system diseases (Chapter IX) – (25.2 ± 1.6) ‰ and 6.7%; and some infectious and parasitic diseases (Chapter I) – (21.9 ± 2.9) ‰ and 5.9 %. For workers in Russia, the average annual level of morbidity cases with work days lost 1.4 times as high: (522.5 ± 28.1) ‰ (p < 0.01). The consistency of the indicators is high, negative, and approaches statistical significance (r = –0.75; p < 0.1), which may indicate the influence of multidirectional factors in the formation of cases of work days lost among the EMERCOM of Russia employees and working population in Russia. Trends over time, structure and morbidity rates for cases with work days lost among employees of the EMERCOM of Russia divisions are presented.Conclusion. Accounting for morbidity indicators with work days lost can contribute to a more rational allocation of resources during the operational activities of the EMERCOM of Russia.

Author(s):  
S. S. Aleksanin ◽  
V. I. Evdokimov ◽  
E. V. Bobrinev ◽  
N. A. Mukhina

Relevance. Extreme activities of firefighters contribute to the deterioration of health or even death. Increased morbidity and injuries of firefighters are associated with persistent health impairments and disability.Intention. To analyze disability rates and cause-of-disability structure in employees of the Federal Fire Service of Russian EMERCOM and in Russian young population (18–44 years) over 10 years, from 2006 to 2015.Methodology. The average annual number of examined employees of the FFS of the EMERCOM of Russia was (99.3 ± 5.6) thousand people, i. e. at least 80% of the personnel of the FFS of the EMERCOM of Russia with special military ranks. Cases were identified and disability was calculated per 10 thousand employees of the FFS of EMERCOM of Russia. Causes of disability were classified via the International Statistical Classification of Diseases and Health Problems, the 10th revision (ICD-10) and disability indicators were compared to that of a cohort of the population of young working age (18–44 years), according to the Federal Bureau of Medical and Social Expertise of the Ministry of Labor of Russia (Moscow).Results and Discussion. Newly recognized disability cases averaged (15.98 ± 0.99) per 10 thousand employees of the Federal Fire Service of the EMERCOM of Russia vs (25.51 ± 1.19) cases per 10 thousand population of Russia aged 18–44 (1.6-fold; p <0.001). Mean age of employees of the Federal Fire Service of the EMERCOM of Russia with disability was (37.8 ± 0.7) years. The main causes of disability in firefighters were circulatory system diseases (ICD-10 chapter IX), injuries, poisonings and other effects of external causes (chapter XIX), neoplasms (II), diseases of the musculoskeletal system and connective tissue (ICD-10 chapter XIII), diseases of the digestive system (XI). Disability rates due to these causes per 10 thousand employees per year were 4.58 ± 0.59, 1.80 ± 0.17, 1.66 ± 0.20, 1.63 ± 0.24 and 1.12 ± 0.26, respectively; in the structure of disability causes – 28.7, 11.3, 10.4, 10.2 and 7.0%, respectively.Compared with the population of Russia aged 18–44, in employees of the Federal Fire Service of the EMERCOM of Russia a significantly greater contribution to disability was identified for circulatory system diseases (ICD-10 chapter IX), respiratory diseases (X) and diseases of the digestive organs (XI), a smaller one – for some infectious and parasitic diseases (I), neuropsychiatric disorders (V + VI), injuries, poisoning and other external influences (XIX). Meanwhile, the proportion of Injury, poisoning and certain other consequences of external causes (ICD-10 chapter XIX) in cause-of-disability structure increases.Conclusion. Disability rates in employees of the Federal Fire Service of the EMERCOM of Russia were statistically significantly lower than in the population of Russia aged 18–44 years. On one hand, this suggests optimal work strategies in firefighters, on the other – high disability rates among the adult population of Russia. For a number of causes of disability in firefighters, there is a significant contribution of occupational factors, which require further research. 


2019 ◽  
Vol 98 (11) ◽  
pp. 1302-1308
Author(s):  
Svetlana G. Yashchenko ◽  
S. Yu. Rybalko

Introduction. Identification of the relationship between the prevalence of carfiovascular diseases and the electromagnetic environment generated by mobile communication terminals (MCT) is an current problem of modern preventive medicine. In the work an assessment of the electromagnetic situation generated by the MCT on value to the individual electromagnetic loading (IEL) is given. Material and methods. Using data measured in 2102 points the energy stream density (ESD), and the access interval (AI), determined by a crowdsourcing method, the individual electromagnetic exposition (IEE) by 1,850 reports on specification of calls in the Republic of Crimea. Using the obtained data of counting the individual electromagnetic loading (IEL). The medico-statistical analysis of the blood circulatory system diseases (BCSD) is carried out on the basis of these statistical forms of treatment. Statistical processing was carried out by the linear correlation analysis according to Pearson. Results. As a result of monitoring of the electromagnetic situation, the average values of the Crimea ESD accounted for 1.36±0.06(mW/cm2), АI: 8.82±0.28, and IEE: 56.94±2.77 min/day were obtained. The average IEL in Crimea was 112.41±9.15 ((µw/cm2)•min). Positive correlations between IEN and indices of morbidity rate of diseases of the circulatory system (DCS) (R=0.511; p=0.015), elevated blood pressure (IBP) (R=0.523; p=0.013), and coronary heart disease (CHD) (R=0.452; p=0.035)) were found. Conclusion. Significant correlations between IEL and DCS, IBP and CHD. Discovered a new correlation between the IEL and increased overall morbidity (IBP) (R=0.449; p=0.036)) allows evaluating the method of determining the IEL as a more “sensitive”.


2019 ◽  
Vol 36 (2) ◽  
pp. 75-80
Author(s):  
A. V. Kasatov ◽  
S. M. Stepnov

Aim. To analyze a long-term dynamics of the primary morbidity of circulatory system in the population of Perm and Perm Krai. Materials and methods. The primary circulatory system morbidity per 1000 of the population of Perm Krai and Perm was analyzed under the materials of Perm Regional Medical Information-Analytical Center. Statistical processing of the data was performed using Microsoft Excel 2016. Results. Over the period from 2007 to 2017, there was established a growth of the level of primary circulatory system morbidity as a whole and ischemic heart disease in particular among the population of Perm Krai and Perm. Morbidity rate was essentially higher in the inhabitants of Perm Krai but annual gain rate – more significant in the urban population that is explained by availability and quality of medical care and social factors. The growth of the level of primary diseases, characterized by increased arterial pressure, is insignificant during this period of observation. The average annual increase was 1.54 % in the inhabitants of Perm and 0.53 in Perm Krai. Conclusions. The level of primarily detected circulatory system diseases in the population of Perm Krai and Perm essentially raised for 11 years of observation. Primary IHD morbidity indices as well as average annual rate of their growth is significantly higher than the analogous indices of diseases, characterized by increase in arterial pressure.


Author(s):  
Zhenzhen Rao ◽  
Junjie Hua ◽  
Ruotong Li ◽  
Yanhong Fu ◽  
Jie Li ◽  
...  

Recent changes in population-based prevalence for circulatory system diseases (CSDs) remain unreported either nationally or locally for China. Data were from the two-round health service household interview survey of Hunan Province, China, in 2013 and 2018. A Rao–Scott chi-square test was performed to examine prevalence differences across socio-demographic variables. The overall age-standardized prevalence of CSDs increased substantially between 2013 and 2018 for inhabitants aged 20 years and older (14.25% vs. 21.25%; adjusted odds ratio (OR) = 1.59, 95% CI: 1.24–2.04). Hypertensive disease was the most prevalent type of CSD, accounting for 87.24% and 83.83% of all CSDs in 2013 and in 2018, respectively. After controlling for other socio-demographic factors, the prevalence of CSDs was significantly higher in 2018 (adjusted OR = 1.40), urban residents (adjusted OR = 1.43), females (adjusted OR = 1.12) and older age groups (adjusted OR = 5.36 for 50–59 years, 9.51 for 60–69 years, 15.19 for 70–79 years, and 12.90 for 80 years and older) than in 2013, rural residents, males and the youngest age group (20–49 years). The recent increase in the overall age-standardized CSD prevalence and the large prevalence disparities across urban/rural residents, sex and age groups merit the attention of policymakers and researchers. Further prevention efforts are needed to curb the increasing tendency and to reduce the prevalence of disparities across socio-demographic groups.


2018 ◽  
Vol 7 (5) ◽  
pp. 229-236
Author(s):  
О. P. Volosovets ◽  
S. P. Kryvopustov ◽  
T. О. Kryuchko ◽  
M. О. Gonchar ◽  
A. E. Abaturov ◽  
...  

2020 ◽  
Vol 5 (2) ◽  
pp. 99-104
Author(s):  
Evgenii L. Borschuk ◽  
Dmitrii N. Begun ◽  
Tatyana V. Begun

Objectives - to study the mortality indicators, their dynamics and structure, in the population of the Orenburg region in the period of 2011-2017. Material and methods. The study was conducted using the data from the territorial authority of statistics in the Orenburg region in the period from 2011 to 2017. The analytical, demographic and statistical methods were implemented for the study of the demographic indicators. Results. Cities and municipal settlements of the Orenburg region with high mortality indicators were included in the second and fourth clusters during the cluster analysis. The first and third clusters included cities and municipal settlements with an average mortality. The most favorable position has the Orenburg area with the lowest mortality rate in the region in 2017 - 8.4%. The dynamics of mortality rates among the male and female population tends to decrease, more pronounced dynamics is in men. Though, the male population is characterized by higher mortality rates in all age groups. The leading position among the causes of death is taken by diseases of the circulatory system (46.3% of the total mortality). The second position is occupied by tumors (17.2%), the third - by external causes (8.4%). Mortality from circulatory system diseases and from external causes has reduced. The dynamics of mortality from tumors does not change significantly. The rank of leading causes of death is not identical in the clusters: in the third and fourth clusters, the other causes occupy the second place in the structure of mortality, while tumors occupy the third. Conclusion. In the Orenburg region, the mortality rate is higher than overage in the Russian Federation by 0.9 per 1000 people. The study revealed significant territorial differences in the mortality rates. In general, the mortality among men in all age groups is higher than the mortality of women. The mortality rate from diseases of the circulatory system plays the leading role in the structure of mortality, but has the tendency for decline. Until 2006, the mortality from external causes ranked the second place, now the second place is taken by death from tumors The mortality from external causes is decreasing; mortality from tumors does not change significantly. The obtained results could be used by local authorities in developing the program of public health protection and assessing its effectiveness.


2017 ◽  
Vol 44 (5) ◽  
pp. 594-598 ◽  
Author(s):  
Clément Prati ◽  
Marc Puyraveau ◽  
Xavier Guillot ◽  
Franck Verhoeven ◽  
Daniel Wendling

Objective.To describe deaths for which ankylosing spondylitis (AS) was on death certificates in France.Methods.Death certificates in which AS was indicated were evaluated. Standard mortality ratio (SMR) was assessed.Results.AS appeared in 2940 death certificates. The mortality rate of AS seemed stable. The most frequent initial causes were diseases of the circulatory system [28.3% in the International Classification of Diseases, 10th ed (ICD-10)]. SMR adjusted for age and sex were 2.1 (95% CI 1.45–2.91) for infections and 0.43 (0.36–0.5) for cancers (ICD-10 period).Conclusion.This study found an increase in mortality from infectious and external causes of death; conversely, patients with AS appear to die less frequently from cancer.


Author(s):  
Jianxing Yu ◽  
Fangying Song ◽  
Yingying Li ◽  
Zhou Zheng ◽  
Huanhuan Jia ◽  
...  

Background: Multimorbidity not only affects the quality of patients’ lives, but can also bring a heavy economic burden to individuals, families and society. The purpose of this study was to reveal the connections between diseases, especially the important role each disease played in the entire multimorbidity network. Methods: A total of 1,155,734 inpatients were enrolled through multistage stratified random sampling in Jilin Province in 2017. Categorical variables were compared using the Rao–Scott-χ2 test. Weighted networks were adopted to present the complex relationships of multimorbidity. Results: The distributions of the number of diseases differed significantly by gender, age and health insurance scheme (P < 0.001). Diseases of the respiratory system had the highest weight in multimorbidity in young people. Endocrine, nutritional and metabolic diseases and circulatory system diseases were often associated with other systemic diseases in middle aged and old people. Conclusions: Multimorbidity with respiratory system diseases in young people should not be overlooked. Additionally, effective prevention efforts that target endocrine, nutritional and metabolic diseases and circulatory system diseases are needed in middle aged and old people.


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