Taking into account the biological factor when conducting a special assessment of the working conditions of the teaching staff of departments of medical and biological profile

2020 ◽  
Author(s):  
Yuliya Khrustaleva
Keyword(s):  
Working Conditions ◽  
Biological Factor ◽  
Teaching Staff ◽  
Production Environment ◽  
Federal Law ◽  
Biological Profile ◽  
Normative Documents ◽  
Tests And Measurements ◽  
Conducting Research ◽  
Special Assessment

Special assessment of working conditions is a single set of consistently implemented measures to identify harmful and (or) dangerous factors of the production environment and the labor process and assess the level of their impact on the employee. Conducting a special assessment of working conditions is regulated by certain normative documents (Federal law, labor code, orders of departments). The greatest difficulty is caused by the attribution of working conditions in the workplace of medical and other workers to the class (subclass) of working conditions under the influence of a biological factor. Teachers can carry out medical activities, while they are subject to the rights, duties and responsibilities of medical professionals. The implementation of the components of the concept of medical activity is the basis for assigning working conditions based on the influence of a biological factor, taking into account pathogenicity groups, to a class (subclass) of working conditions without conducting research (tests) and measurements.

Results of special assessment of working conditions for workers in various sectors of economy of the Republic of Bashkortostan

2020 ◽  
pp. 41-48
Author(s):  
Elena Abrakhmanova ◽  
Lyaylya Masyagutova ◽  
Aynur Gabbasov ◽  
Akhat Bakirov ◽  
Galina Gimranova ◽  
...  
Keyword(s):  
Working Conditions ◽  
Physical Factor ◽  
Biological Factor ◽  
Production Environment ◽  
Professional Groups ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
The Moment ◽  
Special Assessment ◽  
The Impact

The work presents data analysis of the results of special assessment of working conditions for workers of various branches of economy in the Bashkortostan Republic. Results of special assessment of working conditions (SAWC) and medical examinations were used for the analysis. It is noted, that some professional groups, for example, persons performing their work in the sphere of agriculture, have no exposure to the biological factor. Construction workers were not exposed to industrial vibration, while the noise level for half of the analyzed cases was of class 2.0, although in most cases, industrial noise and vibration have single source. Proportion of facilities that revealed a discrepancy between levels of harmful industrial factors and requirements of sanitary legislation remains high. The greatest share of objects does not correspond to sanitary and epidemiological requirements according to the chemical and physical factor. At the moment, SAWC does not fully reflect the working conditions of employees in different sectors of production. Underestimation of its influence on working conditions of workers is typical for a considerable number of professional groups and individual jobs. Analysis on the basis of SAWC is not sufficient for a hygienic assessment of the impact of production environment factors and labour process on health and requires comprehensive assessment methods.

Questions of special assessment of working conditions of medical workers

2020 ◽  
Vol 60 (10) ◽  
pp. 645-649
Author(s):  
Railya V. Garipova ◽  
Zukhra M. Berkheeva ◽  
Leonid A. Strizhakov
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Health Workers ◽  
Working Hours ◽  
Biological Factor ◽  
Production Environment ◽  
Employee Protection ◽  
The Russian Federation ◽  
The Republic ◽  
Special Assessment

Introduction. Before the entry into force of the Federal law of the Russian Federation of December 28, 2013 No. 426-FZ "On special assessment of working conditions" one of the available and effective elements of occupational risk assessment in the workplace was workplace certification (WPC) for working conditions, which allows to identify harmful and/or dangerous factors of the production environment, assess the risk levels in the workplace and determine the main areas of employee protection from the adverse effects of harmful production factors. The results of a special assessment of working conditions (SAWC) can be used not only to develop and implement measures aimed at improving the working conditions of employees, informing employees about working conditions and the existing risk of damage to their health, but also to establish guarantees and compensation provided for by the Labor code of the Russian Federation (RF) for employees engaged in work with harmful and (or) dangerous working conditions. The aim of the study is to identify problematic issues during the implementation of SAWC at the workplaces of medical workers to prevent possible errors in its further implementation. Materials and methods. We used data obtained from the results of WPC and SAWC of medical workers of various medical organizations of the Republic of Tatarstan (RT). A retrospective analysis of cases of occupational diseases was applied according to the data of the Department of Rospotrebnadzor for the Republic of Tatarstan and the register of patients of the Republican Center of Occupational Pathology. Results. In the RT medical organizations according to the results of SAWC marked decrease in the number of jobs with hazardous working conditions from 92.2% to 78.2% due to the fact that the methodology of the SAWC will not assess the intensity of the work process in all workplaces health workers, and identification and evaluation of biological factors do not always reflect the actual microbiological status of the environment. As a result, working conditions are assessed as acceptable, which deprives medical workers of previously established guarantees and compensation. In addition, during periodic medical examinations (PME), studies on the biological factor are not fully carried out, which makes it difficult to diagnose viral hepatitis, which occupies the second place in the structure of occupational morbidity of medical workers. Conclusions. For high-quality implementation of SAWC in medical organizations, it is necessary to assess the intensity of the labor process of medical workers, taking into account intellectual, sensory, emotional loads, monotony of loads and working hours, and for the correct assessment of the biological factor, it is recommended to introduce an epidemiologist to the commission.

New approaches to the assessment of the production biological factor

2020 ◽  
pp. 612-612
Author(s):  
L. E. Dedkova ◽  
E. R. Andronova
Keyword(s):  
Working Conditions ◽  
Production Factor ◽  
Biological Factor ◽  
New Approaches ◽  
Special Assessment

The paper deals with the biological harmful production factor from the perspective of the new GOST introduced additional concepts and definitions that allow to change the approach to confirm its presence during a special assessment of working conditions in the workplace.

Dermatoscopy is effective method for diagnostics of skin neoplasms in workers with industrial carcinogens

2021 ◽  
Vol 61 (4) ◽  
pp. 267-274
Author(s):  
Natalia I. Izmerova ◽  
Ilona Ya. Chistova ◽  
Natalia A. Bogacheva ◽  
Yana A. Petinati ◽  
Anastasia V. Derevnina
Keyword(s):  
Occupational Health ◽  
Working Conditions ◽  
High Efficiency ◽  
Skin Neoplasms ◽  
Skin Lesions ◽  
Production Environment ◽  
Risk Of Malignancy ◽  
Special Assessment ◽  
Medical Examinations ◽  
The Impact

Introduction. One of the urgent problems of medicine around the world is the growth of malignant diseases. The impact of the production environment in developing professional and production-related skin malignancies is a sensitive area of occupational health. The high prevalence of precancerosis and the increase in the incidence of skin cancer in people of working age indicates the need to improve diagnostic and preventive measures. One of the most effective recognized non-invasive differential diagnoses of skin tumors with high diagnostic accuracy and sensitivity is dermatoscopy. The study aims to substantiate the importance of dermatoscopic diagnosis of skin neoplasms in workers with industrial carcinogens. The researchers analyzed the available literature and statistical data on the impact of industrial carcinogens on benign and malignant skin lesions in workers in various industries. Specialists from Clinic of the "Izmerov Research Institute of Occupational Health" examined 1,136 people during periodic medical examinations. The features of the signs of neoplasms evaluate according to the principle of their presence or absence. There were two groups: group 1 (n=648) consisted of persons who have contact with industrial carcinogens according to the special assessment of working conditions (SAWC), group 2 (n=488) - persons who do not have contact with carcinogens in the workplace. We found that the frequency of benign skin neoplasms increases depending on the length of work in contact with a production carcinogen. Researchers developed the criteria of clinical and anamnestic signs (the main of which are the working conditions). Dermatoscopic criteria for the initial signs of malignancy of skin neoplasms allow us to form a group of dynamic observations of skin neoplasms in patients working with carcinogens during periodic medical examinations. We formed a group of 38 people (29 from the first and 9 from the second group) for monitoring the dynamics of changes in neoplasms with an appearance to a dermatovenerologist after three months. Specialists sent seven people for additional examination by an oncologist to clarify the degree of existing signs of dysplasia. The formation of a dynamic observation group with the risk of malignancy of skin neoplasms will optimize early diagnosis and ensure high efficiency of treatment in outpatient settings.

PREPARING AND CONDUCTING A SPECIAL ASSESSMENT OF WORKING CONDITIONS: OPINIONS OF PARTICIPANTS AND RECOM-MENDATIONS TO CUSTOMER ORGANIZATIONS

2020 ◽  
Vol 9 (2) ◽  
pp. 78-83
Author(s):  
A. Luzakov ◽  
D. Tkachenko
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Legal Aspects ◽  
Labor Process ◽  
Subjective Perception ◽  
Production Environment ◽  
Regulatory Documents ◽  
The Russian Federation ◽  
The Law ◽  
Special Assessment

Special assessment of working conditions (SAWС) is a set of measures to identify harmful and (or) dangerous factors of the production environment and the labor process and assess the level of their impact on the employee. SAWС is regulated by the law of the Russian Federation and is mandatory for employers organizations. The current rules have been applied in practice relatively recently, since 2014. Despite a lot of comments on the legal aspects of SAWС, there is little research on the subjective perception of customers and performers of problems related to special assessment. The article presents some of the results of a survey of experts who conduct SAWС and representatives of customer organizations. The difficulties and reasons for dissatisfaction arising during the SAWС are identified, which relate to the choice of the contractor, the interest and involvement of customers, and compliance with procedures and deadlines by both parties. Based on the results of the survey and regulatory documents, step-by-step recommendations were developed and presented to help customer organizations. Recommendations contain a list of common errors that should be avoided. They will allow you to properly prepare and conduct all the stages of the SAWС, starting from the formation of the Commission to the application of the results.

scholarly journals RISK FACTORS IN THE PROCESS OF EMPLOYMENT OF MEDICAL WORKERS OF THE DENTAL PROFILE

2021 ◽  
pp. 38-42
Author(s):  
L. F. Horzov ◽  
M. V. Krivtsova ◽  
E. Ya. Kostenko ◽  
M. I. Balega ◽  
V. I. Voitovich
Keyword(s):  
Ionizing Radiation ◽  
Working Conditions ◽  
Chemical Exposure ◽  
Labor Process ◽  
Labor Intensity ◽  
Production Environment ◽  
Total Contribution ◽  
Artificial Lighting ◽  
Production Factors ◽  
Special Assessment

One of the most socially important types of work is the work of medical workers. Due to the presence of a significant number of harmful and dangerous factors, the medical profession is divided into a separate group, which in turn is characterized by unique aspects of work. The work of doctors and nurses of different specialties of the dental profile differs significantly in the density of the working day, the volume and nature of professional activities; responsibility for the life of the patient, which affects many physiological processes. The purpose. Assessment and comparative characterization of the presence of occupational risks in the dental field, which are daily exposed to factors of aggressive and dangerous nature, as well as the development of a set of preventive measures aimed at reducing occupational morbidity. Materials and methods. Hygienic research of working conditions of medical staff of the University Dental Clinic in the form of a questionnaire. Statistical analysis of data of special assessment of working conditions; sanitary and hygienic characteristics, acts, maps of cases of nosocomial diseases; laboratory and instrumental research conducted as part of production control; dosimetric control, air sampling with subsequent sowing on the nutrient medium of IPA. Results. It was found that in the studied premises, the total microbial count varied from 756 ± 0.8 CFU / 1m3 to 6497 ± 3.4 CFU / 1m3. In most medical institutions, the level of artificial lighting in the workplaces of medical workers was insufficient. The largest negative contribution was provided by such production factors as: labor intensity and intensity - 26.41%; physical: noise, vibration, non-ionizing and ionizing radiation - 25.32%; chemical - 12.77%. The total contribution of the main factors was 91.78%. Assessment of working conditions is based on hygienic criteria to assess the degree of deviations of the parameters of the production environment and labor process from the current hygienic standards, as well as after analysis and processing of data submitted by employees in the format of their questionnaires. In this regard, the distribution of harmful production factors and their degree of impact on the health of medical personnel was established with the help of multifactor analysis. Conclusions. Thus, the research interprets the results, which clearly in the format of a specific percentage, identify those factors that have a strong driving impact on the health of dental professionals. The most substantiated are such production factors as: chemical (exposure to drugs and chemicals), physical (noise and vibration, non-ionizing and ionizing radiation), the severity and intensity of the labor process, lighting (non-compliance with regulations for artificial lighting in the workplace) and microclimate and biological (work with biological, potentially contaminated material, samples, patients), non-ionizing and ionizing radiation, labor intensity (tension of the visual organs).

UPDATING THE HYGIENIC CLASSIFICATION OF WORKING CONDITIONS UNDER THE INFLUENCE OF FACTORS OF THE WORKING ENVIRONMENT AND THE LABOR PROCESS

2021 ◽  
Author(s):  
L.V. Prokopenko ◽  
◽  
A.V. Lagutina ◽  
N.N. Courierov
Keyword(s):  
Risk Factors ◽  
Working Conditions ◽  
Work Organization ◽  
Working Environment ◽  
Labor Process ◽  
Biological Factor ◽  
Physical Factors ◽  
Federal Law ◽  
Modern Technologies

Abstract. Introduction. The approval of new sanitary norms and rules within the framework of the “regulatory guillotine” made it necessary to revise the hygienic classification of working conditions in terms of hazard, which includes Guide R 2.2.2006-05 - one of the fundamental documents in medicine of labor. Purpose of the study. Updating the classification of working conditions based on a risk-based approach, taking into account new regulatory legal acts, risk factors due to the introduction of modern technologies and forms of labor organization and practices of applying the classification. Results. The classification of working conditions under the influence of chemical, physical factors, the severity and intensity of the labor process has been revised taking into account SanPiN 1.2.3685-21, the classification of working conditions by biological factor has been revised and supplemented. The characteristics of the classes of working conditions have been clarified, the categories of occupational risk by classes according to R 2.2.1766-2003 are indicated. Changes in the structure of the classification are considered, concerning the abolition of the "optimal" classes of working conditions; expanding the classification in terms of the severity and intensity of labor by adding the classes "harmful working conditions - 3.3"; canceling or bringing the indicators of the "hazardous (extreme) working conditions" class in accordance with Federal Law No. 426-FZ and the principles of hygienic classification. Conclusion. A version of a risk-oriented hygienic classification has been prepared, corresponding to the new regulations, modern conditions and forms of work organization and aimed at preserving and improving the health of workers.

Development of the Methodology for a Biological Factor Assessment Considering Occupational Risks (Using the Example of Employees of the Treatment Plants)

2021 ◽  
pp. 83-86
Author(s):  
L.F. Biktasheva ◽  
◽  
N.V. Vadulina ◽  
Keyword(s):  
Wastewater Treatment ◽  
Working Conditions ◽  
Wastewater Treatment Plants ◽  
Treatment Plant ◽  
Biological Agents ◽  
Biological Factor ◽  
Hazard Class ◽  
Occupational Risks ◽  
Biological Environment ◽  
Special Assessment

The problem of the limited approach to the method of assessing the biological factor is considered. It is noted that the influence of the biological factor is underestimated for certain professional groups. Assessment of the biological factor is based only on the current methodology for conducting a special assessment of the working conditions, which determines the hazard class for the microorganisms-producers depending on the excess of their maximum allowable concentration in the working area air. For pathogenic microorganisms, the hazard class is determined according to the Classification of biological agents by the pathogenicity groups. In both cases, the occupational risks of the employees in contact with the biological environment are not considered. Additional hazardous factors of the biological agents were identified. This will help to assess more fully the biological factor without leaving out the various biological risks. Similar assessment of the biological factor will allow to determine the class of employees working conditions more accurately. It is proposed to improve the methodology for the assessment of the biological factor, which considers the occupational risks of the wastewater treatment plant employees. Calculation of the index of their occupational risk carried out using the Fine — Kinney method is shown. The conclusion is made about the expediency and necessity of considering occupational risks in the methodology of biological factor assessment. This accounting will allow to determine more precisely the class of the working conditions for the undervalued individual professional group — employees of the wastewater treatment plants.

Recommendations for developing measures to improve working conditions based on the results of periodic certification of production facilities for working conditions in the Republic of Kazakhstan

2020 ◽  
pp. 154-162
Author(s):  
V. A. Malashkina ◽  
A. Kopylova
Keyword(s):  
Working Conditions ◽  
Legal Framework ◽  
Production Environment ◽  
Improve Working ◽  
The Russian Federation ◽  
The Republic ◽  
The Moment ◽  
Special Assessment ◽  
First Time ◽  
Production Facilities

More than 160 million occupational diseases detected for the first time are registered annually around the world [1,2]. At the mining enterprises Of Kazakhstan, this indicator has remained consistently high for many years. Currently, in the Republic of Kazakhstan, the only procedure for identifying dangerous and / or harmful factors of the production environment and labor process and assessing the degree of their impact on the employee is the periodic certification of production facilities for working conditions (pout), which is analogous to the procedure for special assessment of working conditions (SOUT) in the Russian Federation. The relevance of the research is due to the need to improve the legal framework for labor protection in the Republic of Kazakhstan. The aim of this work is to improve working conditions at mining enterprises in Kazakhstan by improving the methodology for developing measures based on the results of periodic certification of production facilities for working conditions. To achieve this goal, a «List of measures to improve working conditions»is being developed based on the results of the PA-POUT. At the moment, this list is compiled in the image and likeness of practically the same at all mining enterprises. The article proposes the principle of grouping activities, which allows us to make a more detailed focus on the dangerous and harmful factors of a particular enterprise, as well as the reasons for their occurrence. The proposed ranking is necessary to take into account the specifics of each specific mining enterprise.

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