Professional pathology in the production of aluminum in the Kola Arctic

Author(s):  
S. A. Syurin ◽  
S. A. Gorbanev

In 2007-2017, 22 occupational diseases were diagnosed for the first time in 18 workers engaged in aluminium production in the Arctic. A marked decrease in occupational morbidity in 2010-2017 was found, which was not associated with changes in working conditions and therefore requires an appropriate scientific explanation.

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.


Author(s):  
Sergey Alekseevich Syurin

Construction is one of the most important sectors of the economy. The purpose of the study was to investigate the working conditions and occupational pathology of workers in the construction industry in the Arctic zone of Russia in 2008–2018. Materials and methods. The analysis included results of the monitoring study «Working conditions and occupational morbidity» of the population of the Arctic zone of Russia in 2008–2018. Results. It was found that in 2008–2018, 145 occupational diseases were first identified among builders. Most often occupational pathology developed in women (n = 86) who worked as painters (n = 48) and plasterers (n = 26). The increased severity of work was the cause of the development of 55.9 % of occupational pathology cases. In its structure, diseases of the musculoskeletal system (43.4 %), respiratory organs (18.6 %) and the nervous system (15.9 %) were most prevalent. The most prevalent nosological units were monopolyneuropathy, arthrosis of the joints of the extremities and sensorineural hearing loss (13.8 % each). Mainly occupational diseases (80 cases or 55.2 %) were first diagnosed as a result of workers’ self-appeal for medical help. The annual number of diagnosed diseases ranged from 5 to 27 cases. In general, over 10 years there was a trend towards an increase in the number of occupational diseases. In 2018, the risk of formation of occupational pathology among construction workers significantly exceeded the level of 2008: RR = 3.51; CI 1.65–7.46; χ2 = 12.4; p = 0.0005. Conclusion. Prevention of occupational pathology among builders in the Arctic should, first of all, include technical measures to reduce the severity of labor processes in the «female» construction professions (painter and plasterer) and medical measures to prevent the musculoskeletal diseases.


Author(s):  
Sergey Alekseevich Syurin

Labor activity in the Arctic, especially mining, is associated with an increased risk of developing occupational pathology. The aim of the study was to investigate working conditions, structure and prevalence of occupational pathology among workers of the Vorkuta industrial region (IR) in 2007–2018. The results of social and hygienic monitoring «Working conditions and occupational morbidity» of the population of the municipal urban district of Vorkuta and the Arctic zone of Russia in 2007–2018 were studied. It was found that in 2007–2018, 99 % of occupational diseases in Vorkuta IR were detected in coal mine workers. Only 1 % of diseases were diagnosed in workers engaged in health care, transport, construction, household services, electricity production and distribution, and industrial production. Over 12 years, the share of increased labor severity in the development of occupational diseases rose from 20.3 % to 74.0 % (p < 0.001), and the share of fibrogenic aerosols decreased from 33.0 % to 13.2 % (p < 0.001). During the same period of time, in the structure of occupational pathology the share of musculoskeletal diseases increased from 20.7 % to 56.9 % (p < 0.001), and the share of respiratory diseases decreased from 31.8 % to 13.4 % (p < 0.001). In 2007–2018, the number of occupational pathology cases tended to grow, and the risk of their development in 2016–2018 was higher than in 2007–2009 (RR = 1.90; CI 1.69–2.12; p < 0.001). The results of the study indicate the need to update programs to improve working conditions and prevent occupational pathology at the Vorkuta coal mines, taking into account the new data obtained.


Author(s):  
Maija Eglīte ◽  
Ivars Vanadziņš ◽  
Jeļena Reste ◽  
Elvīra Čurbakova ◽  
Jolanta Cīrule ◽  
...  

Investigation of occupational morbidity in wood processing industry in comparison with other manufacturing industries and with occupational morbidity in Latvia at large The aim of the study was to investigate occupational morbidity in the wood processing industry to gain understanding of the real situation of occupational health and to improve the diagnostics of occupational diseases. The occupational morbidity in Latvia has gradually increased from 1993 to 2004, with a slight decrease in 2005 and 2006 followed by an increase in 2007. In the year 2004, the number of first-time occupational diseases patients exceeded the number of occupational diseases patients registered in the year 1993 by 9.5, but the number of registered first-time incidences of occupational diseases in comparison with 1993 had increased by 14.5 times. In the manufacturing industry, wood and cork production, a trend of increasing rate of occupational diseases can also be observed in Latvia. A particularly rapid increase was observed in specific illnesses related to the musculoskeletal and connective tissue system, carpal tunnel syndrome as well as to occupational hearing loss, which might be explained by changes in the occupational risk factors. Despite an increase in the total number of occupational diseases in the industry of wood and cork products over the whole study period, these industries have lower levels of occupational diseases in comparison with occupational morbidity in such fields as health and social care, the extraction industry and quarry management, transportation and transport services, communications and telecommunications. In developed European Union countries, over the last few years, the number of occupational diseases has decreased, while there has been an increasing trend in Latvia. This can be explained by the fact that the working conditions in the European Union have been improving over the last few decades, and correspondingly the number of occupational diseases is decreasing. However, in Latvia, the diagnostics of the occupational diseases is rapidly improving, while improvement of working conditions has started relatively recently. Furthermore, the process has not been rapid, and therefore, results could be expected only in the future.


Author(s):  
S.A. Syurin ◽  
A.A. Kovshov

Introduction. The mining and metallurgical industries form the basis of the economy of the Murmansk Region. Working conditions at industrial enterprises, combined with extreme climatic conditions of the Arctic, pose an increased risk of occupational diseases. The purpose of the study was to investigate working conditions and occupational disease rates among industrial workers of the Murmansk Region in 2007–2017. Materials and methods. We studies socio-hygienic monitoring data on working conditions and occupational diseases in the population of the Murmansk Region in 2007-2017 provided by the Federal Center for Hygiene and Epidemiology of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow. Results. In 2008-2017, the most common occupational risk factors in the Murmansk Region included noise (25.8%), job strain (17.8%), and chemical factor (12.6%) while 39.2% of workers were exposed to a combination of occupational hazards. Over 10 years, the absolute number of workers exposed to dangerous and hazardous industrial factors decreased by 1.8 times. In the Murmansk Region, 84.3% of occupational disease cases were registered among workers of mining and metallurgical enterprises. In 2007-2017, the region experienced a significant decrease in occupational disease incidence mainly related to job cuts. The role of other factors (improvement of working conditions, health promotion) needs to be clarified; yet, it is possible to predict their positive influence on occupational morbidity in the next few years. Conclusion. To achieve a substantial decrease in occupational disease incidence rates, it is essential to keep improving comprehensive measures aimed at preserving workers’ health in the Murmansk Region.


Author(s):  
S.A. Syurin ◽  
A.А. Kovshov

Introduction. The mining and metallurgical industries form the basis of the economy of the Murmansk Region. Working conditions at industrial enterprises, combined with extreme climatic conditions of the Arctic, pose an increased risk of occupational diseases. The purpose of the study was to investigate working conditions and occupational disease rates among industrial workers of the Murmansk Region in 2007–2017. Materials and methods. We studies socio-hygienic monitoring data on working conditions and occupational diseases in the population of the Murmansk Region in 2007-2017 provided by the Federal Center for Hygiene and Epidemiology of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow. Results. In 2008-2017, the most common occupational risk factors in the Murmansk Region included noise (25.8%), job strain (17.8%), and chemical factor (12.6%) while 39.2% of workers were exposed to a combination of occupational hazards. Over 10 years, the absolute number of workers exposed to dangerous and hazardous industrial factors decreased by 1.8 times. In the Murmansk Region, 84.3% of occupational disease cases were registered among workers of mining and metallurgical enterprises. In 2007-2017, the region experienced a significant decrease in occupational disease incidence mainly related to job cuts. The role of other factors (improvement of working conditions, health promotion) needs to be clarified; yet, it is possible to predict their positive influence on occupational morbidity in the next few years. Conclusion. To achieve a substantial decrease in occupational disease incidence rates, it is essential to keep improving comprehensive measures aimed at preserving workers’ health in the Murmansk Region.


Author(s):  
SA Syurin

Introduction: Mining in the Arctic is associated with an increased risk of developing occupational diseases. The objective of the study was to investigate the risks, structure and prevalence of occupational diseases in workers engaged in extraction of oil and gas, coal, and ore raw materials in the Russian Arctic. Materials and methods: I analyzed the results of socio-hygienic monitoring “Working Conditions and Occupational Health” conducted in the Arctic zone of the Russian Federation in 2007–2018. Results: Significant differences in working conditions in the extraction of various types of minerals were established, the most favorable being in the oil and gas industry as opposed to the coal mining. The risk of occupational diseases in coal mining was higher than that in oil and gas production (OR = 366.7; CI 275.8–487.6) and ore mining (OR = 1.66; CI 1.58–1.73). Among oil and gas industry workers, the structure of occupational diseases was dominated by sensorineural hearing loss (50.0 %), radiculopathy (20.8 %) and vibration disease (18.9 %). In coal miners, the most prevalent diseases included radiculopathy (32.8 %), chronic bronchitis (26.9 %) and mono-and polyneuropathy (15.5 %), and in ore miners – vibration disease (44.8 %) and radiculopathy (16.3 %). In 2018, compared to 2007, the number of occupational diseases in ore and coal miners increased by 2.16 and 1.42 times, respectively. In 2007–2018, the proportion of occupational diseases diagnosed in miners of the Russian Arctic rose from 57.9 % to 75.6 %. Conclusions: In the mining industry of the Russian Arctic, the maximum health risk is observed in coal mining, and the minimum – in gas and oil industry. The number of occupational diseases in miners tends to increase, which requires improvement of preventive measures adapted to Arctic conditions.


Author(s):  
S. Syurin

The purpose of the study is to investigate occupational pathology that develops under acceptable levels of harmful production factors. Results. It has been found that 0.77% of all cases of occupational diseases in 2007-2018 developed under acceptable working conditions in the enterprises of the Arctic (66 out of 8609 diseases). Their features were: 1) shortened length of service of the sick people (20.2 ± 1.5 years); 2) younger age (47.8 ± 1.2 years); 3) larger proportion of women among the sick people; 4) greater role of chemical factors and severity of work in the development of health disorders; 5) more frequent development of diseases among workers of certain professions; 6) different structure of classes and nosological forms of occupational diseases; 7) increased proportion of acute industrial poisoning in the structure of occupational diseases. Exposure to harmful production factors with exposure levels not exceeding hygiene standards became possible more often due to design flaws in machines, mechanisms and other equipment (54.5%). Detection of most occupational diseases in people working in acceptable working conditions took place because they sought medical help themselves due to deterioration of health (in 66.7% of cases). 59.9-66.2% of diseases in people working in harmful and dangerous working conditions were diagnosed according to the results of periodic medical examinations. Conclusion. There is a need for a deeper understanding of the causes and preventive methods of occupational health disorders that develop under acceptable working conditions.


Author(s):  
Sergey A. Syurin

Mining in the Arctic is associated with an increased risk of developing occupational diseases. The aim of the study was to assess risks of developing occupational pathology over 10-year period of mining apatite ore in the Kola Arctic open-pit mines. We studied data on working conditions (certification of workplaces), health status (periodic medical examinations) and primary occupational pathology (monitoring "Working conditions and occupational morbidity of the population of the Murmansk region" in 2009-2018) of open-pit apatite miners. It was found that, according to an overall assessment, the working conditions of all 436 surveyed open-pit apatite miners corresponded to 3.2-3.3 hazard classes. During 10 years of employment (2009-2018), 88 (20.2%) miners were first diagnosed with 134 occupational diseases, which are 3.07 cases per 100 people per year. The main cause for their occurrence was the severity of work above the permissible level (39.6%), whole-body vibration (37.3%) and noise (17.9%), and their structure is dominated by vibration disease (35.8%) and musculoskeletal pathology (30.0%). The main factor in the occurrence of occupational diseases was recognized as imperfection of technological processes (58.2%). The risk of occupational pathology formation in the excavator drivers (RR=1.95; CI 1.33-2.86; p<0.001) and in the drilling rig drivers (RR=1.60; CI 1.04-2.47; p=0.031) was higher than that of bulldozer drivers. In 2009-2018, unlike the bulldozer and drilling rig drivers, the excavator drivers showed an increased risk of developing occupational diseases (RR=3.50; CI 1.90-6.43; p<0.001). In 2009-2018, the open-pit apatite miners of the Kola Peninsula retained a high level of occupational morbidity, and it tended to increase among excavator drivers.


Author(s):  
S.A. Syurin ◽  
◽  
A.A. Kovshov

Abstract. Introduction. Living and working in the Arctic is associated with an increased health risks. The aim of the study was to assess features of non-occupational and occupational disease formation in underground apatite ore miners in the Kola Arctic. Materials and methods. We studied data ofthe periodic medical examination and results of social and hygienic monitoring "Working conditions and occupational morbidity of the population of the Murmansk region". Results. In 2007, 2649 miners were diagnosed with 6778 chronic diseases, of which the most prevalent were diseases of the musculoskeletal system (34.4%) and eye (16.9%). In 2008-2019, 496 occupational diseases were diagnosed for the first time in 290 (10.9%) miners. The risk of developing occupational pathology in drifters exceeded indicators of all other miners, including lumbermen (RR = 1.60; CI 1.07-2.38, р=0,015), operators of a vibratory loading installation (RR = 1.63; CI 0.97-2.74, p=0,041), drillers (RR = 1.57; CI 1.11-2.22, р=0,009) and blasters (RR = 2.13; CI 1.56-2.90, р<0,001). In the structure of occupational diseases, the first places were occupied by vibration disease (19.7%), radiculopathy (19.3%) and deforming osteoarthritis (16.0%). Conclusion. Modernization of ore mining processes and personal protective equipment, as well as a current system of medical measures should include more effective solutions to the problems of preserving health of underground apatite miners in the Kola Polar region.


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