Actual issues of preservation of metallurgists’ health

Author(s):  
A. G. Chebotarev ◽  
O. V. Sokur

Metallurgy is exposed to a complex of production factors, the levels of which often exceed the hygienic standards. Working conditions are characterized by grade 3 (harmful) 2-4 degrees, which determine the level of occupational morbidity (PZ). The PP indicator at ferrous metallurgy plants in recent years has fluctuated from 11.9 to 20.2 cases per 10,000 employees that have passed their MEP. In the structure of PZ 59.5% of cases are respiratory diseases. A trend has been established in these enterprises to increase deaths in the workplace, mainly from diseases of the cardiovascular system.

Author(s):  
A.G. Chebotarev ◽  
D.D. Sementsova

The paper presents the results of hygienic assessment of the working environment and work process factors at surface and underground ore mining operations, ferrous metallurgy plants and aluminum production facilities. It has been established that workers are affected by a complex of production factors (dust, toxic substances, noise, vibration, unfavorable micro climate, etc.), the level of which often exceeds the hygienic standards. The workplace conditions of the primary jobs at these enterprises in 60-80% of cases are classified as hazardous, i.e. Class 3 of various hazard degrees. The incidence of occupational diseases remains high, especially in underground mining and at aluminum production plants. The specific features of mining and metallurgical operations and the severity of unfavorable production factors determine the structure of occupational morbidity. Occupational respiratory diseases are most common among workers in the ferrous metallurgy industry and account for 70.3% in total. Vibration-induced pathologies are most frequently diagnosed among excavator, bulldozer and dump truck operators, and account for 52.9% of all the diagnosed occupational diseases. Hearing organ pathology in the form of neurosensory loss of hearing among workers of mining and metallurgical enterprises ranges from 10.2% (aluminum smelters) to 22.7% (ferrous metallurgy plants) in the occupational morbidity structure. Chronic intoxication with fluorine compounds at aluminum smelters was diagnosed in 68.1% of cases. The results obtained confirm the pressing need to improve the working conditions, introduce preventive measures based on the primary prevention principles, and reduce the risk factors of health problems among the workers.


Author(s):  
A. V. Derevnina ◽  
N. I. Izmerova ◽  
I. Y. Chistova

To identify tumors and assess the risks of malignancy of different epithelial skin neoplasms working with industrial carcinogens, not only the influence of production factors was considered, but also visual diagnostic methods (dermatoscopy) were used, according to the assessment of working conditions.


Author(s):  
O. V. Grebeneva ◽  
A. Z. Shadetova ◽  
M. V. Rusyaev

The coefficients of danger to health of 84 workers of 4 lowering stations of the power enterprise from inhalation influence of pollutants of motor transport are calculated: nitrogen dioxide, dust, aerosols of mineral oils and hydrocarbons. The risk of combined effects of chemicals on the target organs was determined by an increase in the chance of respiratory diseases by 1.77 times.


Author(s):  
M. A. Zemlyanova ◽  
Yu. V. Koldibekova ◽  
V. M. Ukhabov

Introduction. The health of workers is determined by both social and individual, as well as production factors, including noise, vibration and dust, characteristic of technological processes in mining enterprises. Industrial noise above 90 dBA and dust in the form of suspended and fine particles causes dysfunction of the cardiovascular system and respiratory organs.The aim of the study is to assess the impact of harmful physical factors and industrial dust on changes in some biochemical and functional indicators of the cardiovascular system and respiratory system of employees of the enterprise for underground mining of ore.Materials and methods. The assessment of working conditions of workers engaged in underground mining and processing of chrome ores, the analysis of industrial dust on the dimension and quantitative content of fine particles PM10 and PM2. 5, the study of biochemical parameters of lipid metabolism, oxidant and antioxidant systems, indicators of respiratory function. Results. Harmful working conditions (class 3.1–3.4) in terms of noise and vibration were revealed at the workplaces of employees of the main specialties observation group. In the air of the working zone, the highest content of fine particles PM2.5 (2.68±0.54 mg/m3) and PM10 (4.64±0.93 mg/m3) was established at the site of drilling operations and cleaning of the bottom-hole space. Deviations of biochemical parameters characterizing intensification of free radical processes and antioxidant protection, imbalance of lipid spectrum parameters, and violation of functional parameters of external respiration were revealed. A high degree of connection with the working conditions of the frequency of increased levels of lipid hydroperoxide and antioxidant activity (EF=60.71–65.84%) was established.Conclusions. In high noise level (more than 94 dBA), general and local vibration (more than 116 and 127 dB respectively) and the content of fine particles PM2. 5 (more of 2.14 mg/m3) and PM10 (over of 3.71 mg/m3) at underground mining of chrome ore workers have identified abnormalities in the form of increase 1.6 times the level of lipid hydroperoxides and total antioxidant activity, reducing to 1.2 times the level of high density lipoprotein, improving 1.2–1.3 times of low-density lipoproteins, triglycerides, and atherogenic index in blood serum, peak expiratory flow. A high degree of professional conditioning have the frequency of increasing the level of lipid hydroperoxide in blood serum and antioxidant activity of blood plasma.


Author(s):  
I. V. Bukhtiyarov

The article presents the results of the analysis of health, working conditions and prevalence of adverse production factors, the structure of the detected occupational pathology in the working population of the Russian Federation. The article presents Statistical data on the dynamics of the share of workplaces of industrial enterprises that do not meet hygienic standards, occupational morbidity in 2015-2018 for the main groups of adverse factors of the production environment and the labor process. The indicators of occupational morbidity over the past 6 years in the context of the main types of economic activity, individual subjects of the Russian Federation, classes of working conditions, levels of specialized occupational health care. The role of the research Institute of occupational pathology and occupational pathology centers in solving organizational, methodological and practical tasks for the detection, treatment, rehabilitation and prevention of occupational diseases is shown. The basic directions of activity in the field of preservation and strengthening of health of workers, and also safety at a workplace are defined.


Author(s):  
L. Mavrina ◽  
E. Shaikhlislamova ◽  
I. Khasanova ◽  
L. Karimova ◽  
N. Muldasheva ◽  
...  

The relevance of the problem. Ensuring safe working conditions is currently an urgent problem of our time. Purpose of work. Analysis of bibliographic data on issues of occupational risk, industrial injuries among workers of the processing complex. Materials and methods. To achieve this goal, materials related to this topic were studied in the works of domestic and foreign scientists. Results. A lot of scientific works are devoted to the problem of assessing professional risk in the production of a processing complex. Modern research has proved that risk assessment is one of the main methods for analyzing the impact of various production factors on an employee. Conclusion Occupational morbidity and industrial injuries are a consequence of unsatisfactory conditions and labor protection in enterprises.


Author(s):  
O. Klepikov ◽  
A. Boreyko ◽  
G. Kurenkova

The aim of the study was to assess the professional risk of developing diseases in workers of the railway car repair enterprise. The Voronezh Car Repair Plant, a branch of Vagonremmash Joint-Stock Company, was chosen as the object of study. Methods: «The methodology for calculating individual occupational risk depending on the working conditions and the health status of the employee», developed by the Klin Institute for Protection and Working Conditions in conjunction with the Research Institute of Occupational Medicine (2013), the main professions; cohort study with the calculation of the relative risk of morbidity with temporary disability, the odds ratio, the etiological share of factors in the formation of morbidity (group size: 250 people, experimental group — workers of the main specialties, 95 people — comparison group). Results. According to the research results, the priority factors of occupational health risk include: chemical, noise, heating microclimate, low light level. For certain professions, the share of the contribution of priority factors to the risk profile (PV) reaches 40 %. The indicator of individual occupational risk is 0.12 to 0.26 units. The high level of professional risk (0.22 ÷ 0.26) is characterized by the working conditions of the mechanics for the repair of rolling stock, machine tools (woodworking), casters (metal), thermists, plastic casters. In professional groups with medium and high risk, the indicator of the relative risk of morbidity with temporary disability is higher than 1 (RR = 1.75 and 1.39, respectively), and the etiological share of production factors in the formation of diseases is from 27.95 (subgroup with secondary professional risk) up to 42.88 % (a subgroup with high professional risk), which indicates the professional condition of the disease. Discussion. In general, our data are consistent with the results of similar studies conducted earlier at the car building and car repair enterprises. In order to ensure hygienically safe working conditions and preserve the health of workers, it is necessary to reduce the level of exposure to production factors, including through the introduction of modern equipment and improvement of technological processes.


2021 ◽  
pp. 39-44
Author(s):  
S.V. Arabei ◽  
◽  
А.V. Hindziuk ◽  

In the present research, the working conditions of workers employed in the production of medicines in the form of tablets and capsules of a modern enterprise of the pharmaceutical industry have been studied. Based on the results of attestation of workplaces and data of industrial laboratory control of the factors of the production environment for the period from 2016 to 2019, a complex of harmful production factors at workplaces was determined and a comprehensive hygienic assessment of the working conditions of a general purpose machine operator of chemical and pharmaceutical preparations, packaging machine operator, stacker-packer and processor of technological containers and tares. It has been established that the labor activity of the leading professional groups of workers in production is associated with the influence of a predominantly chemical factor due to the presence of harmful chemicals in the air of the working area. According to the data obtained, the air of the working area at the workplace of the operator of a wide profile of chemical and pharmaceutical preparations of the tableting and filling of capsules section is contaminated with harmful chemicals (doxycycline, nystatin, lincomycin, rifampicin, tetracycline, etc.), the concentrations of which exceed the maximum permissible. A hygienic assessment of the parameters of the microclimate, noise and tension of the labor process at the studied workplaces established that there are no deviations from hygienic standards and the working conditions according to these factors are permissible. Thus, the data obtained allow us to conclude that the working conditions of the operator of a wide profile of chemical and pharmaceutical preparations belong to class 3.3, the stacker-packer — 3.1, and the working conditions of the operator of filling and packaging machines and the processor of technological containers and tares are assessed as acceptable.


Author(s):  
E.F. Chernikova ◽  
◽  
I.V. Fedotova ◽  
M.M. Nekrasova

Abstract: Working conditions at metallurgical enterprises are characterized by the impact of a complex of harmful production factors that do not correspond to the normalized levels, which causes the risk of developing professional and professionally conditioned pathology. Trained workers who are exposed for a long time to industrial noise that exceeds the permissible values by 10 dB or more are considered as a risk group for the development of aural (sensorineural hearing loss, SHT) and extraaural (high blood pressure, HBP) pathology. Hearing loss is an important medical and social problem, as it turns into a cognitive dissonance and a violation of verbal communication for the employee. Working conditions at one of the modern metallurgical plants were evaluated according to the data of sanitary and hygienic characteristics of working conditions. The study of the prevalence of SHT and HBP was carried out based on the materials of a medical examination and a questionnaire survey of workers (n=73, male, aged 36-75 years (57.32±0.89), with work experience of 8-58 years (34.29±1.16)). To assess the joint influence of age and seniority, an original scoring system was used, which allowed us to distinguish 3 observation groups. The severity of SHT and HBP was also assessed in points. The study showed a significant increase in the prevalence and severity of hearing loss and HBP with an increase in the duration of exposure and the age of employees. The presence of a close relationship between the analyzed pathology and working conditions is illustrated by the value of the odds ratio in groups 1-3 (ORSHT = 3.75-4.71; ORHBP = 2.0-5.0). Thus, the studied professional group of trained qualified metallurgists needs to develop health-improving measures to preserve labor longevity.


2021 ◽  
pp. 6-26
Author(s):  
Sergey Anatolievich Babanov

The article substantiates the opinion of Russian and foreign authors that the diagnosis of cardiac diseases and the assessment of cardivascular risk in workers, or those entering a job, is associated with the action of harmful production factors. Among the principal factors leading to the development of work-related cardiac diseases, the main place is occupied by functional overstrain and factors of physical activity. In order to preserve the cardiovascular health of workers, it is necessary to develop Federal clinical guidelines for the diagnosis, treatment and prevention of occupational and work-related lesions of the cardiovascular systems, primarily Federal clinical guidelines on work-related hypertension associated with work (high-risk professions).


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