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.

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.

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.

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.

Current state and main directions of preservation and strengthening of health of the working population of Russia

2020 ◽  
pp. 527-532 ◽  
Author(s):  
I. V. Bukhtiyarov
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Production Environment ◽  
Working Population ◽  
Industrial Enterprises ◽  
The Past ◽  
Production Factors ◽  
Current State ◽  
The Russian Federation

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.

scholarly journals Assessment of the working conditions under exposed to noise and infrason

2021 ◽  
Vol 23 (1) ◽  
pp. 207-214
Author(s):  
Vasily G. Mironov ◽  
Nikolai D. Khasiev ◽  
Vadim S. Isachenko ◽  
Ksenia Yu. Korolevа
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Noise Exposure ◽  
Armed Forces ◽  
Medical Examination ◽  
Physical Factors ◽  
Industrial Noise ◽  
The Russian Federation ◽  
Special Assessment

Currently in healthcare of the Russian Federation created a system of measures to combat the harmful effects of industrial noise on workers. However, the level of specific and nonspecific morbidity rates the effect of industrial noise is not reduced, and the incidence of occupational diseases tends to increase. This is due to several reasons, including a large number of sources of noise, not enough high quality of medical examinations, lack of and low effectiveness of means of individual protection from noise and others. Noise is one of the leading places among the harmful physical factors in the Armed forces of the Russian Federation. Features noise resulting from the operation of military equipment and armament is its high intensity, intermittent nature, the presence in the spectrum of low and infrasonic frequencies. Noise exposure leads to the development of diseases, primarily of the organ of hearing, increase in total morbidity and the reduction of military-professional health. In the normative documents of the military medical service the noise is not identified as a harmful factor leading to the development of occupational diseases that were not fully developed the issues of professional selection and medical examination of noise pathology. System noise control should be comprehensive and include organizational and technical measures, special assessment of working conditions, monitoring of noise sources, the presence and correct application of means of protection against noise professional selection, clinical monitoring, medical examination, treatment and preventive measures. Existing in the Armed forces of the Russian Federation the system of measures for the fight against harmful impact of noise on military personnel requires revision in accordance with the existing state legislative framework.

REGIONAL FEATURES OF IDENTIFYING OCCUPATIONAL DISEASES FROM THE IMPACT OF THE BIOLOGICAL FACTOR IN THE RUSSIAN FEDERATION IN 2020

2021 ◽  
Author(s):  
P.V. Serebryakov ◽  
◽  
I.N. Fedina ◽  
E.E. Shigan ◽  
◽  
...  
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Well Being ◽  
Biological Factor ◽  
The Past ◽  
Regional Features ◽  
Federal Districts ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Impact

Abstract. Taking into account the sanitary and epidemiological conditions in the Russian Federation associated with the pandemic of the new coronavirus infection COVID-19, the dynamics of occupational morbidity rates from exposure to a biological factor over the past 20 years and, in particular, for 2020 was analyzed. On the state of sanitary and epidemiological well-being of the population in the Russian Federation, an analysis of the structure of occupational pathology in the Federal districts of Russia was carried out with an emphasis on the contribution of COVID-19. The obtained data on Federal districts with a high scatter of indicators can be explained by the initially high levels of occupational pathology in a number of constituent entities of the Russian Federation, as well as by the peculiarities of the spread of COVID-19, the suspension of the activities of occupational medicine centers, and various development of the algorithm for the examination of the connection between COVID-19 cases and working conditions for medical workers.

Epidemiological, clinical, and expert problems of occupational infectious diseases of workers during medical care in the COVID-19 pandemic

2021 ◽  
Vol 61 (1) ◽  
pp. 4-12
Author(s):  
I. V. Bukhtiyarov
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Social Insurance ◽  
Working Environment ◽  
Insurance Fund ◽  
Social Insurance Fund ◽  
The Social ◽  
The Russian Federation ◽  
Special Assessment

Preserving the working population's health is a priority direction of state policy in labor relations, labor protection, and the provision of healthy and safe working conditions by the employer and the state, prevention of occupational diseases. The state's economic growth in a competitive era is mainly due to the level of health and working capacity of the population. This issue has acquired relevance in the COVID-19 pandemic for medical workers. Among these workers, the incidence of the new coronavirus infection COVID-19 is associated with professional duties and entails a high risk of morbidity and mortality. The paper presents the results of a special assessment of working conditions. The author studied the data on the presence of occupational diseases among medical workers in 2019 (according to the data of the Social Insurance Fund of the Russian Federation). On the example of 15 medical organizations of the Russian Federation, an analysis of the working environment factors was carried out. The distribution of occupational diseases was analyzed depending on the harmful factors of the working environment in 2019. Information is provided on the implementation in 2020 by the Social Insurance Fund of the Russian Federation of the Decree of the President of the Russian Federation dated 06.05.2020 No. 313 "On providing additional insurance guarantees to certain categories of medical workers" (as of 07.12.2020). Clinic of the Izmerov Research Institute of Occupational Health and the centers of occupational pathology of the constituent entities of the Russian Federation provided preliminary information on the examinations of professional suitability, studies of the connection of the disease with the profession (including among medical workers) in the Russian Federation in 2020.

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.

Occupational morbidity in the main industries in the context of the COVID-19 conavirus pandemic

2021 ◽  
pp. 56-61
Author(s):  
S.A. Babanov ◽  
I.I. Berezin
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Biological Factor ◽  
Working Population ◽  
Permanent Disability ◽  
Medical Institutions ◽  
Coronavirus Infection ◽  
The Russian Federation

Preserving and strengthening the health of the working population is one of the priority tasks of health care in the Russian Federation, including in the Samara region. Up to 39.7% of the country's population works under conditions that do not meet sanitary and hygienic requirements. Unsatisfactory working conditions are the main reason for the development of occupational diseases among the working population in the Samara region. The workers of medical institutions registered 42 acute occupational diseases with permanent disability, including 13 acute occupational diseases with fatal outcomes from the biological factor "new coronavirus infection caused by the COVID-19 virus."

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