Occupational pathology in the Chukotka and Nenets Autonomous Okrugs: risks, structure, prevalence

Author(s):  
Aleksandr A. Kovshov ◽  
Sergey A. Syurin

Introduction. Labor activity in the Arctic creates an increased risk of developing occupational diseases. In the Chukotka Autonomous Okrug (CHAO), the basis of the economy is the extraction of coal, placer and ore gold, and other non-ferrous metals, and in the Nenets Autonomous Okrug (NAO) - the extraction of oil and natural gas. The study aims to learn the risks of development, structure, and prevalence of occupational pathology among employees of enterprises in the Chukotka and Nenets Autonomous Okrugs. Materials and methods. Scientists studied the results of social and hygienic monitoring under the section "Working conditions and occupational morbidity" in the CHAO and NAO in 2008-2019. Results. In the NAO, almost two-thirds of employees work at facilities with good sanitary and epidemiological well-being indicators, while in the PRAO, only 12%. In the NAO, almost all occupational diseases (96.8%) resulted from exposure to industrial noise (noise effects of the inner ear), mainly in civil aviation pilots. In the CHAO, occupational diseases mainly developed in miners of mining enterprises (80.6%), among which the most common were noise effects of the inner ear (32.5%), chronic bronchitis (24.1%), mono- and polyneuropathies (12.7%). In contrast to the NAO, in 2008-2019, the level of occupational morbidity in the PRAO exceeded all-Russian indicators and tended to increase. The risk of diseases in 2017-2019 was higher than in 2008-2010: RR=2.51; CI 1.62-3.89, p<0.001. In 2008-2019 the probability of the formation of occupational pathology among employees of enterprises in the CHAO was higher than in the NAO: RR=3.84; CI 2.92-5.06, p<0.001. Conclusion. To reduce the occupational morbidity of miners of the CHAO, it is necessary to improve personal protective equipment and technological equipment to reduce noise levels, vibration, the concentration of aerosols of predominantly fibrogenic action, and the severity of the labor process. The use of aviation headsets with an increased level of noise reduction will help reduce the exposure of workers to noise. For solving this problem, it is necessary to update the flight fleet of civil aviation in NAO.

Author(s):  
Sergei Gorbanev ◽  
Sergei Syurin ◽  
Aleksandr Kovshov

Working in the Arctic increases the risk of occupational diseases, which is especially important in the context of acute shortage of manpower in the region. The purpose of the study was to comparatively evaluate the working conditions and occupational pathology in Nenets Autonomous Okrug (NAO) and Chukotka Autonomous Okrug (ChAO) of Russia. We analyzed the results of socio-hygienic monitoring “Working Conditions and Occupational Morbidity” in 2008–2018. Despite similar climatic and socio-economic conditions, significant differences exist in the health risks of the working populations of the two regions. In NAO two-thirds of workers were employed at facilities with satisfactory sanitary and epidemiological well-being, while in ChAO only 13% of workers had such conditions. In NAO, almost all occupational diseases (93.2%) were due to exposure to noise among civil aviation workers. In ChAO, health problems mainly occurred among miners (81.5%). The most common of these were noise effects on the inner ear (35.2%), chronic bronchitis (23.1%), and mono- and polyneuropathies (12.5%). In 2008–2018, the occupational pathology risk in ChAO was higher than in NAO: RR = 2.79; CI 2.09–3.71. Thus, specificity of technological processes and forms of labor organization create significant differences in health risks for workers. It is necessary to use modern mining equipment to decrease the occupational morbidity in ChAO. In NAO, this effect can be achieved by updating the fleet of civil aviation.


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

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):  
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.


2020 ◽  
Vol 2 (11) ◽  
pp. 123-132
Author(s):  
E. A. KORCHAK ◽  

The article presents the results of diagnostics of the material well-being of the population (2008–2018) in the framework of the formation of the labor potential of the Russian Arctic. The objectives of the study included a comprehensive analysis of income, expenditure and consumption of the population and households in the Northern territories. The objects of study were the regions of the Arctic zone of Russia – the Nenets, Chukotka, Yamalo-Nenets Autonomous districts and the Murmansk region.


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 ◽  
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):  
Elena F. GLADUN ◽  
Gennady F. DETTER ◽  
Olga V. ZAKHAROVA ◽  
Sergei M. ZUEV ◽  
Lyubov G. VOZELOVA

Developing democracy institutions and citizen participation in state affairs, the world community focuses on postcolonial studies, which allow us to identify new perspectives, set new priorities in various areas, in law and public administration among others. In Arctic countries, postcolonial discourse has an impact on the methodology of research related to indigenous issues, and this makes possible to understand specific picture of the world and ideas about what is happening in the world. Moreover, the traditions of Russian state and governance are specific and interaction between indigenous peoples and public authorities should be studied with a special research methodology which would reflect the peculiarities of domestic public law and aimed at solving legal issue and enrich public policy. The objective of the paper is to present a new integrated methodology that includes a system of philosophical, anthropological, socio-psychological methods, as well as methods of comparative analysis and scenario development methods to involve peripheral communities into decision-making process of planning the socio-economic development in one of Russia’s Arctic regions — the Yamal-Nenets Autonomous District and to justify and further legislatively consolidate the optimal forms of interaction between public authorities and indigenous communities of the North. In 2020, the Arctic Research Center conducted a sociological survey in the Shuryshkararea of the Yamal-Nenets Autonomous District, which seems to limit existing approaches to identifying public opinion about prospects for developing villages and organizing life of their residents. Our proposed methodology for taking into account the views of indigenous peoples can help to overcome the identified limitations.


2021 ◽  
pp. 030573562110194
Author(s):  
Amy Visser ◽  
Megan Lee ◽  
Timothy Barringham ◽  
Nasim Salehi

Professional popular musicians are at increased risk of psychological distress, substance use problems, and suicide, yet little evidence is available on effective psychotherapeutic practices to address these issues. This scoping review aims to understand how professional popular musicians perceive, engage with, and respond to mental health interventions. Four databases were searched, garnering a total of 310 articles. Of these, six met inclusion criteria. Four thematic categories were explored: (1) amenability of professional popular musicians to particular therapeutic approaches; (2) attribution of treatment outcomes to tailored approaches; (3) professional popular musicians’ perceived barriers to treatment; and (4) recommendations for treatment approaches. The scoping review supports the importance of considering the characteristics of professional popular musicians as a distinct group with unique well-being needs, challenges, and strengths. There is a clear preference for tailored, affordable, and accessible approaches that consider the uniquities of musicianship and the need to explore the role of nonclinical support, such as friends, family, and industry peers.


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