Adapting the Form of the sanitary and hygienic characteristics of working conditions to the new Sanitary Law

2021 ◽  
Vol 61 (12) ◽  
pp. 787-796
Author(s):  
Igor V. Bukhtiarov ◽  
Lyudmila V. Prokonenko ◽  
Alla V. Lagutina ◽  
Nikolay N. Courierov ◽  
Elena S. Pochtareva
Keyword(s):  
Working Conditions ◽  
Occupational Disease ◽  
Occupational Diseases ◽  
Biological Factor ◽  
Single Digit ◽  
Current Form ◽  
Production Factors ◽  
Depth Analysis ◽  
Special Assessment

Introduction. The current Form No. 362-1/y-2001 "The sanitary and hygienic characteristics for the working conditions of an employee having suspicion of an occupational disease (poisoning)" does not meet the requirements of Sanitary Law developed within the framework of the "regulatory guillotine". It complicates the investigation of occupational diseases and carrying out an objective examination of the connection between the disease and the profession. The study aims to analyze the Form for the sanitary and hygienic characteristics (SHC) of working conditions and substantiate proposals for its adaptation to the current regulatory legal acts to objectify the investigation of occupational diseases cases and the examination of the connection between the disease and the profession. Materials and methods. We carried out the expert-analytical study. We analyzed and compared data from Rospotrebnadzor (2001-2020) on occupational morbidity and Rosstat (2014-2020) on employment in harmful and (or) hazardous working conditions. We also studied the SHC (503) submitted for examination of the connection between disease and profession (including forensic medical examination). The structure of the Form for the completeness of the presentation of issues on various aspects of working conditions, the quality of the compilation and content of the SHS was determined in accordance with the current Sanitary Law. The authors evaluated the structure of the Form for the presentation of questions on various aspects of working conditions, determined the quality of the compilation and content of the SHC in accordance with the current Sanitary Law. Results. With a decrease in the number of newly registered cases of occupational diseases over 20 years by more than 3.7 times, the share of workers in harmful and(or) hazardous working conditions in the main types of economic activity decreased in 2020 relative to 2014 in 1,1 time (37.3%). A comparative assessment of the standardized indicators of harmful production factors specified in the SHC and the ones approved in SanPiN 1.2.3685-21 revealed their complete inconsistency. The results of in-depth analysis of 503 SGH allowed us to determine the most typical errors in assessing production factors at workplaces: incorrect assessment of standardized single-digit noise indicators (equivalent sound level A for an 8-hour working day), vibration (equivalent level corrected along the Z-, Y-, X-axes ); lack of data on dust load and the average value of air temperature - THC-index; assessment of the labour severity without considering the technological operations performed, etc. We noted the predominant assessment of working conditions by the main factor developing an occupational disease, without considering the accompanying risk factors that aggravate its effect. We also noted a significant underestimation of the levels when assessing the general transport, technological and technological vibration due to the differences between hygienic standards and the norms adopted in the Methodology for conducting a special assessment of working conditions. SCH contains no information on lighting, biological factor, labour intensity in 67.0-75.0% of cases. Conclusion. We substantiated proposals for improving Form No. 362-1/y-2001 of the SHC of working conditions, considering an electronic form of the document, revising the instructions for filling out the SHC.

scholarly journals The main disadvantages of the sanitary and hygienic characteristics of working conditions which complicate the expertise of the relation between the disease and occupation

2021 ◽  
Vol 100 (11) ◽  
pp. 1256-1260
Author(s):  
Elvira T. Valeeva ◽  
Elmira R. Shaikhlislamova ◽  
Ahat B. Bakirov ◽  
Naila R. Gazizova ◽  
Regina F. Sagadieva ◽  
...  
Keyword(s):  
Working Conditions ◽  
Occupational Disease ◽  
Work Experience ◽  
Complete Information ◽  
Final Diagnosis ◽  
Occupational Illness ◽  
Hygienic Standard ◽  
The Republic ◽  
Special Assessment

Introduction. Examining the disease’s connection with the occupation being the cornerstones in occupational health cannot be based on template solutions. When considering the aetiology of the disease, the entire document was the sanitary and hygienic characteristics of working conditions, the quality of which often determines the patient’s fate. Materials and methods. A retrospective analysis of the sanitary and hygienic characteristics of 647 inpatient medical records from 2013 to 2020, aimed at examining the relationship of the disease with the occupation: 562 cards with an established diagnosis, 85 - with an unspecified final diagnosis of an occupational disease. The contingent of the surveyed: 98.0% - employees of various industries and enterprises of the Republic of Bashkortostan, 2.0% - residents of other regions of the country, as well as the republic working in the Far North on a shift basis. Results. When preparing the characteristics in 73.0% of cases, the employees of Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing were based only on the data of a special assessment of working conditions, in which there was no complete information about the working conditions of the employee, which often leads to the inability to establish an occupational disease to the patient. In 7.0% of cases, the values of harmful industrial factors in the presented characteristics were on the border with the hygienic standard, which, with significant work experience and the presence of clear signs of occupational disease in the patient, also puts expert doctors in a difficult position. The situation mentioned above may be the cause of a legal dispute on the part of the employee if he refuses to establish an occupational illness and the employer if the issue is resolved positively for the employee. The reasons for delaying the terms of the examination were the need to request additional documents in connection with the data provided in the characteristics on the nature of the influencing harmful factors, based only on literary sources. Non-compliance with the deadlines for submitting the attributes to the Center of Occupational Pathology was observed in almost 100.0 % of cases. In 75.0% of cases, employees signed it without receiving explanations of quantitative and qualitative indicators. Conclusion. There is an urgent need to review the methodological approaches to compiling sanitary and hygienic characteristics of working conditions, develop an algorithm for its preparation, and the level of responsibility of all stakeholders for the quality of the document.

Comprehensive Assessment of Working Conditions and Occupational Disease Rates at Mining and Metallurgical Enterprises

2021 ◽  
pp. 114-119
Author(s):  
A.G. Chebotarev ◽  
D.D. Sementsova
Keyword(s):  
Ferrous Metallurgy ◽  
Working Conditions ◽  
Occupational Diseases ◽  
Underground Mining ◽  
Working Environment ◽  
Aluminum Production ◽  
Dump Truck ◽  
Mining Operations ◽  
Production Factors ◽  
Aluminum Smelters

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.

scholarly journals The main directions of optimization of activity of Rospotrebnadzor directed on prevention of occupational diseases at miners

2019 ◽  
pp. 376-380
Author(s):  
T. A. Suvidova ◽  
A. M. Oleshchenko ◽  
V. V. Kislitsyna
Keyword(s):  
Working Conditions ◽  
Occupational Disease ◽  
Occupational Diseases ◽  
National Level ◽  
Coal Industry ◽  
The State ◽  
Control Measures ◽  
Production Factor ◽  
Department Of State ◽  
Depth Study

Introduction.High levels of occupational incidence in coal miners of the Kemerovo Region determine the need to optimize the State Committ ee for Sanitary and Epidemiological Oversight for in-depth study of risk factors and planning of medical and preventive measures.The aim of the studyis to optimize the activities of the State Committ ee for Sanitary and Epidemiological Oversight in the planning of supervisory and sanitary measures aimed at reducing the level of OD in the coal industry.Materials and methods.On the basis of a sample of materials from the database of the Department of State Committ ee for Sanitary and Epidemiological Oversight in the Kemerovo Region on the occupational morbidity of miners for 2008–2016, the analysis of data on working conditions, age, experience, dynamics of occupational morbidity. Th e information on 7515 cases of occupational diseases in workers of coal mining enterprises is analyzed.Results.Indicators of occupational disease in the miners of the Kemerovo Region are higher than the national level, amounting to 13.23 per 10 thousand of the employed population. Employees of the main professions of the coal industry are particularly susceptible to occupational diseases: sinkers, miners of treatment faces, machinists of mining excavation machines, underground electric locksmiths, drivers of heavy vehicles, drivers of excavators and bulldozers. The reasons for the formation of occupational diseases in miners are unfavorable working conditions: physical overload, dust and gas contamination, noise and vibration, high humidity of the working area at low temperatures. Occupational diseases are more commonly diagnosed in workers aged 41 to 50 years (28.01%) and 51 to 60 years (69.23%). Th e most at risk of occupational disease are those working in contact with the harmful production factor for 21–30 years (60.5%) and from 31 to 40 years (26.1%).Conclusions. The results of the study are necessary for the rational planning of control measures and reasoned conclusions in the preparation of sanitary and hygienic characteristics of working conditions with suspicion of occupational diseases.

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.

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.

Working conditions and occupational pathology of Kola Polar miners

2020 ◽  
pp. 456-461
Author(s):  
S. A. Syurin ◽  
S. A. Gorbanev
Keyword(s):  
Working Conditions ◽  
Polar Region ◽  
Objective Assessment ◽  
Mining Industry ◽  
Copper Nickel ◽  
Increased Risk ◽  
Murmansk Region ◽  
Special Assessment ◽  
Medical Examinations

Introduction. Despite the improvement of mining technologies and personal protective equipment for employees, working conditions in the mining industry create an increased risk of occupational diseases.The aim of the study is to compare the working conditions and features of professional pathology of miners in the production of iron, apatite and copper — nickel ore in the Kola Polar region.Materials and methods. The data of social and hygienic monitoring on the section “Working conditions and occupational morbidity” of the population of the Murmansk region in 2007–2017 were studied.Results. It was found that in 2007–2017, there was no significant improvement in the working conditions of the studied groups of employees of mining enterprises. The structure of professional pathology of miners was still dominated by vibration disease (37.0%), radiculopathy (23.8%), mono-polyneuropathy (15.5%), sensorineural hearing loss (15.5%), and among the etiologically significant harmful industrial factors — the severity of labor (54.1%), general vibration (23.8%) and noise (13.1%). During the observation period, occupational morbidity in the mining of iron and copper-nickel ore decreased significantly, while in the mining of apatite ore it tended to increase. There is no causal relationship between changes in working conditions and the level of occupational morbidity of miners.Conclusions. It is necessary to improve the quality of hygienic and clinical research when conducting a special assessment of working conditions and periodic medical examinations to obtain an objective assessment of occupational health risks for miners in the Kola Polar region.

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.

Occupational morbidity in the Republic of Bashkortostan for 2019

2020 ◽  
pp. 38-43
Author(s):  
Elvira Timeryanovna Valeeva ◽  
Elmira Radikovna Shaikhlislamova ◽  
Akhat Barievich Bakirov
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Morbidity Rate ◽  
Physical Factors ◽  
Republic Of Bashkortostan ◽  
The Russian Federation ◽  
The Republic ◽  
Almost All ◽  
Medical Examinations

In the Republic of Bashkortostan, in 2019, despite the deteriorating working conditions at workplaces in almost all industries, extremely low rates of occupational morbidity were observed. At the same time, almost every third employee of the surveyed types of economic activity is engaged in work with harmful and (or) dangerous working conditions. In total, 46 cases of occupational diseases were found in the Republic in 2019. The occupational morbidity rate was 0.42 per 10,000 employees (2018 — 0.32), which is significantly lower than in the Russian Federation (1.03 per 10,000 employees). The highest levels of occupational morbidity are registered in mining, manufacturing, healthcare, and agriculture. The structure of nosological forms of occupational diseases was dominated by diseases associated with physical overload and overstrain of individual organs and systems: sciatica of the lumbosacral level, polyneuropathy of the extremities and occupational diseases from the influence of physical factors: sensorineural hearing loss and vibration disease. Against the background of the continuing deterioration of working conditions in the Republic and the low quality of periodic medical examinations, extremely low rates of registered occupational diseases are observed.

scholarly journals The influence of the level of illumination of workplaces on working conditions (on the example of the Republic of Kazakhstan)

2021 ◽  
Vol 6 (2) ◽  
pp. 189-200
Author(s):  
R. B. Shirvanov
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Machine Building ◽  
Production Factors ◽  
Artificial Illumination ◽  
The Creation ◽  
The Republic ◽  
Questionnaire Method ◽  
Industrial Injuries ◽  
Efficiency And Productivity

The problem of industrial injuries and occupational diseases of workers is relevant for all countries, including the Republic of Kazakhstan, where more than 200 people die every year and more than 2,000 are injured at workplaces due to hazardous and harmful production factors, including insufficient natural or artificial illumination of workplaces. The aim of the work is to study the level of illumination of workplaces at enterprises of the Republic of Kazakhstan and to establish the influence of this factor on the working conditions. The object of the study is workplaces and employees of one of the largest machine-building plants, where 60 employees were interviewed, and instrumental measurements of illumination levels were performed in two workshops. The questionnaire method and methods for assessing workplaces by the level of illumination were used. The analysis showed that the largest number of surveyed workers (58.4%) were not satisfied with the level of illumination; according to the instrumental measurements of illumination, 40.9% and 46.6% of workplaces were harmful and dangerous. Employees working under harmful conditions are entitled to a number of benefits and compensations. Thus, the creation of rational working conditions, including illumination of workplaces, helps to minimize injuries and occupational diseases and increase the efficiency and productivity of labor. 

scholarly journals Motivation for health and a healthy lifestyle among employees of the aluminum and coal industry

2019 ◽  
pp. 330-334 ◽  
Author(s):  
I. P. Danilov ◽  
N. I. Vlakh ◽  
M. A. Gugushvili ◽  
N. Ya. Paneva ◽  
T. D. Logunova
Keyword(s):  
Working Conditions ◽  
Occupational Disease ◽  
Occupational Diseases ◽  
Healthy Lifestyle ◽  
Negative Impact ◽  
Coal Industry ◽  
Prevention Studies ◽  
The Aluminum Industry ◽  
High Level ◽  
Level Of Motivation

Introduction. Th e system of formation of a healthy lifestyle is recognized as the most important area of prevention. Studies of motivation for health and healthy lifestyles in workers engaged in harmful working conditions are few and indicate the negative impact of occupational disease on the psychosocial status of patients, a signifi cant impact of adherence to a healthy lifestyle on the prevalence and course of somatic diseases and the need to develop health-saving behavior.The aimof the studywas to study the prevalence of diff erent levels of motivation for maintaining health and a healthy lifestyle among workers in the metallurgical and coal industries.Materials and methods.72 workers of mines and sections of the South of Kuzbass with the established diagnosis of occupational disease were surveyed; 372 workers of the aluminum plant and 54 people who do not work in harmful working conditions (engineering and technical workers). The surveys were conducted by the method of «Motivation index for health and healthy lifestyle», alexithymia was evaluated by the method of «Toronto scale of alexithymia (TAS)» with the informed consent of the subjects.Results.Th e high level of motivation for health and a healthy lifestyle among employees of the aluminum industry corresponds to the population. Th e group of coal industry workers with occupational diseases surveyed is dominated by a low level of motivation to maintain health and a healthy lifestyle. In the group of workers who are not employed in harmful working conditions, a high degree of motivation for health and a healthy lifestyle is determined. Th e predominance of motivation on emotional and cognitive scales among workers not employed in harmful working conditions was revealed. In the group of coal industry workers with occupational diseases, the number of persons with a high level of motivation on an emotional scale has been reduced. Among persons with alexithymia signifi cantly reduced the level of motivation on an emotional scale. Among the workers of the coal industry with occupational diseases revealed signifi cantly higher prevalence of alexithymia.Conclusions. It is assumed that the link of reduced motivation for health in persons with occupational diseases with the presence of alexithymia. 

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