UPDATING THE HYGIENIC CLASSIFICATION OF WORKING CONDITIONS UNDER THE INFLUENCE OF FACTORS OF THE WORKING ENVIRONMENT AND THE LABOR PROCESS

Author(s):  
L.V. Prokopenko ◽  
◽  
A.V. Lagutina ◽  
N.N. Courierov

Abstract. Introduction. The approval of new sanitary norms and rules within the framework of the “regulatory guillotine” made it necessary to revise the hygienic classification of working conditions in terms of hazard, which includes Guide R 2.2.2006-05 - one of the fundamental documents in medicine of labor. Purpose of the study. Updating the classification of working conditions based on a risk-based approach, taking into account new regulatory legal acts, risk factors due to the introduction of modern technologies and forms of labor organization and practices of applying the classification. Results. The classification of working conditions under the influence of chemical, physical factors, the severity and intensity of the labor process has been revised taking into account SanPiN 1.2.3685-21, the classification of working conditions by biological factor has been revised and supplemented. The characteristics of the classes of working conditions have been clarified, the categories of occupational risk by classes according to R 2.2.1766-2003 are indicated. Changes in the structure of the classification are considered, concerning the abolition of the "optimal" classes of working conditions; expanding the classification in terms of the severity and intensity of labor by adding the classes "harmful working conditions - 3.3"; canceling or bringing the indicators of the "hazardous (extreme) working conditions" class in accordance with Federal Law No. 426-FZ and the principles of hygienic classification. Conclusion. A version of a risk-oriented hygienic classification has been prepared, corresponding to the new regulations, modern conditions and forms of work organization and aimed at preserving and improving the health of workers.

Author(s):  
Neilya Shavketovna Ratushnaya ◽  
Yuliya Viktorovna Eliseeva

The article presents the results of the risk of developing the burnout syndrome in medical workers, taking into account the influence of hygienic working conditions and the psychological situation in the team. 134 medical workers with working conditions class 2.0, 3.1, and 3.2 were under observation. The ratio of the working conditions of medical workers to the corresponding class was established according to the Manual 2.2006–05 «Hygienic assessment of factors of the working environment and the labor process. Criteria and classification of working conditions». The methodological basis for assessing the level of emotional burnout of a medical worker in a team was a questionnaire developed by V. V. Boyko; the psychological situation in the team was assessed using a questionnaire by A. F. Fiedler. The conducted studies found that with the class of working conditions of doctors at the level of 2.0, the risk of developing emotional burnout after five years of work is 30.7 %. At the level of the class of working conditions 3.2, after five years of work, the burnout among doctors will reach 46.7 %. Against the background of a favorable psychological situation in the team, the probability of developing an emotional burnout syndrome was 20.0 %, with an unfavorable one, it increased to 46.6 %. The results obtained in the course of this study were used as the basis for the development of a method for predicting the risk of developing burnout syndrome in medical professionals in the first five years of work with a sensitivity of 78 % and a specificity of 68 %.


Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya

Introduction. Professional groups of railway workers engaged in the repair of wagons are directly responsible for the safety of railway traffic. The analysis of literature testifies to insufficient attention of researchers to the hygienic problems associated with labor activity of workers of wagon-repair production.The aim of the study is to assess the occupational risk to the health of wagon repair workers, due to the impact on them of factors of the working environment and the labor process.Materials and methods. The study used comprehensive hygienic studies using the methodology of occupational risk to worker’s health.Results. The leading factors of the working environment (class of working conditions 3.2–3.4), which are exposed to workers depending on the specifics of the work performed. Identified professional groups with medium (significant) high (unbearable) and very high (intolerable) category of a priori occupational risk: in wagon meintenance workshop — 17 groups (94% of jobs), in a wagon assembly workshop — 11 groups (80% jobs), in wagon wheel workshop — 3 group (100% jobs). At the same time, according to the request for medical care, employees were diagnosed with isolated cases of occupational diseases.The levels of morbidity with temporary disability of employees of the main workshops are statistically significant (p<0.05) higher than those of the control group in 1.4–1.9 times. The influence of the complex of chemical factors of low and medium intensity on the levels of morbidity of respiratory diseases in the group of workers of the wagon wheel workshop, which were 1.7–2.0 times higher than in the control group, is confirmed by the average degree of causation of the production condition of this pathology (RR=1.7; EF=42.0%).The combined effect of vibration and severity of the labor process forms a high level of temporary disability of employees of the main workshops in connection with diseases of the musculoskeletal system, which was 2.7–4.4 times higher than in the control group, and also determines the prevalence of this pathology in the structure of diseases detected on medical examinations (23.2%). Diseases of the musculoskeletal system are caused by the production of employees of the wagon meintenance workshop (RR=3,9; EF=74,9%), as the most unfavorable in terms of hygiene on these factors.The stressful influence of the complex of harmful production factors on the health of wagon repair workers is manifested by the high risk of diseases of the cardiovascular system, gastrointestinal tract, neurological disorders, violation of adaptation of the cardiovascular system in 97% of the examined, as well as the predominance of diseases of the digestive system and circulatory system detected on periodic medical examinations.Conclusions. Harmful working conditions (class 3.1–3.4) cause the suspected occupational risk from small (moderate) to very high (intolerable) to 100% of the jobs of wagon repair workers. The results of the study of morbidity and risk of pathology indicate a significant risk of damage to the health of workers.


Work ◽  
2021 ◽  
pp. 1-14
Author(s):  
Pradeep Kumar Hanumegowda ◽  
Sakthivel Gnanasekaran ◽  
Shankar Subramaniam ◽  
Adarsh Honnappa

BACKGROUND: The majority of handicraft workers in India falls under the informal sector, which plays a prominent role in the employment generation. Artisans in handicraft sectors encounter various hazards and risks causing occupational diseases. OBJECTIVE: The key objective of the study is to identify the prevalence of musculoskeletal disorders and occupational risk factors among the artisans involved in making traditional lacquerware toys in Karnataka and Andhra Pradesh, South India. METHODS: The subjects considered in this study are 177 artisans who work in mechanized lathes at Channapatna of Karnataka and Etikoppaka of Andhra Pradesh, South India. The information regarding the reported work-related musculoskeletal disorders (WMSD) symptoms from 7 days to 12 months are collected through modified Standardized Nordic Questionnaire and by direct observations. Moreover, the intervention of WMSD in their day-to-day life and the overall comfort of their body are also determined. The questionnaire survey is conducted through face-to-face interviews and by direct field study. RESULTS: From the statistical analysis, it is found that about 76.83%of the study population (77.4%male and 74.28%female) has self-reported WMSDs. The prevalence of WMSD is most common in the age group of 30–40 years. Physical factors like workplace adaptability, stress at work, body postures, health status, body mass index, active and enough breaks during work and body condition at the end of work have a significant association with WMSD. CONCLUSION: In this study, many of the work-related and lifestyle/health-related factors show a significant association with WMSD in artisans. The sub-standard working environment and the nature of work expose artisans to many occupational risks in their day-to-day life. To mitigate the occupational risks and musculoskeletal disorders, the workspace needs to be resigned ergonomically.


Author(s):  
Fateme Neshastegar ◽  
Gholamhossein Halvani ◽  
Alireza Choobineh ◽  
Mohammadhossein AhmadiyeYazdi

Introduction: Upper limb musculoskeletal disorders are prevalent and undesirable health consequences among workers in clothing industry. To improve working conditions, workplace ergonomic assessment is necessary. This study was conducted among workers of clothing manufacturing workshops to determine the prevalence of musculoskeletal disorders and to assess ergonomic working conditions to identify major risk factors associated with musculoskeletal symptoms.Methods: One hundred and fifty female workers from clothing manufacturing workshops of Yazd city participated. The Nordic questionnaire and an ergonomics checklist consisting of 6 sections were used as data collection tools. An index was calculated for each section of the checklist. Action categories indicating the priority of corrective measures were also defined. Data analysis was performed using the ANOVA and ROC curve tests by SPSS software (version 17).Results: The results showed a high prevalence of musculoskeletal disorders, especially in the upper limbs among the study population. In this study, a significant association was found between the calculated ergonomics index and MSDs in different body regions (p<0.05). The mean of this index among the workers who reported symptoms was less than those of the other group indicating undesirable ergonomic conditions. In addition, 68.7% of the workers were categorized in the first priority of intervention (requiring ergonomic intervention as soon as possible).Conclusion: The prevalence of MSDs was high among the workers of clothing workshops. The developed checklist was considered as an appropriate and low cost tool for ergonomic evaluation of sewing workshops. The results also indicated that most ergonomic problems in these workshops originate from inappropriate general working conditions, work organization, manual material handling, hand tools, workstation and working post


2020 ◽  
Vol 99 (5) ◽  
pp. 498-503
Author(s):  
Zulfiya F. Gimaeva ◽  
I. V. Bukhtiyarov ◽  
A. B. Bakirov ◽  
V. A. Kaptsov ◽  
L. K. Karimova

Introduction. The high prevalence of diseases of the circulatory system of workers in various sectors of the economy, the lack of data on the effects of harmful production factors on the formation of cardiovascular diseases in petrochemical industry workers justify the importance of conducting special studies on these petrochemical complex plants with the aim of assessing cardiovascular risk with the subsequent development of preventive measures. Material and methods. The objects of the study were workers in the production of monomers (ethylene, propylene, ethylbenzene, isoprene, divinyl) of petrochemical enterprises. Hygienic studies of the working conditions of workers included an assessment of the factors of the working environment and the labor process using generally accepted methods. Comprehensive clinical examination of workers included periodic examinations (n = 2634) with calculation of total and relative cardiovascular risk using the SCORE system, using questionnaire data, a Reeder L questionnaire and an in-depth clinical diagnostic medical examination (n = 101) with the definition total cardiovascular risk. Results. The most significant occupational factors of the labor process for workers in the main profession - panmen were established to include the combination of a chemical factor with the occupational noise and labor intensity, with an overall assessment of working conditions 3.2. The class of working conditions of workers of the comparison group (locksmith in instrumentation and automation corresponds to the permissible). There were revealed a high prevalence of arterial hypertension and other factors of cardiovascular risk. A higher dependence of the arterial hypertension level on age and length of service in the group of panmen was established when compared to the mechanicians of instrumentation and automation. Using mathematical models of multiple regression, the likely dynamics of the level of arterial hypertension and the left ventricular myocardial mass index were calculated under the influence of increasing age and other risk predictors. Conclusion. The results of a clinical study showed workers with severe arterial hypertension, a high and very high risk of death from cardiovascular disease on the SCORE scale, a high and very high overall cardiovascular risk, signs of dyslipidemia, obesity, high stress levels to require close attention. It is important to timely diagnose lesions of target organs, to conduct rational prevention aimed at reducing risk factors. According to the results of the study, there were developed preventive measures aimed at reducing cardiovascular morbidity and cardiovascular risk, prolonging the longevity of workers in petrochemical industries.


Author(s):  
A. M. Lazarenkov ◽  
I. A. Ivanov

The results of the study of working conditions in aluminum casting shops worksites are presented. The results of these studies showed that in worksites there are exceedance of the permissible limits for noise, vibration, the content of harmful substances in the working environment, intensity of infrared (thermal) radiation and air temperature. There is effect of electromagnetic radiation on the workers during the service of induction furnaces. In addition, the main harmful production factors include the severity of work and the intensity of the labor process. The efficiency of the protective screens of the IAT-6 induction crucible furnace was evaluated.


Author(s):  
A. V. Melentev ◽  
P. V. Serebryakov

The influence of noise and vibration on the development of arterial hypertension in workers employed in adverse working conditions was studied. It is shown that these physical factors of the working environment make a significant contribution to the formation of an increased risk of cardiovascular complications


2020 ◽  
Vol 99 (5) ◽  
pp. 498-503
Author(s):  
Zulfiya F. Gimaeva ◽  
I. V. Bukhtiyarov ◽  
A. B. Bakirov ◽  
V. A. Kaptsov ◽  
L. K. Karimova

Introduction. The high prevalence of diseases of the circulatory system of workers in various sectors of the economy, the lack of data on the effects of harmful production factors on the formation of cardiovascular diseases in petrochemical industry workers justify the importance of conducting special studies on these petrochemical complex plants with the aim of assessing cardiovascular risk with the subsequent development of preventive measures. Material and methods. The objects of the study were workers in the production of monomers (ethylene, propylene, ethylbenzene, isoprene, divinyl) of petrochemical enterprises. Hygienic studies of the working conditions of workers included an assessment of the factors of the working environment and the labor process using generally accepted methods. Comprehensive clinical examination of workers included periodic examinations (n = 2634) with calculation of total and relative cardiovascular risk using the SCORE system, using questionnaire data, a Reeder L questionnaire and an in-depth clinical diagnostic medical examination (n = 101) with the definition total cardiovascular risk. Results. The most significant occupational factors of the labor process for workers in the main profession - panmen were established to include the combination of a chemical factor with the occupational noise and labor intensity, with an overall assessment of working conditions 3.2. The class of working conditions of workers of the comparison group (locksmith in instrumentation and automation corresponds to the permissible). There were revealed a high prevalence of arterial hypertension and other factors of cardiovascular risk. A higher dependence of the arterial hypertension level on age and length of service in the group of panmen was established when compared to the mechanicians of instrumentation and automation. Using mathematical models of multiple regression, the likely dynamics of the level of arterial hypertension and the left ventricular myocardial mass index were calculated under the influence of increasing age and other risk predictors. Conclusion. The results of a clinical study showed workers with severe arterial hypertension, a high and very high risk of death from cardiovascular disease on the SCORE scale, a high and very high overall cardiovascular risk, signs of dyslipidemia, obesity, high stress levels to require close attention. It is important to timely diagnose lesions of target organs, to conduct rational prevention aimed at reducing risk factors. According to the results of the study, there were developed preventive measures aimed at reducing cardiovascular morbidity and cardiovascular risk, prolonging the longevity of workers in petrochemical industries.


2021 ◽  
Vol 65 (4) ◽  
pp. 359-364
Author(s):  
Alla V. Zheglova ◽  
Inna V. Lapko ◽  
Oksana P. Rushkevich ◽  
Inessa A. Bogatyreva

Introduction. Preserving employees’ health is one of the main components of corporate health and an essential factor of the social responsibility of business at the present stage of society’s development. The creation of “healthy” workplaces with the optimization of working conditions, preventive programs aimed at preventing occupational and general somatic diseases should become the main link in strengthening the health of the able-bodied population. The purpose of the study is to provide a scientific justification and develop a modular program for preserving the health of workers of mining enterprises with various methods of ore extraction (underground and open). Material and methods. The risk assessment of health disorders was carried out in stages: the state of working conditions, socio-demographic status were studied, behavioural risk factors were determined using questionnaires, fat metabolism was studied. Results. The main risk factors for health disorders of employees of mining enterprises were identified: working conditions that do not meet sanitary standards (noise and vibration class 3.1-3.3, physical overload class 3.1-3.2, high work intensity), behavioural factors including smoking, overweight and low physical activity, early violation of lipid metabolism. Discussion. Modular corporate programs have been developed to implement the principles of a healthy lifestyle (optimizing nutrition, increasing physical activity, stopping smoking, avoiding excessive alcohol consumption). The leading indicators of the effectiveness of the implementation of preventive measures are proposed. Conclusion. The development and application of effective health-saving corporate programs are the choices of a socially responsible business aimed at solving the following tasks: preserving the health of employees, increasing their motivation to comply with the principles of a healthy lifestyle, forming a responsible corporate culture and, as a result, increasing labour productivity. Creating and maintaining a healthy working environment leading to improved socio-economic development is one of the most effective investments in human capital.


Author(s):  
Nadezhda Alekseevna Muldasheva ◽  
Liliya Kazymovna Karimova ◽  
Tatyana Kensarinovna Larionova ◽  
Elmira Radikovna Shaikhlislamova

The methodology for assessing occupational risks currently occupies a priority place in assessing the impact of production factors on the health of workers. The main sources of information for assessing the levels of occupational risks include data obtained in the course of state sanitary and epidemiological surveillance, a special assessment of working conditions and production control. To date, there is a need to harmonize legislation on a special assessment of working conditions and sanitary and hygienic requirements in terms of the list of factors of the working environment and the labor process subject to research and measurement. An adequate assessment of occupational risks is possible only on the basis of the use of consolidated databases on working conditions obtained from various sources.


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