EXPERT SUPPORT OF PERIODIC MEDICAL EXAMINATIONS BY OCCUPATIONAL PATHOLOGISTS AS AN ELEMENT OF THE EXTERNAL AUDIT OF THE INDUSTRIAL MEDICINE CORPORATE SYSTEM

2021 ◽  
Author(s):  
N.I. Simonova ◽  
◽  
E.E. Adeninskaya ◽  
V.E. Bulanov ◽  
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Current Medical ◽  
External Audit ◽  
Industrial Medicine ◽  
Corporate System ◽  
Medical Examinations ◽  
Expert Support

Abstract: The article analyzes the current medical regulations in Russia for conducting mandatory periodic medical examinations (PME) of employees engaged in harmful working conditions, which are compared with the system for assessing working conditions and the system for diagnosing occupational diseases. It is shown that the requirement to conduct mandatory PME of employees engaged in harmful working conditions in occupational pathology centers is not economically justified and is not socially beneficial. A variant of expert support of mandatory PME by specialists-occupational pathologists of occupational pathology centers in order to increase their effectiveness is proposed.

PERIODIC MEDICAL EXAMINATIONS AND OCCUPATIONAL SELECTION IN INDUSTRIAL MEDICINE

2018 ◽  
pp. 48-53 ◽  
Author(s):  
S.A. Babanov ◽  
D.S. Budash ◽  
A.G. Baikova ◽  
R.A. Barayeva
Keyword(s):  
Working Conditions ◽  
Regulatory Framework ◽  
Historical Aspects ◽  
Industrial Medicine ◽  
Occupational Selection ◽  
Medical Examinations

The article reflects the problems of preliminary and periodic medical examinations of workers in harmful working conditions. The historical aspects of the formation of the domestic regulatory framework in the field of preliminary and periodic medical examinations as well as activities aimed at improving the quality of medical examinations are described.

MODERN ASPECTS OF PROFESSIONAL PATHOLOGICAL CARE TO AGRICULTURAL WORKERS

2019 ◽  
pp. 19-25 ◽  
Author(s):  
A.N. Danilov ◽  
G.A. Bezrukova ◽  
V.F. Spirin
Keyword(s):  
Working Conditions ◽  
Professional Education ◽  
Occupational Diseases ◽  
Agricultural Sector ◽  
Agricultural Workers ◽  
Occupational Physicians ◽  
Scientific Organizations ◽  
Total Structure ◽  
Higher Professional Education ◽  
Medical Examinations

We revealed a decrease of 19.2 percent in the number of workers in hazardous working conditions during the from 2011 to 2017 period based on the analysis of updated data on working conditions in the agricultural sector of the economy, regional levels of occupational morbidity, accessibility of medical organizations to rural residents and occupational morbidity of agricultural workers, which was not accompanied by a corresponding drop in the share of this cohort in the total structure of employees in the agricultural sector, whose share decreased by 4.4 percent. The coverage of agricultural workers with periodic medical examinations increased from 75.6 percent (2011) to 82.7 percent (2017) along with the increase in the provision of rural health institutions with occupational physicians from 43.3 to 60.0 percent of the level for need. The number of subjects of the Russian Federation on whose territory cases of occupational diseases were recorded decreased by 25.6 percent: from 39 to 29 regions during the period from 2011 to 2017. At the same time, the level of occupational morbidity increased by 32.3 percent from 1.27 (2015) to 1.68 (2017) per 10 thousand workers in the industry. 43.7 − 57.2 percent of occupational diseases’ cases were diagnosed in self-referral to the centers of occupational pathology for different years of observation. Most cases of occupational diseases were detected by the centers of professional pathology operating on the basis of scientific organizations of Rospotrebnadzor, research institutes of hygienic profile of federal subordination and institutions of higher professional education of the Russian Ministry of Health.

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.

Hygienic aspects of the analysis of occupational morbidity of agricultural workers in the Kemerovo region

2021 ◽  
pp. 40-48
Author(s):  
Tatyana Anatolievna Suvidova ◽  
Galina Vladimirovna Kurenkova
Keyword(s):  
Cluster Analysis ◽  
Working Conditions ◽  
Occupational Diseases ◽  
Agricultural Sector ◽  
Agricultural Workers ◽  
Agricultural Enterprises ◽  
Cluster Distance ◽  
The Russian Federation ◽  
Tractor Driver ◽  
Medical Examinations

Unfavorable working conditions at the workplaces of agricultural enterprises are the reason for the development of occupational pathology, which makes it necessary to conduct a hygienic assessment of the occupational morbidity of workers in the agricultural sector of the Kemerovo region. The methods used are the analysis of primary statistical forms of accounting for occupational diseases, hygienic assessment of working conditions, and a comprehensive hygienic assessment of occupational morbidity in accordance with the «Methods of computer modeling of the sanitary and epidemiological situation with occupational morbidity in the Kemerovo region. Methodological recommendations» using the cluster analysis program «Cluster Analysis». For the period 2008–2018. In the region, only 58 cases of occupational diseases were registered among agricultural workers, while 90 % of enterprises are classified as objects of the 2–3 group of sanitary and epidemiological welfare. In contrast to the gradual decline in indicators in the country as a whole, the region recorded peaks in the incidence in 2009, 2011, 2013 and 2017. At the same time, the correlation analysis indicates a direct strong correlation between the dynamics of occupational morbidity in the region and in the Russian Federation (R = 0.862702; p < 0.05). The results of the analysis of the method of establishing the diagnosis indicate that in relation to diseases that arose as a result of exposure to physical overload, vibroacoustic factors, only 60 % were detected during periodic medical examinations. The structure of occupational diseases was dominated by radiculopathy — 33 %, vibration disease — 31 %, brucellosis — 25 %. The analysis of cause-and-effect relationships, the clusters of professions obtained using the method of mathematical modeling (driver and blacksmith-cluster distance 1,4, mechanic and plasterer-cluster distance 2,2, independent clusters-tractor driver and wood feller) and the similarity of the development of unfavorable sanitary and epidemiological situations in relation to them should be used in the activities of the Rospotrebnadzor Department as a basis for planning control and supervisory measures and for justifying preventive measures to preserve labor potential.

scholarly journals Hygienic assessment of working conditions and health of the workers of mining and processing enterprises

2019 ◽  
Vol 95 (11) ◽  
pp. 1065-1070 ◽  
Author(s):  
E. A. Preobrazhenskaya ◽  
Anna V. Sukhova ◽  
L. A. Zorkina ◽  
M. V. Bondareva
Keyword(s):  
Working Conditions ◽  
Lung Diseases ◽  
Occupational Diseases ◽  
Health Workers ◽  
Risk Level ◽  
Morbidity Rate ◽  
Iron Ores ◽  
Kursk Magnetic Anomaly ◽  
Medical Examinations ◽  
Safe Working

In the article there are presented results of studies on the hygienic assessment of working conditions and health status of 1200 workers of mining and processing enterprises (MPE) developing deposits of iron ores of the Kursk Magnetic Anomaly: Lebedinskiy MPE, Mikhaylovskiy MPE, Stoylenskiy MPE. There were revealed the differences in the character and intensity of adverse occupational factors, there was made the quantitation of the occupational risk level to the health workers of MPE both factories and quarries. The structure of occupational diseases in MPE factories is formed by dust lung diseases and the occupational pathology of the organ of hearing. In the structure of professional pathology in quarries workers vibration disease (61.5%) prevails. The obtained results indicate to the need of the development of the system of measures for the reduction in general and occupational morbidity rate of workers, the creation of safe working conditions, improving the early diagnosis of occupational and common diseases at the stage of preliminary and periodic medical examinations.

scholarly journals Анализ состояния условий труда и профессиональной заболеваемости в Белгородской области за 2014–2016 годы

2019 ◽  
pp. 73-79
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Well Being ◽  
Physical Factors ◽  
Rights Protection ◽  
Regional Center ◽  
Complex Approach ◽  
Region Data ◽  
Professional Health ◽  
Medical Examinations

The goal of the work was to study the working conditions, dynamics and structure of occupational morbidity in the Belgorod Region throughout 2014–2016. The analysis was carried out on the basis of the data from the Offi ce of the Federal Service on Supervision in the sphere of consumer rights protection and human well-being in the Belgorod region, data of the Belgorod Regional Center for Communicational Pathology. There was registered an annual increase in the number of people whose working conditions are the main cause of professional diseases having a signifi cant impact on their professional health and, accordingly, on the level of occupational morbidity. Professional morbidity for the past 3 years remained in the range of 1,74-1,47 cases per 10 000 workers in the Russian Federation and 0,86-1,5 in the Belgorod region. In the structure of occupational pathology diseases caused by physical factors prevail. The second place is taken by the diseases associated with exposure to physical overloads, and the third place is taken by the diseases from the eff ects of the chemical factor, industrial aerosols. The level of registered chronic occupational morbidity does not refl ect the real situation associated with the state of working conditions at the workplace. It is also necessary to note the unsatisfactory quality of periodic medical examinations and failures to reveal initial signs of occupational diseases. The majority of identifi ed occupational diseases have chronic forms in long-term employees (35-40 years old) and in the age group over 50 years. A complex approach to the goals to preserve the health of workers, taking into account the interdepartmental regulation of the system of measures, will ensure the preservation of labor potential, increase labor longevity, reduce the overall and occupational morbidity.

scholarly journals THE ROLE OF THE BIOFACTOR IN THE FORMATION OF OCCUPATIONAL DISEASES IN HEALTHCARE WORKERS

2018 ◽  
Vol 97 (12) ◽  
pp. 1231-1234 ◽  
Author(s):  
Nikolai N. Petrukhin ◽  
N. N. Loginova ◽  
O. N. Andreenko ◽  
S. V. Grebenkov ◽  
S. V. Voronkova
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Health Workers ◽  
Objective Assessment ◽  
Infectious Agent ◽  
Production Factor ◽  
Biological Factor ◽  
Medical Examinations ◽  
The Impact

This article presents data on the leading role of the biological factor in the formation of occupational diseases among health workers for an 18-year period of the work at the North-West Scientific Center for Hygiene and Public Health. The purpose of the study is to provide an objective assessment in establishing relationships related to the effects of a biofactor on the health of health workers. A retrospective analysis was made of a sample of case histories with established occupational diseases due to the impact of a biological factor. There were observed in dynamics 67 cases including 52 women (77 %) and 15 men (23%) aged 23-67 years. All of them were examined for the establishment of the relationship between the disease and occupation during the period of 2000-2017. The infectious agent is considered to be the leading harmful production factor when analyzing working conditions. The average work experience with an infectious agent was 14 years. The class of working conditions in most cases was estimated from permissible to harmful of the 1 degree. Based on the data of sanitary and hygienic characteristics of working conditions, the excess of the maximum permissible concentrations of harmful industrial substances in the air of the working area was recorded only in 8% of cases. The detectability of occupational diseases after periodic medical examinations was 6%; by clinical examination - 8%; when contacting a local physician 20%; to the pathologist 20%; as a result of self-reversal 46%. The biological factor is the leading harmful factor in the workplace of medical workers. As the main preventive measure for occupational diseases among physicians, systematic medical examinations followed by preventive, curative and rehabilitative measures are taken. The most effective way to reduce infectious diseases is the compulsory vaccination of medical staff.

To the question of occupational pathology developing under acceptable working conditions (on the example of workers of enterprises in the Russian Arctic)

2020 ◽  
pp. 6-13 ◽  
Author(s):  
S. Syurin
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
The Arctic ◽  
Length Of Service ◽  
Sick People ◽  
Production Factors ◽  
Younger Age ◽  
Chemical Factors ◽  
Health Disorders ◽  
Medical Examinations

The purpose of the study is to investigate occupational pathology that develops under acceptable levels of harmful production factors. Results. It has been found that 0.77% of all cases of occupational diseases in 2007-2018 developed under acceptable working conditions in the enterprises of the Arctic (66 out of 8609 diseases). Their features were: 1) shortened length of service of the sick people (20.2 ± 1.5 years); 2) younger age (47.8 ± 1.2 years); 3) larger proportion of women among the sick people; 4) greater role of chemical factors and severity of work in the development of health disorders; 5) more frequent development of diseases among workers of certain professions; 6) different structure of classes and nosological forms of occupational diseases; 7) increased proportion of acute industrial poisoning in the structure of occupational diseases. Exposure to harmful production factors with exposure levels not exceeding hygiene standards became possible more often due to design flaws in machines, mechanisms and other equipment (54.5%). Detection of most occupational diseases in people working in acceptable working conditions took place because they sought medical help themselves due to deterioration of health (in 66.7% of cases). 59.9-66.2% of diseases in people working in harmful and dangerous working conditions were diagnosed according to the results of periodic medical examinations. Conclusion. There is a need for a deeper understanding of the causes and preventive methods of occupational health disorders that develop under acceptable working conditions.

Influence of negative aff ectivity, social suppression and anxiety on motivation for health and a healthy lifestyle in coal industry workers

2020 ◽  
pp. 354-358
Author(s):  
I. P. Danilov ◽  
N. I. Vlakh ◽  
V. I. Gugushvili ◽  
N. Ya. Paneva ◽  
T. D. Logunova
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Healthy Lifestyle ◽  
Coal Industry ◽  
Type D ◽  
Situational Anxiety ◽  
Personal Anxiety ◽  
High Level ◽  
Level Of Motivation ◽  
Social Suppression

Introduction. A healthy lifestyle is one of the most eff ective methods of preserving health and preventing non-infectious diseases. The mechanisms and factors that infl uence the formation of motivation for health and a healthy lifestyle in employees engaged in harmful working conditions have not been suffi ciently studied. The study of these mechanisms will allow us to more eff ectively shape health-saving behavior.The aim of the study is to study negative aff ectivity, social suppression and anxiety in the formation of motivation to maintain health and a healthy lifestyle in coal industry workers.Materials and methods. A survey was conducted of 75 employees of mines and sections in the South of Kuzbass with an established diagnosis of occupational diseases, as well as 54 people who do not work in harmful working conditions (engineering and technical workers). Surveys were conducted using the method “Index of motivation to health and a healthy lifestyle”, the presence of personality type D was conducted using the DS14 questionnaire, the level of personal and situational anxiety was assessed using the Spielberger — Hanin questionnaire.Results. Th e level of motivation for health and a healthy lifestyle among patients with occupational diseases is signifi cantly lower than the level of motivation for the health of engineering and technical workers. Th e infl uence of negative reaction and social suppression on the level of motivation for health and a healthy lifestyle was not found. Th e level of situational anxiety also has no eff ect on health motivation. A higher level of personal anxiety among people with a high level of motivation for a healthy lifestyle was determined.Conclusions. Personal anxiety aff ects the level of motivation for health and a healthy lifestyle in people with occupational diseases. 

Professional pathology in the production of aluminum in the Kola Arctic

2020 ◽  
pp. 767-767
Author(s):  
S. A. Syurin ◽  
S. A. Gorbanev
Keyword(s):  
Working Conditions ◽  
Occupational Diseases ◽  
Scientific Explanation ◽  
Marked Decrease ◽  
The Arctic ◽  
Aluminium Production ◽  
First Time

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.

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