FACTORS INFLUENCING THE MORTALITY OF THE MALE POPULATION RESIDING IN THE ACTIVITY AREA OF COPER-NICKEL ENTERPRISE
Abstract. Introduction. The city-forming enterprise are the main work-givers and the source of socio-economic well-being of monotowns. However, its activities may have a negative impact on the health of workers and citizens. The goal is a differentiated assessment of production activities of a copper-nickel enterprise and its socio-economic policy consequences on mortality of population in monotowns. Methods. Using mortality rates for 5-year age groups averaged for the period 2010-2017 was compared male population of Monchegorsk to Norilsk both are Arctic monotowns placed copper-nickel enterprises, and to Russia. To assess the consequences of copper-nickel enterprise production activities Monchegorsk male population was compared to Russia To assess the effect socio-economic development, Norilsk male population was compared to Monchegorsk. Results. In Monchegorsk working age mortality rate was compared to Russia for circulatory diseases 416.3 and 269.8 per 100,000; for MN 143.5 and 102.5. Also higher for post-working age for circulatory diseases 3962.4 and 3305.8; for MN 1283.8 and 1106.4. In Norilsk circulatory mortality were lower in all age groups compared to Monchegorsk and Russia (215.3 per 100,000 in working age and 2377.2 in post-working age); cancer mortality was lower for working age (74.3 per 100,000) and higher for post-working age (1185.3 per 100,000). Conclusions. Carcinogenic copper-nickel enterprise production activity is the cause of increased MN and circulatory mortality of the male population, which indicates the need to improve occupational and environmental conditions The socio-economic activity of city-forming enterprise in Norilsk, aimed at improving the standard of living and quality of medical care, had reduce the circulatory mortality throughout life and cancer mortality in working age. In older ages, the death risk for MN kept high, suggestive of the priority of measures reducing carcinogenic risk, and enhanced medical and social care for older age groups.