Current state and trends of occupational incidence in the Samara region

2021 ◽  
pp. 58-64
Author(s):  
Sergey Anatolievich Babanov

At present, the preservation and strengthening of the health of the working population is one of the priority tasks of health care in the Russian Federation, including in the Samara region. Up to 39.7 % of the country's working-age population work in conditions that do not meet sanitary and hygienic requirements. Unsatisfactory working conditions are the main reason for the development of occupational diseases among the working population in the Samara region. 42 acute occupational diseases with permanent disability, including 13 acute occupational diseases with fatal outcomes from the biological factor «novel coronavirus infection caused by the COVID-19 virus», are registered in the workers of medical institutions. In the Samara region, there is a low detection rate of occupational diseases revealed in the course of preventive medical examinations — 43.08 %, this figure remains below the national average — 59.31 %.

2021 ◽  
pp. 56-61
Author(s):  
S.A. Babanov ◽  
I.I. Berezin

Preserving and strengthening the health of the working population is one of the priority tasks of health care in the Russian Federation, including in the Samara region. Up to 39.7% of the country's population works under conditions that do not meet sanitary and hygienic requirements. Unsatisfactory working conditions are the main reason for the development of occupational diseases among the working population in the Samara region. The workers of medical institutions registered 42 acute occupational diseases with permanent disability, including 13 acute occupational diseases with fatal outcomes from the biological factor "new coronavirus infection caused by the COVID-19 virus."


2021 ◽  
Vol 66 (3-4) ◽  
pp. 49-61
Author(s):  
K. A. Zykov ◽  
E. A. Sinitsyn ◽  
A. V. Rvacheva ◽  
A. O. Bogatyreva ◽  
A. A. Zykova ◽  
...  

The aim of the work was to justify the algorithm of outpatient drug therapy in patients with COVID-19, based on the principle of «Multi-hit» Approach. The algorithm is based on the published results of clinical studies and observations, authors’ own practical experience in the use and management of more than 4 thousand patients diagnosed with COVID-19 of varying severity during the 2020 pandemic. The article substantiates a complex algorithm for the treatment of outpatients with COVID-19, which includes etiotropic, pathogenetic, and symptomatic components of therapy with different mechanisms of action. The described approach is the 1st stage (outpatient) of a complex algorithm for managing patients with COVID-19. It has been successfully implemented in the system of outpatient care for patients with novel coronavirus infections in several leading medical institutions in Russia. The authors believe that the developed algorithm for providing outpatient drug therapy for COVID-19, based on the principle of multiple exposure, may be useful in real clinical practice of managing patients with coronavirus infection.


2021 ◽  
pp. 7-11
Author(s):  
S.A. Babanov

The indicators of occupational morbidity in the Samara Region and its dynamics in the context of the pandemic of the novel coronavirus infection COVID-19 are presented. In 2020, out of 127 acute and chronic occupational diseases diagnosed in 11 months, 22.05 % (28 cases) were diagnosed with professional sensorineural hearing loss, 5.51 % (7 cases) with dust lung diseases, 5.51 % (7 cases) — atrophic rhinopharyngolaryngitis, in 3.94 % (5 cases) — occupational allergies in the form of occupational bronchial asthma and eczema, in 3.94 % (5 cases) — vibration disease, in 1.57 % (2 cases) — chronic occupational radiculopathy, in 0.79 % (1 case) — oncological occupational pathology (dermatosarcoma of the hand), in 3.14 % (4 cases) — occupational infectious diseases (except for COVID-19).


Author(s):  
Railya V. Garipova ◽  
Leonid A. Strizhakov ◽  
Karina T. Umbetova ◽  
Kadriya R. Safina

Introduction. Infectious diseases occupy a leading place in the structure of occupational diseases (OD) of health care workers (HCW). If until 2020, the main OD from exposure to a biological factor were tuberculosis and viral hepatitis (VH), then in 2020 the world faced another infectious disease of professional etiology - infection of health workers with a new coronavirus infection (COVID-19). The aim of the study is to identify problematic issues in establishing the connection of an infectious disease with a profession in health care workers. Materials and methods. A retrospective analysis of cases of occupational diseases was applied according to the data of the Department of Rospotrebnadzor for the Republic of Tatarstan (RT) and the register of patients of the Republican Center of Occupational Pathology. Results. Among the health care workers of the Republic of Tatarstan, mainly occupational infectious diseases are diagnosed (88.9%). Tuberculosis is the most common occupational disease among health care workers of the Republic of Tatarstan, accounting for 68.4%, and viral hepatitis accounts for 20.5%. In 2020, the most common OD from biological factors in the health care workers of RT was infection COVID-19. Conclusions. Currently, the most common disease of infectious genesis in health care workers is a new coronavirus infection. For a high-quality examination of the connection of an infectious disease with a profession, the list of documents must include a card of epidemiological examination, which must be filled in by an epidemiologist not after establishing the connection of the disease with the profession, but in parallel with the preparation of a sanitary and hygienic characteristic (SGC) of working conditions.


Author(s):  
M.M. Sabitova ◽  
◽  
Z.M. Berkheeva ◽  
A.V. Shulaev

Abstract. Working conditions have a significant impact on the health of the working population. In the Republic of Tatarstan (RT), there are still industries where unsatisfactory working conditions lead to a high risk of developing occupational diseases. The aim of the work was to assess the occupational morbidity (DI) in the Republic of Tatarstan of the structure, dynamics, main reasons and factors affecting its formation. The aim of the work was to assess the occupational morbidity (DI) in the Republic of Tatarstan of the structure, dynamics, main reasons and factors affecting its formation. The analysis was carried out on the basis of data from the Office of Rospotrebnadzor in the Republic of Tatarstan, the Center for Occupational Pathology, and Tatarstanstat. Results: The proportion of workers employed in harmful and (or) hazardous working conditions in the Republic of Tatarstan amounted to 47.9% -50.8% of the payroll number of the working population. PP indicators in the Republic of Tatarstan over the past 10 years are 1.39 - 1.88 per 10 thousand employees. The highest levels of PZ are recorded among agricultural workers - from 5.22 to 10.12 and manufacturing - from 3.46 to 7.41 cases per 10 thousand. The leading places are occupied by diseases associated with exposure to noise and vibration. The main share of the identified occupational diseases was registered in workers of working age (50-59 years) with over 30 years of work experience. Conclusion. During the analyzed period, the PP indicators in the Republic of Tajikistan remained higher or at the level of the PP in the Russian Federation (RF). The main share of occupational diseases was registered at aircraft and mechanical engineering enterprises. We associate the observed increase in the proportion of diseases with the loss of professional ability to work with the untimely referral of patients for examination, as well as their late appeal to the center of occupational pathology.


Author(s):  
TA Bolobonkina ◽  
AA Dementiev ◽  
NV Minaeva ◽  
NN Smirnova

Summary. Introduction: A biological factor is the leading occupational hazard for healthcare professionals. Identification of risk factors for novel coronavirus disease 2019 (COVID-19) in ambulance employees and substantiation of measures to prevent the spread of this infection is a modern-day challenge. The purpose of our study was to examine COVID-19 incidence rates in emergency medical services (EMS) workers and to identify occupational risk factors for this infection. Materials and methods: We studied COVID-19 cases among Ryazan ambulance employees in terms of their age, sex, position, and specialty taking into account disease severity and duration for the period from May 1, 2020 to September 1, 2020. Results: We established higher relative risk values and incidence rates of the novel coronavirus infection in EMS workers compared to the population of the city of Ryazan (p < 0.05). In May–August 2020, COVID-19 cases among the ambulance employees and the population of Ryazan, as well as the number of EMS-attended patients with acute respiratory infection followed a similar pattern. The number of COVID-19 cases among the staff of resuscitation crews was significantly higher than that in the general practice and other specialized crews (p < 0.05). We estimated a statistically significant high relative risk of a longer and severer course of the disease among physicians compared with paramedics (RR = 1.333; p < 0.05) and among EMS workers aged 61 or older (RR = 1.286; p < 0.05). Conclusions: Emergency medical services workers have a high occupational risk of COVID-19 in the pandemic. Among them, employees aged 31–35 and resuscitation crewmembers face a higher risk of infection. Elderly employees aged 61–64, medical doctors, and general profile EMS workers are most at risk for a more severe and durable disease course.


Author(s):  
S.A. Babanov ◽  
◽  
I.I. Berezin ◽  
A.K. Sergeev

Abstract. Introduction. Currently, the preservation and strengthening of the health of the working population is one of the priority tasks of healthcare in the Russian Federation, including in the Samara region. Up to 39.7% of the able-bodied population of the country works in conditions that do not meet sanitary and hygienic requirements. Unsatisfactory working conditions are the main cause of the development of occupational diseases among the working population in the Samara region. Objective: to assess working conditions and occupational morbidity in the Samara region, the causes of low detection of occupational diseases. Methods: methods of sanitary and hygienic monitoring of working conditions at enterprises of the Samara region and statistical analysis of occupational morbidity were used in the work. Results: In the Samara region, when assessing working conditions at industrial enterprises, according to the data of the territorial department of Rospotrebnadzor, 76 (2.72%) objects from those under control were classified as extremely high risk objects, 287 (10.27%) high risk, 926 (33.14%) significant risk, 1236 (44.24%) medium risk, 265 (9.49%) moderate risk, 4 (0.14%) low risk. Unsatisfactory working conditions are the main cause of the development of occupational diseases. Thus, 451 cases of occupational diseases and poisoning have been registered in the Samara region over the past 3 years: in 2020 – 107 cases, of which women have 62 cases (57.94%), in 2019 – 128 cases, of which 47 cases in women (36.7%), in 2018 – 216 cases, of which 63 cases in women (29.2%). Conclusions: Working conditions at a significant number of enterprises in the Samara region do not meet sanitary and hygienic requirements. The state of conditions in the Samara region does not always reflect the levels of occupational morbidity at work, including due to the poor quality of periodic medical examinations. In the structure of nosological forms of occupational diseases in the Samara region in 2020, the first place is occupied by diseases associated with the effects of biological factors – 42.99% (including due to cases, including fatal cases of new coronavirus infection COVID-19 in medical workers), the second – physical factors (33.64%), the third – industrial aerosols (10.28%), the fourth – chemical factors (5.61%), the fifth place was occupied by diseases associated with physical overload and overstrain of individual organs and systems – 4.67%, on allergic diseases are in sixth place – 2.80%.


2021 ◽  
Author(s):  
Raghunath Satpathy ◽  
Prangya Ranjan Rout

Novel coronavirus (SARS-CoV-2) out-broke in the city of Wuhan in China and widely spread across the globe in a pandemic manner, causing societal and economic disruptions. Though the origin of the novel virus is still a debating topic, it is certain that SARS-CoV-2 acquired human to human transmission capacity. Regardless of aggressive containment and quarantine approaches, the number of confirmed cases continues to rise and being reported due to its highly infectious nature. As of the time, there is a little scope for the antiviral drugs or vaccines for the treatment of coronavirus infection; due to the vigorous mutation rate in the viral genome. However, existing anti-parasite drugs like ivermectin and chloroquine could effectively inhibit the virus has been reported. Few of the vaccines have come up with certain degree of efficacy and many are under the clinical trial phase. The research on novel coronavirus is still in the preliminary stage. In this chapter, we systematically summarize the origin, transmission route, molecular characterization, pathogenic mechanism, contagious nature, clinical symptoms, diagnosis, treatment, mutation and infection as well as prevention strategy of coronavirus disease based on the recently available literature. In addition to this, this chapter presents updated insights of the current state of knowledge pertaining to novel coronavirus and can be referred for potential future studies.


2018 ◽  
Vol 97 (12) ◽  
pp. 1231-1234 ◽  
Author(s):  
Nikolai N. Petrukhin ◽  
N. N. Loginova ◽  
O. N. Andreenko ◽  
S. V. Grebenkov ◽  
S. V. Voronkova

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.


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