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

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.

Author(s):  
Elvira Timeryanovna Valeeva ◽  
Elmira Radikovna Shaikhlislamova ◽  
Akhat Barievich Bakirov

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.


2021 ◽  
Vol 23 (1) ◽  
pp. 207-214
Author(s):  
Vasily G. Mironov ◽  
Nikolai D. Khasiev ◽  
Vadim S. Isachenko ◽  
Ksenia Yu. Korolevа

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.


Author(s):  
A.N. Danilov ◽  
G.A. Bezrukova ◽  
V.F. Spirin

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.


2019 ◽  
Vol 98 (4) ◽  
pp. 418-423 ◽  
Author(s):  
A. A. Vazhenina ◽  
Lidiya V. Trankovskaya ◽  
E. B. Anishchenko

A comprehensive hygienic assessment of the working conditions of the Test Laboratory Center employees in the «Center for Hygiene and Epidemiology in Primorsky Krai» was executed. Instrumental studies of the air in the working area have been performed, the levels of production noise, general vibration, microclimate parameters, light environment, non-ionizing electromagnetic fields, and radiations have been measured, time-related studies have been carried out to study the severity and intensity of the work process at workplaces in the structural subdivisions of the microbiological laboratory and the Department of sanitary and hygienic laboratory research. The biological factor at the workplaces for employees of the microbiological laboratory was studied. Harmful production factors were identified at the workplaces of the Test Laboratory Center of the office of The Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, and their hygienic assessment was given. Based on the results of the general hygienic assessment the 3rd grade of working conditions of degree 3 was established in the microbiological laboratory and in the Department of sanitary and hygienic laboratory research there was the 3rd grade of working conditions of degree 1.


Author(s):  
Tatyana Anatolievna Suvidova ◽  
Galina Vladimirovna Kurenkova

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.


Author(s):  
N.I. Simonova ◽  
◽  
E.E. Adeninskaya ◽  
V.E. Bulanov ◽  

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.


Author(s):  
V. B. Gurvich ◽  
A. S. Shastin ◽  
V. G. Gazimova ◽  
E. G. Plotko ◽  
T. S. Ustyugova

Workers’ health should be considered as a strategically important component of governmental economic policy. Nowadays society economic damage due to lost vocational fi tness because of medical causes results mostly from general somatic diseases, but not from occupational diseases. In stable tendency to ageing able-bodied population, studies of medical causes of vocational unfi tness is a topical problem. To analyze causes of lost vocational fitness for work in jeopardy and (or) hazardous work conditions, to determine quantitative parameters of vocational unfi tness in mandatory medical examinations, to evaluate nosologic structure of medical contraindications to work in jeopardy and (or) hazardous work conditions, the authors studied demographic data of Federal service of governmental statistics and data on fi rst diagnosed occupational diseases by materials of Governmental reports of Federal service on supervision in consumers’ rights protection and human well-being. Studies also covered data of FBUN “Ekaterinburg medical research center of prevention and health care for industrial workers” of Rospotrebnadzor (EMNTs): database on fi rst diagnosed occupational diseases in Sverdlovsk region, conclusion reports on periodic medical examination results, and medical records of workers underwent periodic medical examination in EMNTs. Th e data were analyzed with descriptive and inductive statistic methods. In constant medical contraindications structure by nosologic types, according to periodic medical examinations in EMNTs, major part of refused permission  to the work was associated with diseases in ICD–10 class VII “Diseases of eye and its appendages”, on the 2nd place — diseases of ICD–10 class VIII “Diseases of ear and mastoid process”, on the 3rd place — diseases of ICD–10 class XI “Digestion diseases”. Recommendations are in Russian Federation Health Ministry to consider necessity of workers’ possibility to receive additional examination and special medical care within governmental program of guaranteed free medical care in cases when the diagnosed disease causes refused permission to work.


Author(s):  
E.L. Poteryaeva ◽  
◽  
I.I. Logvinenko ◽  
E.L. Smirnova ◽  
V.G. Vlasov ◽  
...  

To identify the main 50-year trends in evolution of working conditions at dust-hazardous enterprises in Western Siberia, the sanitary and hygienic characteristics of working conditions of staff with suspected occupational diseases, issued by the regional offices of The Federal Service for Surveillance on Consumer Rights Protection and Wellbeing (Rospotrebnadzor) to 447 patients with pneumoconiosis diagnosed from 1960 to 2010 were analyzed, as well as a retrospective analysis of the dynamics of changes in working conditions according to the research reports of the Novosibirsk Research Institute of Hygiene for the period 1930–1960 was made. In the 1950s the most harmful silicotic working conditions were observed in sandblasters exposed to newly formed modifications of silica in concentrations of 20–340 mg/m3. Since the 1970s, industrial enterprises in Novosibirsk and the Novosibirsk Region have experienced a significant decrease in dustiness levels (by tens and hundreds of times) — up to 4–40 mg/m3. In the last decade of the XX century, at a number of enterprises, the volume of production and the overall working time, during which there was direct contact with industrial aerosols, decreased, and the proportion of 3.4 class working conditions over the last decade decreased by 2.49 times (p ≤ 0.001). There was a change in working conditions for the production of refractory materials and ceramic products. Electric welders with all types of manual welding were exposed to a combined effect of hazardous occupational factors without significant changes in the levels of industrial aerosols in the workplace.


2019 ◽  
Vol 95 (11) ◽  
pp. 1065-1070 ◽  
Author(s):  
E. A. Preobrazhenskaya ◽  
Anna V. Sukhova ◽  
L. A. Zorkina ◽  
M. V. Bondareva

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.


Author(s):  
I.A. Umnyagina

Abstract. The aim of the study is to assess the informativeness of a number of clinical, functional, laboratory parameters as indicators of cardiovascular pathology in workers exposed to harmful industrial factors during mandatory periodic medical examinations, to identify some pathogenetic mechanisms of the formation of the risk of cardiovascular diseases (CVD). The experienced workers (n=310) of the metallurgical enterprise of the Nizhny Novgorod region were examined. The sphygmometry indicators, the content of endothelin-1, nitric oxide, lipid profile, ox-LDL, and the levels of IgG-class autoantibodies (aAT) to the antigens of the myocardial and vascular wall structures were evaluated in addition to regulated researches. The complex approach made it possible to more fully identify violations of the cardiovascular system, and elucidate some of the pathogenetic mechanisms of CVD development in workers in hazardous working conditions.


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