scholarly journals On occupational diseases in medical workers in the Republic of Bashkortostan

2021 ◽  
Vol 100 (11) ◽  
pp. 1250-1255
Author(s):  
Lena M. Karamova ◽  
Elvira T. Valeeva ◽  
Natalya V. Vlasova ◽  
Alsou S. Khafizova

Introduction. The work of medical workers belongs to the most complex, responsible types of human activity. It is associated with the impact of a complex of adverse factors: chemical, biological, physical, the severity and intensity of labour. Due to the high occupational risk, the problem of the formation and preservation of the health of medical workers is urgent. The aim of the work is to determine the dynamic characteristics of occupational morbidity and its structure among medical workers of the Republic of Bashkortostan for 2013-2020. Materials and methods. The occupational morbidity rate among medical workers during 2013-2020 was studied with the materials of the professional centre of the Republic: a notification on the establishment of a final diagnosis of chronic occupational disease and a consolidated annual report on the activities of central occupational pathology. Statistical processing of the results was carried out using the «Statistika 8» application software package. Results. The average annual incidence of occupational morbidity is 0.92±0.12 cases per 10 thousand health workers. They occupied an average of 7.0% of all occupational diseases established over the years in the Republic. The incidence rate tends to decrease. Among occupational patients of health workers, 73.9% are nurses, 15.3% are healthcare staff, 10.8% are doctors. Allergic diseases dominate the nosological structure of occupational diseases. They make up 63.3% of the total pathology, half of which is in bronchial asthma. Discussion. In medical workers, infection occurs through direct contact with a sick patient or biological material. Allergic responses occur to the presence of drugs and disinfectants. Occupational disease tuberculosis was diagnosed at the age of 43.3±6.4 years and experience of 16.6 years; hepatitis at the age of 38.2 years and experience 15.0 years; bronchial asthma - at the age of 49.4 years and an experience of 26.4 years; allergic reactions - at the age of 47.6±6.3 years and the experience of 25.8±3.7 years. Conclusion. There were identified features in incidence and its structure among doctors and paramedical workers. The basis of the concept of prevention of occupational diseases among health workers should be a system of primary prevention measures to reduce the impact of adverse factors of the working environment and the labour process, maintaining occupational and general health.

2018 ◽  
Vol 97 (4) ◽  
pp. 325-331
Author(s):  
Nina S. Kondrova ◽  
E. R. Shaikhlislamova ◽  
I. V. Sandakova ◽  
N. I. Simonova ◽  
N. N. Karpova

The retrospective analysis of the morbidity rate, the loss of the workability in health workers of the Republic of Bashkortostan with occupational diseases over the period from 1960 to 2015 was executed. The distribution of absolute and relative indices of the occupational morbidity rate by years is presented. The factors of the production environment and the labor process contributing to the development of occupational diseases are singled out. The leading place in the structure of the primary morbidity is held by occupational diseases associated with chemical (toxic-allergic) factors, the second - with diseases associated with the impact of physical factors; the third - diseases from the influence of biological factors.


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.


Author(s):  
Elvira Timeryanovna Valeeva ◽  
Elmira Radikovna Shaikhlislamova ◽  
Akhat Barievich Bakirov ◽  
Makhmuza Kalimovna Gainullina ◽  
Venera Talgatovna Akhmetshina ◽  
...  

The main factors of the working environment that harm a woman’s health in the course of work are considered to be physical exertion and functional overstrain, noise, chemical and biological factors, and microclimate. The most unfavorable sectors of the economy in the Republic of Bashkortostan are manufacturing, construction and the agricultural sector, where the largest number of jobs are registered that do not meet the hygienic standards for the above-mentioned production factors, which undoubtedly serves as the main cause of the development of occupational diseases among women. Material and methods.According to the medical records of the inpatient patient, the acts on the case of occupational disease and the registration form No. 30, the etiological causes and the structure of occupational morbidity by industry sectors of the Republic of Bashkortostan among women for 2016–2020 were studied. Results. Among the subjects of the Russian Federation, the Republic of Bashkortostan for the analyzed fiveyear period ranked 25–27th in terms of employment of women in jobs with harmful and (or) dangerous working conditions, and among the 14 regions of the Volga Federal District — 3–5 places. If in the period 2016–2019 among all the primary established occupational diseases from 32.4 to 43.0 % were women, then by 2020 more than half of all occupational diseases (54.7 %) were detected among women. Of the 114 cases of occupational diseases identified to 85 female workers, a third of them worked in health care (32.9 %), a slightly smaller part (30.6 %) — in mechanical engineering (manufacturing) and a fifth — in the agro-industrial complex (21.1 %). The leading place in the structure of occupational pathology of women was occupied by diseases associated with high physical overload and overstrain of individual organs and systems (54.2 %). The reason for the change in the structure of occupational diseases in the region in 2020 there was a new coronavirus infection-Covid-19 in medical workers, which brought diseases from the influence of a biological factor to the second position. Conclusion. The state of working conditions and occupational morbidity among women workers indicates the lack of an effective mechanism for protecting women’s labor and the need to develop effective legislative documents for the protection of their labor and health.


2020 ◽  
Vol 66 (6) ◽  
pp. 3-3
Author(s):  
I.I. Khisamiev ◽  
◽  
N.H. Sharafutdinova ◽  
M.A. Sharafutdinov ◽  
◽  
...  

Significance. Occupational morbidity is an important component among other indicators used in assessing health of employees. Studying dynamics in this indicator over several years makes it possible to identify specifics of prevalence of occupational diseases within certain territories. Purpose. To identify dynamics in the structure of occupational morbidity in the Republic of Bashkortostan during 2000-2019 on the basis of the medical and statistical analysis. Material and methods. The authors have analyzed 2,561 cases in the Register of occupational diseases to develop their medical and statistical profile. Results. The study found out that the Register of individuals with occupational diseases included 61.8% of males, 60.4% of urban residents with people aged 50-59 and 40-49 prevailing (52.4% and 33.4%, respectively). 3.8% of people in the Register had a 5-year exposure to occupational hazards, 10.6% - a 5 to 10-year exposure to occupational hazards, 15.3% - a 10 to 14-year exposure and about 20% of people had more years of exposure to occupational hazards. In dynamics, there was an increase in the share of males and people aged 50-59 with more than a 25-year exposure to occupational hazards. Determining causes of occupational diseases made it possible to identify that diseases of the musculoskeletal system and connective tissue accounted for one third of the occupational disease causes, diseases of the respiratory system accounted for one-fifth, injury, poisoning and consequences of other external exposure accounted for one sixth, while diseases of the nervous system and other diseases accounted for one tenth of all causes of occupational diseases. In dynamics, there was an increase in the share of diseases of the musculoskeletal system and decrease in the share of respiratory diseases. In the structure of diseases, radiculopathy prevailed (20.2%) followed by vibration disease (13.2%). Vibroacoustic factor (28.9%), chemical factor (24.1%), severity and intensity of the labor process (22.9%) are the leading factors in the structure of the working environment and labor process. In 2014-2019, there was an increase in the share of factors of the labor process (severity and intensity).


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
S. A. Gorbanev ◽  
S. A. Syurin ◽  
N. M. Frolova

Introduction. Due to the impact of adverse working conditions and climate, workers in coal-mining enterprises in the Arctic are at increased risk of occupational diseases (OD).The aim of the study was to study the working conditions, causes, structure and prevalence of occupational diseases in miners of coal mines in the Arctic.Materials and methods. Th e data of social and hygienic monitoring “Working conditions and occupational morbidity” of the population of Vorkuta and Chukotka Autonomous District in 2007–2017 are studied.Results. It was established that in 2007–2017 years, 2,296 ODs were diagnosed for the first time in 1851 coal mines, mainly in the drifters, clearing face miners, repairmen and machinists of mining excavating machines. Most often, the ODs occurred when exposed to the severity of labor, fibrogenic aerosols and hand-arm vibration. The development of professional pathology in 98% of cases was due to design flaws of machines and mechanisms, as well as imperfections of workplaces and technological processes. Diseases of the musculoskeletal system (36.2%), respiratory organs (28.9%) and nervous system (22.5%) prevailed in the structure of professional pathology of miners of coal mines. Among the three most common nosological forms of OD were radiculopathy (32.1%), chronic bronchitis (27.7%) and mono-polyneuropathy (15.4%). In 2017, coal miners in the Arctic had a professional morbidity rate of 2.82 times higher than the national rates for coal mining.Conclusions. To preserve the health of miners of coal mining enterprises, technical measures to improve working conditions and medical interventions aimed at increasing the body’s resistance to the effects of harmful production and climatic factors are necessary.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Iancheva ◽  
T Kundurzhiev ◽  
N Tzacheva ◽  
L Hristova

Abstract The study is based on the National Science Program 'eHealth in Bulgaria (e-Health)', funded by the Ministry of Education and Science. Partnership Contract No. D-01-200/16.11.2018 Issue Occupational health is closely linked to public health and health system. In Bulgaria there are many software products related to the registration and reporting of occupational health. Description of the Problem It is necessary to study all the determinants of occupational health, including the risks of diseases and accidents in the occupational environment, social and individual factors. The establishment of electronic systems for registering and monitoring both the health status of each worker and the possible hazards in the work environment is associated with the introduction and use of the occupational health record of each worker. Results The methodology for improving the module for occupational diseases in the structure of the occupational health record in Bulgaria has been developed. The classifications are in compliance with the legislation in the country and the requirements of the developing Eurostat methodology for European statistics on occupational diseases are applied. The occupational health record will serve both employers and physicians working in Occupational Health Services. Lessons The occupational disease module in the structure of the occupational health record will contribute to the statistical comparability of occupational disease data at regional and national level. Not only will the registration of the harmful factors of the working environment and the diseases related to the work process, but also the introduction of timely measures to ensure good occupational and public health. Key messages Through the occupational disease module, the structure of the occupational health record introduces the possibility of taking adequate measures to ensure good occupational health. The occupational health record will serve both employers and physicians working in Occupational Health Services.


2019 ◽  
Vol 95 (6) ◽  
pp. 533-538 ◽  
Author(s):  
A. V. Skalny ◽  
Elena S. Berezkina ◽  
V. A. Demidov ◽  
A. R. Grabeklis ◽  
M. G. Skalnaya

The study of elemental status was carried out as a result of a multielement analysis of hair by ICP-MS within the framework of the Federal Program "National System of chemical and biological security of the Russian Federation, 2009-2014". This parameter is an index of the impact of the environment on the body. A total of 1,138 adult residents of the Republic of Bashkortostan (624 women and 514 men aged of25-50 years) were examined. The features of the element status of the adult population of the Republic were shown. The obtained data can be used as reference values of chemical elements in the hair of the adult population of the Republic of Bashkortostan.


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