scholarly journals The main disadvantages of the sanitary and hygienic characteristics of working conditions which complicate the expertise of the relation between the disease and occupation

2021 ◽  
Vol 100 (11) ◽  
pp. 1256-1260
Author(s):  
Elvira T. Valeeva ◽  
Elmira R. Shaikhlislamova ◽  
Ahat B. Bakirov ◽  
Naila R. Gazizova ◽  
Regina F. Sagadieva ◽  
...  
Keyword(s):  
Working Conditions ◽  
Occupational Disease ◽  
Work Experience ◽  
Complete Information ◽  
Final Diagnosis ◽  
Occupational Illness ◽  
Hygienic Standard ◽  
The Republic ◽  
Special Assessment

Introduction. Examining the disease’s connection with the occupation being the cornerstones in occupational health cannot be based on template solutions. When considering the aetiology of the disease, the entire document was the sanitary and hygienic characteristics of working conditions, the quality of which often determines the patient’s fate. Materials and methods. A retrospective analysis of the sanitary and hygienic characteristics of 647 inpatient medical records from 2013 to 2020, aimed at examining the relationship of the disease with the occupation: 562 cards with an established diagnosis, 85 - with an unspecified final diagnosis of an occupational disease. The contingent of the surveyed: 98.0% - employees of various industries and enterprises of the Republic of Bashkortostan, 2.0% - residents of other regions of the country, as well as the republic working in the Far North on a shift basis. Results. When preparing the characteristics in 73.0% of cases, the employees of Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing were based only on the data of a special assessment of working conditions, in which there was no complete information about the working conditions of the employee, which often leads to the inability to establish an occupational disease to the patient. In 7.0% of cases, the values of harmful industrial factors in the presented characteristics were on the border with the hygienic standard, which, with significant work experience and the presence of clear signs of occupational disease in the patient, also puts expert doctors in a difficult position. The situation mentioned above may be the cause of a legal dispute on the part of the employee if he refuses to establish an occupational illness and the employer if the issue is resolved positively for the employee. The reasons for delaying the terms of the examination were the need to request additional documents in connection with the data provided in the characteristics on the nature of the influencing harmful factors, based only on literary sources. Non-compliance with the deadlines for submitting the attributes to the Center of Occupational Pathology was observed in almost 100.0 % of cases. In 75.0% of cases, employees signed it without receiving explanations of quantitative and qualitative indicators. Conclusion. There is an urgent need to review the methodological approaches to compiling sanitary and hygienic characteristics of working conditions, develop an algorithm for its preparation, and the level of responsibility of all stakeholders for the quality of the document.

Adapting the Form of the sanitary and hygienic characteristics of working conditions to the new Sanitary Law

2021 ◽  
Vol 61 (12) ◽  
pp. 787-796
Author(s):  
Igor V. Bukhtiarov ◽  
Lyudmila V. Prokonenko ◽  
Alla V. Lagutina ◽  
Nikolay N. Courierov ◽  
Elena S. Pochtareva
Keyword(s):  
Working Conditions ◽  
Occupational Disease ◽  
Occupational Diseases ◽  
Biological Factor ◽  
Single Digit ◽  
Current Form ◽  
Production Factors ◽  
Depth Analysis ◽  
Special Assessment

Introduction. The current Form No. 362-1/y-2001 "The sanitary and hygienic characteristics for the working conditions of an employee having suspicion of an occupational disease (poisoning)" does not meet the requirements of Sanitary Law developed within the framework of the "regulatory guillotine". It complicates the investigation of occupational diseases and carrying out an objective examination of the connection between the disease and the profession. The study aims to analyze the Form for the sanitary and hygienic characteristics (SHC) of working conditions and substantiate proposals for its adaptation to the current regulatory legal acts to objectify the investigation of occupational diseases cases and the examination of the connection between the disease and the profession. Materials and methods. We carried out the expert-analytical study. We analyzed and compared data from Rospotrebnadzor (2001-2020) on occupational morbidity and Rosstat (2014-2020) on employment in harmful and (or) hazardous working conditions. We also studied the SHC (503) submitted for examination of the connection between disease and profession (including forensic medical examination). The structure of the Form for the completeness of the presentation of issues on various aspects of working conditions, the quality of the compilation and content of the SHS was determined in accordance with the current Sanitary Law. The authors evaluated the structure of the Form for the presentation of questions on various aspects of working conditions, determined the quality of the compilation and content of the SHC in accordance with the current Sanitary Law. Results. With a decrease in the number of newly registered cases of occupational diseases over 20 years by more than 3.7 times, the share of workers in harmful and(or) hazardous working conditions in the main types of economic activity decreased in 2020 relative to 2014 in 1,1 time (37.3%). A comparative assessment of the standardized indicators of harmful production factors specified in the SHC and the ones approved in SanPiN 1.2.3685-21 revealed their complete inconsistency. The results of in-depth analysis of 503 SGH allowed us to determine the most typical errors in assessing production factors at workplaces: incorrect assessment of standardized single-digit noise indicators (equivalent sound level A for an 8-hour working day), vibration (equivalent level corrected along the Z-, Y-, X-axes ); lack of data on dust load and the average value of air temperature - THC-index; assessment of the labour severity without considering the technological operations performed, etc. We noted the predominant assessment of working conditions by the main factor developing an occupational disease, without considering the accompanying risk factors that aggravate its effect. We also noted a significant underestimation of the levels when assessing the general transport, technological and technological vibration due to the differences between hygienic standards and the norms adopted in the Methodology for conducting a special assessment of working conditions. SCH contains no information on lighting, biological factor, labour intensity in 67.0-75.0% of cases. Conclusion. We substantiated proposals for improving Form No. 362-1/y-2001 of the SHC of working conditions, considering an electronic form of the document, revising the instructions for filling out the SHC.

scholarly journals Comparative Characteristics of Working Conditions and Occupational Morbidity across Industries in the Republic of Bashkortostan

2021 ◽  
pp. 15-24
Author(s):  
II Khisamiev ◽  
NKh Sharafutdinova ◽  
MA Sharafutdinov
Keyword(s):  
Risk Factors ◽  
Working Conditions ◽  
Occupational Disease ◽  
Disease Incidence ◽  
Occupational Risk ◽  
Physical Work ◽  
Steady Increase ◽  
Occupational Risk Factors ◽  
Republic Of Bashkortostan ◽  
The Republic

Background: Improvement of working conditions at enterprises of various sectors of economy can be achieved by solving comprehensive organizational, social, legal and other tasks. The purpose of the research was to study working conditions and occupational morbidity of workers of various industries in the Republic of Bashkortostan in 2000–2019. Materials and methods: We analyzed working conditions of the population employed at the enterprises of the republic and occupational disease rates. Results: Most occupational risk factors were attributed to imperfection of technological processes, equipment and design flaws of machines, mechanisms, equipment, devices and tools. More than a third of cases of occupational disorders were diseases of the musculoskeletal system while every fifth case was that of a respiratory disease; radiculopathy and vibration disease prevailed among nosological forms. Men exposed to general vibration were most at risk of developing occupational diseases, including those induced by other occupational risk factors. At enterprises of mining, construction, and manufacturing industry, working conditions usually failed to meet sanitary and hygienic requirements for physical work heaviness, noise and chemical exposures, in agriculture – for physical work heaviness, and in transport and communications – for work heaviness and intensity. Conclusion: We observed a steady increase in the proportion of employees exposed to occupational risk factors and/or hazards and a simultaneous decrease in registered occupational disease incidence rates.

scholarly journals Teachers' characteristics as factors of the school sport quality in the Republic of Serbia

2020 ◽  
Vol 33 (4) ◽  
pp. 79-90
Author(s):  
Marija Grbović ◽  
Srđan Marković ◽  
Dragana Bogavac
Keyword(s):  
Work Experience ◽  
Teacher Characteristics ◽  
Physical Education Teachers ◽  
Management Tools ◽  
Quality Work ◽  
School Sports ◽  
School Sport ◽  
Sports Programs ◽  
The Republic

Within the system of school sports, insufficient attention in the literature is paid to those who lead and carry out this process - physical education teachers. The aim of this paper is to examine the effects of teacher characteristics on the quality of school sports in the Republic of Serbia, as well as the importance and satisfaction of teachers with various organizational and management tools as agents of intrinsic motivation and their connection with the quality of school sports. For the purposes of the research, a questionnaire was constructed from which the variables of the general characteristics of teachers and the variables of the school sports quality were selected, as well as 12 variables which evaluated their satisfaction with certain aspects of motivation for the good quality work and commitment in school sports. It was observed that in 80% of cases the participation of students in sports competitions does not exceed 25%, while the principle of "all or no one" (25% or 100%) was observed among teachers. On the other hand, significant correlations were identified between the majority of the examined quality variables and the aspects of motivation, above all with the factors of teamwork, work autonomy, and school affirmation. In addition, our comparative analyses determined the influence of teachers' age and work experience on participation in sports programs. Based on all the above said, it can be concluded that the means of motivation of teachers, as well as their work experience, can be the basis for maintaining positive trends in the quality of school sports in Serbia.

Working conditions and occupational pathology of Kola Polar miners

2020 ◽  
pp. 456-461
Author(s):  
S. A. Syurin ◽  
S. A. Gorbanev
Keyword(s):  
Working Conditions ◽  
Polar Region ◽  
Objective Assessment ◽  
Mining Industry ◽  
Copper Nickel ◽  
Increased Risk ◽  
Murmansk Region ◽  
Special Assessment ◽  
Medical Examinations

Introduction. Despite the improvement of mining technologies and personal protective equipment for employees, working conditions in the mining industry create an increased risk of occupational diseases.The aim of the study is to compare the working conditions and features of professional pathology of miners in the production of iron, apatite and copper — nickel ore in the Kola Polar region.Materials and methods. The data of social and hygienic monitoring on the section “Working conditions and occupational morbidity” of the population of the Murmansk region in 2007–2017 were studied.Results. It was found that in 2007–2017, there was no significant improvement in the working conditions of the studied groups of employees of mining enterprises. The structure of professional pathology of miners was still dominated by vibration disease (37.0%), radiculopathy (23.8%), mono-polyneuropathy (15.5%), sensorineural hearing loss (15.5%), and among the etiologically significant harmful industrial factors — the severity of labor (54.1%), general vibration (23.8%) and noise (13.1%). During the observation period, occupational morbidity in the mining of iron and copper-nickel ore decreased significantly, while in the mining of apatite ore it tended to increase. There is no causal relationship between changes in working conditions and the level of occupational morbidity of miners.Conclusions. It is necessary to improve the quality of hygienic and clinical research when conducting a special assessment of working conditions and periodic medical examinations to obtain an objective assessment of occupational health risks for miners in the Kola Polar region.

Results of special assessment of working conditions for workers in various sectors of economy of the Republic of Bashkortostan

2020 ◽  
pp. 41-48
Author(s):  
Elena Abrakhmanova ◽  
Lyaylya Masyagutova ◽  
Aynur Gabbasov ◽  
Akhat Bakirov ◽  
Galina Gimranova ◽  
...  
Keyword(s):  
Working Conditions ◽  
Physical Factor ◽  
Biological Factor ◽  
Production Environment ◽  
Professional Groups ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
The Moment ◽  
Special Assessment ◽  
The Impact

The work presents data analysis of the results of special assessment of working conditions for workers of various branches of economy in the Bashkortostan Republic. Results of special assessment of working conditions (SAWC) and medical examinations were used for the analysis. It is noted, that some professional groups, for example, persons performing their work in the sphere of agriculture, have no exposure to the biological factor. Construction workers were not exposed to industrial vibration, while the noise level for half of the analyzed cases was of class 2.0, although in most cases, industrial noise and vibration have single source. Proportion of facilities that revealed a discrepancy between levels of harmful industrial factors and requirements of sanitary legislation remains high. The greatest share of objects does not correspond to sanitary and epidemiological requirements according to the chemical and physical factor. At the moment, SAWC does not fully reflect the working conditions of employees in different sectors of production. Underestimation of its influence on working conditions of workers is typical for a considerable number of professional groups and individual jobs. Analysis on the basis of SAWC is not sufficient for a hygienic assessment of the impact of production environment factors and labour process on health and requires comprehensive assessment methods.

Sudden death from diseases of the circulatory system of employees of enterprises of the Republic of Bashkortostan

2020 ◽  
Vol 99 (4) ◽  
pp. 384-389
Author(s):  
Lilia K. Karimova ◽  
Z. F. Gimaeva ◽  
T. N. Astrelina ◽  
N. A. Muldasheva ◽  
A. B. Bakirov ◽  
...  
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Sudden Death ◽  
Cause Of Death ◽  
Working Conditions ◽  
Circulatory System ◽  
Republic Of Bashkortostan ◽  
The Republic ◽  
Special Assessment ◽  
Medical Examinations

Introduction. Over the past decade, in Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from the disease of the circulatory system. Material and methods. During the study, there were studied the databases of the State Labor Inspectorate in the Republic of Bashkortostan in 2014-2018, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations and other materials. Results. Diseases of the circulatory system (DSC) were the main cause of sudden death in the workplace in more than 90% of cases. The maximum number of cases of sudden due to DSC was recorded in the age group of 56-60 years. The overwhelming majority of the deceased cases were represented by working occupations - 82.8%, drivers of transport were in 13.7% of cases. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18) hours. The working conditions of deceased DCS workers in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1 - 3.3) 24.9% cases worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents in more than 50% of cases the code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of cases and was the main cause of death in men. In the group “Cerebrovascular Diseases”, “Intracerebral hemorrhage” was most often diagnosed. Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression and early diagnosis of DSC.

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.

DYNAMICS AND FEATURES OF THE FORMATION OF REGIONAL PROFESSIONAL INCIDENCE

2021 ◽  
Author(s):  
M.M. Sabitova ◽  
◽  
Z.M. Berkheeva ◽  
A.V. Shulaev
Keyword(s):  
Working Conditions ◽  
Work Experience ◽  
Occupational Diseases ◽  
Working Population ◽  
Ability To Work ◽  
Factors Affecting ◽  
Structure Dynamics ◽  
Working Age ◽  
The Russian Federation ◽  
The Republic

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.

Recommendations for developing measures to improve working conditions based on the results of periodic certification of production facilities for working conditions in the Republic of Kazakhstan

2020 ◽  
pp. 154-162
Author(s):  
V. A. Malashkina ◽  
A. Kopylova
Keyword(s):  
Working Conditions ◽  
Legal Framework ◽  
Production Environment ◽  
Improve Working ◽  
The Russian Federation ◽  
The Republic ◽  
The Moment ◽  
Special Assessment ◽  
First Time ◽  
Production Facilities

More than 160 million occupational diseases detected for the first time are registered annually around the world [1,2]. At the mining enterprises Of Kazakhstan, this indicator has remained consistently high for many years. Currently, in the Republic of Kazakhstan, the only procedure for identifying dangerous and / or harmful factors of the production environment and labor process and assessing the degree of their impact on the employee is the periodic certification of production facilities for working conditions (pout), which is analogous to the procedure for special assessment of working conditions (SOUT) in the Russian Federation. The relevance of the research is due to the need to improve the legal framework for labor protection in the Republic of Kazakhstan. The aim of this work is to improve working conditions at mining enterprises in Kazakhstan by improving the methodology for developing measures based on the results of periodic certification of production facilities for working conditions. To achieve this goal, a «List of measures to improve working conditions»is being developed based on the results of the PA-POUT. At the moment, this list is compiled in the image and likeness of practically the same at all mining enterprises. The article proposes the principle of grouping activities, which allows us to make a more detailed focus on the dangerous and harmful factors of a particular enterprise, as well as the reasons for their occurrence. The proposed ranking is necessary to take into account the specifics of each specific mining enterprise.

Critical analysis of the results of sanitary and hygienic characteristics of working conditions for pilots of civil aviation aircraft

2020 ◽  
Vol 60 (11) ◽  
pp. 782-784
Author(s):  
O. V. Immel ◽  
M. E. Fomina
Keyword(s):  
Retrospective Analysis ◽  
Working Conditions ◽  
Occupational Disease ◽  
Critical Analysis ◽  
Civil Aviation ◽  
Regulatory Documents ◽  
Measurement Results ◽  
Aviation Pilots

Introduction. Discrepancies in the regulatory documents regulating the compilation of sanitary and hygienic characteristics (SGC) of pilots' working conditions, the lack of a complex of laboratory and instrumental studies conducted at the workplace and, as a result, incomplete and unreliable compilation of SGC, lead to difficulties in establishing the connection between the disease and the pilot's profession. The aim of study is to conduct a critical analysis of the quality of the preparation of the CGS, followed by identifying the main violations of the requirements of regulatory documents in the design of the CGS. Materials and methods. A retrospective analysis of the quality of registration of the SGC of pilots with an established diagnosis of occupational disease was performed. Results. Contradictions in the current legal acts are established and discrepancies in methods for assessing the normalized indicators of working conditions of pilots are revealed. The data obtained indicate that the main requirements for filling out the SGC, justified by the specifics of the working conditions of pilots, are not taken into account when they are issued; when evaluating the measurement results, non-current regulatory documents are used, or documents that do not regulate the working conditions of civil aviation pilots. Conclusions. To improve the quality of registration of the SGC, it is necessary to update the current regulations and develop guidelines with the establishment of the form of the SGC for working conditions of civil aviation flight personnel in case of suspected occupational disease.

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