scholarly journals Occupational health care in regions with different levels of occupational morbidity in agricultural workers

2021 ◽  
Vol 100 (5) ◽  
pp. 444-450
Author(s):  
Galina A. Bezrukova ◽  
Anatoly N. Mikerov ◽  
Vladimir F. Spirin
Keyword(s):  
Health Care ◽  
Occupational Health ◽  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Agricultural Workers ◽  
Occupational Health Care ◽  
Group Iii ◽  
Group I ◽  
The Russian Federation

Introduction. In recent years, special attention has been paid to the discrepancy between working conditions in different sectors of the Russian economy and the inadequately low level of registered occupational morbidity (OM). At the same time, as a rule, issues of access to occupational health care that are important for the rural population are not considered due to the lower potential of socio-economic and infrastructural development of rural areas compared to the city. Material and methods. The paper uses updated data on 82 subjects of the Russian Federation on working conditions, the level of OM of agricultural workers, and indicators of occupational health care for the rural population in 2011-2017. Results. The ranking of subjects of the Russian Federation by the level of non-infectious occupational morbidity of agricultural workers was carried out: group I (OM above the national average), group II (OM below the national average), group III (OM is not registered). It is shown that non-detection of occupational diseases in the regions of group III could be due to insufficient provision of rural health care by occupational pathologists (54.2%), low coverage of workers with periodic medical examinations (PME) (76.6%), as well as the absence of occupational health centers (OPC) in 5 territories. of the 18 regions. According to the criteria of availability of occupational pathologists (97.5%) and coverage of PME (95.5%), the highest availability of primary occupational pathology care occurred in the regions of group II. However, the high proportion of occupational diseases identified during self-treatment indicated a formal approach to conducting PME in this group. The most accessible specialized occupational health care was typical for the subjects of the Russian Federation of group I with a high level of OM, on the territory of which the most significant number of OPC functioned with the possibility of extended pre-examination of employees with suspected occupational diseases in a hospital. Conclusion. Along with harmful working conditions, the occupational morbidity of agricultural workers is primarily determined by the availability of specialized occupational health care, namely, occupational health centers’ availability, equipment, and capacity.

Occupational morbidity in the main industries in the context of the COVID-19 conavirus pandemic

2021 ◽  
pp. 56-61
Author(s):  
S.A. Babanov ◽  
I.I. Berezin
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Biological Factor ◽  
Working Population ◽  
Permanent Disability ◽  
Medical Institutions ◽  
Coronavirus Infection ◽  
The Russian Federation

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."

Working conditions and occupational morbidity as a basis for risk management

2021 ◽  
pp. 36-50
Author(s):  
N.A. Kostenko
Keyword(s):  
Risk Management ◽  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Legal Status ◽  
Occupational Risk ◽  
Work Related ◽  
The Russian Federation

The results of studies are presented, they allow to formulate recommendations on principal problems of unification in the field of statistics of occupational diseases. There are several definitions of occupational diseases in Russia, but they are outdated and do not correspond to the concept of occupational risk recognized in the Labour Code of the Russian Federation. It is proposed to adopt the WHO concept of work-related illnesses and give it a legal status.

scholarly journals The liver fluke Opisthorchis felineus as a group III or group I carcinogen

4open ◽  
2019 ◽  
Vol 2 ◽  
pp. 23 ◽  
Author(s):  
Mariya Yurievna Pakharukova ◽  
José Manuel Correia da Costa ◽  
Viatcheslav Alekseevitch Mordvinov
Keyword(s):  
Risk Factors ◽  
Russian Federation ◽  
Liver Fluke ◽  
Clonorchis Sinensis ◽  
Opisthorchis Felineus ◽  
Group Iii ◽  
Group I ◽  
Carcinogenic Potential ◽  
The Russian Federation ◽  
Liver Flukes

Opisthorchiasis caused by the liver fluke Opisthorchis felineus is one of the most common helminthic infections in the Russian Federation. The largest area affected by opisthorchiasis felinea occupies almost the entire territory of Western Siberia and extends to northern Kazakhstan and a part of the Ural region. Natural endemic regions of opisthorchiasis also exist in the European part of Russia, and in the regions of Western and Eastern Europe. According to the official statistics of the Russian Federation, up to 40 000 patients with opisthorchiasis are registered annually in the country. Opisthorchiasis felinea affects the hepatobiliary system and causes serious liver disorders, including cancer of the biliary tract. Other parasitoses, opisthorchiasis viverrini and clonorchiasis, are widespread in the Southeast Asia and China. The causative agents of these diseases, liver flukes O. viverrini and Clonorchis sinensis, are officially recognized as Group 1 biological carcinogens and are classified as the main risk factors for cholangiocarcinoma. O. felineus is included in Group 3 of biological carcinogens and is not officially considered carcinogenic to humans. Studies on the carcinogenic potential of this liver fluke and the epidemiology of cholangiocarcinoma in the Russian Federation have started in earnest quite recently. Nevertheless, we have some evidence that infection with O. felineus leads to a precancerous state of the bile duct epithelium. This state, combined with additional risk factors, poses a real risk of cholangiocarcinoma. In our opinion, taking into consideration the accumulated facts, the classification of the carcinogenic potential of O. felineus requires revision. In this review, we focus on the relevant characteristics of the biology and epidemiology of this helminth as well as experimental data on opisthorchiasis felinea; this information might clarify the carcinogenicity of O. felineus to humans.

scholarly journals Assessment of the working conditions under exposed to noise and infrason

2021 ◽  
Vol 23 (1) ◽  
pp. 207-214
Author(s):  
Vasily G. Mironov ◽  
Nikolai D. Khasiev ◽  
Vadim S. Isachenko ◽  
Ksenia Yu. Korolevа
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Noise Exposure ◽  
Armed Forces ◽  
Medical Examination ◽  
Physical Factors ◽  
Industrial Noise ◽  
The Russian Federation ◽  
Special Assessment

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.

Hygienic aspects of the analysis of occupational morbidity of agricultural workers in the Kemerovo region

2021 ◽  
pp. 40-48
Author(s):  
Tatyana Anatolievna Suvidova ◽  
Galina Vladimirovna Kurenkova
Keyword(s):  
Cluster Analysis ◽  
Working Conditions ◽  
Occupational Diseases ◽  
Agricultural Sector ◽  
Agricultural Workers ◽  
Agricultural Enterprises ◽  
Cluster Distance ◽  
The Russian Federation ◽  
Tractor Driver ◽  
Medical Examinations

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.

Epidemiological, clinical, and expert problems of occupational infectious diseases of workers during medical care in the COVID-19 pandemic

2021 ◽  
Vol 61 (1) ◽  
pp. 4-12
Author(s):  
I. V. Bukhtiyarov
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Social Insurance ◽  
Working Environment ◽  
Insurance Fund ◽  
Social Insurance Fund ◽  
The Social ◽  
The Russian Federation ◽  
Special Assessment

Preserving the working population's health is a priority direction of state policy in labor relations, labor protection, and the provision of healthy and safe working conditions by the employer and the state, prevention of occupational diseases. The state's economic growth in a competitive era is mainly due to the level of health and working capacity of the population. This issue has acquired relevance in the COVID-19 pandemic for medical workers. Among these workers, the incidence of the new coronavirus infection COVID-19 is associated with professional duties and entails a high risk of morbidity and mortality. The paper presents the results of a special assessment of working conditions. The author studied the data on the presence of occupational diseases among medical workers in 2019 (according to the data of the Social Insurance Fund of the Russian Federation). On the example of 15 medical organizations of the Russian Federation, an analysis of the working environment factors was carried out. The distribution of occupational diseases was analyzed depending on the harmful factors of the working environment in 2019. Information is provided on the implementation in 2020 by the Social Insurance Fund of the Russian Federation of the Decree of the President of the Russian Federation dated 06.05.2020 No. 313 "On providing additional insurance guarantees to certain categories of medical workers" (as of 07.12.2020). Clinic of the Izmerov Research Institute of Occupational Health and the centers of occupational pathology of the constituent entities of the Russian Federation provided preliminary information on the examinations of professional suitability, studies of the connection of the disease with the profession (including among medical workers) in the Russian Federation in 2020.

Problems of providing occupational health care to employees of agro-industrial complex

2020 ◽  
pp. 567-567
Author(s):  
Z. M. Berheeva
Keyword(s):  
Health Care ◽  
Occupational Health ◽  
Occupational Diseases ◽  
Industrial Complex ◽  
Occupational Health Care ◽  
Occupational Physicians ◽  
District Hospitals ◽  
Number Of Patients ◽  
Central District ◽  
Medical Examinations

The presence in the Central district hospitals of occupational physicians has increased the detection of occupational diseases among agricultural workers when seeking medical care. The lack of regular medical examinations leads to late diagnosis, an increase in the number of patients with initially identified two or more occupational diseases.

Work, Disease, and Occupational Medicine in the Federal Republic of Germany

1981 ◽  
Vol 11 (2) ◽  
pp. 191-205 ◽  
Author(s):  
Hans-Ulrich Deppe
Keyword(s):  
Health Care ◽  
Economic Development ◽  
Occupational Health ◽  
Federal Republic ◽  
Economic Crisis ◽  
Occupational Medicine ◽  
Occupational Diseases ◽  
Occupational Accidents ◽  
Occupational Health Care ◽  
Federal Republic Of Germany

The development of occupational diseases, accidents, and injuries is analyzed within the framework of social, technological, and economic development in the Federal Republic of Germany. The interaction between economic crisis and occupational accidents is described and the distribution and origins of occupational accidents discussed. Finally, the occupational health care system in the Federal Republic is analyzed.

IMPROVING THE STATISTICAL REPORTING OF MEDICAL ORGANIZATIONS IN THE RUSSIAN FEDERATION

2021 ◽  
Author(s):  
I.V. Bukhtiyarov ◽  
◽  
E.P. Kakorina ◽  
S.S. Zemlyakova ◽  
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Russian Federation ◽  
Occupational Medicine ◽  
Health Care Organizations ◽  
Reliable Data ◽  
Medical Organization ◽  
The Russian Federation ◽  
Medical Examinations ◽  
Statistical Form

Abstract. All management decisions in the healthcare are based on reliable data from medical accounting and reporting. Aim. Improve reporting forms in order to optimize accounting and reporting. Materials and methods. One of the main statistical forms of medical reporting that makes it possible to analyze indicators of the health status of workers and the activities of medical organizations in occupational medicine in the Russian Federation is the Form No. 30 “Information about a medical organization”. Results. The indicators analysis of the activities of medical organizations in the Russian Federation providing occupational health care was carried out on the basis of the Form No. 30 “Information about a medical organization”. The reporting forms about the examinations of occupational suitability and examinations of the connection between the disease and the occupation in the Russian Federation have been also developed and improved. The data analysis of medical organizations in the system for accounting and analyzing of occupational diseases «Occupational medicine» posted on the web-site http://profstat-irioh.ru is also carried out. Conclusion. It is proposed to improve the reporting documentation in order to optimize accounting and reporting if necessary. It is also proposed to keep statistics on the mandatory preliminary and periodic medical examinations for workers employed in jobs with harmful and (or) hazardous working conditions in the federal statistical form No. 1-zdrav “Information about the health care organizations”.

LEGAL FOUNDATIONS OF MODERN OCCUPATIONAL MEDICINE

2021 ◽  
Author(s):  
K.V. Gavrylyshena ◽  
◽  
V.A. Semenikhin ◽  
E.V. Chasovskikh ◽  
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Medicine ◽  
Industrial Development ◽  
Occupational Diseases ◽  
Safety Measures ◽  
Innovative Technologies ◽  
Legal Foundations ◽  
The Russian Federation

Abstract: The Russian Federation is currently undergoing a period of active industrial development, the introduction of innovative technologies and the emergence of new professions. In turn, the development of industry leads to an even greater number of people than before who are engaged in production in contact with harmful labor factors, and therefore increases the risk of developing occupational diseases. Occupational medicine protects the health of employees, and thanks to actively developing legislation, it can effectively monitor the improvement of safety measures and changes in working conditions, in order to ultimately reduce the number of people with occupational pathologies in the population.

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