International Union for Circumpolar Health
Ministry of Public Health and Social Development of RF
Russian Academy of Medical Sciences
Siberian Branch of Russian Academy of Medical Sciences
Siberian Branch of Russian Academy of Sciences
Medical Polar Fund “Science”
The Northern Forum


13 International Congress on Circumpolar Health
Gateway to the International Polar Year

NOVOSIBIRSK, RUSSIA June 12 -16, 2006 Proceedings ICCH13
The Absract Book

Abstracts


Occupational health

OCCUPATIONAL MORBIDITY AND WORKING CONDITIONS IN THE EMPLOYEES UNDER CONDITIONS OF SIBERIA AND EXTREME NORTH

Lakhman O.L., Rukavishnikov V.S., Pankov V.A., Shayakhmetov S.F.

Research Institute of Industrial Medicine and Human Ecology of State Establishment Scientific Centre of Medical Ecology of Eastern-Siberian Scientific Centre of Siberian Branch of Russian Academy of Medical Sciences (Angarsk)

A common health state assessment of the working people in Russia testifies its serious worsening. Health protection problem among the employees is also dictated that, based on the data of State Committee of statistics of Russian Federation, the expected population quantity would be reduced by 6-8 millions under conditions of birth and mortality rate stabilization and would be 138 millions by 2016.

The Enterprises of Siberia and Extreme North are known to be general suppliers of gold, wood, coal, mica, oil-and chemical industry products, machine-and aircraft industry production, which stipulate a high development level of productive forces and an industrial regional potential. The working conditions for employees of many occupations have an extreme character taxing into account rigorous climatic regional conditions which result in development of occupational and production-stipulated diseases.

The higher occupational morbidity rates are continuously observed in Kemerovo Region, Chukotka Autonomous District, Irkutsk Region, Sakalin Region. They exceed the general Russian indices from 1.5 to 6 times. In addition, data analysis of specific gravity of chronic occupational diseases revealed during performing periodical medical examinations (PMEs) allowed to ascertain that at some territories this index was considerably higher than an average value in Russian Federation (65.4% of patients): diagnoses of occupational diseases were suspected in 79.5% of patients in Kemerovo Region, 75.2% in Irkutsk Region.

At the same time, a low level of revealing chronic occupational diseases and intoxications during PMEs of the employees was noted in Tomsk Region – 7.8%, Republic Sakha (Yakutia) – 26.1%, Western Siberian region (transport) – 41.0%. The diseases induced with exposure to physical factors- the diseases of support – motor system, vibration- induced diseases, neuro- sensoric dullness of hearing as well as respiratory system diseases, allergic and infections diseases were first found to prevail in occupational morbidity structure. Thereto, many occupational diseases develop much rapidly compared with the central country regions. For example, vibration- induced diseases in the assemblers- riveters, miners, cutters, moulders, wood fellers are formed 1.5 -2 times at much speed in Eastern Siberia compared with the workers of analogous occupations in Russian central regions.

Thus, ones of the general factors, promoting health worsening among the employees are rigorous climatic regional conditions about unfavourable effects of which on the development terms of leading forms of occupational diseases may testify a shorter period of their appearance in the workers in Siberia and Extreme North compared with the persons of analogous occupations in a central part of Russia.

Note. Abstracts are published in author's edition



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