Kundiiev Y. I., Nagornaya A. M., Sokolova M. P., Kononova I. G.
DYNAMICS OF OCCUPATIONAL MORBIDITY IN UKRAINE AND EXPERIENCE OF THE INSTITUTE FOR OCCUPATIONAL HEALTH OF NAMS OF UKRAINE
SI «Institute for Occupational Health of NAMS of Ukraine», Kyiv
Full article (PDF), UKR
Introduction. According to ILO and WHO data the number of accidents and diseases, related to occupational activity, tends to increase and results in more than 2 millions human lives annually. The study of occupational morbidity of workers in Ukraine has a long history. Health assessment of workers and its relation on work conditions also acquires a particular attention in due respect of changes in socio-economic position.
Purpose of the study was to define regularities of formation of occupational morbidity with due account of risk development of occupational diseases in workers of main branches of industry.
Materials and methods. A comparative analysis of indices of occupational morbidity have been conducted in dynamics, with account of types of economic activity, main types of pathology, processing «Cards of records on occupational diseases (poisonings)», the data of MH of Ukraine and the Fund of social insurance from accidents at work and occupational diseases of Ukraine. Calculations of relative risks and absolute risks of development of occupational diseases by selected branches of industry have been made.
Results. It is defined that the absolute number of workers engaged in production with harmful work conditions has been declined in recent time, whereas the number of patients with occupational diseases has increased. The number of recorded cases of firstly defined chronic diseases ranges from 4,0—9,0 thousand (2,3—4,5 cases per 10 000 workers). In the structure of occupational morbidity the first place is taken by diseases of dust etiology (40—65 %), the second — bone-muscular system and the connective tissue (near 20 %), the third — vibration disease (8—9 %).
Conclusion. Unfavorable regions, regarding formation of occupational pathology, are those where there are large enterprises of leading branches of industry (coal mining, metallurgy, machine building) and where there is the greater part of workers, engaged in harmful work conditions (Donetsk, Lugansk, Dnipropetrovsk, Zaporizhzha and others). The level of occupational risk of development of occupational diseases in coal mining, metallurgical industries, machine-building is correlated with work conditions by indices on occupational morbidity, by the data of profound medical examinations and temporary morbidity.
Keywords: occupational morbidity, types of pathology, work conditions, main types of economic activity, experience of the Institute
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