Kundiiev Y. I., Nagornaya А. М., 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 atten-tion 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 (poison¬ings)», 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 occupa¬tional 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.
Key words: occupational morbidity, types of pathology, work conditions, main types of economic activity, experience of the Institute
- ILO and WHO information: the number of accidents at work and the number of diseases associated with occupational activity continues to be increased. 2005, 1http://undp.by/ru/ilo/news/world/02-05-05-03.html
- Yershova, M. A., Belashova, I. G. 2000, «Occupational morbidity in agriculture of Ukraine», Collection of papers «Gigiyena truda», Issue 31. Kiev, pp. 32-39. (in Russian).
- Kundiev, Y. I., Krasnyuk, E. P., Gvozdenko, L. A., Yershova, M. A. 1999, «State of occupational morbidity inUkraine in the modern period», Vrachebnoye delo, no. 5, pp. 146-149. (in Russian).
- Kundiiev, Y. I. 1999, «Occupational health in the transitional period», Gigiyena truda, Issue 30, pp. 8-13 (in Russian).
- Kovalchuk, T. A., Bednarik, O. M., Naumenko, B. S., Zerkal, L. I. 1999, «Occupational morbidity, state of occupational and pathological service and ways of their reformation in coal mining and metallurgical industries of Ukraine», Gigiyena truda, Issue 30, pp. 36-42 (in Ukrainian).
- Coggon, D., Goldsmith, Y.,Vedrichowski, W. et al. 1993, Seminars on environmental epidemiology. Anex. book. Geneva: WHO, 196 p.
- Kundiiev, Y. I., Nahorna, A. M. 2007, Occupational health in Ukraine. An epidemiological analysis. Kiev: Avicenna, pp. 13-47 (in Russian).
- Kundiev, Y. I., Nahorna, A. M. 2005, «Occupational morbidity in Ukraine within a long-term supervision», Ukr. J. Occup. Health, no. 1, pp. 3-11 (in Ukrainian).
- Contribution of Occupational Risk Factors to the Global Burden of Disease. 2002, The World Health Report 2002. Reducing Risks, Promotion Healthy Life. Geneva: WHO, pp. 9-12.
- Nicholson, P. J. 2002, «Occupational health in the European Union», Occup. Med., Vol. 52, no. 2, pp. 80-84.
- Szeszenia-Dabrowska, N., Wilczynska. U. 2006, «Occupational Diseases in the period of socioeconomic transition in Poland», Int. J. Occup. Med. Environ. Health, pp. 99-106.
- Markowitz, S. B. 1998, «Occupational disease surveillance and reporting systems». Chapter 32, Encyclopaedia of Occupational Health and Safety. ILO: Geneva, pp. 32.1-P32.8.
- Fingerbut, M. 2004, «Contribution of Occupational Risk Factors to the Global Burden of Disease», Reducing Risks. Promotion Healthy Life: The World Health Report 2002. Geneva: WHO, pp. 9-12.
- Rostovtsev, V. N., Lomat, L. N., Ryabkov, O. I., Marchenkova, I. B., Kuzmenko B. E., 2008, The procedure
of the combined assessment of losses of health due to morbidity and mortality. Minsk, pp. 28 (in Russian).
- Sokolova, M. P. 2011, «Occupational pathology of chemical genesis in Ukraine over the last 15 years (1995 -2009)», Ukr. J. Occup Health, no. 2, pp. 42-45 (in Ukrainian).
- Kundiiev, Y. I., Trakhtenberg, I. M. 2004, «Chemical hazard in Ukraine and measures for its prevention», Zhurnal AMS Ukrainy, no. 2, pp. 259-267 (in Russian).
- Basanets, A. V., Lubyanova, I. P. 2009, «Problems of occupational pathology and ways of their solving in the modern stage», Ukr.J.Occup. Health, no. 1, pp. 3-12 (in Ukrainian).
- Statistical Collector «Work in Ukraine 2012». 2013. Derzhstat Ukraine, 321 p. (in Ukrainian).
- Kononova, I. G. 2013, «State and perspectives of the sanitary and epidemiological supervision of industrial enterprises in Ukraine», Ukr. J. Occup. Health, no. 2, pp. 3-10 (in Ukrainian).
- Global health risks: mortality and burden of disease attributable to selected major risks. 2009. Geneva: WHO, 112 p.
- Occupational risk. Theory and practice of assessment. 2011, Monograph (Eds. A. G. Hkrupachev, A. A. Khadartsev). Tula: Edition of Tula State University, 330 p. (in Russian).
- Nahorna, A. M., Vitte, P. N., Sokolova, M. P., Kononova, I. G., Orekhova, O., Mazur, V. V. 2012, «Assessment of risk development of occupational diseases in workers of metallurgic, mining industries and machine building in Ukraine», Ukr. J. Occup.Health, no. 3, pp. 3-13 (in Ukrainian).
- Dhara, V. K., Dhara, R., Acquilla, S. D., Cullinan, P. 2000, «Personal exposure and long-term health effects in survivors of the Union Carbide disaster at Bhopal», Environ Health Perspective, Vol. 110, no. 5, pp. 487-500.
- Occupational risk for workers (Manual). 2003, (Eds. N.F. Izmerov, E. I. Denisova). Moscow: TpoBaHT, 198 p. (in Russian).