https://doi.org/10.33573/ujoh2016.01.003

Nahorna A. M., Sokolova M. P., Vitte P. M., Kononova I. G., Pyatnitsa-Gorpynchenko N. K.

STATE OF OCCUPATIONAL MORBIDITY IN THE PERIOD OF LEGISLATIVE CHANGES IN UKRAINE

State Institution "Institute for Occupational Health of the National Academy of Medical Sciences of Ukraine", Kyiv

Full article (PDF), UKR

Introduction. The health care system, existing nowadays in Ukraine, does not provide for a priority medical and sanitary service for workers. There is now an urgent need to raise effectiveness in prevention and treatment of occupational diseases. With this in view it is necessary to develop a set of measures on health protection and organization of medical care of workers, based on the significant information on their state of health. Occupational morbidity is, at present, of a particular social importance, the significant information of which is very important for assessment and management of occupational risks.

Purpose of the study. To analyze occupational morbidity in Ukraine over the period of 200–2014 and to study possible ways for improvement of statistics in occupational morbidity on the basis of modern computed technologies for raising the effectiveness of management in prophylaxis of occupational diseases.

Materials and methods. The study and analysis of occupational morbidity in Ukraine over the period of 2005–29014 were conducted. There have been collected and processed almost all principle data, available in 64 418 "Cards for recording occupational diseases (occupational poisonings)". In order to solve the assigned tasks a combination of hygienic, epidemiological, medico-statistical methods have been used as well as systemic analysis. Also, an analysis of scientific publications with the use of electronic resources and WHO, ILO, PubMed databases has been made. The studies on recent possibilities for the use of medical information and analytical systems for recording and analysis of the information on occupational morbidity, based of the data of the scientific literature, have been conducted.

Results. A characteristic mark in the dynamics of occupational morbidity rates in the country over the last 12 years was its wave-like character. A peculiarity of this wave is the excess in the growth of the morbidity rate over rates of growth of the absolute number of patients. This is because, nowadays, the absolute number of workers in production sector with harmful work conditions has been decreased, whereas the number of patients with occupational diseases has been on the contrary increased. The state of the occupational morbidity in Ukraine is characterized by its peculiarities concerning rates and distribution of the suffered by branches. The largest number of occupational diseases is recorded in coal mining, machine building and metallurgy industries. The rates of occupational morbidity by regions per 1000 workers demonstrate that its highest rates are significantly higher than on the average in the country: in Donetsk (9,2–16,6) per 100 000 workers), Dnipropetrovsk (6,1–10,4) Lugansk (9,9–27,4) and Lviv (5,5–12,7) regions. The distribution of cases of occupational diseases according to main types of pathology shows that the largest number of occupational diseases falls on respiratory and musculoskeletal system. A comparative characteristics of functioning of the "Registry of individuals suffered from accidents at work and from occupational diseases", recorded in the "Fund of social insurance from accidents at work and from occupational diseases in Ukraine" and "Automated information system of the Ministry of Health of Ukraine" show that they do not make possible to compare the results of the analysis for detection and register occupational diseases by different approaches to the data storage on patients suffered from occupational diseases and for recording cases of occupational diseases by different classifiers. The both registries do not cover monitoring of the suffered.

Conclusion. Respiratory and musculoskeletal diseases are recorded mostly often. The regions, where there are available large enterprises of the leading branches of the national economy and where there are concentrated the significant number of workers, engaged in harmful conditions, are the most dangerous in respect of formation of the occupational pathology (Donetsk. Lugansk, Dnipropetrovsk, e. a. regions). The highest risk of development of occupational pathology is in coal mining, metallurgy, machine building, due to a combination of unfourable production factors (dust, noise, vibration etc.) in underground winning. Regarding the world and national experience the main difficulty in detection and recording occupational diseases is in inavailability and insufficiency of the system for collection and analysis of the data. The main shortcoming in the system for recording occupational disease in Ukraine is that it does not cover information on storage of the cases on occupational pathology over the whole period of registration and monitoring of the suffered. So, it does not make it possible to objectively assess the quality of medical care for workers and to eliminate, in time, potential work health hazards. The development of the "State registry on occupational diseases", based on high information technologies, will help to solve this problem on the scientifically grounded basis.

Key words: occupational morbidity, automated information system, detection, recording, registration, registry, software

References

  1. Kundiiev Y.I., Nagorna A.M., Sokolova M.P., Kononova I.G. 2013, "Dynamics of occupational morbidity in Ukraine and experience of the Institute for Occupational Health of NAMS of Ukraine", Ukrainian Journal of Occupational Health, no. 4 (37), pp. 11-22 (in Ukrainian).
  2. International Labor Office (ILO). 2011. ILO introductory report: global trends and challenges on occupational safety and health, Report, XIX World Congress on Safety and Health at Work, Istanbul, Geneva, Site: http://www.ilo.org/wcmsp5/groups/ public/---ed_protect/---protrav/---safework/ documents/publication/wcms_162662.pdf (10 January 2013).
  3. Huanqiang, Wang, Li, Tao. 2012, "Current situations and challenges of occupational disease prevention and control in China", Industrial Health, v. 50, pp. 73–79. https://doi.org/10.2486/indhealth.MS1341
  4. Superintendencia de Riesgos del Trabajo, Argentina. 2009. Anuario Estadístico de Siniestralidad 2010. Site: www.sometracomahue.org.ar/sitio/ descarga/AnuarioSRT2010/SRTanuario2010.pdf (28 January 2013).
  5. Ministry of Health, Labor and Welfare, Japan. 2011. Survey of work-related diseases. Site: www. mhlw.go.jp/bunya/roudoukijun/anzeneisei11/h23. html (4 March 2013).
  6. Department for Work and Pension, United Kingdom. 2012. Industrial injury first diagnosed prescribed diseases, all assessments resulting in payment in the quarter by type of disease. Site: statistics.dwp.gov.uk/asd/asd1/iidb/ iidb_quarterly_ mar12.xls (23 January 2013).
  7. Bureau of Labor Statistics, United States Department of Labor. 2012. Incidence rates and numbers of nonfatal occupational illnesses by major industry sector, category of illness, and ownership, 2011. Site: www.bls.gov/news. release/osh.t06.htm (24 January 2013).
  8. Szerzenia-Dabrowska, N., Wilczinska, U., Szymczak, W. 2005, "Occupational diseases in Poland", Med. Pracy, v. 56, no. 4, pp. 275–284.
  9. Izmerov, N. F. 2013, "Actualization of problems on occupational morbidity", Zdravookhr. Ros. Feder., no. 2, pp. 14–17 (in Russian).
  10. Kundiev Yu.I., Nagarna A.M, Dobrovolsky L.O. 2009, "Comparative characteristics of the state of occupational morbidity іn Ukraine and in the world" , Ukrainian Journal of Occupational Health, no. 2 (18), pp. 3-11 (in Ukrainian).
  11. Sokolova, М. P. 2003, Peculiarities of detection of occupational diseases among workers of enterprises in the Kyiv oblast (region), Collection of papers "Gigiyena truda", Issue 34, v. 2, pp. 795–802 (in Ukrainian).
  12. Sokolova M. P. 2011, "Assessment of the efficiency of periodic medical examinations of individuals, working in harmful and dangerous conditions", Ukrainian Journal of Occupational Health, no. 1 (25), pp. 46-52 (in Ukrainian).
  13. Grechkovskaya, N. V. 2013, New organizational types of occupational pathological care of the working population, Collection of papers, "Modern medicine: actual problems, XXIV Sci. Pract. Conf, Novosibirsk, no. 24, pp. 58–62 (in Russian).
  14. Decree of the Cabinet of Ministers of Ukraine of 30.11.2011 № 1232 "On approval of the Order on conducting examination and recording causalities, occupational diseases and accidents at work".
  15. Kundiev Yu.I., Nahorna A.M., Varyvonchyk D.V., Golubchikov M.V., Basanets A.V. 2006, "Statistical registration of occupational pathology in Ukraine based on the International Classification of Diseases of the 10th revision", Ukrainian Journal of Occupational Health, no. 4 (25), pp. 3-10 (in Ukrainian).
  16. Каrnaukh, М., Bednaryk, O., Galaburda, L., Sukhomlyn, M. 2000, "Automated system for registration: Occupational morbidity", Medytsyna pratsi, no. 10, pp. 36–37 (in Ukrainian).
  17. Kundiyev, Yu. I.,Nahorna, A. M., Stepanenko, A. V. 2003, Conceptual bases in development of modern information system for recording and data storage on occupational diseases and traumas at work in Ukraine, Gigiyena truda, Issue34, pp. 747–756 (in Ukrainian).
  18. Nahorna, A. M. 2013, "Perspectives in implementation of information technologies on recording and analysis of incidence of occupational morbidity among workers in Ukraine, Material of the sci. conf.", Actual problems of diagnostics, treatment and prophylaxis of occupational diseases, Ukr. Institute Industr. Medicine, Kryvyj Rig, pp. 14–23.(in Ukrainian).
  19. Goncharova, A. G. 2000, "Medical registries as information chains in management of the quality of medical examination of individuals with extreme professions", Vestnik Roszdravnadzora, no. 1, pp. 27–29 (in Russian).
  20. Zakharenkov, V. V. Oleschenko, A. M., Danilov, I. P., Surzhikov, D. V., Kislitsina, V. V., Korsakova, T. G. 2013, "A new medical technology for assessment of health risks for workers of industrial enterprises", Sovremennyie naukoyemkiye tekhnologii, no. 9, pp.136–139 (in Russian).
  21. Коstin, А. V., Kostina, S. A. 2015, "Informationdigital technologies and medico-psychological prevention of stress states in workers of rail transport", Meditsina truda i prom. ekologiya, no. 1, pp. 33–37 (in Russian).
  22. Тuкоv, А. R., Kleyeva, H. A., Konkov, A. V., Nikitina, N. I., Prokhorova, O. N. 2000, "Registry of individuals having occupational diseases as a result of works with sources of ionizing radiation", Meditsina truda i prom. ekologiya, no. 5, pp. 36–39 (in Russian).
  23. Classification of types of economic activity. National Classifier of Ukraine KVED 009:2010 (in Ukrainian).