Ukrainian Scientific Research Institute of Industrial Medicine, Krivoy Rog
The research was carried out within the framework of the theme "Scientific rationale and development of a system of measures to assess risks for health and life of the working population in an ecologically hazardous region" state registration number 0121U109139.
Objective: to carry out an in-depth analysis of the peculiarities of formation of occupational pathology of the extractive industry workers
Topicality. Health of the working population is a priority for the state. A large contingent of workers exposed to occupational risk is represented by the workers of extractive enterprises. About 40% of workers continue working in harmful conditions. The problem of occupational disease state requires scientific substantiation, development and introduction of new technologies for assessment and management of occupational risk.
Methods. Analysis of the composition, structure and dynamics of occupational morbidity in the extractive industry workers of the city. Krivoy Rog was performed for 2014–2019. By analyzing the "Chart of registration of occupational diseases (occupational injuries)" (467 cards) and statistical reports of registration of occupational diseases (34 statistical reports). Analysis of the structure of occupational pathology was conducted in accordance with the "International Statistical Classification of Diseases and Health Problems" Tenth Revision. Measures of medical secrecy about the patients were taken during the research.
Results of the study. The highest number of persons with occupational pathology takes place at enterprise B and varies from 4,92 to 8,66 per 1000 workers. In second place is enterprise C with a fluctuating incidence rate of 4,38 to 5,05 per 1000 workers. The third ranking place is occupied by enterprise D with the number of persons with occupational pathology ranging from 1,47 to 2,19 per 1000 workers. The last, fourth place, is Enterprise A with a range of 2,28 to 1,58 per 1000 workers. These levels of occupational pathology correlate with the existing state of working conditions at the above enterprises.
Conclusions and recommendations. In spite of the similarity of technological processes and working conditions at the enterprises of extractive industry there is a difference in the levels and structure of occupational pathology. In the structure of occupational pathology in the extractive industry workers. Krivoy Rog the first place is occupied by dust bronchitis (31–43%). Vibration disease (33%), radiculopathy (15–24%) and sensorineural hearing loss (6–13%) occupy the next ranks. Deforming arthritis (1,00±1,00 to 1,5±0,71) and siderosilicosis (pneumoconiosis) (1,00±0,24 to 3,33±1,05) have the lowest incidence rates.
Key words: occupational pathology, occupational medicine, working conditions, extractive industry, occupational risk.