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УДК: 613.6.027 DOI:10.33920/med-08-2104-06

Causal relationships of rates of morbidity with temporal disability with the length of service in mining enterprise employees

Strashnikova Tatyana Nikolaevna neurologist, SBRHI KR Tashtagol Regional Hospital, 7, Lenin str., Tashtagol, Kemerovo Region, 652990, e-mail: tanya115602@gmail.com, http://orcid.org/0000-0002-3770-7216
Surzhikov Dmitriy Vyacheslavovich PhD in Biology, associate professor, head of the Laboratory of Human Ecology and Environmental Hygiene, FSBSI Research Institute for Complex Problems of Hygiene and Occupational Diseases, 23, Kutuzov str., Novokuznetsk, Kemerovo Region, 654041, e-mail: ecologia_nie@mail.ru, http://orcid.org/0000-0002-7469-4178
Kislitsyna Vera Viktorovna PhD Candidate in Medicine, leading researcher, Laboratory of Human Ecology and Environmental Hygiene, FSBSI Research Institute for Complex Problems of Hygiene and Occupational Diseases, 23, Kutuzov str., Novokuznetsk, Kemerovo Region, 654041, e-mail: ecologia_nie@mail.ru, http://orcid.org/0000-0002-2495-6731
Korsakova Tatyana Georgievna PhD Candidate in Biology, leading researcher, Laboratory of Human Ecology and Environmental Hygiene, FSBSI Research Institute for Complex Problems of Hygiene and Occupational Diseases, 23, Kutuzov str., Novokuznetsk, Kemerovo Region, 654041, e-mail: ecologia_nie@mail.ru, http://orcid.org/0000-0003-2512-254

The article presents the results of determining the relationship of rates of morbidity with temporal disability (the number of cases of temporal disability per 100 workers, the number of days of temporal disability per 100 workers, the average duration of a case of temporary disability) with the length of service of miners in the main professional groups (drilling rig operators and shaft sinkers) of the iron ore mining enterprise. Causal relationships were established on the basis of methods of mathematical analysis. In the professional group of drilling rig operators, an increase in the incidence of morbidity with temporal disability due to diseases of the musculoskeletal system and connective tissue with the increasing length of service in the profession was revealed; the contribution of the length of service factor in the development of diseases was 23 %. At the same time, there was a decrease in the incidence of morbidity with temporal disability from respiratory diseases and injuries and poisonings. There was also an increase in the incidence of morbidity with temporal disability for diseases of the musculoskeletal system and connective tissue and a decrease in the incidence of respiratory diseases and injuries and poisonings among shaft sinkers. The increase in morbidity rates for shaft sinkers with up to 10 years of service is also associated with diseases of the musculoskeletal system and connective tissue and injuries and poisonings. The ranges of distribution of morbidity rates for workers with up to 10 years of service had statistically significant differences in the number of cases of temporal disability per 100 workers for diseases of the musculoskeletal system and connective tissue among drilling rig operators and shaft sinkers. The morbidity rates for drilling rig operators are noticeably higher for this class of diseases. The analysis of the ranges of rates distribution of the average duration of temporal disability by class of injuries and poisonings in miners with up to 10 years of service showed that the differences in the rates are statistically significant for drilling rig operators and shaft sinkers.

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An important task of branch medicine is a comprehensive assessment of the working conditions of workers in the leading sectors of the economy, as well as the determination of the impact of adverse production and non-production factors on the health of workers [1].

The Kemerovo region is characterized by a high level of development of the mining industry. At the same time, the working conditions of workers in this very industry are the most unfavorable, lead to the formation of morbidity, aggravate medical and social consequences, reduce the labor potential of society [2]. The prevalence of underground mining in the region causes the high relevance of preserving human resources problems in this industry [3].

Morbidity with temporal disability (MTD) is an important indicator that characterizes the health status of the able-bodied population. The structure and duration of MTD are shaped by a complex of socio-economic, biomedical, occupational, and other factors. One of the leading factors shaping the level of MTD is working conditions. A significant number of mining industry employees engaged in underground mining are exposed to adverse microclimate, ore-rock dust, industrial noise, general and local vibration arising during the operation of mining equipment and technological transport [4, 5]. Long-term studies conducted at mining enterprises have shown that the level of these factors often exceeds the hygienic standards, accompanied by a high risk of health disorders of workers, determining the high levels of branch morbidity [6–9]. It is shaped mainly by diseases of the circulatory system, digestive organs, respiratory organs, nervous and musculoskeletal systems [10, 11]. Besides, the complicated climatic and geographical conditions of the regions, long-term exposure to unfavorable factors, low level of medical and preventive care, ineffective methods of treatment and prevention are important factors influencing the health condition of miners [12, 13].

Для Цитирования:
Strashnikova Tatyana Nikolaevna, Surzhikov Dmitriy Vyacheslavovich, Kislitsyna Vera Viktorovna, Korsakova Tatyana Georgievna, Causal relationships of rates of morbidity with temporal disability with the length of service in mining enterprise employees. Санитарный врач. 2021;4.
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