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УДК: 613.6 (985) DOI:10.33920/med-08-2010-03

Increased labour hardness is the most important risk factor for Occupational pathology at Arctic enterprises

Syurin Sergey Alekseevich PhD in Medicine, Chief Researcher, North-Western Scientific Centre for Hygiene and Public Health; 4, Vtoraya Sovetskaya Street, St. Petersburg, 191036; e-mail: kola.reslab@mail.ru, https://orcid.org/0000-0003-0275-0553

In Russia, the hard labour ranks second in the structure of harmful production factors that lead to occupational pathology. The study purpose was to investigate the impact of exceeding the permissible hard labour level on the occurrence, prevalence and structure of occupational diseases in employees of Arctic enterprises. The data of the Working Conditions and Occupational Morbidity monitoring of the population in the Arctic zone of the Russian Federation (AZRF) in 2008–2018 were studied. In 2008–2018, the increased hard labour was found to grow in significance in occupational pathology development: the share of the factor in the overall structure of harmful industrial impacts increased from 7.4 % to 8.9 % (p < 0.001), and that of occupational diseases caused by increased labour hardness, from 18.6 % to 46.9 % (p < 0.001). Two-thirds of occupational diseases caused by hard work occur in mining workers, and the musculoskeletal diseases prevail in their structure (80.1 %). The risk of this group of occupational health disorders developing was higher in 2018 than it was in 2008: HR = 3.95; CI 3.13–4.99; χ2 = 155.9; p < 0.001. Unlike with the Russian Federation as a whole, where increased hard labour ranks second among occupational pathology factors (24.7 %), it took the first place in the Russian Arctic in 2018 (46.9 %), exceeding the combined effect of all physical factors (44.0 %). When carrying out health-improving and occupational pathology prevention measures at enterprises in the Arctic, special attention should be paid to achieving acceptable hard labour levels in employees engaged in mining.

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Effective protection of health and safety in the workplace, ensuring productive work, high life quality and expectancy, are among the basic human rights. In the Russian Federation, the enforcement of this right is related to serious difficulties. Despite the constant production upgrading, the share of enterprises of groups II and III of sanitary and epidemiological welfare, where the majority of jobs do not meet the requirements of sanitary and epidemiological standards and rules, amounted to 72.53 % in 2018.1

In the structure of harmful industrial factors that caused the development of occupational pathology in 2018, the hard labour ranks second (24.73 %), after the consequences of physical factors (49.85 %) 1. Hard labour is known to describe the degree of load on the musculoskeletal system and functional systems of the body that ensure its activity [1]. The hard labour exceeding the permissible parameters is typical for working professions in mining, metallurgy, mechanical engineering, construction industry, agriculture, and transport. In the Arctic Zone of the Russian Federation (AZRF), the borders of which are defined by Presidential Decree No. 296 of May 2, 2014 2 (the version of June 27, 2017), the enterprises that extract and process natural resources play the leading part in the economy. Their employees are at an increased risk of developing occupational pathology, being exposed to a set of harmful production factors, including increased hardness of the labour process [2–5].

A special feature of working in the Arctic is the impact on employees of inclement climatic conditions that reduce the adaptive capabilities of the body («Northern stress») [6] and thus increase the risk of adverse effects of harmful production factors [7–9]. With limited labour resources, the development of occupational pathology and the subsequent premature termination of their work by employees are additional difficulties for the economic development of the region [10, 11]. In this regard, preserving the health of the working population is a priority task of state policy in the Russian Arctic.3 One of its solutions may be to study the features of the development and prevention of occupational pathology under the influence of increased hard labour in the Arctic climate.

Для Цитирования:
Syurin Sergey Alekseevich, Increased labour hardness is the most important risk factor for Occupational pathology at Arctic enterprises. Санитарный врач. 2020;10.
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