In mining operations, including those in the Republic of Bashkortostan, the health of workers is not good, due to the impact of adverse occupational factors, as evidenced by the level of occupational morbidity in the industry. In this regard, the solution of issues of workers’ health protection is the most significant in occupational health. The working conditions of male workers of the main underground occupations of the enterprise producing copper-zinc ores have been studied. We have evaluated the dependence of the identified diseases on occupational factors and findings on occupational morbidity between 1997 and 2018. The results of the studies indicate a complex of adverse factors affecting the workers of underground occupations that determine the evels and structure of work-related morbidity, including occupational, the main forms of which are vibrational disease, sensorineural hearing loss, diseases of the musculoskeletal and respiratory systems. Diseases of the musculoskeletal system, upper respiratory tract and arterial hypertension with a risk level from «medium» to «very high» are regarded to be work-related. The greatest number of cases of occupational morbidity among the underground occupations has been established among drifters, fasteners, and mining technicians. Preventive measures aimed at modifying occupational factors and improving medical support for enterprise workers have been developed.
The estimation of professional risk on the basis of a priori and a posteriori criteria at five enterprises of
the fuel and energy complex located in the Volga and Urals Federal Districts was carried out. Based on
the conducted studies, a conceptual model for assessing risk management in oil producing, oil refining
and petrochemical enterprises was developed, tested in real conditions and demonstrated high efficiency.
Our aim was to study how significant psychosocial factors are in occupational stress and cardiovascular diseases evolvement in workers employed at petrochemical production; we also intended to work out a set of preventive measures. Our hygienic and social-psychological research enabled us to detect factors causing stress evolvement in workers employed at petrochemical production. These factors included chemical impact, noise, unfavorable microclimate, labor hardness and labor intensity. High level of risk for their own lives and responsibility for safety of others, as well as work under time deficiency conditions with increased responsibility for the final results, were the most significant psychosocial factors for workers. In the course of questioning we detected that 74 % machine operators, 63 % tool men working with controllers and automatic devices, and 57 % repairmen mentioned having stress at work. Here 38 % workers gave a subjective estimation of their professional activity as having apparent "stress nature". The questioning revealed that 48 % workers with various occupations had increased parameters as per anxiety scale (HADS); 23 % workers had increased parameters as per depressions scale (HADS). Primary hypertension was the most widely spread nosologic form among chronic noninfectious diseases; it was found in 46.1 % operators and in 45.2 % repairmen dealing with processing stations repair. 30.1 % tool men working with controllers and automatic devices had average occupational causation of primary hypertension by production factors. We detected direct relation between hyperlipidemia and age and working period. We created foundation for preventive measures and worked out a program aimed at increasing resistance to stress at corporate and individual level. It will provide significant social effect and later on economic one. To overcome social stress we need to create safe working conditions at workplaces and to increase labor motivation based on career development possibilities.
Complex investigations of working conditions and health status of petrochemical production workers were
accomplished. The features of fitters working conditions were determined. The leading place in the structure
of incidence belongs to diseases of the musculoskeletal system, circulatory system, digestion. Measures for
prevention, treatment and rehabilitation aimed at the preservation of the health of workers are prevented.
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