The purpose of research is the assessment of the individual cancer risk (ICR) for workers of the basic occupations in key branches of industry of the Irkutsk region. There was executed the calculation of ICR levels for workers of the basic occupations of the aircraft industry, aluminum smelters and vinyl chloride production plants. The estimation of the exposure for workers was carried out according to long-term time-weighted average concentrations in the air of the working area, for the population - on annual average concentrations in the ambient air. To assess the risk that is not associated with the profession, the dose was calculated for the period of life (70 years). When calculating the toxicant doses in the working area there were used the “standard” indices ofpulmonary ventilation for adults, body weight, the work experience in the contact with carcinogens of 30 years, the number of days in the contact of 240, the duration of the working time 8 or 12 hours (in accordance with the working hours) duration. ICR for the Irkutsk population amounted of 3.08E-04, in Shelekhov - 4.8E-05, Sayansk - 1.1E-05. The amount of risk depends on the content offormaldehyde in all territories and chromium VI in cities of Irkutsk and Shelekhov. ICR for workers of basic occupations of studied plants in dozens of times are higher than for the urban population. Priority carcinogens are: chromium VI, nickel, formaldehyde, silicon dioxide -for the aircraft plant employees; 1,2-dichloretan, vinyl chloride - for the workers of vinyl chloride production plant; benzopyrene - for the aluminum smelter workers.
Objective of the seroepidemiological study was to determine the level and structure of herd immunity to SARS-CoV-2 among the population of the Irkutsk Region during the period of an increase in the incidence of COVID-19.Materials and methods. The content of antibodies to SARS-CoV-2 was determined by ELISA applying a reagent panel “ELISA anti-SARS-Cov-2 IgG” produced by the State Scientific Center of Applied Microbiology and Biotechnology (Obolensk).Results and discussion. The investigation has revealed that the herd immunity of the total population of Irkutsk Region amounted to 5.8 %. The greatest share of seropositive persons was among the children aged 14–17 (13.8 %) and 1–6 (11.8 %). It has been established that the risk of infection increases by 3.1 times in case of contact with COVID-19 patients. After exposure to COVID-19, antibodies were produced in 56.5 % of the cases. The share of asymptomatic forms among seropositive residents of the Irkutsk Region reached 81.2 %. Consequently, during the chosen period of increased COVID-19 incidence among the population of Irkutsk Region low level of seroprevalence was formed. A significant proportion of asymptomatic forms of infection characterize high intensity of the latently developing epidemic process. The results obtained can be used when organizing preventive measures, including vaccination, and for forecasting morbidity rates.
Introduction. There is actual development of scientific and methodological support for the formation of the evidence base of the negative impact of environmental factors on public health. Material and methods. The hygienic assessment of the air quality of the territory with the placement of aluminum production and the territory without similar sources of emissions was carried out, carcinogenic and non-carcinogenic health risk was estimated, chemical-analytical and clinical-laboratory examination of 235 children was carried out to study the negative effects of the influence of the studied risk factors on critical organs and systems. Results. In the conditions of the existing quality of the atmospheric air, conditioned by the economic activity of the enterprise producing aluminum, an unacceptable risk of developing non-carcinogenic effects for the central nervous system, bone system, respiratory system, blood system, liver, kidneys (HI to 33.4) is formed. Children in the zone of exposure to risk factors have an increased (up to 4.0 times) content both of manganese, nickel, chromium in blood, and as the aluminum as fluoride ion in urine (up to 5.5 times) relative to the indices in the comparison group. Children with an elevated content of these compounds in bio medias revealed reliable deviations of laboratory parameters relative to similar parameters in children in the comparison group: a 1.2-fold increase in serum glutamic acid, a 2.2-fold increase in eosinophilia in the nasal secretion, C-terminal telopeptides, total and direct bilirubin, ACAT in blood serum by 1.2 times, β2-microglobulin in blood serum - by 1.8 times. The established negative effects in children, proven to be associated with an increased content of toxic substances in the bio medias, are confirmed by the increased detectability of functional disorders of the autonomic and central nervous system (5.5 times more often), respiratory diseases (2.9 times), musculoskeletal diseases system (in 1.3-1.5 times). Substantiated indices of negative effects must be taken into account when conducting sanitary and epidemiological examinations and developing measures for the prevention of functional diseases of the central nervous system, bone system, respiratory system, liver, kidneys in children permanently residing in a residential building in the zone of emission sources of aluminum plants.
The dynamics and structure of the occupational morbidity rate in main branches of the industry in the Eastern Siberia for the 2000-2015 (on the example of the Irkutsk region) is presented in this paper. During the observation period there were noted the significant gain in the number of cases of occupational diseases registered in such different branches of industry as Coal and Lignite Mining, ship and aircraft building, and in some other branches (metallurgical production, air transport, pulp production, electric power distribution industry). In the structure of the occupational morbidity leading positions are occupied by diseases associated with the exposure to physical factors, industrial aerosols, physical overload and overexertion of certain organs and systems. The main reasons and factors contributing to the gain of the occupational morbidity rate are the imperfection of technological processes, working places, personal protective equipment and/or their lack, constructive defects of machines and equipment, the violation of safety regulations, regimen of the work and rest, insufficiently high level of medical and preventive maintenance, delayed making of decisions for the rational employment to the workers with the revealed early forms of occupational diseases. There pointed out priority directions of the prevention the implementation of which will allow to decline the level of the occupational morbidity rate. The main directions are the implementation of economically caused mechanisms of the interest in the preservation of workers ’ health; implementation of the regional aimed programs; the introduction of new processes, equipment and mechanisms meeting modern hygienic requirements; the assessment of occupational risk with the creation and implementation of the system of monitoring for the dynamics of working conditions and the state of the workers ’ health for the making corrective management solutions on the optimization and elevation of the efficacy and relevance of developed and implemented preventive health measures.
The scientific-methodical and practical approaches to the organization and conduct of medical and biological research for establishing the connection between health disorders of the population and the multi-media impact of chemical factors in the zone of influence of industrial enterprises are presented. The order, methods, volume and the list of researches and the experts involved for the decision of tasks in view are stated. The algorithm of actions is presented on the example of the assessment of the impact of chemical risk factors associated with the economic activities of enterprises producing aluminum and the pulp and paper industry. The results of the hygienic assessment of the situation and the proven cause-effect relationships in the «environment – health» system at the population and individual level are the basis for making managerial decisions and developing hygienic recommendations for managing the health risk of the population, additional medical preventive measures for technologies that take into account the specific effects of priority сhemical risk factors.
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