Workers’ health should be considered as a strategically important component of governmental economic policy. Nowadays society economic damage due to lost vocational fi tness because of medical causes results mostly from general somatic diseases, but not from occupational diseases. In stable tendency to ageing able-bodied population, studies of medical causes of vocational unfi tness is a topical problem. To analyze causes of lost vocational fitness for work in jeopardy and (or) hazardous work conditions, to determine quantitative parameters of vocational unfi tness in mandatory medical examinations, to evaluate nosologic structure of medical contraindications to work in jeopardy and (or) hazardous work conditions, the authors studied demographic data of Federal service of governmental statistics and data on fi rst diagnosed occupational diseases by materials of Governmental reports of Federal service on supervision in consumers’ rights protection and human well-being. Studies also covered data of FBUN “Ekaterinburg medical research center of prevention and health care for industrial workers” of Rospotrebnadzor (EMNTs): database on fi rst diagnosed occupational diseases in Sverdlovsk region, conclusion reports on periodic medical examination results, and medical records of workers underwent periodic medical examination in EMNTs. Th e data were analyzed with descriptive and inductive statistic methods. In constant medical contraindications structure by nosologic types, according to periodic medical examinations in EMNTs, major part of refused permission to the work was associated with diseases in ICD–10 class VII “Diseases of eye and its appendages”, on the 2nd place — diseases of ICD–10 class VIII “Diseases of ear and mastoid process”, on the 3rd place — diseases of ICD–10 class XI “Digestion diseases”. Recommendations are in Russian Federation Health Ministry to consider necessity of workers’ possibility to receive additional examination and special medical care within governmental program of guaranteed free medical care in cases when the diagnosed disease causes refused permission to work.
Since2005 inRussiathere is a steady decline of employable age population, that will increase in future. Long-term tendency to longer life expectancy will increase population older than employable age and further decrease of employable age population. Increased average age of working population inevitably will be associated with more diseases burden including general somatic morbidity in working population (cardiovascular, malignancies, respiratory tract diseases, etc.), with progression and development due to occupational hazards. All that necessitates urgent solution of organizational problems of preventive care for working population, with special accent on prophylaxis — that meets key objectives presented in Order by Russian Federation President on 07/05/2018.
The purpose of the study was to analyze the comparability of data from the bodies of both the Federal Service on Customers Rights Protection and Human Well-being Surveillance (Rospotrebnadzor) and health authorities in terms of the incidence of the temporary disability in the constituent entities of the Russian Federation. Material and methods. Information on indices of the incidence with the temporary disability, presented in state reports “On the sanitary and epidemiological well-being of the population” of the Territorial Departments of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing Surveillance, is examined. The information on incidence indices with the temporary disability, presented in the Unified interdepartmental information-statistical system, is investigated. Result and discussion. The incidence rates with the temporary disability presented by the Russian Federation’s executive bodies in the field of healthcare and used by the Territorial Departments of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing Surveillance do not correspond to each other. The composition of data on morbidity with the temporary disability in state reports “On the sanitary and epidemiological well-being of the population” of the Territorial Departments of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing has a high degree of heterogeneity. Most government reports do not include data on the incidence of temporary disability. Conclusion. To provide comparability of the working population’s health indices at the national and regional levels, the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing Surveillance bodies and institutions have to develop the uniform methodological approaches to assessing and controlling the incidence rate with temporary disability. The territorial administrations of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing Surveillance (Rospotrebnadzor) are required to receive data from public health authorities of the constituent entities of the Russian Federation that correspond to data provided for statistical purposes at the federal level.
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