Indicators of occupational traumatism and mortality in employees of Russian State Fire Service (1996–2015)

Aleksanin, S. S.; Бобринев, Е. В.; Evdokimov, V. I.; Кондашов, А. А.; Sibirko, Vitaliy I.; Kharin, V. V.

doi:10.25016/2541-7487-2018-0-3-05-25

Cited by 11 publications

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“…Если формально высчитать время экстремаль ной деятельности оперативного пожарного (1,5 × 300), то оно может составить 450 ч/год (56 сут или 2 мес). При режиме работы (опера тивное дежурство -1 сут, отдых -2 сут) годовой объем экстремальной деятельности у опера тивного состава выполнялся за 6 мес, а высчи танный уровень производственного травматиз ма за 1 год по причине пожаротушения следует увеличить, как минимум, в 2 раза [4,17].…”

Section: результаты и их анализ 1 состояние здоровья заболеваемость и...unclassified

Significance of musculoskeletal and connective tissue parameters as health indicators in Federal Fire-Fighting Service officers of the State Fire-Fighting Service of the EMERCOM of Russia

Aleksanin

Evdokimov

Rybnikov

2023

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. The job of Federal Fire-Fighting Service (FFS) officers of the State Fire-Fighting Service of the EMERCOM of Russia is among the global top 10 occupations with evident risk of health functional reserves depletion, prevalence of early occupational diseases, injuries and even death. Traditionally, investigators focus on circulatory diseases and how they affect firefighters’ occupational health.The objective is to provide research-based evidence showing that musculoskeletal and connective tissue parameters provide a reliable estimate of the health status in Russian Federal Fire-Fighting Service officers.Methodology. The authors analyzed the research papers included in the Russian Science Citation Index mostly within the last 10 years and the studies carried out at the Nikiforov Russian Center of Emergency and Radiation Medicine and at the All-Russian Research Institute for Fire Protection of the EMERCOM of Russia. Morbidity was calculated in ppm (‰), industrial injury and primary disability rates were estimated per 10,000 (×104), mortality (deaths) – per 100,000 (×105) people. The indicators dynamics was estimated based on dynamic sets of data applying the 2nd order polynomial trend; the Pearson correlation coefficient was utilized to verify consistency of the trends.Results and analysis. In 2003–2015 the average annual incidence rate of cases with labor losses (across all ICD-10 chapters of diseases) among the EMERCOM Federal Fire Service officers was (407.0 ± 30.4) ‰ which was statistically significantly lower than among the Russian armed forces officers (508.5 ± 35.6) ‰ (p < 0.05); the number of lost workdays was higher, i.e. (5139 ± 402) and (4174 ± 123) ‰ respectively (p < 0.05). Consistency in the dynamics of case number, rate of lost workdays, and day/incident ratio among firefighters and military officers is low and negative, potentially due to the impact of different factors on lost workdays rate. Assuming the macrosocial factors are identical, organisational and/or occupational factors could be the key contributors to labor losses. Rates of injuries, poisoning and other external impacts (chapter XIX in ICD-10), as well as musculoskeletal and connective tissue diseases (chapter XIII) play the leading role in morbidity dynamics among firefighters. The mortality rate among the Russian EMERCOM FFS officers with chapter XIX injuries was 8.5 times lower than that among the Russian male population, although the population cohort was 2.5 times more numerous. Occupational injury rate of (14.66 ± 2.01) • 10–4 of injuries/(firefighter • year) and firefighter fatalities (8.53 ± 0.83) • 10–5 deaths/(firefighter • year) in 2006–2020 were statistically significantly lower than among economically active working male population in Russia: (22.73 ± 2.8) • 10–4 (p < 0.01) and (13.23 ± 1.12) • 10–5 (p < 0.05) respectively. Considering the work schedule of firefighters, the annual amount of work in extreme environments was carried out within 6 months; whereas the level of industrial traumatism due to fire extinguishing and elimination of other emergency situations calculated for 12 months should be doubled, to say the least. The level of primary disability among Russian Federal Fire Service employees was (15.98 ± 0.99) • 10–4, i.e. statistically reliably lower (p < 0.001) than among the working population of Russia aged 18–44 years (25.51 ± 1.19) • 10–4. On the one hand, the data demonstrates efficient labor set-up and labor protection of the EMERCOM FFS employees, whereas disability rate among the adult population of Russia stays at a high level, on the other hand.Conclusion. Although not entirely eliminated, negative occupational impacts (i.e. diseases, injuries) can be reduced to minimal rates. Preventing the early onset of occupational diseases, especially traumas and musculoskeletal diseases, has a huge health sparing potential to ensure professional longevity of the EMERCOM FFS employees.

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Section: результаты и их анализ 1 состояние здоровья заболеваемость и...unclassified

Significance of musculoskeletal and connective tissue parameters as health indicators in Federal Fire-Fighting Service officers of the State Fire-Fighting Service of the EMERCOM of Russia

Aleksanin

Evdokimov

Rybnikov

2023

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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“…В настоящее время работы, посвященные влиянию токсикантов образующихся при пожарах на организм человека в полной мере, не раскрывают механизмы биологического отклика отдельно взятых органов и систем [2]. Некоторые исследователи, оценивая состав токсичных продуктов горения и его влияние на регуляторные системы организма не учитывают в своих работах, клинические проявления интоксикации [3,8].…”

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Features of the Formation of Fatty Liver Degeneration in Chronic Exposure to Toxic Fire Products in Firefighters

Gatsura,

Deryagina,

Sukhoterina

et al. 2024

SJLSA

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Background. The profession of firefighters is characterized by the impact of a number of dangerous factors, including toxic fire products, which is currently not taken into account by the medical service and medical and psychological support units. To increase the effectiveness of measures aimed at preventing non-communicable diseases, protecting the health and improving the professional longevity of firefighters, it is necessary to take into account the influence of harmful professional factors that influence the formation of various pathologies. Intention of the study: to determine laboratory parameters characterizing the toxic etiology of the formation of fatty liver degeneration in firefighters. Methodology. To determine the features of the pathogenesis of non-alcoholic fatty liver disease, 246 male patients suffering and not suffering from fatty liver degeneration were examined. The tasks were solved by analyzing the results obtained using toxicological, biochemical, and immunological techniques. Results and Discussion. Laboratory markers of fatty liver degeneration have been determined. The peculiarities of the regulation of the immune system in employees of the GPS FPS of the Ministry of Emergency Situations of Russia suffering from fatty liver degeneration have been revealed. Conclusions. Multidirectional changes in instrumental, biochemical and immunological parameters were revealed in firefighters suffering from fatty liver degeneration compared to the control group with the same pathology, indicating the peculiarities of homeostasis disorders, which determines the difference in pathogenesis caused by chronic toxic damage by fire products.

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Study of Death and Injury Risks Dynamics of the Federal Fire-Fighting Service Personnel Using Time Series Smoothing

Маштаков

Кондашов

Бобринев

et al. 2022

jour

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Introduction. Studies of risks dynamics of death and injury of the Federal Fire-Fighting Service personnel in the performance of official duties for a long period (from 2006 to 2021) have shown that difficulties often arise due to the heterogeneity of data, their significant fluctuations in different periods of time and the influence of random factors.Problem Statement. In this paper, to study the risks of death and injury of personnel of the Federal Fire-Fighting Service of the State Fire Service in the performance of official duties, time series smoothing methods (the moving average method and the exponential smoothing method) were used, which made it possible to eliminate abnormal observations and reduce the influence of random factors.Theoretical Part. To identify trends in the risks of death and injury of personnel of the Federal Fire-Fighting Service of the State Fire Service in the performance of official duties, the method of time series smoothing was used. The methods of moving average and exponential smoothing are considered. The distribution of the risks of injury and death of the personnel of the Federal Fire-Fighting Service of the State Fire Service in the performance of official duties for the period 2006-2021 is shown, the average annual levels of injury and death risks for this period are determined, the dynamics of the ratio of the number of cases of injury and death in these years is considered.Conclusions. The number of registered cases of injuries has decreased due to the improvement of the occupational safety management system. During the period from 2006 to 2021, there was a reduction in the risk of injury to personnel by 4 times. The ratio of the number of injured and dead has significantly decreased (by more than three times) — from 31.5 to 9.4. In addition, as a result of occupational safety management system improvement, the number of injuries with severe and moderate damage has decreased due to their transition to the category of injuries with light damage.

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Indicators of occupational traumatism and mortality in employees of Russian State Fire Service (1996–2015)

Cited by 11 publications

References 1 publication

Significance of musculoskeletal and connective tissue parameters as health indicators in Federal Fire-Fighting Service officers of the State Fire-Fighting Service of the EMERCOM of Russia

Significance of musculoskeletal and connective tissue parameters as health indicators in Federal Fire-Fighting Service officers of the State Fire-Fighting Service of the EMERCOM of Russia

Features of the Formation of Fatty Liver Degeneration in Chronic Exposure to Toxic Fire Products in Firefighters

Study of Death and Injury Risks Dynamics of the Federal Fire-Fighting Service Personnel Using Time Series Smoothing

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