Morbidity With Job Absenteeism in Employees of Emercom of Russia (1996–2015)

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

et al. 2019

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Relevance. Russia has high mortality rates in general and among the working-age population, with dominating effects of external causes.Intention– To study rates and structures of the medical-statistical indicators of mortality due to diseases and the effects of external causes in the employees of the State Fire Service of the EMERCOM of Russia over 20 years from 1996 to 2015.Methods.Annual population under study averaged (108.8 ± 6.2) thousand people, or about 80% of all the employees of the State Fire Service of Russia who had special military ranks. Operating staff comprised 53.4%, other employees – 46.6%. Mortality rates were calculated per 100 thousand employees of the State Fire Service of Russia. Data on the mortality of working-age men in Russia was obtained on the website of the Federal Statistics Service of Russia (Rosstat) [http://www.gks.ru/]. The unification of accounting and analysis of indicators was achieved using the International Statistical Classification of Diseases and Related Health Problems, the 10th revision (ICD-10). Results and Discussion. Mortality rate among employees of the State Fire Service of the EMERCOM of Russia in 1996–2015 was (116.9 ± 5.7) deaths per 100 thousand employees per year vs 11 times higher mortality rate among the working-age male population of Russia: (1063.9 ± 33.7) deaths per 100 thousand men (p < 0.001). The mean age of the deceased employees of the State Fire Service of Russia was (44.5 ± 0.3) years, with overall mean age (36.9 ± 1.6) years (p < 0.001). The leading causes of death among employees of the State Fire Service of Russia (from more to less significant) were injuries and other effects of external causes (ICD-10 chapter XIX), diseases of the circulatory system (chapter IX) and neoplasms (II), diseases of the digestive system (XI) and diseases of the respiratory system (X). Mortality rates from these causes per 100 thousand employees per year amounted to (63.3 ± 33.7), (32.6 ± 2.7), (7.1 ± 0.6), (5.3 ± 1.0) and (5.0 ± 0.9) deaths; in cause-of-death structure – 54.2, 27.9, 6.0, 4.5 and 4.3%, respectively. The mortality rate from suicide among working-age Russian men was 6.4 times higher than that of firefighters – (66.0 ± 4.1) and (10.3 ± 1.1) deaths per 100 thousand men, respectively. However, in the overall cause-of-death structure, this cause accounted for a larger share in employ ees of the Russian State Fire Service (6.2 vs 8.8%). Statistically significant difference (p < 0.05) was found when comparing occupational fatalities among the operating personnel of the State Fire Service of Russia and working population in Russia: (14.9 ±1.4) deaths per 100 thousand employees per year vs (11.6 ± 0.7) deaths per 100 thousand workers per year. Mortality rates of firefighters were calculated in the Federal districts and regions of Russia. For a number of causes of death in firefighters, there is a significant contribution of occupational factors, which require further research.Conclusion.There is a low alertness for identifying neoplasms and crisis conditions in firefighters. Focusing on the leading diseases, behavioral disorders, prevention of injuries, poisoning and other effects of external causes will improve health and reduce mortality of employees of the State Fire Service of Russia.Authors declare the absence of existing and potential conflicts of interest concerning the article publication.

Section: таблицаmentioning

confidence: 88%

Section: таблицаmentioning

confidence: 99%

Section: таблицаunclassified

Section: таблицаmentioning

confidence: 99%

Section: таблицаmentioning

confidence: 99%

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Medical and Statistical Indicators of Mortality in Employees of Russian State Fire Service (1996–2015)

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

et al. 2019

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

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

et al. 2018

Relevance.Profession of firefighters is considered to refer to extreme activities, which have high risks of health disorders, injuries and even death.Intention– to analyze occupational traumatism and deaths from injuries in Russian State Fire Service (SFS) (1996–2004) and the Federal Fire Service of EMERCOM of Russia (2005–2015) employees for 20 years and to compare these data with the indicators of Russian workers.Methods.Information on occupational traumas and deaths of employees and response personnel of Russian SFS was gathered. The annual number of examined firefighters of special military ranks (officer, warrant officer, sergeant, common soldier) was (108.8 ± 6.2) thousand people, which was not less than 80 % of personnel of Russian SFS. The levels of occupational injuries, deaths from occupational injuries of Russian workers, mortality in the XIX Chapter of the International Statistical Classification of Diseases and Health Problems, 10th edition (ICD-10) of men of working age in Russia were received from the official website of the Federal Agency for Statistics. Database «FDB «Fires» was used for the distribution of fires in Russia over time periods. The dynamics of indicators of health disorders of firefighters and of fire distribution was evaluated by the method of time series analysis, which used a polynomial trend of the 2nd order.Results and Discussion.The average annual level of occupational traumatism in 20 years (1996–2015) in Russian SFS staff amounted to (3.795 ± 0.390)‰, in response staff for 1999–2015 – (5.295 ± 0.644)‰. The level of occupational traumatism among Russian workers during these periods was (3.410 ± 0.351) and (3.000 ± 0.318)‰ respectively, which is significantly less than that of the response personnel (p < 0.05). A positive statistically significant relationship between the number of injuries and combat performances (r = 0.51; p < 0.05), the number of injuries and accident rate in the staff of Russian SFS with the complexity of fire-fighting tasks and number of use of personal respiratory protection (r = 0.53 and r = 0.46, respectively, p < 0.05). The cyclical nature of risks of traumatism in response staff of Russian SFS, depending on hours of the day, days of the week and months of the year, due to the nature of combat performance and other professional factors was found. This phenomenon requires additional research. The mortality rate of SFS staff from occupational injuries in 1996–2015 was (0.125 ± 0.011)‰, response personnel – (0.149 ± 0.014)‰. The mortality rate of Russian workers was statistically significantly less (0.116 ± 0.007)‰ compared to the response personnel (p < 0.05). There are decreases in occupational traumatism and deaths from occupational injuries in SFS staff and Russian workers.Conclusion.In general, level of occupational traumatism and mortality from occupational injuries in employees and response personnel of the Russian SFS can be comparable with level revealed among the Russian workers. It indicates, on the one hand, the effective organizational and technological measures for the prevention of occupational injuries and the death of firefighters, and, on the other hand, high level of occupational traumatism of the Russian workers.

Analysis of indicators of primary disability in employees of the federal fire service of emercom of Russia and the population of Russia aged 18–44 from 2006 to 2015

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

et al. 2019

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Relevance. Extreme activities of firefighters contribute to the deterioration of health or even death. Increased morbidity and injuries of firefighters are associated with persistent health impairments and disability.Intention. To analyze disability rates and cause-of-disability structure in employees of the Federal Fire Service of Russian EMERCOM and in Russian young population (18–44 years) over 10 years, from 2006 to 2015.Methodology. The average annual number of examined employees of the FFS of the EMERCOM of Russia was (99.3 ± 5.6) thousand people, i. e. at least 80% of the personnel of the FFS of the EMERCOM of Russia with special military ranks. Cases were identified and disability was calculated per 10 thousand employees of the FFS of EMERCOM of Russia. Causes of disability were classified via the International Statistical Classification of Diseases and Health Problems, the 10th revision (ICD-10) and disability indicators were compared to that of a cohort of the population of young working age (18–44 years), according to the Federal Bureau of Medical and Social Expertise of the Ministry of Labor of Russia (Moscow).Results and Discussion. Newly recognized disability cases averaged (15.98 ± 0.99) per 10 thousand employees of the Federal Fire Service of the EMERCOM of Russia vs (25.51 ± 1.19) cases per 10 thousand population of Russia aged 18–44 (1.6-fold; p <0.001). Mean age of employees of the Federal Fire Service of the EMERCOM of Russia with disability was (37.8 ± 0.7) years. The main causes of disability in firefighters were circulatory system diseases (ICD-10 chapter IX), injuries, poisonings and other effects of external causes (chapter XIX), neoplasms (II), diseases of the musculoskeletal system and connective tissue (ICD-10 chapter XIII), diseases of the digestive system (XI). Disability rates due to these causes per 10 thousand employees per year were 4.58 ± 0.59, 1.80 ± 0.17, 1.66 ± 0.20, 1.63 ± 0.24 and 1.12 ± 0.26, respectively; in the structure of disability causes – 28.7, 11.3, 10.4, 10.2 and 7.0%, respectively.Compared with the population of Russia aged 18–44, in employees of the Federal Fire Service of the EMERCOM of Russia a significantly greater contribution to disability was identified for circulatory system diseases (ICD-10 chapter IX), respiratory diseases (X) and diseases of the digestive organs (XI), a smaller one – for some infectious and parasitic diseases (I), neuropsychiatric disorders (V + VI), injuries, poisoning and other external influences (XIX). Meanwhile, the proportion of Injury, poisoning and certain other consequences of external causes (ICD-10 chapter XIX) in cause-of-disability structure increases.Conclusion. Disability rates in employees of the Federal Fire Service of the EMERCOM of Russia were statistically significantly lower than in the population of Russia aged 18–44 years. On one hand, this suggests optimal work strategies in firefighters, on the other – high disability rates among the adult population of Russia. For a number of causes of disability in firefighters, there is a significant contribution of occupational factors, which require further research.