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Relevance. Victims’ own negligence is a main cause of injuries among the EMERCOM of Russia officers.The objective is to analyze occupational injury scenarios caused by ‘victims’ own negligence’ among the Federal Fire Service (FFS) officers and workers of the EMERCOM of Russia within 2010 to 2021 timespan.Methods. The study examined 10,000 fire service officers to analyze the incidence of occupational injuries due to ‘victims’ own negligence within 2010 to 2021, depending on the injury-associated activity, patient’s position, age, type of injury, weekday and month of injury. We calculated arithmetic average values and errors (M ± m). By knowing the number of injuries and the number of fire service officers at risk, we calculated the risks of injury for specific occupational scenarios.Results and discussion. The FFS officers of the EMERCOM of Russia are subject to the average annual risk of injury due to victims’ own negligence of (4.49 ± 0.62) ∙ 10–4 injuries / (person ∙ year). The risk of injuries commissioned officers (5.54 ± 0.87) ∙ 10–4 injuries/(person ∙ year) exceeds that among non-commissioned workers (3,14 ± 0,29) ∙ 10–4 (injuries/person ∙ year). Over 12 years, the incidence of injuries saw a 2.7-fold decrease among commissioned officers and a 1.4-fold decrease among non-commissioned workers. The share of injuries due to ‘victims’ own negligence’ stood at 36 % of the total number of occupational injuries among fire service officers.Conclusion. The analysis of injury scenarios due to ‘victims’ own negligence’ among the FFS officers of the EMERCOM of Russia is a contribution to enhance prevention of occupational injuries among firefighters and reduce the death rate in occupational settings.
Relevance. Victims’ own negligence is a main cause of injuries among the EMERCOM of Russia officers.The objective is to analyze occupational injury scenarios caused by ‘victims’ own negligence’ among the Federal Fire Service (FFS) officers and workers of the EMERCOM of Russia within 2010 to 2021 timespan.Methods. The study examined 10,000 fire service officers to analyze the incidence of occupational injuries due to ‘victims’ own negligence within 2010 to 2021, depending on the injury-associated activity, patient’s position, age, type of injury, weekday and month of injury. We calculated arithmetic average values and errors (M ± m). By knowing the number of injuries and the number of fire service officers at risk, we calculated the risks of injury for specific occupational scenarios.Results and discussion. The FFS officers of the EMERCOM of Russia are subject to the average annual risk of injury due to victims’ own negligence of (4.49 ± 0.62) ∙ 10–4 injuries / (person ∙ year). The risk of injuries commissioned officers (5.54 ± 0.87) ∙ 10–4 injuries/(person ∙ year) exceeds that among non-commissioned workers (3,14 ± 0,29) ∙ 10–4 (injuries/person ∙ year). Over 12 years, the incidence of injuries saw a 2.7-fold decrease among commissioned officers and a 1.4-fold decrease among non-commissioned workers. The share of injuries due to ‘victims’ own negligence’ stood at 36 % of the total number of occupational injuries among fire service officers.Conclusion. The analysis of injury scenarios due to ‘victims’ own negligence’ among the FFS officers of the EMERCOM of Russia is a contribution to enhance prevention of occupational injuries among firefighters and reduce the death rate in occupational settings.
Introduction. In 2021, the largest proportion of workers in the Russian Federation with class 3.1 and higher1 was at coal mining enterprises (79.1%), in coal mines this figure reached 90.4%, which determines the high level of occupational morbidity of miners — more than 150–200 times higher than the average in Russia2. The study aims to conduct a comprehensive analysis of the working conditions of employees of operating coal mines in Russia according to the data of the Federal State Statistics Service in comparison with the indicators of occupational morbidity (on the example of the Rostov region). Materials and methods. The authors have carried out the analysis of the data of the FSIS SAWC from 2018 to 2022 for all 57 coal mines operating in Russia during this period in four federal districts (FD) with a total number of jobs (RM) — 17,158, employing 60,699 people. The objects of the study were employees of 12 professions. For an integral assessment of the degree of harmfulness of working conditions of miners, we have calculated the total score of the degree of harmfulness of working conditions. Scientists investigated the occupational morbidity of miners. The experts also compared the established indicators with the data on the FSIS SAWC on the example of enterprises of the Rostov region (with the calculation of Spearman correlation coefficients). Results. Working conditions of 13% of miners belong to Class 3.1, 42% — to class 3.2, 35% — to class 3.3 and about 2% — to class 3.4. We have identified the most unfavorable conditions in the professions of tunnellers and longwall miner (721.9 and 717.1 points) — class 3.3–3.4; drivers of electric locomotives, drivers of hoisting installations, electricians, miners (hydraulic fracturing), explosives (500.3, 495.6, 444.3, 436.4 and 407.4 points) — class 3.2–3.3; among mining foremen, fasteners, stemmers, mechanics and lifting drivers (392.9, 333.3, 261.0, 256.8, 157.1 points), class — 3.2–3.1. The leading production factors are: the severity of labor (85.1%), noise (83.3%), aerosols of predominantly fibrogenic action (79.4%). Increased levels of local vibration, unfavorable microclimate and insufficient illumination are recorded at 30–40% of the RM. The authors found that only 2.4% of workplaces exceeded the maximum permissible level (MPL) for general vibration, and 0.3% — in terms of labor intensity. There is no data on infrasound, non-ionizing and ionizing radiation. Limitations. The study is limited to data on working conditions and occupational morbidity of coal miners for the period 2018–2022. These limitations allow us to plan further research and expand our understanding of this problem. Conclusion. The most unfavorable working conditions we have registered in the Southern Federal District, followed by the Siberian Federal District, Northwestern Federal District, Far Eastern Federal District, which is primarily due to the technologies used and production conditions. Also, scientists have identified underestimation of the degree of harmfulness of working conditions by factors (severity and intensity of work, local vibration, light environment, microclimate), non-accounting of ionizing radiation. The structure of the leading production factors determines the modern structure of occupational morbidity of miners: radiculopathy (39.2%), respiratory diseases (36.7%), diseases from exposure to noise and local vibration (18.2%). Ethics. The study did not require the conclusion of the Ethics Committee.
Introduction. The coal industry, being one of the leading sectors of the Russian economy, occupies a leading position in terms of the share of workers employed in harmful and dangerous working conditions (79.1% in 2021). The social significance of occupational pathology is due to large contingents exposed to harmful and(or) hazardous production factors and the complexity of solving issues of compensation for damage to workers' health. Unfavorable working conditions and overwork make a significant contribution to the formation of mortality rates in the workplace of workers engaged in coal mining, both due to occupational injuries and from general diseases. In this regard, of particular importance is the improvement of measures related to strengthening the health of coal industry workers, including measures to improve the effectiveness of prevention, treatment and rehabilitation, as well as measures to improve working conditions, social protection of employees of coal industry organizations, optimization of the management system and the creation of regulatory mechanisms in the field of coal mining and use. The study аims to examine the health status of employees in the coal industry organizations located in the Kemerovo and Rostov regions. Materials and methods. The authors studied and analyzed the results of mandatory preliminary and periodic medical examinations, mandatory periodic (during work) medical examinations of workers engaged in work with dangerous and(or) harmful working conditions for the extraction (processing) of coal (oil shale), the results of psychiatric examination, information about the organization of post-shift rehabilitation, medical rehabilitation after provision of medical care according to the profile "Occupational pathology" of coal industry workers in 2022 in accordance with the regulatory legal acts of the Ministry of Health of the Russian Federation. Results. According to the Center for Occupational Pathology of Treatment and Rehabilitation Center No. 2 (Shakhty, Rostov region), the number of employees of coal industry organizations subject to mandatory periodic medical examinations (PME) in 2022 amounted to 4,166 people, including women — 1,066. At the same time, the number of employees who have passed PME is 4,001 people (96.0%), including 867 women (81.3% of the total number of women and 21.7% of the number of people who have passed PME). According to the results of the PME, the number of persons who do not have medical contraindications to work amounted to 3,927 (98.1%), including 859 women (21.9% of the number of persons who do not have medical contraindications to work). The number of persons with temporary medical contraindications to work is 42 (1.05%), including women — four. The number of persons with permanent medical contraindications to work is 32 (0.79%), including women — four. According to the Kemerovo Regional Center for Occupational Pathology, the number of employees of coal industry organizations subject to PME in 2022 amounted to 43,145 people, including women — 7,288 (16.9%). At the same time, the number of employees who have passed PME is 39,830 people (92.3%), including women — 7,142 (98% of the total number of women and 17.9% of the number of people who have passed PME). According to the results of the PME, the number of persons who do not have medical contraindications to work amounted to 39,221 (98.5%), including 7,124 women (18.2% of the number of persons who do not have medical contraindications to work). The researchers have identified in 609 employees (1.5%), including 18 women (2.95% of the number of persons with temporary or permanent medical contraindications to work), temporary or permanent medical contraindications to work, namely: 89 employees (14.6%) — diseases of the cardiovascular system (I10–I149), in 219 workers (35.9%) — myopia (H52.1), in 142 workers (23.3%) — sensorineural hearing loss is bilateral (H90.3), in 94 workers (15.4%) — varicose veins of the lower extremities without ulcers or inflammation (I 83.9), in 65 employees (10.7%) — neoplasms (C00–D48). During mandatory periodic medical examinations in medical organizations of the Kemerovo region, we have diagnosed 7,325 cases of chronic somatic diseases that are not contraindications to the performance of work for the first time. In 57.5% of cases, experts have diagnosed symptoms, signs and deviations from the norm identified in clinical and laboratory studies (R00–R99), which may indicate the presence of early signs of occupational disease in workers and requires further attention. In 13.3% of cases, scientists have detected diseases of the endocrine system, eating disorders and metabolic disorders (E00–E90); in 11.7% — diseases of the circulatory system (I00–I99); in 5.5% — diseases of the genitourinary system (N00–N99); in 4.7% — diseases of the blood, hematopoietic organs and individual disorders, involving the immune mechanism (D50–D89), and others. Limitations. A relatively short observation period. Conclusion. On the example of the analysis of the work of the centers of occupational pathology of the Rostov and Kemerovo regions in terms of mandatory preliminary and periodic medical examinations, pre-shift and post-shift examinations, post-shift rehabilitation, medical rehabilitation after medical care in the profile of "Occupational Pathology", we can see a tendency to increase attention from the state, the management of coal mining companies about the health of employees of coal mining companies. A risk-oriented approach to employee health management, the development and implementation of corporate programs will reduce occupational risks and timely identify signs of the initial development of a possible occupational disease. Ethics. In preparing the article, the authors were guided by the Ethical principles of medical research set out in the Helsinki Declaration of the World Medical Association of the last revision.
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