Open AccessRisk of the occurrence of occupational diseases associated with somatic pathology
Author(s) -
Tatyana Yu. Obukhova,
Л. Н. Будкарь,
Vladimir B. Gurvich,
О. Г. Шмонина,
Э Г Плотко,
Olga I. Gogoleva,
Е.А. Карпова,
Olga A. Mordvinova
Publication year - 2021
Publication title -
gigiena i sanitariâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.275
H-Index - 13
eISSN - 2412-0650
pISSN - 0016-9900
DOI - 10.47470/0016-9900-2020-99-12-1386-1392
Subject(s) - medicine , asbestos , overweight , disease , obesity , occupational medicine , environmental health , epidemiology , materials science , metallurgy
. Recent academic studies in the clinic of occupational medicine demonstrate a significant prevalence of cardiovascular and metabolic pathology associated with occupational activity. Objective. to analyze the role of somatic pathology in occurrence of occupational diseases in aluminum, refractory and asbestos-processing production workers in order to identify the directions of preventive measures. Material and methods. The results of the examination of aluminum, refractory and asbestos-processing production workers under the periodic medical check-up and in the clinic were analyzed. Results. According to the periodic medical check-up, only 5.57% of refractory workers, 1.5% of aluminum workers, and 22.7% of asbestos-processing workers were not diagnosed with somatic diseases. Most frequently, workers of the surveyed enterprises reported overweight (up to 68%). lipid storage disease was more likely to occur in the refractory industry (46%), carbohydrate metabolism - in the aluminum industry (22.3%) and asbestos-processing industry (22.6%). In cases with obesity, chronic gastritis, type 2 diabetes, decreased glomerular filtration rate, hyperuricemia, arterial hypertension, and CHD. A considerable influence of somatic pathology on the period of the development of occupational diseases’ has been identified. In patients average work experience before the development of asbestos is reduced from 6 to 12.7 years. In patients with high-grade arterial hypertension, left ventricular myocardial hypertrophy, IHD, overweight and obesity reduction in the average work experience before the development of occupational fluorosis was observed from 3.9 to 6 years. A reduction in the average work experience before the development of silicosis from 10.8 to 13 years was observed in women, as well as in the presence of high-grade arterial hypertension, cardiac arrhythmia and a decrease in blood hemoglobin. Conclusion. The significant impact of somatic pathology on the terms of the occurrence of occupational diseases in workers of aluminum, asbestos-processing and refractory industries was determined.