Introduction. Due to the impact of adverse working conditions and climate, workers in coal-mining enterprises in the Arctic are at increased risk of occupational diseases (OD).The aim of the study was to study the working conditions, causes, structure and prevalence of occupational diseases in miners of coal mines in the Arctic.Materials and methods. Th e data of social and hygienic monitoring “Working conditions and occupational morbidity” of the population of Vorkuta and Chukotka Autonomous District in 2007–2017 are studied.Results. It was established that in 2007–2017 years, 2,296 ODs were diagnosed for the first time in 1851 coal mines, mainly in the drifters, clearing face miners, repairmen and machinists of mining excavating machines. Most often, the ODs occurred when exposed to the severity of labor, fibrogenic aerosols and hand-arm vibration. The development of professional pathology in 98% of cases was due to design flaws of machines and mechanisms, as well as imperfections of workplaces and technological processes. Diseases of the musculoskeletal system (36.2%), respiratory organs (28.9%) and nervous system (22.5%) prevailed in the structure of professional pathology of miners of coal mines. Among the three most common nosological forms of OD were radiculopathy (32.1%), chronic bronchitis (27.7%) and mono-polyneuropathy (15.4%). In 2017, coal miners in the Arctic had a professional morbidity rate of 2.82 times higher than the national rates for coal mining.Conclusions. To preserve the health of miners of coal mining enterprises, technical measures to improve working conditions and medical interventions aimed at increasing the body’s resistance to the effects of harmful production and climatic factors are necessary.

Introduction. The development of the construction industry is accompanied by the use of new technologies and building materials. Materials based on mineral wool (MW) became to be widely used. The article presents the results of the study of working environment factors and the determination of the safe for health work experience based on the health risk calculation for workers in contact with MW. Material and methods. To quantify the air pollution of the working area at the construction site, samples were taken using an aspirator and a dust meter. An absorption method using a spectrophotometer was used to determine the chemical composition of the dust. Statistical analysis and mathematical modeling were carried out using a standard software package Microsoft Excel, STADIA. Results. A table for the rapid health risk assessment of workers in contact with MW was developed. The risk of health loss is determined as “High” (R = 11.3). Discussion. Working conditions under the performance of heat-insulating works at facades cladding with the use of MW are classified as harmful (class 3.2) on the dust content in working zone air. In the course of the study, coarse dust and fine dust were found in the air. The data on the change of the dust concentration depending on air humidity, the concentration of dust particles of different dispersion at different distances from the place of work is presented. The chemical composition of dust is presented, the presence of heavy metals is established. Dependences for the determination of safe for health work experience under the influence of the various concentration of dust and the duration of contact are constructed. Сonclusions. On the basis of the research to improve the legal support in the field of occupational health and safety, a number of activities for workers engaged in work with the use of MW are proposed.

Introduction. The relevance of the study is determined by the tasks set in the National Project “Demography” (Federal Project “Senior Generation”), and consists in the need for registration of functional characteristics of the organism of older age groups in the accounting system of measures to preserve their health.Aim of the study is to establish the characteristics of anxiety and components of the postural balance (CPB) in elderly women with the risk of recurrent falls.Material and methods. We examined 232 women aged 55-69 years who reported that they experienced two or more falls over the past 12 months. The first age group included women whose calendar age was in the range of 55-64 years (n = 72), the second - women aged 65-69 years (n = 160). Using the self-assessment diagnostic technique by Spielberger, Ch. D., and Khanin, Yu. L. we determined the level of situational (SA) and personal (PA) anxiety. To assess the features of the CPB, a US-manufactured computerized dynamic posturography complex Smart Equitest Balance Manager was used. Sensory Organization Test (SOT) and Motor Control Test (MCT) tests were conducted. Results. When analyzing anxiety scale values, a high level of PA was revealed in both groups of women, however, the SA indices in women 55-64 years old were lower than for women 65-69 years old (p = 0.005). All this indicates that the development of recurrent falls among women older 64 years will be accompanied by mental tension and pronounced emotional responses to postural changes. According to computerized dynamic posturography testing, age-related differences in CPB have been revealed. There was a decrease in the quality of the equilibrium function by test 5 SOT and vestibular information in postural control found in women of age group 55-64, whereas for women in the age group 65-69 there was a decrease in the quality of equilibrium function by test 4 and visual information in balance control. In the latter, there was also found an increase in the time of coordinated motor response by the test of unexpected external impact on the shift of the center of gravity capable of enhancing the risks of stuttering and falls when walking fast.Conclusion. The suggested criteria for assessing the risk of falls in elderly women can be used to develop individual health programs to prevent serious consequences in such events.

Introduction. In Russia, as in other countries, the share of the population engaged in professions in which the leading source of the health risk of workers is organizational and psychogenic causes is continuously increasing. Among them, the leading place is occupied by the physiologically inadequate workload. The aim of the research was to establish the relationship patterns of acute and chronic (professional burnout) fatigue with the workload, which was characterized by a combination of the intensity and quality of the work. Material and methods. The index used was generalizing the time-weighted average density (N) and temp (T) employment action: I = P∙T. evaluation of the physiological intensity was carried out in the relation to the level obtained for 1, which was made value I=0.84 (a comfortable temp T=1; the share of breaks and pauses in work to 0.16, P=0.84). Results. Functional overvoltage in doctors occurs during the working day with the intensity of labor is 1.4-1.5 times higher than the level at which the fatigue they have absent or small. The change in labor productivity (number of admissions, number of bets, etc.) in more than the stated range is only possible due to, changes in the quality of work (saving the physical, mental, emotional effort). Increased physiological labor intensity of doctors is the most common source of the risk to their health. Discussion. The most common causes of stress and fatigue including “volume and intensity of work” and “working hours” characterize the level of labor intensity. The factor of “imbalance of effort and reward” is also associated with the intensity of work and health risk. In the case of physical, visual and mental labor, the acute functional overstrain of the worker occurs at a labor intensity 1.4-1.5 times higher than the level at which he has little or no fatigue. The increase in labor productivity in excess of the specified range is possible only due to behavioral adaptations - saving of physical, visual, mental and emotional efforts spent on the fulfillment of a unit of standardized labor, which is inevitably reflected as a result of the activity of the doctor. Сonclusion. The established quantitative characteristics of the main indices of the workload-the physiological intensity of labor and the length of working time are the starting point for the analysis, prediction and primary prevention of the risk of chronic fatigue and professional burnout of medical workers due to the lack of rest that occurs under working conditions, inadequate recovery ability of the human body.

Introduction. According to the materials of the World Health Organization, air pollutants are one of the most significant factors affecting the health of the population. The main urban air pollution source is road transport. The determination of air pollutants amount during the operation of the road-vehicles complex (RVC) with suspended substances is an important procedure for monitoring the risk to human health, planning, and evaluation of measures for the protection of residential areas ambient air. The existing methodical documents and regulations do not fully regulate important aspects of air pollution monitoring and assessment by-products caused by exhaust gases of the vehicle and emissions associated with the operation of the RVC. Thus, the purpose of this study is to determine the additional population health risks due to pollutants reaching the air of residential areas during the RVC operation. Material and methods. The method of emissions measurement reaching the air during the operation of the RVC is based on existing methodical documents and regulations. To assess the pollution, the data of observations of the intensity of traffic flow in different time periods in the experimental territories are used. The calculation of pollutants amount released into the air during the operational wear of the RVC is determined separately for the tire treads, brake system, and road pavement. Results. Guided by the constructed nomogram, taking into account distribution zone of the air pollution, it is possible to determine population health risk during the RVC operation in the city based on the calculation of the hazard coefficient. Discussion. On the basis of the calculations, data on the number of pollutants reaching the air during the RVC operation (wear of tire treads, brake system, road pavement) and from vehicles of various types for 1 year are presented. The data on the pollutants quantities generating on the road on a per 1 km car run basis, reaching the ambient air for various periods of time (hours, days) with the aim of the derivation of the spatial-temporal characteristics of the pollutants. On the basis of the obtained data, approximate calculations of the number of pollutants reaching the air during the operation of the RVC from all vehicles registered by St. Petersburg traffic police at the moment and the forecast for the period 2020 were carried out. Сonclusions. The given data on the hazard coefficient calculation of suspended solids emissions of RVC allow summarizing the risk from all the compartmental RVC sources. On the basis of the distance from the road to residential buildings presented in the nomogram, it is possible to determine an additional population health risk due to pollutants reaching the air during the RVC operation using a mathematical model of dispersion.