Risk of the occurrence of occupational diseases associated with somatic pathology

Abstract

Introduction. 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.

Prediction of Occupational Fluorosis in Aluminum Production Workers in View of Comorbidities

“…Приведем формулу для расчета вероятности развития хронической фтористой интоксикации у наблюдаемых рабочих с помощью логистической регрессии: y = - Обсуждение. Использование математического моделирования при анализе предикторов и сроков развития как соматической, так и профессиональной патологии позволяет провести расчеты и определить риск развития соматических и профессиональных болезней как на групповом (характерный для рабочего места), так и на индивидуальном (для каждого конкретного работника) уровне [30].…”