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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. 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.
Aim to evaluate the severity of tinnitus before and after medical treatment in military personnel exposed to high-intensity noise. Material and methods. The study involved 14 soldiers with complaints of tinnitus who suffered hearing damage caused by gunshot noise (AK74 gun) during military training without hearing protectors. The tinnitus severity and its dynamics during the treatment by glucocorticosteroids was assessed using the Tinnitus Functional Index (TFI). The Tinnitus Handicap Inventory (THI) was used before the treatment, on the 3rd and 7th days after the treatment. Results. It was found that the greatest discomfort was caused by the intrusiveness of noise and inability to control it during the day, and the least discomfort was associated with sleep. The changes in the severity of noise on the THI and TFI scales on the third and seventh days after treatment were significantly different, if compared with the pre-treatment results, and had a positive trend. The therapy provided the significant decrease of noise intrusiveness and established the sense of noise control during the day, as well as minimized its effect on relaxation, hearing and quality of life, if compared to the data before treatment. Conclusion. The TFI and THI scales are recommended for assessing the severity of tinnitus and monitoring the treatment of patients exposed to high-intensity noise. Particular attention should be paid to the use of personal hearing protection equipment when working in conditions of increased level of noise.
Introduction. The functional state and adaptive potential in workers employed at mining enterprises in the Arctic territories are influenced both harmful environmental factors and specific climatic conditions, age and work experience in contact with harmful working conditions. Assessing the impact of work experience on the health in employees to reduce occupational risks and prospects for preserving and strengthening the health of workers at mining enterprises remains an extremely relevant and timely task. Materials and methods. A cross-sectional study of workers was based on a mining and processing plant for the extraction of loparite ore in the Murmansk region. Two hundred one male employee participated in the study. Cardiohemodynamic and somatometric indices were evaluated, on the basis of which integrative indices for assessing functional changes were calculated. The subjects were ranked into groups by work time and age. Results. The analysis of somatometric indicеs, depending on work experience, revealed significant intergroup differences in body mass index, index of physical changes, blood pressure and heart rate. The analysis of heart rate variability showed that with an increase in work experience, there is a unidirectional, negative change in time indices and the wave structure of the heart rhythm towards suppressing the activity of the autonomous regulation circuit with an increased contribution of sympathetic influences on the heart rate. Limitations. Difficult access to medical information and employees’ fears of participating in the study due to fear of dismissal for health reasons. Conclusion. With an increase in work experience, negative changes in the functional state of the body of mining workers in the Arctic zone of the Russian Federation are comprehensively manifested (overweight, an increase in the index of functional changes, an increase in blood pressure). The increased influence of sympathetic influences on the heart rhythm, with the suppression of self-regulation processes, is reflected in the tension of regulatory mechanisms leading to a decrease in adaptive potential and the development of a premorbid state.
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