The article sets forth a theoretical basis for the evaluation of the probability of vibration disease caused by local vibration, with due account of the concomitant factors and with recommendations with regard to the assessment of the aggravating and normalizing factors. Basing on the original data and medical literature information, the contributors provided formulae and charts for the assessment of vibration disease, risks caused by noise, cold microclimate, physical overload, and cigarette smoking as an individual factor. A concept was proposed with regard to the risk-free dosage. The concept was viewed as a new hygienic and occupational category, which facilitated evaluating the real occupational risk levels for any profession and their consequent minimizing.
The rising flow of information affects the health and affords ground for strengthening measures of hygienists. There is considered the place of information hygiene in preventive medicine. There are discussed physical and hygienic aspects of measurement and evaluation of information, there are considered some of their negative consequences. International and local regulations and guidance documents in this area are presented. In the light of the strategy of innovative development of Russia there are considered hygienic aspects of innovation and the improvement of hygienic standards.
The objective of the present paper was to review international and national standards for the criteria of assessment of the noise-induced occupational loss of hearing. The importance of healthy hearing for the occupational safety is emphasized which implies the necessity of the more rigorous criteria for hearing conservation in the workers engaged in the noisy technological environment compared with those for the general population. A rationale for the development of the standard program of hearing conservation in the workers engaged in the noisy technological environment is proposed including hygienic norms and rules or national state standards.
The legal and ethical issues related with the protection of population reproductive health, under the conditions of anthropogenic contamination of the environment, including the labor environment, are discussed in the article. A concept of pregnancy planning to ensure a healthy posterity under the mentioned conditioned was formulated. Documents of WHO, ILO and the EU experience in dealing with the issues in question are illustrated. An increasing role of social labor measurement as well as the evolution of law, i.e. civil, labor, and social law, as well as the right to unified medical-and-social insurance, are in the focus of attention. The prospects for a new WHO-ICF classification, as a social UNO classification, are pointed out. The sensitivity--susceptibility--vulnerability chain was analyzed, and a growing social context was underlined in it. The individual and team risks were considered, and the Code of professional ethics of hygienists was paid attention to.
Analysis of thorough medical examinations with applied method assessing occupational health risks in ore-dressing and processing enterprise workers revealed increased risk of locomotory and nervous system disorders, diseases of respiratory tract (chronic bronchitis), ear and mastoid process, digestive system (peptic ulcer of stomach and duodenum), blood system, eyes (Uchaly town, Bashkortostan Republic). The data obtained prove high level of occupational influence of these diseases formation.
The article deals with essentials of evidence-based medicine, its principles in occupational medicine and patterns of evaluation of occupation and disease relatedness. The authors suggest an algorithm of medical examinations considering evidence-based medicine principles.
The issues and prospects of workers' reproductive health as a problem of occupational health in nowadays Russia are outlined with due account for WHO, ILO, EC, etc. concepts and recommendations. Main principles of reproductive health protection are gender approach, additional protection of vulnerable groups, e. g. pregnant women and obligatory account for combined effects of occupational, environmental and socio-economic risk factors. Two groups of criteria are essential: criteria of health and criteria of emancipation. Criteria for evaluation of reproductive health disorders are worked out based on official statistical indices and it is proposed to rate some of these as of extra category class for effective risk assessment and risk management. The strategy and priorities in workers' reproductive health are discussed and need for international cooperation is noted for resolving this problem.
ILO plan of action (2010-2016) to achieve widespread ratification and effective implementation of the occupational safety and health instruments (Convention No. 155, its 2002 Protocol and Convention No. 187) is discussed. ILO documents on recording and notification as well as new list of occupational diseases (revised 2010) are considered.