RESUMO
The study covered data on 977 cases of occupational diseases in 615 workers of nonferrous metallurgy in Kolsky Transpolar area. Findings are high risk of occupational diseases in workers engaged into electrolysis production of aluminium, all nickel reprocessing and pyrometallic copper reprocessing (GR 7.02-10.0). Electrolysis operators and anode operators of aluminium production are more prone to occupational diseases, with bone and muscular disorders (46.8%) prevalent in the morbidity structure. Respiratory diseases are more prevalent (68.2-100%) in the occupational morbidity structure of copper-nickelindustry workers. Conclusion is made on mandatory improvement of the work conditions and more effective individual protective means against occupational hazards in workers of nonferrous metallurgy in Kolsky Transpolar area.
Assuntos
Eletrólise , Metalurgia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Adulto , Alumínio/química , Cobre/química , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Níquel/química , Doenças Profissionais/fisiopatologia , Doenças Profissionais/prevenção & controle , Prevalência , Risco , Federação Russa/epidemiologiaRESUMO
The article presents the results of a study on assessment of occupational exposure to air pollutants and related health effects in3792 outdoor workers engaged in operations performed in the vicinity of non-ferrous metallurgical facilities in Far North. Findings are that during cold season repeated climate and weather conditions are associated with higher level of chemical hazards and dust in surface air. At the air temperature below -17 degrees C, maximal single concentrations of major pollutants can exceed MAC up to 10 times. With that, transitory disablement morbidity parameters and occupational accidents frequency increase significantly. The workers with long exposure to cooling meteorological factors and air pollution demonstrate significantly increased prevalence of respiratory and circulatory diseases, despite relatively low levels of sculpture dioxide and dust in the air, not exceeding the occupational exposure limits. It has been concluded that severe cold is to be considered asa factor increasing occupational risk at air polluted outdoor worksites dueto more intense air pollution, higher traumatism risk and lower efficiency of filter antidust masks respiratory PPE and due to modification of the toxic effects.
Assuntos
Poluentes Ocupacionais do Ar/análise , Poluição do Ar/efeitos adversos , Doenças Cardiovasculares , Temperatura Baixa/efeitos adversos , Doenças Profissionais , Doenças Respiratórias , Adulto , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , Clima Frio/efeitos adversos , Humanos , Indústrias/normas , Masculino , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/prevenção & controle , Doenças Respiratórias/epidemiologia , Doenças Respiratórias/etiologia , Doenças Respiratórias/prevenção & controle , Medição de Risco , Federação Russa/epidemiologiaRESUMO
The paper presents the results of an investigation of the blood levels of mercury, lead, and cadmium in women of indigenous ethnic groups in the Far North. A certain correlation was found between the higher incidence of some poor pregnancy outcomes and fetal maldevelopment upon increased maternal exposure to heavy metals. The found correlations were statistically insignificant. There was no significant association of female exposure to heavy metals with menstrual irregularities and the sex ratio of neonates.
Assuntos
Poluentes Ambientais/sangue , Exposição Materna/efeitos adversos , Metais Pesados/sangue , Grupos Populacionais , Resultado da Gravidez , Poluentes Ambientais/toxicidade , Feminino , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Metais Pesados/toxicidade , Gravidez , Resultado da Gravidez/epidemiologia , Federação RussaRESUMO
The authors assessed peculiarities of effects caused by the most prevalent environmental pollutants (polychlorinated biphenyls, polycyclic aromatic hydrocarbons, lead, mercury) extensively accumulated in human body on clinical course of HIV-infection.
Assuntos
Poluentes Ambientais , Infecções por HIV , Imunotoxinas , Síndrome da Imunodeficiência Adquirida/imunologia , Adulto , Poluentes Ambientais/metabolismo , Feminino , Infecções por HIV/metabolismo , Humanos , Fatores Imunológicos , Chumbo/metabolismo , Masculino , Mercúrio/metabolismo , Bifenilos Policlorados/metabolismo , Hidrocarbonetos Policíclicos Aromáticos/metabolismo , Federação RussaRESUMO
Findings are that occupational factors in nickel electrolysis workshops induce respiratory and peripheral nervous system diseases. Electrolysis workers demonstrate the highest prevalence and risk of occupational diseases. The authors make a conclusion on necessity to improve prophylactic methods for occupational disorders in these workers.
Assuntos
Eletrólise , Metalurgia , Morbidade/tendências , Níquel , Doenças Profissionais/epidemiologia , Adulto , Feminino , Humanos , Masculino , Doenças Profissionais/prevenção & controle , Federação Russa , Local de TrabalhoRESUMO
The paper presents the general principles and procedure of the development and implementation of measures to decrease and prevent environmental pollution with persistent toxic substances (PTS) in the Russian Arctic and, accordingly, to reduce a risk of the deleterious effects of PTS on human health. Based on the results of a study of PTS in the Russian Arctic (from the Kola Peninsula to Chukotka), the authors first systematized the basic lines and actions and formulated specific measures to reduce the North population's exposure to PTSs, such as polychlorinated biphenyls, organic chlorine pesticides (dichlorodiphenyltrichloroethane, hexachlorocyclohexane, hexachlorobenzene, etc.), and heavy metals (mercury, lead, cadmium). A package of measures is aimed at maximally reducing the presence of PTS-containing objects and materials in the north (via detection, collection, and extermination), at neutralizing the soils in settlement lands, at setting up safe water consumption systems, at organizing effective control over the safe use of chemicals and the levels of PTS in raw food materials and foodstuffs, and at working out recommendations on safe procedures for food purchase, storage, and cooking.
Assuntos
Exposição Ambiental/prevenção & controle , Doença Ambiental/prevenção & controle , Monitoramento Ambiental/métodos , Substâncias Perigosas/efeitos adversos , Regiões Árticas/epidemiologia , Doença Ambiental/epidemiologia , Monitoramento Epidemiológico , Humanos , Incidência , Federação Russa/epidemiologiaRESUMO
As part of AMAP's human circumpolar study of POPs, an international effort was initiated to extend coverage to communities across the Russian Arctic. Two additional laboratories were invited to join the analytical component of this effort, resulting in four participating analytical centres. Although quality assurance measures were put in place, and the level of performance of the laboratories was generally acceptable, deficiencies in the analytical protocols used were recognized subsequent to the collection and analyses of the plasma specimens. The current paper describes the criteria employed to critically appraise the four data bases and guide their integration into a single data set. Summary statistics are presented for plasma concentrations of major PCBs, p,p'-DDE, p,p'-DDT, beta-HCH, and HCB for communities/regions across the arctic/subarctic Russian continent, and for one community located in the Aral Sea area of Uzbekistan (a control group). Highly exposed people were identified in the coastal communities of Chukotka, which appears mainly related to marine mammal intake, but recent pesticide use is also suspected. Other communities with intermediate levels of PCBs had relatively elevated beta-HCH, p,p'-DDT and HCB concentrations and low DDE/DDT ratios (<10), suggesting recent pesticide use.
Assuntos
Poluentes Ambientais/sangue , Hidrocarbonetos Clorados/sangue , Adulto , Regiões Árticas , DDT/sangue , Diclorodifenil Dicloroetileno/sangue , Monitoramento Ambiental , Feminino , Geografia , Hexaclorobenzeno/sangue , Hexaclorocicloexano/sangue , Humanos , Masculino , Bifenilos Policlorados/sangue , Federação Russa , Estatística como AssuntoRESUMO
The authors present hygienic evaluation of work conditions, calculate dust loads and risk of stochastic effects in workers of ore mining and processing enterprise. Integral evaluation of the work conditions, according to hygienic criteria, by totality of acting occupational hazards, corresponds to class 3.1-3.4.
Assuntos
Bronquite/epidemiologia , Nível de Saúde , Indústrias/estatística & dados numéricos , Mineração/estatística & dados numéricos , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Bronquite/fisiopatologia , Perda Auditiva Neurossensorial/epidemiologia , Perda Auditiva Neurossensorial/etiologia , Humanos , Pulmão/fisiopatologia , Ruído/efeitos adversos , Prevalência , Fatores de Risco , Vibração/efeitos adversosRESUMO
The article presents results of studies covering elements content of hair and mineral bone density among workers engaged into Utchalinsky ore-dressing and processing enterprise (Utchaly town, Bashkortostan Republic) and among residents of copper-zinc geochemical province. Finding is dysbalance between levels of essential and toxic elements in hair, that is due to environmental and occupational factors. Analysis of elements homeostasis and mineral bone density could be recommended for early diagnosis of osteoporosis.
Assuntos
Cabelo/química , Indústrias , Adulto , Arsênio/análise , Cobre/análise , Feminino , Humanos , Masculino , Metais Pesados/efeitos adversos , Pessoa de Meia-Idade , Zinco/análiseRESUMO
The authors evaluate possible use of Monchegorsk retrospective birth database for demographic and epidemiologic studies of various female reproductive health parameters, newborn health parameters, as well as their connections with occupational and other environmental factors.
Assuntos
Coeficiente de Natalidade , Sistema de Registros , Medicina Reprodutiva , Área Programática de Saúde , Estudos Epidemiológicos , Feminino , Humanos , Federação Russa/epidemiologiaRESUMO
Studying risk factors of malignancies in children who reside near nickel metallurgic enterprise covers creation of a register for long-term epidemiologic monitoring. The article presents possible ways to obtain reliable information from various sources, deals with their positive and negative aspects for electronic database.
Assuntos
Poluentes Ambientais/efeitos adversos , Neoplasias/induzido quimicamente , Neoplasias/epidemiologia , Níquel/efeitos adversos , Adolescente , Adulto , Criança , Pré-Escolar , Monitoramento Ambiental , Monitoramento Epidemiológico , Humanos , Lactente , Recém-Nascido , Metalurgia , Características de Residência , Fatores de Risco , Federação Russa/epidemiologiaRESUMO
The authors justify importance of biologic monitoring to increase quality of hygienic control over and diagnosis of occupational disease. The article covers data on international terminology for exposure tests parameters. Although difficult in elaboration, the exposure tests are highly informative and necessary to be put into practice.
Assuntos
Monitoramento Ambiental/métodos , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/efeitos adversos , Intoxicação/prevenção & controle , Humanos , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Intoxicação/diagnóstico , Intoxicação/etiologia , Medição de Risco/métodosRESUMO
The authors necessitate biologic monitoring to be conducted along with chemical monitoring of environmental objects. Accomplishment of biologic monitoring and interpretation of its results are associated with difficulties. Being a valuable addition to chemical monitoring, biologic monitoring is a total chemical dose incorporated by a biologic object.
Assuntos
Monitoramento Ambiental/métodos , Humanos , Serviços de Saúde do Trabalhador/provisão & distribuiçãoRESUMO
The article deals with setting a unified group Maximal Allowable Concentration for inorganic nickel compounds that pollute ambient air in hydro- and pyrometallurgic industries.
Assuntos
Indústrias , Níquel/efeitos adversos , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/efeitos adversos , Área Programática de Saúde , Monitoramento Ambiental/métodos , Monitoramento Epidemiológico , Feminino , Nível de Saúde , Humanos , Masculino , Níquel/urina , Doenças Profissionais/mortalidade , Valores de Referência , Federação Russa/epidemiologia , Local de TrabalhoRESUMO
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.
Assuntos
Meio Ambiente , Medicina Reprodutiva/ética , Medicina Reprodutiva/métodos , Feminino , Humanos , Masculino , Exposição Ocupacional/efeitos adversos , Medicina Reprodutiva/legislação & jurisprudência , Federação RussaAssuntos
Cobalto/efeitos adversos , Metalurgia , Níquel/efeitos adversos , Doenças Profissionais , Adulto , Poluentes Ocupacionais do Ar/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/induzido quimicamente , Doenças Profissionais/diagnóstico , Fatores de RiscoRESUMO
The complex of physiological reactions caused by cooling is shown to change nonspecifically the organism's toxicokinetics and sensitivity to poisons resulting in considerably increased intake of inhaled harmful substances and their more rapid, though less significantly, elimination. A redistribution of heavy metals in the organism is possible, for example, prolonged cobalt retention in the adrenals. Cooling slows down association and dissociation rates of carboxyhaemoglobin in acute carbonic oxide poisoning. An increase in the acute toxicity of poisons is characteristic for the initial stages of cooling, although in pronounced hypothermia the acute effect of poisons is progressively reduced.