RESUMO
Assessment of public health safety associated with chemical contaminants consumed with food is an important component for solving the tasks of ensuring the sanitary and epidemiological well-being of the population. For these purposes, it is necessary to establish priority potentially dangerous compounds among the identified undeclared and unintended chemical contaminants for further consumers risk assessment. In conditions of unacceptable levels of health risk, it is necessary to decide whether it is advisable to develop new or change existing hygiene standards for these substances. The aim of the study was to assess the health risk associated with priority potentially dangerous unintended chemical components of contamination in canned meat and meat-and-vegetable products for infants (using the example of N-nitrosoamines). Material and methods. The selection of priority chemical compounds and public health risk assessment were carried out in accordance with the procedure for identifying undeclared and potentially dangerous unintended chemicals in food and using modified approaches based on the results of previous studies. Health risk assessment for infants consuming canned meat and meat-and-vegetables containing priority chemicals was carried out in accordance with the methodology approved by the Eurasian Economic Commitee, as well as using the Guidelines for assessing risks to public health when exposed to environmental pollutants. To characterize the calculated risk levels, the classification proposed in the draft document «Guidelines for assessing risks to public health when exposed to environmental pollutants¼ was used. Results. N-nitrosoamines are classified as chemical contaminants that are a priority for public health risk assessment, identified on the basis of the potential hazard category. A comparative health risk assessment for the target group consumers of canned meat and meat-and-vegetables sold on the territory of the Russian Federation and the Socialistic Republic of Vietnam showed the presence of an unacceptable risk to the health of the Russian population in relation to non-carcinogenic adverse health effects associated with the intake of N-nitrosodimethylamine (NDMA) (hazard quotient HQ=1.1) and N-nitrosodibuthylamine (HQ=5.25). Many experimental (animal) researches confirm the formation of negative effects and potential harm to humans, formed by the consumption of N-nitrosoamines with food. At the same time, the level of the exposure of N-nitrosoamines during oral administration was assessed mainly from the side of carcinogenic effects, however, this study reflects the hazard, including from non-carcinogenic risks associated not only with NDMA and N-nitrosodiethylamine, for which there is a hygienic standard, but also for other N-nitrosoamines, for which there is no hygienic regulation. In turn, the European Food Safety Agency's (EFSA) study notes that it is necessary to conduct a risk assessment for human health in relation to other N-nitrosoamines identified in food, and, if necessary, rationing of these compounds, which is also confirmed by this study. Conclusion. The conducted health risk assessment of the target population of Russia (infants from 6 months to 3 years) consuming the studied types of products containing N-nitrosoamines showed the presence of unacceptable levels of non-carcinogenic health risks in relation to the development processes and impaired liver function. In connection with the identified risks to the health of the target population, it is advisable to establish maximum permissible levels not only for the amount of NDMA and N-nitrosodiethylamine, but also for other N-nitrozoamines identified by the results of the study, with their subsequent regulation.
Assuntos
Poluentes Ambientais , Verduras , Animais , Lactente , Humanos , Dietilnitrosamina , Carne , Substâncias Perigosas , Poluentes Ambientais/análise , Medição de Risco , Contaminação de Alimentos/análiseRESUMO
The existing methodological approaches for hazard identification and selection of priority hazard contaminants in foodstuff for further health risk assessment and legislation (in case of need) do not represent the reasons of inclusion inadvertent chemical substances in a number of priority for health risk assessment. The absence both of complex assessment and potential hazard categories of contaminants do not allow to assess the urgency of health risk assessment. Thus, it's advisable to expand the existing methodological approaches with the criteria of selection of hazard inadvertent chemical substances in food. The criteria allow for an integral assessment and further categorizing for health risk assessment and legislation. The aim of the research was to develop the methodological approaches to selection of priority inadvertent chemical substances in foodstuff for risk analysis and legislation based on the integral assessment Results. Material and methods. Various methods of chemical analysis were applied for detection of potentially hazard chemical substances in foodstuff. The further hazard identification and selection of priority chemical substances has been based on suggested criteria and categories that complete existing methodology. The approbation of methodological approaches to integral assessment and categorizing has been carried out on milk. Results and discussion. The potential hazard identification of inadvertent chemicals has been carried out using the complex of selection criteria. It was suggested to apply scores for calculation of integral score for further categorizing and selection of priority chemical substances (taking into account substances' toxicity class and possibility of migration during cooking or formation during technological process, and from packing, and from food raw materials). 5 hazard chemicals in milk (2-furanmethanol, thallium, mevinphos, sulfotep, mephospholane) were defined as priority category as the result of approbation. Conclusion. Integral assessment and categorizing of potential hazard of inadvertent chemicals in food applying basic and additional criteria taking into account natural content of the substances and their possibility of migration in food allow to assess the priority of health risk assessment and further hygienic legislation of the substances (in case if the risk level is inappropriate). During the approbation on the example of milk, 5 unintended substances that had potential hazard category I (high priority) were recommended for further risk assessment.
Assuntos
Culinária , Mevinfós , Animais , Manipulação de Alimentos , Leite , Medição de RiscoRESUMO
The growth of the world population leads to an increase in demand for food consumption. Along with the projected reduction in demand for meat products, a search is underway for a new type of food ("novel food"), one of the promising options for which are insects. In 2023 the European Commission has registered flour made from house cricket (Acheta domesticus) as a "novel food" for human consumption. Currently, the amino acid composition of both new types of food and the diet that includes them is not regulated. Accordingly, the potential amino acid imbalance in the diet when entomoprotein is included need to be further investigated. The aim of the study was to characterize the amino acid composition of a simulated diet using protein obtained from house cricket. Material and methods. To assess the balance of diets in terms of amino acid composition, a comparative analysis was made of the actual diet containing protein from traditional foods (scenario 1) and the diet with the likely replacement of beef, pork and poultry with a product containing A. domesticus protein (entomoprotein) (scenario 2). The volume of food consumption has been calculated based on the results of the assessment of a sample survey of household budgets. The study included foods with an established value of annual consumption, that was calculated as daily consumption. The content of essential amino acids in food sources of protein, as well as in the domestic cricket protein, was evaluated using the data from relevant sources. Dietary balance was assessed by calculating its digestibility using data on amino acid scoring, the utility of essential amino acids, the excess content of individual essential amino acids, and the comparable excess content of essential amino acids. Results. We determined the daily consumption volumes of basic foods, formed consumption scenarios, including with the potential use of a protein product based on entomoprotein. Comparative analysis of the amino acid composition of the diet showed significantly higher content (from 1.4 up to 2.9 times) of amino acids in the diet in scenario 2. The results of calculating the amino acid score and utility coefficient showed that a diet using entomoprotein could provide a better usage of amino acids for protein synthesis compared to the «traditional¼ diet, however, the digestibility of protein from the traditional diet is higher compared to entomoprotein (96.8 vs 89.1%). Conclusion. Despite the fact that the utility of essential amino acids in the scenario of replacing meat products with a product containing A. domesticus entomoprotein is higher, while the digestibility of protein is lower, the differences identified are insignificant.
Assuntos
Aminoácidos , Produtos da Carne , Bovinos , Animais , Humanos , Aminoácidos Essenciais , FarinhaRESUMO
The development of food technologies at the present stage is aimed at expanding the range of food raw materials, including alternative food sources. One of such sources is meat derived from in vitro stem cells or cultured meat. The stages of in vitro meat production could be divided into four blocks: preparation of raw materials, cultivation of cells in a nutrient medium, forming the final product and preparing meat for sale to the consumer. The cultured meat production process must be accompanied by the improvement, implementation and maintenance of procedures based on HACCP principles. However, the developed and approved HACCP system for the cultured meat production hasn't been found in the scientific literature. Given the prospects for cultured meat production, the development HACCP system for this area is feasible. In this regard, it is advisable to identify critical control points in production and identify the potential hazards of cultured meat to consumers for subsequent risk assessment. The aim of the study was to identify potential health hazards and analyze key control points in cultured meat production. Material and methods. Previously conducted studies on in vitro meat cultivation technologies, as well as Russian regulatory and technical documentation were used as initial data on the production processes of cultured meat and the risk associated with its production. The method of studying and critical analyzing relevant scientific sources devoted to the safety of cultured meat was applied. In total, more than 120 sources were studied, from which 30 relevant ones were selected. Results. The potential hazards associated with the consumption of cultured meat are due to physical, chemical and biological factors. In addition, the occurrence of allergic reactions is identified as a danger factor. An imbalance of amino acids in the diet may occur as a result of the consumption of novel food in a significant proportion (>50% of meat consumption). Ten critical control points have been identified, each of which is characterized by the action of potential hazard factors of a different nature. It has been established that the number of critical control points is the same at all stages of production, except for the formation of the final product. The characteristics of hazard factors, as well as information about the critical control points of these factors' action, determine the possibility of assessing the potential hazard (and further risk assessment) and choosing measures to manage them, which meets the requirements of GOST R ISO 22000-2019. Conclusion. Each of the identified types of hazard is not specific to a particular stage of in vitro meat production and can effect negatively at several critical control points. When organizing control (monitoring) of the safety of new type food, one should be guided by the Technical Regulations of the Custom Union "On the Safety of Food Products", according to which the manufacturer of foods (including novel foods) must develop, implement and comply with procedures based on the HACCP. The use of HACCP is relevant under inappropriate risk for consumer health. To assess the risk level, exposure assessment (a key step in risk assessment) should be carried out for each type of hazard factor. For these purposes, it is necessary to identify the potential risk group and determine the scenarios of cultured meat's consumption.
Assuntos
Hipersensibilidade , Carne in vitro , Humanos , Carne , Aminoácidos , Tecnologia de AlimentosRESUMO
The authors defined occupational risk level and relations of health disorders in workers engaged into processing of titanium-containing and rare-elements materials with forecasting risk changes in accordance with length of service and its realization evaluation. Work conditions are characterized by exposure to chemicals (sulphur dioxide, nitrogen oxide, chlorine and hydrochloride, vanadium compounds), noise, general vibration, heating, work hardiness - and are evaluated as hazardous, jeopardy degree 3 and 4. Results of a priori assessment of occupational risk define it as high. Modelling of health risk evolution outlines that after 15 years of service (by 35 years of age) the share of cardiovascular disease will approach 65% in total workers' health risk. Prevalence of arterial hypertension in the studied group by 15 years of service equals 44,5% (p = 0,04), in the reference group no reliable prevalence of arterial hypertension with length of service was seen. Realization of health risk due to chemicals manifested with higher prevalence of upper respiratory tract diseases that were significantly more frequent (p = 0,037) among the studied group (62,23%), than in the reference group (38,30%). The authors determined length of service criteria and health disorders, that outline priority contribution into the health risk, to specify a system of preventive measures for risk minimization.
Assuntos
Hipertensão , Metalurgia , Doenças Profissionais , Exposição Ocupacional , Saúde Ocupacional/normas , Titânio/análise , Adulto , Humanos , Hipertensão/diagnóstico , Hipertensão/epidemiologia , Hipertensão/prevenção & controle , Masculino , Metais Terras Raras/análise , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/análise , Exposição Ocupacional/prevenção & controle , Saúde Pública/métodos , Medição de Risco/métodos , Fatores de Risco , Federação Russa/epidemiologia , Fatores de TempoRESUMO
The article deals with results of assessing risk of occupationally related hypertension among workers of sylvinitedressing works, with individual sensitivity consideration. Epidemiologic study proved correlation between occupational exposure to noise over 83 dB and hypertension and its predictors - increased activity of serum lipoprotein and homocystein. The studies determined an indicator of the workers' increased sensitivity to arterial hypertension development and to changes in parameters of disordered vascular tone regulation (increased activity of serum lipoprotein and homocystein) under exposure to noise - CT genotype of MTHFR gene. Workers with CT genotype of MTHFR gene, according to epidemiologic analysis, demonstrated increase in relative risk of vascular tone regulation disorders (hypertension predictor). Additional probability ofvascular tone regulation disorders under exposure to noise of 83 dB in sylvinitedressing workers with increased individual sensitivity is estimated at 3%.
Assuntos
Predisposição Genética para Doença , Variação Genética , Hipertensão/genética , Metilenotetra-Hidrofolato Redutase (NADPH2)/genética , Ruído Ocupacional/efeitos adversos , Doenças Profissionais/genética , Adulto , Estudos de Casos e Controles , Feminino , Humanos , Hipertensão/epidemiologia , Masculino , Mineração , Doenças Profissionais/epidemiologia , Saúde Ocupacional/normas , Federação RussaRESUMO
The article presents results of evaluation of a priori and a posteriori occupational risks for workers engaged into underground mining. Evidence is that work conditions of major occupational groups of workers engaged into underground mining, according to workplace certification, correspond to 3 class 3 jeopardy degree. A priori risk of diseases development corresponds to high (unbearable). Evaluation of cause-effect relationship between health disorders and work conditions revealed a medium degree of occupational conditionality for vascular regulation disorders and metabolic disorders, that can be considered as cardiorisk indicators.
Assuntos
Doenças Cardiovasculares/etiologia , Mineração , Doenças Profissionais/etiologia , Saúde Ocupacional/normas , Local de Trabalho/normas , Poluentes Ocupacionais do Ar/análise , Doenças Cardiovasculares/epidemiologia , Humanos , Doenças Profissionais/epidemiologia , Material Particulado/análise , Medição de Risco , Federação RussaRESUMO
In accordance with the international documents in the field of occupational safety and hygiene, the assessment and minimization of occupational risks is a key instrument for the health maintenance of workers. One of the main ways to achieve it is the minimization of occupational risks. Correspondingly, the instrument for the implementation of this method is the methodology of analysis of occupational risks. In Russian Federation there were the preconditions for the formation of the system for the assessment and management of occupational risks. As the target of the national (state) policy in the field of occupational safety in accordance with ILO Conventions it can be offered the prevention of accidents and injuries to health arising from work or related with it, minimizing the causes of hazards inherent in the working environment, as far as it is reasonably and practically feasible. Global trend ofusing the methodology of the assessment and management of occupational risks to life and health of citizens requires the improvement of national policies in the field of occupational hygiene and safety. Achieving an acceptable level of occupational risk in the formation of national policy in the field of occupational hygiene and safety can be considered as one of the main tasks.
Assuntos
Política de Saúde , Higiene/normas , Doenças Profissionais/prevenção & controle , Saúde Ocupacional , Medição de Risco/métodos , Local de Trabalho/normas , Humanos , Morbidade/tendências , Doenças Profissionais/epidemiologia , Federação Russa/epidemiologiaRESUMO
The methodology of the analysis of health risk at the present stage of development of Russian society is in-demand at all levels of government management. In conjunction with the methods of mathematical modeling, spatial-temporal analysis and economic tools the risk assessment in the analysis of the situation makes it possible to determine the level of safety of the population, workers and consumers, to select prior resources, and threat factors as a point for exertion efforts. At the planning stage risk assessment is a basis for the establishment of most effective measures for the minimization of hazard and dangers. At the realization stage the methodology allows to estimate the efficiency of measures; at the control and supervision phase it permits to select out priorities for the concentration of efforts on the objects of maximal health risk for population. Risk assessments, including the elements of evolutionary modeling, are incorporated in the system of state hygienic regulation, the formation of evidence base of harm to health, the organization of control and supervisory activities. This allows you to harmonize the domestic legal framework with ternational legal requirements and ultimately enhances the credibility of the Russian data on the safety of the environment products and services. There is seemed to be actual the further assignment of enforcement of methodology of health risk analysis in the field of assurance of sanitary and epidemiological well-being and health of employers; he development of informational and analytical base in the part of the establishment of models of dependencies "exposure-response" for different types and levels of exposure and risk contingents; the accuracy enhancement of estimations of exposure; improvement of the economic aspects of health risk analysis and forecasting of measures aimed at mitigation of the losses associated with the negative impact of manifold factors on the health of citizens.
Assuntos
Higiene/normas , Saúde Pública/legislação & jurisprudência , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Medição de Risco , Saneamento/normas , Seguridade Social/legislação & jurisprudência , Humanos , Federação RussaRESUMO
In the article there are presented the results of the substantiation of a harmonized mean year maximum permissible nickel concentrations (MPNC) in ambient air according to the results of epidemiological studies and mathematical modeling of the evolution of risk Data of the analysis of hygienic standards of the nickel content in the air used both in Russia and abroad, as well as the results of the own research allow us to recommend as a harmonized mean year MPNC-0.00005 mg/m3, and as critical effects--disorders of the respiratory organs.
Assuntos
Poluição do Ar/análise , Doença Ambiental/epidemiologia , Higiene , Níquel/análise , Material Particulado/análise , Seguimentos , Humanos , Concentração Máxima Permitida , Prevalência , Federação Russa/epidemiologia , Fatores de TempoRESUMO
Forming a community at risk for circulatory system diseases will increase efficiency of medical and prophylactic measures on managing risk of arterial hypertension. Epidemiologic analysis helped to reveal reliable connection between arterial hypertension predictors and work conditions of mining machine operators and supported actualization of high occupational risk suggested in a priori evaluation. Mathematic modelling helped to forecast increase in the disease probability: with noise level of 94 dB after 10 years of work, 17.9% of workers are expected to have arterial hypertension preventing from further occupational activity. Forecasting results of arterial hypertension probability help to form risk groups for medical and preventive technologies managing occupational risk, and predictors enable to specify necessity of individual medical preventive measures.
Assuntos
Hipertensão/etiologia , Mineração , Modelos Teóricos , Ruído Ocupacional/efeitos adversos , Doenças Profissionais/etiologia , Saúde Ocupacional/normas , Adulto , Humanos , Hipertensão/epidemiologia , Hipertensão/prevenção & controle , Masculino , Ruído Ocupacional/prevenção & controle , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Fatores de Risco , Federação Russa , Local de Trabalho/normasRESUMO
Evaluation of effects caused by environmental peroral exposure to chlorine organic compounds revealed that individuals with AG variation of HTR2A gene are a community with increased sensitivity to chloroform and a risk group for lipid and carbohydrates metabolism disorders. Individual risk of endocrine disorders (ICD: E67.8 excessive nutrition and E66.0 obesity) in these individuals is higher than in general population exposed to chloroform at residence (HQ1.72). Serum serotonin level, that is functionally connected with HTR2A gene, is 1.3 times lower vs. the reference group value.
Assuntos
Metabolismo dos Carboidratos/efeitos dos fármacos , Clorofórmio/efeitos adversos , Água Potável/química , Transtornos do Metabolismo dos Lipídeos/induzido quimicamente , Poluentes Químicos da Água/efeitos adversos , Metabolismo dos Carboidratos/genética , Estudos de Casos e Controles , Criança , Pré-Escolar , Clorofórmio/análise , Clorofórmio/sangue , Água Potável/normas , Doenças do Sistema Endócrino/sangue , Doenças do Sistema Endócrino/induzido quimicamente , Doenças do Sistema Endócrino/epidemiologia , Doenças do Sistema Endócrino/genética , Feminino , Humanos , Transtornos do Metabolismo dos Lipídeos/sangue , Transtornos do Metabolismo dos Lipídeos/epidemiologia , Transtornos do Metabolismo dos Lipídeos/genética , Modelos Logísticos , Masculino , Modelos Teóricos , Obesidade/sangue , Obesidade/complicações , Obesidade/epidemiologia , Obesidade/genética , Polimorfismo de Nucleotídeo Único , Receptor 5-HT2A de Serotonina/genética , Serotonina/sangue , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/sangueRESUMO
In the article there is presented the experience of justification of hygienic standards of food safety with the use of criteria for the risk for population health. Health risk assessment under the impact of tetracyclines with food showed that the content of residual amounts of these antibiotics at the level of 10 mg/kg (permissible residual tetracycline accepted in Customs Union Member Countries (CUMC) will not increase the risk to public health, including the most sensitive groups of the population. The assessment ofthe health risk associated with the receipt of ractopamine with food, showed that eating foods containing ractopamine at ADI level (0-1 mg/kg body weight), and even at the limit of quantification levels in meat products, is inadmissible because of unacceptable risk of functional disorders and diseases of the cardiovascular system. The results of the substantiation of the permissible levels of nitrates content in crop production showed that at the level of exposure according to hygienic standards established in the CUMC as at the recommended and actual consumption levels of products ofplant origin, the health risk as carcinogenic and non-carcinogenic, does not exceed acceptable levels. The results of the assessment of the risk associated with the permissible levels of L. monocytogenes in certain food groups showed that an exposure level of hygienic standards established in the CUMC, standards of Codex Alimentarius Commission and EU documents (before release to the market by the manufacturer) the health risk does not exceed the maximum permissible level of the appearance of serious diseases. Adoption of standards of Codex Alimentarius Commission and the EU (for handling products in the market) is not acceptable because it can lead to an unacceptable risk of listeriosis for the population of the Russian Federation as a whole, and for the most sensitive groups.
Assuntos
Contaminação de Alimentos/prevenção & controle , Inocuidade dos Alimentos , Indicadores Básicos de Saúde , Higiene/normas , Antibacterianos/análise , Contaminação de Alimentos/legislação & jurisprudência , Microbiologia de Alimentos , Qualidade dos Alimentos , Regulamentação Governamental , Substâncias de Crescimento/análise , Humanos , Higiene/legislação & jurisprudência , Nitratos/análise , Fenetilaminas/análise , Medição de Risco , Federação RussaRESUMO
One among priority trendsin health care in Russian Federation and abroad is minimization of occupational risks. The authors present evaluation of legislation basis for occupational risk analysis. The most promising trend in improvement of national legislation is its development on basis of internationally accepted documents, that-provides legislation basis for analysis of workers' health risk. Findings are that complete evaluation of occupational risk requires combination of data on work conditions and data of occupational control, and sometimes--with results of special research. Further improvement is needed for justifying hygienic norms with applying criteria of allowable risk for workers' health. Now development of risk analysis methodology enables quantitative evaluation of health risk via mathematic models including those describing risk evolution.
Assuntos
Doenças Profissionais/prevenção & controle , Saúde Ocupacional/legislação & jurisprudência , Segurança/legislação & jurisprudência , Humanos , Medição de Risco , Federação RussaRESUMO
The article represents methodic approaches that enable quantitative evaluation of worker's health risk, forecast of changes in health state. Models application proved that integral risk of health disorders in workers exposed to occupational factors becomes unacceptable by the age of 45 years, without exposure to the factors - by 54 years. At work under existing levels of exposure to occupational factors, cardiovascular risk increases with length of service, and by 5 years of service, number of additional occupational cases in a studied group of workers approaches 11 per year. Solving effectively problems of health risk evaluation, evolution models consider specific conditions of workplaces contamination and describe influence of variable factors within work conditions on risk of various health disorders in dependence on length of service and exposure duration. Methodic approaches to health risk evaluation, based on evolution models of hazardous effects development under exposure to working environment factors, enable to follow dynamics of these effects development on background of natural ageing and to forecast health state of human and population under multi-factorial, multi-exposure load.
Assuntos
Doenças Profissionais/epidemiologia , Gestão de Riscos/estatística & dados numéricos , Humanos , Modelos Estatísticos , Medição de RiscoRESUMO
The analysis of scientific data including American and European scientific communities concerning use of ractopamine as a growth factor in food animal production and the argumentation of the maximum permitted levels of ractopamine and levels of ractopamine in meat and byproducts (offal) is carried out. The position of the Russian side stated at the Codex Alimentarius commission 35th session that acceptable ractopamine daily intake is insufficiently validated and cannot be used for the determination of maximum permitted levels of ractopamine in meat and byproducts (offal) is confirmed. It is represented that residual ractopamine intake together with food on the levels which are recommended by the Codex Alimentarius commission and by taking into account the levels of animal products consumption in Russian Federation will lead to unacceptable human health risk level that will promote increasing heart diseases and life expectancy reduction. In this connection Russia states against of acceptance of maximum permitted levels of ractopamine in food.
Assuntos
Nível de Saúde , Carne/análise , Fenetilaminas/farmacologia , Agonistas Adrenérgicos beta/farmacologia , Animais , Substâncias de Crescimento , Humanos , Carne/estatística & dados numéricos , Fenetilaminas/química , Federação Russa/epidemiologiaRESUMO
In the article there is substantiated the need to include social factors (particularly lifestyle factors) in the risk assessment procedure of the health of children residing in conditions of anthropogenic impact on the environment. The purpose and algorithm for identification of social risk factors are disclosed. There are reported results of testing of author's approaches as exemplified of the Perm region (sample size--642 people). There is established high prevalence of behavioral risk factors for the health of children residing in industrialized areas--wrong nutrition, hypodynamia, exposure to secondhand smoke, and the irresponsible behavior of parents with regards to the health of children. On the base of the results of an epidemiological analysis accordingly to the odds ratio there is determined that the socio-economic status of the family appears as a key condition for the formation of a behavioral risk for the health of preschool children. The parents' education was found to contribute to the formation of behavioral risks to children's health more, than the level of family income.
Assuntos
Proteção da Criança , Exposição Ambiental/efeitos adversos , Saúde Ambiental/normas , Nível de Saúde , Estilo de Vida , Medição de Risco/métodos , Meio Social , Pré-Escolar , Feminino , Humanos , Masculino , Fatores de RiscoRESUMO
The authors present complex hygienic characteristics of work conditions for workers engaged into metallurgic process of ferrovanadium production. Chemical factors were shown as having complex influences. Occupational risk for the workers' health was estimated. Categories of a priori occupational risk for workers are valued from average (considerable) risk to very high (intolerable) risk. Factors that are priorities for development of occupationally induced diseases are disclosed. Reliable cause-effect relationships between working environment factors and the workers' diseases are determined. Work conditions appeared to play considerable role in respiratory tract diseases (average degree of occupational conditionality). Differences between workshops in fractional composition and concentration of dust, as major components of occupational factors complex, develop pathologic changes in various levels of respiratory system.
Assuntos
Poluentes Atmosféricos/toxicidade , Metalurgia , Doenças Profissionais/epidemiologia , Doenças Respiratórias/epidemiologia , Aço/toxicidade , Compostos de Vanádio/toxicidade , Adulto , Poeira , Humanos , Doenças Profissionais/induzido quimicamente , Doenças Respiratórias/induzido quimicamente , Risco , Recursos Humanos , Local de TrabalhoRESUMO
Results of health risk evaluation in workers engaged into powder metallurgy, using complex of hygienic, medical, epidemiologic and sociologic studies, enable to define priority occupational and social risk factors, to assess degree of their influence on the workers' health and to identify occupationally induced diseases.
Assuntos
Poluentes Ocupacionais do Ar/toxicidade , Doenças Cardiovasculares , Metalurgia/métodos , Metais/toxicidade , Doenças Profissionais , Local de Trabalho/normas , Adulto , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/prevenção & controle , Sistema Cardiovascular/efeitos dos fármacos , Feminino , Humanos , Masculino , Metais/classificação , Pessoa de Meia-Idade , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Medição de Risco , Fatores de Risco , Federação Russa/epidemiologia , Fatores Socioeconômicos , Fatores de TempoRESUMO
The existing methodic approaches to analyzing a noncarcinogenic risk fail to fully solve the tasks set within the basic lines of the activities of the Russian Agency for Consumer Surveillance since there are limited capacities of the quantitative assessment of a noncarcinogenic risk to human health. An algorithm is proposed for basing the indicators assessing a noncarcinogenic risk to human health, which assumes to determine exposure or an exposure marker for a cohort to be examined, to define a response to human health exposure, to construct mathematical "exposure (an exposure marker)-response" models, to determine the ineffective levels exposure for each type of a response, to make the piecewise-linear approximation of a model, and to calculate a slope factor for each linearized interval of an exposure-response model. Application of the proposed methodic approaches makes it possible, provided that the estimation of the cost of risk units, to assess the economic loss risk associated with the pollution of environmental objects, including a preventable risk, and to calculate the indicators of the effectiveness and efficiency of the activities of the bodies and organizations of the Russian Agency for Consumer Surveillance in reducing the risk to the population's health.