Особенности формирования общей и профессиональной патологии у горняков подземных апатитовых рудников

Abstract

Abstract. Introduction. Living and working in the Arctic is associated with an increased health risks. The aim of the study was to assess features of non-occupational and occupational disease formation in underground apatite ore miners in the Kola Arctic. Materials and methods. We studied data ofthe periodic medical examination and results of social and hygienic monitoring "Working conditions and occupational morbidity of the population of the Murmansk region". Results. In 2007, 2649 miners were diagnosed with 6778 chronic diseases, of which the most prevalent were diseases of the musculoskeletal system (34.4%) and eye (16.9%). In 2008-2019, 496 occupational diseases were diagnosed for the first time in 290 (10.9%) miners. The risk of developing occupational pathology in drifters exceeded indicators of all other miners, including lumbermen (RR = 1.60; CI 1.07-2.38, р=0,015), operators of a vibratory loading installation (RR = 1.63; CI 0.97-2.74, p=0,041), drillers (RR = 1.57; CI 1.11-2.22, р=0,009) and blasters (RR = 2.13; CI 1.56-2.90, р<0,001). In the structure of occupational diseases, the first places were occupied by vibration disease (19.7%), radiculopathy (19.3%) and deforming osteoarthritis (16.0%). Conclusion. Modernization of ore mining processes and personal protective equipment, as well as a current system of medical measures should include more effective solutions to the problems of preserving health of underground apatite miners in the Kola Polar region.