Assessment of professional ability to work in occupational diseases of the peripheral nervous system

Abstract

According to Rosstat forecasts for the period up to 2026, in the next 15–20 years, the population will decrease due to a decrease in the number of people of working age due to a low birth rate, a high death rate of the working-age population, an increase in morbidity and disability. One of the most common diseases among employees is the peripheral nervous system, which is detected in 32.3–58.0% of the surveyed employees of industrial enterprises. They make up 55.7–66.0% of the total occupational morbidity.The purpose of the study is to assess the degree of professional disability in occupational diseases of the peripheral nervous system. The analysis of occupational diseases of the peripheral nervous system for the years 2015–2017, its structure on the materials of the Occupational Medicine Centre of the Republic and the results of their primary medical and social examination (MSE) according to the acts of examination the national Bureau of MSE to assess the occupational disability in occupational diseases of the peripheral nervous system.It was found that in 2015–2017, the average level of occupational morbidity due to diseases of the peripheral nervous system was 0.54 per 10 thousand working population of the Republic. The most frequent are sciatica of the lumbosacral level–0.29 o / o, which occupy more than half (53.4%) of the total occupational morbidity due to diseases of the peripheral nervous system. Occupational diseases of the peripheral nervous system were detected in the machine-building, metallurgical, mining, agricultural, oil-producing and construction sectors of the economy. Almost all (93.9 per cent) who applied to Bureau of MSE was installed, the percentage of occupational disability for a period of one year. The vast majority (73.2%) of those who applied to the MSE office found 30% loss of professional ability to work. In the year of establishment of an occupational disease, 65.0% of professional patients are referred to the Bureau of medical and social expertise (MSE). They continue to work at their previous workplace and are exposed to the same harmful and dangerous working conditions.Effective prevention of occupational diseases and labor losses from them requires building an integrated system that combines primary, secondary and tertiary measures (rehabilitation by individual program) of prevention with the development of clear measures of responsibility for all those interested in a healthy employee.