Abstract

Due to the modernization of chemical production in recent years, specialists note a reduction in detection of occupational intoxication and a decrease in the overall occupational morbidity of workers in the chemical industry. At the same time, the risk of loss of professional aptitude for general medical contraindications and the preservation of the functional longevity of employees comes to the first place. The study aims to conduct a comprehensive analysis of the current state of working conditions and health from chemical organ synthesis enterprise employees. The experts analyzed the state of working conditions of production workers under a special assessment of working conditions. In addition, we studied the status of the leading professional groups of the enterprise according to the results of a periodic medical examination (PME). The working conditions in the primary professions of the enterprise for the production of acrylic acid nitrile, sodium cyanide, and related products are harmful to 1-3 degrees (subclasses 3.1-3.3). Scientists estimated the a priori occupational risk to employees' health from exposure to harmful factors of the production environment in the categories from small (moderate) to high (intolerable), where it is necessary to take urgent measures to reduce it. Scientists recognized three employers out of 522 who work in harmful working conditions for general medical contraindications (coronary heart disease) as unfit for professional work. We allowed 14 people to work in the profession with restrictions. Specialists identified common somatic diseases in 335 people: sciatica of the lumbosacral level (23.7%), chronic bronchitis (15.3%), essential hypertension (14.4%), and cerebral atherosclerosis (12.3%). The employees of chemical organ synthesis enterprises work in harmful working conditions, namely: the presence of toxic chemicals in the air of the functional area, an increased noise level generated by working production equipment, and the severity of the labor process. An adequate system of hygienic monitoring and organizational and technical measures makes it possible to reduce the class of the degree of harmfulness of working conditions according to the chemical factor to acceptable ones. Polyethological general somatic diseases create the most significant risk of loss of professional aptitude in personnel. Harmful factors of work and lifestyle aggravate the involutional processes.

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