Morbidity Of Personnel Research Articles

ПРОБЛЕМЫ ОЦЕНКИ СОСТОЯНИЯ ЗДОРОВЬЯ ПЕРСОНАЛА, РАБОТАЮЩЕГО В УСЛОВИЯХ НОВЫХ ТЕХНОЛОГИЙ ПРОИЗВОДСТВА ЯДЕРНОГО ТОПЛИВА

Purpose: To identify the problem of assessing the health status of personnel working under the conditions of new technologies for the production of nuclear fuel.
 Material and method: The object of the research was the general morbidity of workers in the production of mixed nitride uranium-plutonium fuel (MNUP-fuel). The material for the study was the data presented in the «Health Passports». The paper used the method of comparative analysis of the overall morbidity of workers in the production of MNUP-fuel and workers in enterprises dealing with nuclear fuel.
 Results and analysis: At present, in our country, within the framework of the «Breakthrough» project, new technologies are being developed for the fabrication and refurbishment of mixed uranium-plutonium (MNUP) fuel. In the absence of radiation and hygienic standards for the content of fuel products in working rooms, in order to assess the influence of production factors, along with the radiation dose, the incidence of personnel is studied as an integral indicator of health. A study of the incidence of 50 workers in the production of MNUP fuel revealed: Relatively high incidence of general morbidity – 1122 diseases per 100 people or an average of 93.5 diseases per 100 people per year, regardless of the length of service. The leading diseases in the overall morbidity structure are diseases of the respiratory system – 26.0 % 
 (1st place), eyes – 13.4 % (2nd place), musculoskeletal system – 11.4 % (3rd place), circulatory system – 10,9 % (4th place), injuries and poisoning – 8.4 % (5th place), digestive organs and genitourinary system – 7.7 % and 7.0 %, respectively (6th place), which make up 84.7 % of the total morbidity. Obviously, the effective dose of 4.6 mSv/year cannot be the only reason for the high morbidity in workers in complex radiochemical production, but characterizes only the influence of one of the many nonspecific factors of production. The existing system for assessing the health of personnel working in radiochemical production, in addition to analyzing the risks of deterministic and stochastic effects, should include an assessment of the overall morbidity of personnel.

Organizational and functional form of infectious diseases control of servicemen studying in military educational organizations

Control of infectious morbidity is considered as a functional tool for ensuring the sanitary-epidemiological well- being of servicemen studying in military educational organizations. At the same time, scientifically substantiated structural and logical schemes for interaction of officials of these organizations to control morbidity in the system of ensuring sanitary and epidemiological well-being of servicemen are absent. Literature data on the development of organizational and functional form of controlling the infectious morbidity of servicemen studying in military educational organizations is analyzed. The connection of infectious morbidity with the level of sanitary-epidemiological well-being of military contingents is mentioned. The concept of infectious morbidity in relation to the activities of officials of the military educational organization control in the sphere of ensuring sanitary and epidemiological well-being is explained. Existing approaches to the development of organizational and functional models in the field of health care are considered. The principles of development of the organizational and functional form of control of the infectious morbidity of personnel of the military educational organization are proposed and the expected results of its implementation are mentioned.