Occupational Risk Management Research Articles

Occupational Risk Management at Production Plants in Poland during the Covid-19 Epidemic

Abstract The epidemic is affecting the global economy, plunging many industries. The global scale of the epidemic and government controls, restrictions and constraints have led to imbalances in world trade and have put many companies under pressure. The epidemic is a test of individual companies’ ability to operate effectively under new conditions, including occupational risk management. The research was conducted using a questionnaire method, the study was attended by 199 respondents. The research is burdened with an error in the selection of statistical sample units, which resulted from the respondents’ involvement and their truthfulness. The research was burdened with an estimation error of 0.07. The research was divided into two parts related to freezing the economy and social life and their defrosting. The aim of the article is to assess the occupational risk management activities that determine the prevention of OSH in an extreme situation, which was the immediate freezing of the economy and social activity in connection with the epidemic and then their gradual unfreezing. The conducted research allowed confirming the accepted hypothesis that the effectiveness of actions protecting the health of employees, and thus the production capacity of enterprises in a crisis situation, is related to the size of the plant, and this may be indirectly related to the system of organization of occupational health and safety services in the country.

Proposed Data-Driven Approach for Occupational Risk Management of Aircrew Fatigue.

BackgroundFatigue is pervasive, under-reported, and potentially deadly where flight operations are concerned. The aviation industry appears to lack a standardized, practical, and easily replicable protocol for fatigue risk assessment which can be consistently applied across operators.AimOur paper sought to present a framework, supported by real-world data with subjective and objective parameters, to monitor aircrew fatigue and performance, and to determine the safe crew configuration for commercial airline operations.MethodsOur protocol identified risk factors for fatigue-induced performance degradation as triggers for fatigue risk and performance assessment. Using both subjective and objective measurements of sleep, fatigue, and performance in the form of instruments such as the Karolinska Sleepiness Scale, Samn-Perelli Crew Status Check, Psychomotor Vigilance Task, sleep logs, and a wearable actigraph for sleep log correlation and sleep duration and quality charting, a workflow flagging fatigue-prone flight operations for risk mitigation was developed and trialed.ResultsIn an operational study aimed at occupational assessment of fatigue and performance in airline pilots on a three-men crew versus a four-men crew for a long-haul flight, we affirmed the technical feasibility of our proposed framework and approach, the validity of the battery of assessment instruments, and the meaningful interpretation of fatigue and work performance indicators to enable the formulation of safe work recommendations.ConclusionA standardized occupational assessment protocol like ours is useful to achieve consistency and objectivity in the occupational assessment of fatigue and work performance.

Occupational health risk management system for greenhouse vegetable growers

Introduction. Prevention of chronic general somatic diseases associated with exposure to harmful working conditions is one of the primary measures to preserve the health of the working population and labor resources of the Russian Federation. However, insufficient attention is paid to the management of occupational health risks of agricultural workers, including greenhouse vegetable growers. Materials and methods. Hygienic and epidemiological studies were carried out based on the methodology for assessing and managing occupational health risks. Results. A complex of harmful occupational factors, including high temperatures and humidity, harmful chemicals, including pesticides, plant dust, and the labor process’s severity simultaneously affect working greenhouse growers. Working conditions were assessed as harmful (classes 3.2-3.3) of occupational risk categories from medium to high. Direct statistically significant correlations were established between the length of occupational service and diseases of the respiratory system, circulatory system, musculoskeletal system, and connective tissue (respectively r = 0.58; r = 0.6; r = 0.35). A high degree of causal relationship with the work in harmful occupational conditions of arterial hypertension (RR = 2.805; EF = 64.35%; CI = 1.498-5.253), radiculopathy of the lumbosacral spine (RR = 2.290; EF = 56%; CI = 1.140- 4.599), an average degree of uterine fibroids (RR = 1.969; EF = 49%; CI = 0.988-3.926) and chronic bronchitis (RR = 1.532; EF = 34.7%; CI = 0.682-3.442), which allows classifying them as occupationally conditioned. The system of preventive measures to minimize occupational risks and prevent occupational diseases has been scientifically substantiated. Conclusion. Current working conditions of greenhouse vegetable growers are characterized by the impact of harmful occupational factors promoting occupationally caused diseases, which requires the implementation of a set of preventive measures based on a risk-oriented approach.

Occupational exposure to incidental nanoparticles: a review on control banding

As the integration of nanomaterials in our lives evolves, these materials become more noticeable and so do the concerns about the associated risks. Handling engineered nanomaterials (ENM) increases these concerns and has been leading to multiple studies about how to assess the risk of exposure to these materials. In the meanwhile, many workers are not conscious that they are exposed to nanomaterials, since some are unintentionally released in workplaces, during industrial activities, for example. The exact approach to be taken to study this exposure risk is far from being fully established and unanimously accepted. Choosing a quantitative approach can lead to more consistent results, but it requires expert’s knowledge and proper equipment. A qualitative methodology may be less expensive and time consuming. Control Banding (CB) is an example of a qualitative approach, frequently used to manage the risk of exposure to engineered nanomaterials. But while numerous authors and organizations are focused on risk management of ENM, is the exposure to incidental nanomaterials being neglected? If not, how is this being managed? The purpose of this work was to review different CB approaches for occupational risk management of nanomaterials and to highlight its application for the specific case of incidental nanoparticles. Using two databases for the literature review and after some data analysis, the results of this work allowed to clarify the tendency to apply CB methodologies to ENM risk management research and also the opportunity of applying such approach to incidental nanomaterials.

COVID-19: unbalanced management of occupational risks-case of the analysis of the chemical risk related to the use of disinfectants in the dairy industry in Morocco.

Moroccan employers have a strong responsibility for the safety and health of their employees in the workplace and for protecting them from the risk of COVID-19 and any occupational hazards, as required by Moroccan law. As a consequence, industries, including the agri-food sector, have put in place preventive measures to deal with this pandemic on several fronts, including the use of hydroalcoholic products and bleach for personal and surface disinfection. These disinfection actions may eliminate or reduce the risk of coronavirus infection, but the increased use of these products by employees could lead to serious health problems and increase the occupational chemical risk in the event of uncontrolled exposure. In order to analyze this risk in the dairy industry in Morocco, we have launched a qualitative and quantitative study to identify and assess the severity of chemical risk to which its employees are exposed. This involves an analysis of the safety data sheets [MSDS] of the disinfectants used and a health and safety survey of the users of these products, particularly for hand disinfection. This analysis showed that this chemical risk is omnipresent and prevention measures are partially adopted. Indeed, the strengthening of health safety measures to combat COVID-19 has significantly increased this risk, resulting in a remarkable imbalance in the assessment and management of occupational risks in this industry. These results have led us to propose corrective and preventive measures against this risk to interested parties and to adopt an integrated management of food and occupational health risks in a single system. This is the use of the Risk Analysis—Critical Control Points (HACCP)-Tool for a First Risk Assessment by Activity Analysis (OPERA) approach, which we developed and proposed in a previous study, for a simplified management of chemical risk in the food industry, especially in small- and medium-sized enterprises.

Neurotrauma Biomarker Levels and Adverse Symptoms Among Military and Law Enforcement Personnel Exposed to Occupational Overpressure Without Diagnosed Traumatic Brain Injury

There is a scientific and operational need to define objective measures of exposure to low-level overpressure (LLOP) and concussion-like symptoms among persons with specialized occupations. To evaluate serum levels of neurotrauma biomarkers and their association with concussion-like symptoms reported by LLOP-exposed military and law enforcement personnel who are outwardly healthy and cleared to perform duties. This retrospective cohort study, conducted from January 23, 2017, to October 21, 2019, used serum samples and survey data collected from healthy, male, active-duty military and law enforcement personnel assigned to operational training at 4 US Department of Defense and civilian law enforcement training sites. Personnel aged 18 years or older with prior LLOP exposure but no diagnosed traumatic brain injury or with acute blast exposure during sampling participated in the study. Serum samples from 30 control individuals were obtained from a commercial vendor. Serum levels of glial fibrillary acidic protein, ubiquitin carboxyl hydrolase (UCH)-L1, neurofilament light chain, tau, amyloid β (Aβ)-40, and Aβ-42 from a random sample (30 participants) of the LLOP-exposed cohort were compared with those of 30 age-matched controls. Associations between biomarker levels and self-reported symptoms or operational demographics in the remainder of the study cohort (76 participants) were assessed using generalized linear modeling or Spearman correlations with age as a covariate. Among the 30 randomly sampled participants (mean [SD] age, 32 [7.75] years), serum levels of UCH-L1 (mean difference, 4.92; 95% CI, 0.71-9.14), tau (mean difference, 0.16; 95% CI, -0.06 to 0.39), Aβ-40 (mean difference, 138.44; 95% CI, 116.32-160.56), and Aβ-42 (mean difference, 4.97; 95% CI, 4.10-5.83) were elevated compared with those in controls. Among the remaining cohort of 76 participants (mean [SD] age, 34 [7.43] years), ear ringing was reported by 44 (58%) and memory or sleep problems were reported by 24 (32%) and 20 (26%), respectively. A total of 26 participants (34%) reported prior concussion. Amyloid β-42 levels were associated with ear ringing (F1,72 = 7.40; P = .008) and memory problems (F1,72 = 9.20; P = .003). The findings suggest that long-term LLOP exposure acquired during occupational training may be associated with serum levels of neurotrauma biomarkers. Assessment of biomarkers and concussion-like symptoms among personnel considered healthy at the time of sampling may be useful for military occupational medicine risk management.

Improvements in Labour Safety Management: Efficiency of Industrial Control Organization and Implementation, Occupational Risks Assessment (by the Example of Food Industry Enterprise)

The labour safety management system (LSMS) at many enterprises is absent or does not work effectively, although it is an essential component of the safe work organization. In this connection, one of the basic mechanisms is the systematization of activities in the field of industrial control, as well as in the occupational risk management. This article proposes a methodological approach to improving labour protection at a food enterprise. In the implementation if this approach the following tasks have been completed: the most significant information elements of the LSMS have been identified and the least studied information element have been identified; identification of hazards and risks assessment based on production control data and special assessment of working conditions was carried out; the ranking of the assessment of the conditions of possible risk at workplaces was carried out; a risk management strategy for the enterprise was developed. The results of the proposed research support the effectiveness and prospects of the developed approach.

On the Possibility of Using Structuring Hazardous Production Situations to Manage Occupational Risks in Coal Open-Cuts

The paper deals with an approach to occupational risk management based on the structuring of hazardous production situations (OPS) on the example of a coal open-cut. The possibility of using weight coefficients in determining groups of hazardous factors is shown, based on which the dominant contribution of technological and subjective factors is highlighted. An example of assessment of risks and opportunities as elements of occupational safety management based on GOST R ISO 45001-2020 is demonstrated.

Three-Dimensional (3D) Printing: Implications for Risk Assessment and Management in Occupational Settings.

The widespread application of additive manufacturing (AM) technologies, commonly known as three-dimensional (3D) printing, in industrial and home-business sectors, and the expected increase in the number of workers and consumers that use these devices, have raised concerns regarding the possible health implications of 3D printing emissions. To inform the risk assessment and management processes, this review evaluates available data concerning exposure assessment in AM workplaces and possible effects of 3D printing emissions on humans identified through in vivo and in vitro models in order to inform risk assessment and management processes. Peer-reviewed literature was identified in Pubmed, Scopus, and ISI Web of Science databases. The literature demonstrated that a significant fraction of the particles released during 3D printing could be in the ultrafine size range. Depending upon the additive material composition, increased levels of metals and volatile organic compounds could be detected during AM operations, compared with background levels. AM phases, specific job tasks performed, and preventive measures adopted may all affect exposure levels. Regarding possible health effects, printer emissions were preliminary reported to affect the respiratory system of involved workers. The limited number of workplace studies, together with the great variety of AM techniques and additive materials employed, limit generalizability of exposure features. Therefore, greater scientific efforts should be focused at understanding sources, magnitudes, and possible health effects of exposures to develop suitable processes for occupational risk assessment and management of AM technologies.

The effect of occupational risk management on employee performance: The case of listed oil and gas companies in Nigeria

The effect of occupational risk management on employee performance: The case of listed oil and gas companies in Nigeria

Heat-related illness risk and associated personal and environmental factors of construction workers during work in summer

Heat-related illness (HRI) is a common occupational injury, especially in construction workers. To explore the factors related to HRI risk in construction workers under hot outdoor working conditions, we surveyed vital and environmental data of construction workers in the summer season. Sixty-one workers joined the study and the total number of days when their vital data during working hours and environmental data were recorded was 1165. Heart rate with high-risk HRI was determined using the following formula: 180 − 0.65 × age. As a result of the logistic regression analysis, age, working area, maximum skin temperature, and heart rate immediately after warming up were significantly positively related, and experience of construction was significantly negatively related to heart rate with high-risk HRI. Heart rate immediately after warming up may indicate morning fatigue due to reasons such as insufficient sleep, too much alcohol intake the night before, and sickness. Asking morning conditions may lead to the prevention of HRI. For occupational risk management, monitoring of environmental and personal conditions is required.

ВПРОВАДЖЕННЯ МІЖНАРОДНІИХ СТАНДАРТІВ З БЕЗПЕКИ ПРАЦІ І УПРАВЛІННЯ РИЗИКАМИ ТА ШЛЯХИ ЇХ ПОКРАЩЕННЯ НА ПІДПРИЄМСТВАХ ТРАНСПОРТУ

The article investigates the ways and means of improving and perfecting the state of labor protection at transport enterprises of Ukraine through the implementation of international standards for risk management and occupational safety. A detailed analysis of international standards for occupational safety, and their main benefits that improve the health and safety of enterprises. The object of research is international standards on occupational safety and risk management. The purpose of the work is to analyze the implementation and use of international standards on occupational safety and risk management at Ukrainian transport enterprises. Research methods - analytical. Quality management of labor protection at enterprises is one of the priority areas of transport enterprises in order to reduce occupational injuries and improve working conditions. In order to effectively manage labor protection in transport enterprises, the authors of the article propose the introduction of international standards in the field of occupational safety and risk management in Ukraine. Examining the chosen topic, it was found that in many works that devoted to the application of international standards on occupational safety was not a generalization of all regulations and standards on labor protection and risk management in the enterprise. The main directions for the implementation of international standards for occupational safety and risk management in transport enterprises of Ukraine are proposed. The results of research can be recommended for implementation in the management system of labor protection at transport enterprises of Ukraine. KEY WORDS: INTERNATIONAL STANDARDS, OCCUPATIONAL HEALTH AND SAFETY, SAFE WORKING CONDITIONS, RISK ASSESSMENT, IMPROVING OCCUPATIONAL HEALTH AND SAFETY CONDITIONS, MANAGEMENT SYSTEM.

The role of hazardous factors of chemical and physical nature in welders’ occupational risks management

The article is devoted to a review of the available scientific approaches to assess the role of hazardous factors of physical and chemical nature, which are very important for the management of occupational risks of workers in dust-hazardous industries using the example of welders. General approaches and models for assessing the risk to public health in general are presented quite fully, the mechanisms of the effect of dust particles on the development of occupational pathologies in welders, including toxic and carcinogenic ones, have been studied in depth, a number of articles are devoted to the study of the effect of a thermal (physical) factor of a chronic nature. The above studies are of a scattered nature, the combined effect of physical and chemical factors are not taken into account, based on the S. Arrhenius equation, which is especially important in the closed spaces of the working area. There is no comprehensive methodology for assessing health risks for workers in dust-hazardous industries and welders. The development of the above-mentioned comprehensive methodology for assessing health risk of workers in dust-hazardous industries based on taking into account hazardous factors of physical and chemical nature is very promising in the near future.

Оценка профессиональных рисков в технологических помещениях на предприятии микроэлектроники

In the modern system of process safety management, the procedure for occupational risk assessment and management as a probability of causing damage to health in the performance of work duties has become mandatory for microelectronics enterprises. This procedure involves the use of systematic methods for risk identification, monitoring and analysis, obtained results recording and interpretation, and the necessary reporting preparation. This paper analyzes the risks in the main structural divisions of the microelectronics enterprise and suggests corrective organizational measures to minimize the likelihood of a dangerous event and subsequent damage. The procedure was carried out using the Fine – Kinney method, the most informative approach to risk assessment, taking into account the severity of the incident and its economic consequences for the enterprise. It has been established that the sources of significant risk are typically related to space planning flaws, failure to meet the time limit for X-ray equipment work licensing, absence of draw ventilation, and outmoded system of used lapping slurry collection. These shortcomings elimination opens up the opportunities for occupational hazard class lowering and downward revision in tariffs.

МЕЖДУНАРОДНЫЙ ОПЫТ В ОБЛАСТИ ВЫЯВЛЕНИЯ И УЧЕТА МИКРОТРАВМ РАБОТНИКА НА РАБОЧЕМ МЕСТЕ

In the domestic practice of labor protection, the procedure for investigating accidents in production occupies a special place in the complex of measures to ensure the safety of employees. Article 227 of the Labor Code of the Russian Federation defines that it is necessary to investigate as an accident only those health injuries that have caused the need for transferring the victim to another job, temporary or persistent loss of his/her ability to work, or death of the victim. If an employee receives a micro-trauma, he/she does not need to issue a sick leave, it is enough to debride the wound and he/she can continue working. These are precisely such micro-traumas in production that are currently not taken into account and are not being investigated. Registration of micro-injuries in production is mandatory and is currently used exclusively in medical organizations. The sanitary and epidemiological rules SP 3.1.5.2826-10, approved by the resolution of the Chief State Sanitary Doctor of the Russian Federation № 1 of 11.01.2011, are aimed at preventing the occurrence and spread of HIV- infection and contain a logbook form to register accidents during medical manipulations. However, such registration is conducted in order to ensure the possibility of further tracing the connection of an employee’s infection with the micro-injury that has occurred, and not for the occupational risk management. Despite the obvious interest and a significant number of scientific and practical works published recently and devoted to the problems of occupational safety management in order to reduce traumatism, they do not sufficiently cover the practical aspects of providing the employee’s safety related to the identification and analysis of cases of micro-injuries of employees in production as a basis for identifying hazards, assessing occupational risks and developing preventive measures. In this article, the authors consider the foreign experience of identification and registration of the circumstances and causes that led to the occurrence of adverse events and accidents in production.

HEALTHCARE POLICY OF GEORGIA AND ACTIVE ENGAGEMENT OF SOCIETY

HEALTHCARE POLICY OF GEORGIA AND ACTIVE ENGAGEMENT OF SOCIETY

Prevalence of work related musculoskeletal disorders in Italian workers: is there an underestimation of the related occupational risk factors?

BackgroundWork-related musculoskeletal disorders (WMSDs) represent an important socio-economic burden. The current risk assessment and management involved in the ethiopathogenesis of WMSDs is based on observational tools and checklists, which have some limitations in terms of accuracy and reliability. The aim of this study was to assess WMSD prevalence and identify possible correlations with several socio-demographic and work-related variables in a large cohort representative of Italian workers in order to improve our understanding of the WMSD phenomenon.MethodsThis study includes data from INSuLa, a cross-sectional nationally representative survey of health and safety at work, developed by the Italian Workers’ Compensation Authority. A total of 8000 Italian workers were included. Multivariate logistic regression analyses were performed to evaluate the association of independent variables, such as workers’ perceptions of exposure to biomechanical/ergonomic and video display unit (VDU) risks (Risk Perceived) and the actual risk exposure (Risk Detected) on Back, Lower and Upper limb pain. Socio-demographic, occupational and other health-related variables were included to investigate possible association with musculoskeletal disorders.ResultsWorkers perceiving a significant exposure to biomechanical/ergonomic and VDU risks but not included in a health surveillance program for them (Risk Perceived/No Risk Detected) have had significantly higher odds of reporting musculoskeletal disorders. Regarding the biomechanical/ergonomic risk these workers are in the 19–24 age range (39.9%), transportation, warehousing/information and communication sectors (38.9%) and are employed in companies with more than 250 workers (35.8%). Regarding VDU risk, workers are in the 45–54 age range (24.5%), professional, financial and business services (38.0%) and come from companies with more than 250 employees (25.6%).ConclusionsWithin the occupational safety and health management systems an appropriate assessment of occupational risk factors correlated to musculoskeletal disorders (mainly biomechanical/ergonomic and VDU) and the correct definition of their exposure levels is essential to adequately prevent the onset of WMSDs. In this regard, our findings provide useful information to design novel approaches, aimed at improving our understanding of emerging risks, identifying gaps in current risk assessment strategies and enhancing workplace interventions are mandatory to improve the occupational risk assessment and management process and therefore implement the subsequent health surveillance systems.

Влияние условий труда приоритетных секторов экономики Казахстана на формирование профессиональных рисков

Occupational risk assessment was carried out for the employees of 956 different professions of 20 enterprises under study in five sectors of the economy: construction, mining, manufacturing, agriculture, transportation, and warehousing. The study was conducted using the Methodological Recommendation on the implementation of the occupational risk management system at an enterprise. This Methodological Recommendation was developed by the Republican state enterprise on the right of economic management — Republican Scientific Research Institute for Labour Protection of Ministry of Labour and Social Protection of Population of the Republic of Kazakhstan. Occupational risks were assessed in the context of specific professions and structural divisions of the enterprises by five indicators: harmful working conditions, injury risk of the labor process, safety of production equipment, availability of personal protective equipment, and risk of morbidity. Based on the results of the assessment, the degree of individual occupational risk on each assessed indicator is determined by five gradations: I — acceptable risk, II — low, III — medium, IV — high and V — very high. According to the results of the occupational risk assessment, a high risk (4 degree) was established at the enterprises of mining, construction, agricultural industries, as well as transport, and warehousing industries. According to the results of equipment safety assessment, a high risk (grade IV) was identified at the enterprises of transport and mining industries. Due to the low provision with the personal protective equipment and its non-compliance with the certification requirements, a high risk is assigned to the enterprises of mining and construction industries. It is established that a high degree of occupational risk is due to the injury risk of working conditions, insufficient provision of personal protective equipment along with their low quality, the severity and intensity of the labor process accompanied by a high degree of the employees morbidity, as well as the use of the outdated equipment in production.

European Recommendations for the Management of Healthcare Workers Occupationally Exposed to Hepatitis

Exposure prevention is the primary strategy to reduce the risk of occupational bloodborne pathogen infections in healthcare workers (HCW). HCWs should be made aware of the medicolegal and clinical relevance of reporting an exposure, and have ready access to expert consultants to receive appropriate counselling, treatment and follow-up. Vaccination against hepatitis B virus (HBV), and demonstration of immunisation before employment are strongly recommended. HCWs with postvaccinal anti-HBs levels, 1-2 months after vaccine completion, -or=10 mIU/mL are considered as responders. Responders are protected against HBV infection: booster doses of vaccine or periodic antibody concentration testing are not recommended. Alternative strategies to overcome non-response should be adopted. Isolated anti-HBc positive HCWs should be tested for anti-HBcIgM and HBV-DNA: if negative, anti-HBs response to vaccination can distinguish between infection (anti-HBs -or=50 mIU/ml 30 days after 1st vaccination: anamnestic response) and false positive results(anti-HBs -or=10 mUI/ml 30 days after 3rd vaccination: primary response); true positive subjects have resistance to re-infection. and do not need vaccination The management of an occupational exposure to HBV differs according to the susceptibility of the exposed HCW and the serostatus of the source. When indicated, post-exposure prophylaxis with HBV vaccine, hepatitis B immunoglobulin or both must be started as soon as possible (within 1-7 days). In the absence of prophylaxis against hepatitis C virus (HCV) infection, follow-up management of HCV exposures depends on whether antiviral treatment during the acute phase is chosen. Test the HCW for HCV-Ab at baseline and after 6 months; up to 12 for HIV-HCV co-infected sources. If treatment is recommended, perform ALT (amino alanine transferase) activity at baseline and monthly for 4 months after exposure, and qualitative HCV-RNA when an increase is detected. Introduction Bloodborne pathogens such as hepatitis B (HBV) and C virus (HCV) represent an important hazard for healthcare workers (HCWs) [1]. In the general population, HCV prevalence varies geographically from about 0.5 percent in northern countries to 2 percent in Mediterranean countries, with some 5 million chronic carriers estimated in Europe; while HBV prevalence ranges from 0.3 percent to 3 percent. The World Health Organization (WHO) estimates that each year in Europe 304 000 HCWs are exposed to at least one percutaneous injury with a sharp object contaminated with HBV, 149 000 are exposed to HCV and 22 000 to HIV. The probability of acquiring a bloodborne infection following an occupational exposure has been estimated to be on average. Bloodborne pathogens such as hepatitis B (HBV) and C virus (HCV) represent an important hazard for healthcare workers (HCWs) [1]. In the general population, HCV prevalence varies geographically from about 0.5 percent in northern countries to 2 percent in Mediterranean countries, with some 5 million chronic carriers estimated in Europe; while HBV prevalence ranges from 0.3 percent to 3 percent. The World Health Organization (WHO) estimates that each year in Europe 304 000 HCWs are exposed to at least one percutaneous injury with a sharp object contaminated with HBV, 149 000 are exposed to HCV and 22 000 to HIV.We present here recommendations for the general management of occupational risk of bloodborne infections, HBV vaccination and management of HBV and HCV exposures. A description of the project and recommendations for HIV post-exposure management, including antiretroviral prophylaxis, has been previously published [2], and so issues related to occupational risk and prevention of HIV infection following an occupational exposure will not be discussed further.

Проблемы и перспективы формирования системы проактивного мониторинга безопасности работников предприятий горнодобывающей отрасли

The analysis of official statistics shows that the existing mechanisms for reducing the risks of occupational injuries, based on monitoring traditional indicators of occupational safety, and financing a set of appropriate preventive measures, largely exhausted their potential. They do not contribute to further formation of a stable trend to reduce the occupational injuries. The phased abandonment of prescriptive regulation in the industry of the Russian Federation makes it inevitable to introduce the concept of the goal of activities on ensuring occupational safety and health. Approaches to managing safety of the organizational processes when measuring the efficiency of the occupational health and safety management system should be based on active monitoring and continuous improvement of the performance indicators of the relevant processes. The relevance and need for a comprehensive solution of the theoretical, methodological and applied problems of monitoring efficiency in the field of ensuring safety of employees labor in the industry of the Russian Federation, as well as the imperfection of the scientific and methodological base and the state system of the operative management of occupational risks require the development of adequate and efficient solutions for improving the level of occupational safety, reduction of deaths and injurie rate. The essence of the concept of proactive monitoring of safety is that the efficiency of planning and monitoring in the field of ensuring safety at all levels (state, industry, corporate, etc.) should be justified using measurable indicators (indices) of the efficiency of ensuring safety and corresponding values of the target and threshold safety levels. The paper focuses on the problems of developing a proactive monitoring system for occupational safety, and the use of leading indicators for monitoring occupational safety and health state in real time, as well as to respond appropriately.