Kaloferova, T.

Nikolaeva, I.

English

Varna Medical University Press: Journals

R E S U L T S OF MASS PROPHYLACTICAL AND OCCUPATIONAL E X P E R T EXAMINATION OF WORKERS FROM T H E SHIPBUILDING PLANT G. DIMITROV" - VARNA I . Nikolaeva, T . Kaloferova The Eleventh Par ty Congress has reached important decisions in the field of public health, having a character of a long-term program of devel­opment. The chief task emanating from the program adopted is to secure further development and expansion of plrophyiactical activit ies in a l l their aspects. A decision was also taken to organize a gradual transition towards an overall dispensarization of the population on a nationwide scale. A concrete expression of the line adopted by the Council of Ministers * is the "Program for General Dispensarization and Mass Prophylactical E x a ­mination of the Populat ion". Guided by the health care priority for industrial workers, we directed our efforts towards the mass prophylactical and occupational expert exa­mination of workers from the shipbuilding plant " G . D i m i t r o v " the latter • being the most important industrial plant, both on a district and nationwide scale. To provide for maximum economy of production time, a network time-. table was worked out for carrying out the expert examinations of the workers. I t was conducted during the months February through A p r i l , 1978. A l l methods of functional and paraclinical investigations adopted in the practice, as well as examinations by skil led specialists were used. I n the contingent under study more than 24 types of laboratory investigations of blood and urine were performed (hemoglobin, erythrocytes, leukocytes, ery­throcyte sedimentation rate, differential count, cholesterol, blood sugar, methemoglobin, thrombocytes, reticulocytes, punctate erythrocytes, bleeding time, coagulation time, p H , specific weight, acetone, albumin, sugar, sedi­ment, b i l i rubin , urobilinogen, t i trat ion acidi ty, ammonia, chlorides, сорго-porphyrin etc), as well as more than 22 physical and functional examinations (visual acuity, ocular pressure, anthropometry, d^namometry, spirometry, E C G , cold test, capillaroscopy, X - r a y s , audiometry, oscillography and the l ike) . The examinations were conducted by a functional mass prophylactical and occupational expert examination ( M P O E E ) team, including manda-. tori ly a neurologist, dermatologist, ophthalmologist, otorhinolaryngologist, surgeon, cardiologist, an expert in occupational pathology and the working shop physician. When indications were present, additional consultative ., examinations of cases, screened by the routine cl inical investigation, were carried out by specialists such as pulmonologists, endocrinologists, ortho­paedic surgeons and gastroenterologists. From al l individuals requiring additional investigation and consul­tation, bioproducts for study were obtained on the site, and. the patients were referred to the respective consulting experts in the polyclinic. W i t h i n Results of mass prophylactical and occupational expert examination. 131 a week or maximum ten days, they receive the expert examination con-clusion. The results of the examinations performed are the following: The relative share of women, covered by prophylactical expert examina-tions, amounts to 40.74 per cent, and that of the men — to 59.26 per cent. The relative share of cases wi th variations amounts to 35.48 per cent of the total number of cases under study. The mean number of variations per single patients is 1.13 per cent. I n women this indicator is insignificantly lower, as compared to men. Table 1 shows the structure of actual (moment) morbidity established at the prophylactical examination. The impression is that the relat ive share of the newly discovered morbidity is very high — 28.55 per cent, and of the confirmed one — 6.93 per cent, or 80-49 per cent of the newly discovered ac-tual morbidity. Having in mind thq requirements in the instruction for car-rying out systematic periodic prophylactical examinations of persons expo-sed to occupational noxae, the established fact proves a rather unfavourable criterion about the work done by the medical service staff in the plant. T a b l e 1 Structure of the Actual Morbid State Established by the Prophylactical Examination Men W o m e n T o t a l Subjects with newly discovered diseases Subjects with confirmed diseases Healthy subjects 30.12 6.56 63.32 16.74 9.77 73.49 28.55 6.93 64,52 The structure and incidence of newly discovered diseases by class and sex is noteworthy (Table 2) . Diseases of the nervous system and sensory organs display the highest incidence — 159.39°/ 0 0 , and of them inflammatory diseases of the eyes, and lesions of the peripheral nerves rank first. They constitute more than half of the newly discovered diseases at the examination. The latter fact demands special awareness on behalf of; the health officers in terms of this particular pathology. Second by relative share (12.68 per cent) rank diseases of the cir-culation organs. Their incidence amounts to 39.30% 0 of the affections in this particular class, and special attention is called to hypertension and chronic rheumatic cardiopathology. Close to their incidence is that of psychosis and nonpsychotic conditions (28 .38% 0 ) , which rank third in the structure of newly discovered infirmity. The further classification of diseases by relative share and incidence shows that fourth come the noise-vibration diseases, and fifth — the condition of mixed deafness.. The latter two occupational diseases con-stitute a medicosocial problem of utmost importance for the shipbuilding plant. The diseases of four classes, e. g. diseases of the nervous system and sensory organs, circulation organs, psychoses and psychoneuroses, and the class of accidents, injuries and poisonings, account for 87.11 per cent of the newly discovered morbidity. J 132 I . Nikolaeva, T„ Kaloferova Newly Discovered Diseases by Class and Sex (per °/oo of population) Class of disease Relative share Incidence per %0 men women 1 total men women 1 total Endocrine and metabolic diseases Diseases of blood and hematopoietic organs Mental disorders Diseases of nervous sys. and sensory organs Diseases of circulaton organs Diseases of respiratory system Diseases of digestive system Diseases of urogenitalsystem Diseases of musculoskeletal system-f-connective tissues Accidents, poisonings, violence/ aggression Noise-vibration disease Mixed (sensorineural) deafness 1.13 0.19 8.63 52.16 12.38 1.14 5.44 1.12 2.25 0.94 7.88 6.75 5.72 2.86 17.14 40.00 17.15 2.86 2.86 1 2.86 2.86 2.86 2.86 1.41 0.35 9.15 51.40 12.68 1.23 5.29 1.23 2.29 0.88 7.57 6.51 3.71 0.62 28.45 171.92 40.82 3.72 17.94 3.72 7.42 3.09 25.97 £2.26 9.36 4.65 27.91 65.12 27.90 4.65 4.65 4.65 4.65 4.65 4.65 4.37 1.09 28.38 159.39 39.30 3.82 16.38 3.82 7.10 2.73 28.47 20.20 Total 329.62 162.78 310.05 A n analogical classification of diseases on the basis of relative share and incidence is observed in men too. I n women there are some differences. Fourth and fifth place are occupied by thyrotoxicosis wi th or without gout, diabetes and anemias, instead of the noise-vibration disease and mixed deafness. T a b l e 3 Total Morbidity by Class of Diseases and Sex ( P e r °/oo of population) Class of disease Relative share Incidence per %0 men 1 women total men J women total Endocrine and metabolic diseases Diseases of blood and hematopoietic organs Mental disorders Diseases of nervous sys. and sensory organs Diseases of circulation organs Diseases of respiratory system Diseases of the digestive system Diseases of urogenital system Diseases of the musculoskeletal system + conneciive tissues Accidents, poisonings, violence/aggression Noise-vibration disease Mixed deafness 1.23 0.15 9.13 45.50 13.62 2.31 10.84 1.70 2.17 0.93 6.81 5.57 5.00 3.33 20.00 33.53 18.34 1.67 8.34 5.00 1.67 1.67 1.67 1.55 0.42 10.06 44.47 14.02 2.26 10.61 1.98 2. 12 0.85 6.37 5.24 4.95 0.62 36.49 181.83 53.52 9.28 43.29 6.80 8.66 3.71 27.21 22.26 13.95 9.30 55.81 93.03 51.16 4.65 23.25 13.95 4.65 4.65 4.65 6.00 1.64 38.76 171.40 54.03 8.74 40.94 7.65 8.19 j 3.28 24.56 20.20 Results of mass prophylactical and occupational expert examination, . 133 The above data concerning classification of diseases by relative share and incidence of newly discovered morbidity is characteristic of the establish­ed actual morbidity also (Table 3). Our research is in course, and is aimed at discovering an eventual cor­relation between the different classes of diseases and some biological, social and psychological factors, characteristic of workers employed in the shipbuild­ing plant, and of the working conditions in its various departments. R E F E R E N C E S 1. Л о г и н о в а , Е. А., Л . И. М о и с е е в а . Мед. техн., 9, 1975, 5, 41—43. — 2. Н a u f, R . , W . B a c h . m a n n е t G . R i е h m. Z. ges. Hyg., 21 , 1975, 6, 466—469. 3. S h a h a n i , A . , D. C r e a s e . Industrial and scientific feature servise, May, 1977, 506, 1 — 15. — 4. D e l a c n a u x , A . Soz. prav. med.f 20, 1975, 3/4, 105—106, 183— 185. — 5. H е i n е, H . е t a 1. Z. ges. inn. Med., 30, 1975, 14, 113—115. — 6. S t r u-b e, G . е t al. Z. ges. inn. Med., 30, 1975, 14, 124—126. — 7. A r o n o w , W." S . e t al. J. Amer. Geriat. Sac, 23, 1975, 3, 121 — 126. — 8. Hall, Т. Скриниране в здраве­опазването — Community Hlth., 6, 1974, 1, 41—51. — 9. Dales, L . G . , G . D. F r i е d-m a n е t M. F . Collen. Meth. inform, med., 13, 1974, 3, 140—147. РЕЗУЛЬТАТЫ МАССОВОГО ПРОФИЛАКТИЧЕСКОГО И ПРОФПАТОЛОГИЧЕСКОГО ОСВИДЕТЕЛЬСТВОВАНИЯ РАБОЧИХ ЗАВОДА КОРАБЛЕСТРОЕНИЯ «ГЕОРГИ ДИМИТРОВ» ГОРОДА ВАРНЫ Ив. Николаева, Т. Калоферова Р Е З Ю М Е Проведено массовое профилактическое и профпатологическое освидетельствование рабочих КЗ «Г. Димитров» путем специально созданного сетевого графика. Вновь обна­руженная заболеваемость состовляет 80,40% общей заболеваемости. Этот факт указы­вает на недостаточную несистемную профилактическую работу медицинских работников. Структура заболеваемости по отдельным классом заболеваний показывает, что наибольший удельный вес приходится на болезни нервной системы и органов чувств (51,40%), затем следуют заболевания органов кровообращения (12,68%), психозы и психоневрозы (9,15%). Проблемой для кораблестроения являются шумо-вибрационная болезнь (7,57%) и смешанная глухота (6,51%). 

RESULTS OF MASS PROPHYLACTICAL AND OCCUPATIONAL EXPERT EXAMINATION OF WORKERS FROM THE SHIPBUILDING PLANT `G. DIMITROV" - VARNA

https://journals.mu-varna.bg/index.php/ssm/article/download/3388/2850

RESULTS OF MASS PROPHYLACTICAL AND OCCUPATIONAL EXPERT EXAMINATION OF WORKERS FROM THE SHIPBUILDING PLANT `G. DIMITROV" - VARNA

Abstract

Similar works

Full text

Available Versions

Varna Medical University Press: Journals