Mortality of Russian Railways employees from cardio-vascular diseases during the COVID-19 pandemic

Author:

Zhidkova Elena A.1ORCID,Kostenko Nataliya L.2ORCID,Goryaev Artem A.2ORCID,Shangin Ivan V.2ORCID,Popova Inga A.3ORCID,Pankova Vera B.4ORCID,Vilk Mikhail F.4ORCID,Gurevich Konstantin G.5ORCID

Affiliation:

1. Central Directorate of Healthcare - Branch of JSC "Russian Railways"; Moscow State Medical and Dental University named after A.I. Evdokimov

2. Central Directorate of Healthcare - Branch of JSC "Russian Railways"

3. I.M. Sechenov First Moscow State Medical University

4. All-Russian Research Institute of Transport Hygiene of Rospotrebnadzor

5. Moscow State Medical and Dental University named after A.I. Evdokimov; Scientific Research Institute of Healthcare Organization and Medical Management of the Department of Healthcare of the City of Moscow

Abstract

Introduction. Diseases of cardiovascular system are the leading causes of morbidity and mortality among the able-bodied population. There have been no studies of the impact of the COVID-19 epidemic on cardiovascular mortality in Russian Railways. The study aims to analyze the mortality of Russian Railways employees from diseases of the circulatory system during the COVID-19 pandemic with the working-age population of the Russian Federation. Materials and methods. The study was carried out on the basis of data obtained during the COVID-19 pandemic (2019-2021). Information on the mortality of employees of JSC "Russian Railways" is formed on the basis of the data of the CHUZ of JSC "Russian Railways". Information about the natural movement of the working-age population was formed on the basis of data from the Unified State Register of Civil Status Records. Results. During the pandemic, the mortality rate in JSC "Russian Railways" was 2.2 times lower compared to the working-age population of the country. Excess mortality by road polygons was different. The maximum mortality rate (3.4 per 1000 employees) was among employees of enterprises of central subordination, the minimum (2.1) was on the Northern Railway. 82.5% of deaths occurred in men, while the mortality rate among men is 2 times higher compared to women. The main cause of death of workers were diseases of the circulatory system (BSC) - 28.7%. The mortality rate from BSK in JSC "Russian Railways" was 0.656, which is 2.9 times lower than for the working-age population of Russia. Conclusion. The study showed that under the conditions of a new coronavirus infection, the mortality rate from circulatory system diseases in Russian Railways employees is lower than in working-age population of Russia. Ethics. We have carried out this study in accordance with the rules of good clinical practice and the Helsinki Declaration. The study did not require the conclusion of the Ethics committee.

Publisher

FSBI Research Institute of Occupational Health RAMS

Subject

General Medicine

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