The main disadvantages of the sanitary and hygienic characteristics of working conditions which complicate the expertise of the relation between the disease and occupation

Abstract

Introduction. Examining the disease’s connection with the occupation being the cornerstones in occupational health cannot be based on template solutions. When considering the aetiology of the disease, the entire document was the sanitary and hygienic characteristics of working conditions, the quality of which often determines the patient’s fate. Materials and methods. A retrospective analysis of the sanitary and hygienic characteristics of 647 inpatient medical records from 2013 to 2020, aimed at examining the relationship of the disease with the occupation: 562 cards with an established diagnosis, 85 - with an unspecified final diagnosis of an occupational disease. The contingent of the surveyed: 98.0% - employees of various industries and enterprises of the Republic of Bashkortostan, 2.0% - residents of other regions of the country, as well as the republic working in the Far North on a shift basis. Results. When preparing the characteristics in 73.0% of cases, the employees of Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing were based only on the data of a special assessment of working conditions, in which there was no complete information about the working conditions of the employee, which often leads to the inability to establish an occupational disease to the patient. In 7.0% of cases, the values of harmful industrial factors in the presented characteristics were on the border with the hygienic standard, which, with significant work experience and the presence of clear signs of occupational disease in the patient, also puts expert doctors in a difficult position. The situation mentioned above may be the cause of a legal dispute on the part of the employee if he refuses to establish an occupational illness and the employer if the issue is resolved positively for the employee. The reasons for delaying the terms of the examination were the need to request additional documents in connection with the data provided in the characteristics on the nature of the influencing harmful factors, based only on literary sources. Non-compliance with the deadlines for submitting the attributes to the Center of Occupational Pathology was observed in almost 100.0 % of cases. In 75.0% of cases, employees signed it without receiving explanations of quantitative and qualitative indicators. Conclusion. There is an urgent need to review the methodological approaches to compiling sanitary and hygienic characteristics of working conditions, develop an algorithm for its preparation, and the level of responsibility of all stakeholders for the quality of the document.