Medical care provided for the river fleet shipboard crews

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Abstract

Relevance: The problem in assessing the health status of employees exposed to certain harmful occupational factors is always a paramount challenge. Professional activities of water-borne transportation workers are associated with the impact of wide range occupational hazards as follows: noise, vibration, electromagnetic fields, ship rocking, and frequent change of time and climatic zones, etc. The work of rivermen under conditions of long voyages and intensive occupational loads, with schedule rotation, inevitably build up a significant physical and psychoemotional strain. The multifactorial complex resulted from these negative health effects inevitably leads to a breakdown of the compensatory and adaptive responses in humans.

Objective: This study aimed to assess the periodic medical examinations results of employees of companies assigned to Medical Care and Preventive Unit at the Federal Medical and Biological Agency of Russia including the quantity and structure of diseases, while identifying challenges associated with the healthcare system tasks implementation.

Materials and methods: This study was carried out based on results of the periodic medical examinations of employees of water-borne transportation companies assigned for getting medical services to Medical Care and Preventive Unit of the Federal Siberian Scientific and Clinical Center at the Federal Medical and Biological Agency of Russia in the city of Krasnoyarsk. Federal and industry-wide regulations, as well as local medical regulations were utilized.

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About the authors

Tatyana A. Barankina

Federal Siberian Research Clinical Centre; 2V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University

Author for correspondence.
Email: Dmytry238@rambler.ru
Russian Federation, 660037, Krasnoyarsk; 660022, Krasnoyarsk

Aleksandr O. Fetisov

Federal Siberian Research Clinical Centre

Email: Fetisov_ao@skc-fmba.ru
Russian Federation, 660037, Krasnoyarsk

Raisa M. Valeeva

Federal Siberian Research Clinical Centre

Email: Valeeva_rm@skc-fmba.ru
Russian Federation, 660037, Krasnoyarsk

Svetlana N. Kurbanova

Federal Siberian Research Clinical Centre

Email: Valeeva_rm@skc-fmba.ru
Russian Federation, 660037, Krasnoyarsk

Olga N. Yakimenko

Federal Siberian Research Clinical Centre; V.F. Voyno-Yasenetskiy Krasnoyarsk State Medical University

Email: Yakimenko_on@skc-fmba.ru
Russian Federation, 660037, Krasnoyarsk; 660022, Krasnoyarsk

References

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  3. Zaytsev VI, Vinogradov SA. Some theoretical and practical aspects of studying of working conditions on fleet. Zdorov'e naseleniya i sreda obitaniya. 2014;(2):13-5. (in Russian)
  4. Uyba VV, Laver BI, Kulyga VN. Industrial medicine: its role and development prospects in the FMBA system of Russia. Meditsina ekstremal'nykh situatsiy. 2019;21(2):243-9. (in Russian)
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  7. Tereshchenko YuA, Zakharinskaya ON, Demko IV, Fedoreev RV, Zaytsev NG. Organization and character of measures to realize and conduct medical examinations of workers in Krasnoyarsk Area according to Russian health and social development Ministry order № 302n (12/04/2011). Meditsina truda i promyshlennaya ekologiya. 2013;(1):10-5. (in Russian)
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  10. Bumay OK, Ivanchenko AV, Abakumov AA, Konstantinov RV, Sosyukin AE, Verveda AB. Legal framework preparation of the medical and sanitary services provided to the crew personnel at sea and river crafts: the analysis of problems, suggestions and opportunities. Meditsina ekstremal'nykh situatsiy. 2017;59(1):65-77. (in Russian)
  11. Vagin VA. On occupational incapacity of seamen. Zdravookhranenie Rossiyskoy Federatsii. 2017;61(3):161-5. doi: 10.18821/0044-197X-2017-61-3-161-165. (in Russian)
  12. Vagin VA. Temporary disability of seafarers and employees of coastal marine services. Meditsina ekstremal'nykh situatsiy. 2018;20(2):180-7. (in Russian)

Supplementary files

Supplementary Files
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1. JATS XML
2. Figure: 1. Age structure of water transport workers assigned to the FSBI FSNCTs FMBA of Russia, 2019.

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3. Figure: 2. Dynamics of the number of shipboard personnel undergoing periodic medical examinations at the expense of the federal budget at the FSBI FSNCTs FMBA of Russia, 2017–2019.

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