Medical care provided for the river fleet shipboard crews

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.