The Incidence of Occupational Diseases of Employees of Enterprises and Organizations of the Russian Nuclear Industry

Purpose: Assessment of the incidence of occupational diseases (OD) of employees of enterprises and organizations of the Russian nuclear industry.

Material and methods: Work uses the information base of the Industrial Register of Persons with Occupational Diseases (ORPROFI), developed by A.I. Burnazyan FMBC of the FMBA of Russia and containing information on cases of occupational diseases of employees of enterprises and organizations serviced by healthcare institutions of the FMBA of Russia, including enterprises and organizations of the nuclear industry of Russia.

To process the results of the study, the statistical Excel software package was used, original programs were developed to calculate absolute and intensive indicators, the growth rate. The incidence OD was calculated per 10,000 employees.

Results: The assessment of the incidence of OD among employees of enterprises and organizations of the nuclear industry was carried out. The features of the structure of the registered OD of employees of enterprises and organizations of the nuclear industry, which differ from the structure of the OD of workers in other sectors of the economy, are established. An assessment of the dynamics of the incidence of OD for the period 2011–2023 was carried out.

Conclusion: In the group of employees of enterprises and organizations of the nuclear industry with registered OD for the period 2011–2023, the first rank place is occupied by persons in the age group of 50–59 years – 38.8 % (average age 54.4 ± 0.3). The proportion of people with two or more OD is 54.0 %. Diseases of the musculoskeletal system and connective tissue occupy the first rank in the structure of the incidence of OD (ICD 10: M00–M99.9) – 48.6 %, the second – injuries, poisoning and some other consequences of exposure to external causes (ICD 10: S00–T98) – 19.2 %, the third – malignant neoplasms (ICD 10: C00–D09.9) – 12.2 %. There was a sharp increase in the incidence of OD in 2011–2016. The dynamics of this epidemiological process of OD can be explained by the introduction of a system for correcting the accounting of employees with a diagnosed occupational disease. In the structure of harmful production factors in 2023, physical overloads and functional overstrain of individual organs and systems occupy the largest share – 53.4 %, in second place – the impact of physical factors – 40.0 %, in third place other factors – 6.7 %.