Assessment of working conditions and features of respiratory disorders in modern refractory manufacturing
- Авторлар: Drugova O.G.1, Kashanskaya E.P.1, Gogoleva O.I.2, Lipatov G.Y.1,2, Fedoruk A.A.1
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Мекемелер:
- Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers
- Ural State Medical University
- Шығарылым: Том 102, № 12 (2023)
- Беттер: 1315-1320
- Бөлім: OCCUPATIONAL HEALTH
- ##submission.datePublished##: 31.12.2023
- URL: https://archivog.com/0016-9900/article/view/638281
- DOI: https://doi.org/10.47470/0016-9900-2023-102-12-1315-1320
- EDN: https://elibrary.ru/qucysi
- ID: 638281
Дәйексөз келтіру
Толық мәтін
Аннотация
Introduction. Broad prospects for development of refractory manufacturing in Russia necessitate studies of the work environment, especially of the indoor air quality, and respiratory health effects of adverse occupational factors.
The purpose of our study was to conduct a general hygienic assessment of working conditions of the core personnel engaged in contemporary refractory manufacturing for more than 10 years and establish their respiratory functional status.
Materials and methods. We assessed working conditions of press operators of a Ural refractory manufacturing plant in compliance with Russian Guidelines R 2.2.2006–05. The respiratory functional status was established by the results of clinical instrumental testing of refractory production workers who were examined and/or treated at the occupational health clinic of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers in 2015–2021.
Results. We gave a general assessment of working conditions of press operators engaged in the production of spinel periclase-carbon and fireclay-dinas molded refractories in the first refractory workshop, aluminosilicate refractories at the molding site, and corundum-graphite products in the second refractory workshop.
We analyzed the results of instrumental testing and established characteristics of clinical disorders of the respiratory system.
Limitations. The study has regional (Sverdlovsk Region) and occupational (workers of a refractory manufacturing plant) limitations.
Conclusion. Occupational risk factors for refractory production workers include silica-containing aerosols, which levels exceed maximum allowable concentrations (Class 3.1), aerosols of disintegration of aluminum oxides (in refractory workshop No. 2), iron in concentrations below MACs (Class 2), higher concentrations of volatile products of phenol formaldehyde resins (Class 3.1 in terms of phenol and up to 3.4 in terms of formaldehyde), increased noise levels for all jobs (Class 3.2), and heavy physical labour (Classes 3.1–3.3). Features of clinical respiratory disorders in the core personnel (press operators) were scarcity of complaints and physical data, absence of pronounced coniotic (respirable dust-related) X-ray findings and inflammatory (septic and allergic) blood changes. Moderate obstructive airway disorders were observed in 30 % of the examined cases.
Compliance with ethical standards. The study was conducted in accordance with the ethical principles of the Declaration of Helsinki and approved by the local Ethics Committee of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers (protocol 1 of July 6, 2017). Written informed consent was obtained from all the participants.
Contribution:
Drugova O.G. — study conception, literature review, data collection and processing, draft manuscript preparation;
Kashanskaya E.P. — study conception, data collection and analysis, literature review, draft manuscript preparation;
Gogoleva O.I. — data collection and analysis, literature review;
Lipatov G.Ya. — study conception and design, editing;
Fedoruk А.А. — editing. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version
Conflict of interest. The authors declare no conflict of interest.
Acknowledgement. The study had no sponsorship.
Received: October 23, 2023 / Accepted: November 15, 2023 / Published: December 28, 2023
Авторлар туралы
Olga Drugova
Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers
Хат алмасуға жауапты Автор.
Email: noemail@neicon.ru
ORCID iD: 0000-0001-5491-3209
Кандидат биологических наук, старший научный сотрудник отдела медицины труда ФБУН ЕМНЦ ПОЗРПП Роспотребнадзора, 620014, Екатеринбург, России
РесейElena Kashanskaya
Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers
Email: kashanskay@ymrc.ru
ORCID iD: 0000-0002-0073-6347
MD, Head of the Department of Specialized Advisory Assistance, Occupational Health Clinic, Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers, Yekaterinburg, 620014, Russian Federation.
e-mail: kashanskaya@ymrc.ru
РесейOlga Gogoleva
Ural State Medical University
Email: noemail@neicon.ru
ORCID iD: 0000-0001-6887-3738
Доктор медицинских наук, профессор, профессор кафедры гигиены и профессиональных болезней ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России, 620028, Екатеринбург, Россия
РесейGeorgiy Lipatov
Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers; Ural State Medical University
Email: noemail@neicon.ru
ORCID iD: 0000-0002-6982-7933
Доктор медицинских наук, профессор, заведующий лабораторией эпидемиологии и профилактики рака отдела медицины труда, главный научный сотрудник ФБУН ЕМНЦ ПОЗРПП Роспотребнадзора, 620014, Екатеринбург, Россия; заведующий кафедрой гигиены и профессиональных болезней ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России, 620028, Екатеринбург, Россия
РесейAnna Fedoruk
Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers
Email: noemail@neicon.ru
ORCID iD: 0000-0002-6354-0827
Кандидат медицинских наук, заведующая отделом медицины труда ФБУН ЕМНЦ ПОЗРПП Роспотребнадзора, 620014, Екатеринбург, Россия
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