CASES OF MORBIDITY WITH WORK DAYS LOST AMONG EMPLOYEES OF THE EMERCOM OF RUSSIA AND THE WORKING POPULATION IN RUSSIA

Relevance. Activities in extreme conditions likely involve stress on functional reserves and impaired health. Intention. Calculate the medical and statistical indicators of cases of morbidity with work days lost among employees of the EMERCOM of Russia and compare the above indicators with the working population in Russia in 2010–2015.

Methodology. We analyzed cases of morbidity with temporary disability in employees of the EMERCOM of Russia units according to the automated database of the All-Russian Order of the Badge of Honor Research Institute for Fire Protection, EMERCOM of Russia, over 2010–2015 in about 80% of all employees who had special military ranks: senior commanding officers (officers, warrant officers), junior commanding officers (sergeants) and rank and file. The indicators are calculated per 1000 employees or in ‰. Cases of morbidity correlated with the International Classification of Diseases and Behavioral Disorders of the 10th Revision (ICD-10). Cases of temporary disability of workers in Russia was obtained from the database of the Unified Interdepartmental Information and Statistical System of Russia.

Results and analysis.  The average annual level of morbidity cases with work days lost among the personnel of the EMERCOM of Russia was (374.2 ± 9.6) ‰, including (345.2 ± 9.1) among the employees of the Federal Fire Service, (361.4 ± 28.3) ‰ in the Main Inspectorate for Small Boats, (339.3 ± 20.5) ‰ in the Search and Rescue Units, and (867.6 ± 97.6) ‰ in the Rescue Military Units. In the structure of cases of work days lost in the EMERCOM of Russia, the shares of employees of the divisions were distributed as follows: 81.5, 2.8, 2.1 and 13.6 %, respectively. The leading classes of diseases among the personnel of the EMERCOM of Russia were: respiratory diseases (Chapter X) with morbidity rate (167.7 ± 8.2) ‰ and 44.7% in the structure; injuries, poisoning and some other consequences of external causes (Chapter XIX) (41.8 ± 1.4) ‰ and 11.2 %; diseases of the musculoskeletal system and connective tissue (Chapter XIII) – (34.7 ± 1.2) ‰ and 9.3%; circulatory system diseases (Chapter IX) – (25.2 ± 1.6) ‰ and 6.7%; and some infectious and parasitic diseases (Chapter I) – (21.9 ± 2.9) ‰ and 5.9 %. For workers in Russia, the average annual level of morbidity cases with work days lost 1.4 times as high: (522.5 ± 28.1) ‰ (p < 0.01). The consistency of the indicators is high, negative, and approaches statistical significance (r = –0.75; p < 0.1), which may indicate the influence of multidirectional factors in the formation of cases of work days lost among the EMERCOM of Russia employees and working population in Russia. Trends over time, structure and morbidity rates for cases with work days lost among employees of the EMERCOM of Russia divisions are presented.

Conclusion. Accounting for morbidity indicators with work days lost can contribute to a more rational allocation of resources during the operational activities of the EMERCOM of Russia.

1. Aleksanin S.S., Bobrinev E.V., Evdokimov V.I. [et al.] Zabolevaemost’ s trudopoteryami u sotrudnikov Gosudarstvennoi protivopozharnoi sluzhby MChS Rossii (1996–2015 gg.) [Morbidity with job absenteeism in employees of EMERCOM of Russia (1996–2015)]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medico-Biological and Socio Psychological Problems of Safety in Emergency Situations]. 2018. N 1. Pp. 5–18. (In Russ.) DOI 10.25016/2541-7487-2018-0-1-05-18.

2. Aleksanin S.S., Bobrinev E.V., Evdokimov V.I. [et al.]. Pokazateli zabolevaemosti s trudopoteryami lichnogo sostava MChS Rossii (2010–2015 gg.) [Indicators of morbidity with labor losses of personnel of EMERCOM of Russia for 2010–2015]. Pozharnaya bezopasnost’ [Fire safety]. 2019. N 2. Pp. 113–120. (In Russ.)

3. Afanas’ev V.N., Yuzbashev M.M. Analiz vremennykh ryadov i prognozirovanie [Time Series Analysis and Forecasting]. Moskva. 2001. 228 p. (In Russ.)

4. Matyushin A.V., Poroshin A.A., Mashtakov V.A. [et al.]. Analiz travmatizma, gibeli i zabolevaemosti lichnogo sostava podrazdelenii MChS Rossii [Analysis of injuries, deaths and diseases in the personnel of divisions of EMERCOM of Russia]. Pozharnaya bezopasnost’ [Fire safety]. 2012. N 3. Pp. 143–145. (In Russ.)

5. Poroshin A.A., Harin V.V., Bobrinev E.V., Shavyrina T.A. Analiz svedenii o sostoyanii zabolevaemosti, travmatizma, gibeli, invalidnosti i smertnosti lichnogo sostava podrazdelenii MChS Rossii za 2010–2014 gody [Analysis of information about disease incidence, injuries, deaths, disability and mortality in staff of Emercom of Russia units over 2010–2014]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2015. N 2. Pp. 38–44. (In Russ.)

6. Ukazaniya po vedeniyu meditsinskogo ucheta I otchetnosti v Vooruzhennykh silakh Rossiiskoi Federatsii na mirnoe vremya [Guidelines for medical record keeping and reporting in the Armed Forces of the Russian Federation during peacetime]. Moskva. 2001. 40 p. (In Russ.)