Gavrilyuk Olga Nikolaevna – Head expert on medical and social expertise of the Main bureau of medical and social expertise for Kemerovo region-Kuzbass, Shakhterov avenue, 14A, Kemerovo, 650002, Russian Federation; e-mail: ongavrilyuk@mail.ru; https://orcid.org./0000-0003-3090-6076.
Ponomarenko Gennadiy Nikolaevich — Corresponding Member of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, Grand PhD in Medical sciences (Dr. Med. Sci.), Professor, Director General of the Albrecht Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; Head of the Department of Physical and Rehabilitation Medicine of the North-Western State Medical University named after I.I. Mechnikov, 47 Piskarevskiy Avenue, 195067 St. Petersburg, Russian Federation; e-mail: ponomarenko_g@mail.ru; https://orcid.org/0000-0001-7853-4473.
Sokurov Andrey Vladimirovich – Grand PhD in Medical sciences (Dr. Med. Sci.), Associate Professor, Director of the Institute of Further Professional Education, Albrecht Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: ansokurov@yandex.ru; http://orcid.org/0000-0001-5621-0240.
Karasaeva Lyudmila Alekseevna – Grand PhD in Medical sciences (Dr. Med. Sci.), Professor, Head of the Department of Health Care Organization and Medical and Social Expertise, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: ludkaras@yandex.ru; http://orcid.org/0000-0001-5621-0240.
In the heading: Original researches
Year: 2024 Volume: 6 Journal number: 3
Pages: 54-61
Article type: scientific and practical
UDC: 614.8.067.3
DOI: 10.26211/2658-4522-2024-6-3-54-61
Introduction. According to the International Labour Organization, every year approximately 2.3 million people die worldwide from accidents at work or occupational diseases. It is impossible to fully compensate for the significant losses associated with the loss of life activity of workers, with a decrease in labour productivity.
Aim. Study of the peculiarities of the dynamics of primary disability indicators among the adult population of the Kemerovo Oblast – Kuzbass in comparison with the indicators for the Siberian Federal District and the Russian Federation, taking into account age groups and severity of disability in the period 2018-2022.
Materials and methods. The study materials were the data of official state statistical reporting: Form 7-sobes of the Main Bureau of Medical and Social Expertise for Kemerovo Oblast-Kuzbass for the period 2018-2022, statistical collections of the Federal Bureau of Medical and Social Expertise for 5 years. Age was analysed according to the age gradation regulated by Rosstat for static reporting in the system of medical and social expertise. Microsoft Word and Microsoft Excel programs were used for data processing. The following methods were used: documentary, statistical, analytical.
Results. The analysis of primary disability due to occupational injuries in three age categories: young (18-44 years old women, men), middle (45-55 women, 45-60 men) and old (over 55 years old – women and 60 years old – men) age in Kemerovo region-Kuzbass, comparison with Siberian Federal District and Russia was carried out. Analysis of the severity of primary disability groups due to occupational injuries in the Kemerovo Oblast, Siberian Federal District and Russia.
Discussion. The contingent of persons initially recognised as disabled due to occupational injuries tended to decrease in the period 2018-2022, with the rate of decline slowing down at all levels. On average, the level of primary disability was 0.3 per 10 thousand population in the Kemerovo Region-Kuzbass, higher than in the Siberian Federal District (0.2 per 10 thousand population) and the Russian Federation (0.1 per 10 thousand population). The prevalence of group III and II disabled persons, in Kuzbass the share of group III (73.3 %) and group II (21.3 %) disabled persons is higher than in the Siberian Federal District (74.7 %) and (19.3 %) respectively, but lower than in the Russian Federation (71.4 %) and (23.0 %). The proportion of Group I disabled persons is higher in the Siberian Federal District (6 per cent) than in the Kemerovo Oblast (5.0 per cent) and the Russian Federation (5.6 per cent). In the age structure of persons disabled as a result of industrial injuries, young (49.4 %) and middle-aged (38.5 %) disabled persons prevailed in the Kemerovo Oblast-Kuzbass, higher than in the Siberian Federal District (47.7 %) and (38.9 %), and higher than in the Russian Federation (45.0 %) and (39.5 %), respectively.
Summary. The study of primary disability due to occupational injuries makes it possible to judge the scale and structure of the current problem of labour protection and social protection of those injured at work, to direct the development of preventive and rehabilitation measures towards its solution both at the federal and regional levels. It is important to plan programmes for the social and professional rehabilitation of disabled people, and to create conditions for labour employment in specific special workplaces.
Keywords: comparative analysis, disability, disabled person, Kuzbass, level, occupational traumatism, working age
Download the full text of the article
1. Strakhovanie ot neschastnykh sluchaev na proizvodstve i professional’nykh zabolevanii [Insurance against accidents at work and occupational diseases]. GTPDT i Byuro MOT dlya stran Vostochnoi Evropy i Tsentral’noi Azii [GTPDT and ILO Office for Eastern Europe and Central Asia]. Available at: https://nacot.ru/assets/files/ MOT/2013/5-mot-strahovanie-otnsprofzabolevaniy. pdf. (accessed 01.04.2024). (In Russian).
2. Karasaeva LA. Organizatsionnye i pravovye problemy v sisteme professional’noi reabilitatsii invalidov. Poisk putei ikh resheniya [Organizational and legal problems in the system of professional rehabilitation of disabled people. Search for ways to solve them]. Reabilitatsiya – 21 vek: Traditsii i innovatsii. Sankt-Peterburg [Rehabilitation – 21 century: Traditions and innovations. St. Petersburg]. 2021:72-6. (In Russian).
3. Gavrilyuk ON, Karasaeva LA, et al. Organizatsion-nye aspekty sanatorno-kurortnogo lecheniya postra-davshikh na proizvodstve [Organizational aspects of sanatorium-resort treatment of victims at work]. Me-diko-sotsial’naya ekspertiza i reabilitatsiya [Medical and social expertise and rehabilitation]. 2023;26(2):75-82. DOI: 10.17816/MSER579058. (In Russian).
4. Gavrilyuk ON, Rogova LG, Rodygina EV, et al. Anal-iz obrashchenii grazhdan, vpervye obrativshikhsya na mediko-sotsial’nuyu ekspertizu s tsel’yu razrabot-ki programmy reabilitatsii postradavshego na period vremennoi netrudosposobnosti za 2015-2018 gody [Analysis of appeals of citizens who first applied for medical and social expertise to develop a rehabilitation programme for the injured person for the period of temporary disability for 2015-2018]. Kompleksnaya reabilitatsiya invalidov na sovremennom etape. Otechestvennaya i mezhdunarodnaya praktika: ma-terialy nauchno-prakticheskoi konferentsii, 3-4 okty-abrya 2019 g. Novokuznetsk [Comprehensive rehabilitation of disabled people at the present stage. Domestic and international practice: proceedings of the scientific and practical conference, 3-4 October 2019, Novokuznetsk], 2019:47-8. (In Russian).
5. Dymochka MA, Andreeva OS, et al. Analiz potrebnosti invalidov iz chisla vzroslogo naseleniya Rossiiskoi Fed-eratsii v kompleksnoi reabilitatsii i abilitatsii za 20182022 gg. [Analysis of the needs of disabled adults of the Russian Federation in complex rehabilitation and habilitation for 2018-2022]. Mediko-sotsial’nye prob-lemy invalidnosti [Medical and social problems of disability]. 2023;3:68-76. (In Russian).