Hygienic assessment of working conditions and temporary disability rates among surgeons in multidisciplinary hospitals

Objective: hygienic assessment of working conditions and health status of surgeons based on the rates of morbidity with temporary disability. Material and methods. Assessment of working environment was done in accordance with the Guideline R 2.2.2006-05. Assessment of occupational risk was done in accordance with Guideline R 2.2.1766-03. The incidence of temporary disability was studied on the basis of sick leave certificates. Observation group — 493 surgeons. The comparison group was 353 men. The observation and comparison groups were divided into those with up to 10 years of experience and those with more than 10 years of experience. Results. According to the cause of morbidity the 1st places were occupied by acute respiratory viral infections (J00-J06), hypertension (110-115), dorsopathies (M40-M43). The increase in somatic morbidity due to hypertension by 5.4%; dorsopathies by 5.8%; varicose veins by 1.3% was revealed in workers with length of service. The analysis of morbidity with temporary disability in the comparison group showed significant differences in the proportion of incapacity for work due to early pregnancy in both seniority groups (15.9 and 7.8%, at p=0.025; 21.7 and 13.6%, at p=0.042, respectively), as well as varicose veins in the first stage group (8.5 and 2.9%, atp=0.019), and hypertension in the second stage group (24 and 16.6%, atp=0.048). Conclusion. The working conditions of surgeons corresponded to harmful 3-4 degrees (cl. 3.3-3.4). Statistically significant differences in the character of disability cases depending on the length of service were revealed. Diseases of the musculoskeletal system and diseases of the circulatory system were more frequently observed in workers with more than 10 years of service, which may indicate the industrial causation of these pathologies.