The State of Occupational Health in Ukraine Population in Peacetime and Wartime

Occupational health presents the social and economic development of society, the quality of life and working conditions of the population. Occupational diseases (ODs), accidents at work, remain the main cause of mortality, morbidity, and deterioration of the quality of life of workers. The objective: to study the dynamics of the pattern’s formation of occupational morbidity prevalence, industrial injuries among workers in Ukraine in peacetime and wartime. Materials and methods. A systematic analysis of the occupational health of workers is carried out on the principle a continuous statistical sample of primary data for all cases of ODs first detected in Ukraine, occupational injuries for 2020–2024: during the COVID-19 pandemic (2020–2021) and the full-scale war of the russian federation against Ukraine (2022–2024). The primary source statistical information was the data of the Pension Fund of Ukraine, the State Labor Service of Ukraine, Institute of Industrial Economics of NAS of Ukraine, SI “Kundiiev institute of occupational health of NAMS of Ukraine” for the specified period of research 2020 2024. The materials were processed by generally accepted methods of sanitary statistics and using descriptive epidemiological analysis. We used the assessment of frequency, severity, and fatality rates of injuries. To prove the impact of combat operations in various conditions of professional activity of specialists on their mortality as a result of injuries, a one-factor ANOVA dispersion analysis was performed using an approach to consider nonparametric data (according to the Summary: Kruskal–Wallis method). The median values of the mortality coefficient ((fatal injuries)/(total number of victims, taking into account the period of injury registration and working conditions in peacetime and wartime)) were considered. Software for processing an array of statistical data included computer statistical packages of Statistica 8.0 and Microsoft Excel programs, and graphical analysis of the dynamics of the formation of indicators was additionally used. Results. The features of the prevalence of occupational morbidity, occupational injuries in workers engaged in various types of economic activity were identified, taking into account the impact of the COVID-19 pandemic and the full-scale war of the russian federation against Ukraine. Conclusions. The principles of formation of professional health of the population of Ukraine in peacetime and wartime and conceptual approaches to the integration of medical care to the working population at the level of occupational pathological service and primary health care for the prevention of ODs and accidents at work allow us to determine the degree of their readiness for preventive measures at work.