Occupational disorders of the reproductive system: problems of causality, issues of expertise, prevention

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Abstract

At present, in the conditions of the decline in the number of able-bodied populations in the Russian Federation, associated with the decline in birth rate and increase in mortality, the protection of reproductive health of the population is the most important direction of state policy, determining the national security of Russia. The article is devoted to the assessment of the role of harmful and unfavourable working conditions in the formation of reproductive health of female workers and male fertility.

About the authors

Sergey A. Babanov

Samara State Medical University

Author for correspondence.
Email: s.a.babanov@mail.ru
ORCID iD: 0000-0002-1667-737X
SPIN-code: 8806-5776

Doctor of Medical Sciences, Professor, Head of the Honoured Scientist of the Russian Federation, Professor Kosarev Department of Professional Diseases and Clinical Pharmacology

Russian Federation, Samara

Anna V. Kazakova

Samara State Medical University

Email: a.v.kazakova@samsmu.ru
ORCID iD: 0000-0002-9483-8909
SPIN-code: 5129-5915

Doctor of Medical Sciences, Associate Professor, Head of the Department of Obstetrics and Gynecology of the Institute of Pediatrics

Russian Federation, Samara

Leonid A. Strizhakov

Izmerov Research lnstitute of Occupational Health; Sechenov First Moscow State Medical University

Email: strizhakov76@mail.ru
ORCID iD: 0000-0002-2291-6453
SPIN-code: 3539-7327

Doctor of Medical Sciences, Deputy Director of the Research Institute of Labour Medicine; Head of the Centre of Occupational Pathology

Russian Federation, Moscow; Moscow

Irina A. Agarkova

Samara City Polyclinic No. 1

Email: i.a.agarkova@samsmu.ru
SPIN-code: 4497-6800

Candidate of Medical Sciences, Obstetrician-Gynaecologist

Russian Federation, Samara

Natalia A. Ostryakova

Sochinsky Sanatorium and Resort Complex

Email: kosm-90@mail.ru
ORCID iD: 0000-0001-5459-691X
SPIN-code: 3268-0608

Head of the Physiotherapy Department

Russian Federation, Sochi

References

  1. Occupational risk of violation of reproductive health of female workers of petrochemical industries. Edited by Gainullina M.K., Sivochalova O.V., Bakirov A.B. Moscow: Ufa, 2009; 207 p.
  2. Sivochalova O.V. Identification of risk factors in the formation of congenital malformations / Sivochalova O.V., Golovaneva G.V., Fesenko M.A. Modern problems of hygienic science and labour medicine: materials of the All-Russian scientific and practical conference with international participation, timed to the 55th anniversary of FSUN ‘Ufa Research Institute of labour medicine and human ecology’ Rospotrebnadzor. Ufa, 2010: 441–445.
  3. Babanov S.A., Strizhakov L.A., Agarkova I.A. et al. Industrial factors and reproductive health: causation and assessment of occupational risks. Gynaecology. 2019; 21 (4): 33–43. doi: 10.26442/20795696.2019.1.190227
  4. Babanov SA, Strizhakov LA, Agarkova IA, et al. Occupational factors and problems of reproductive risk management. Physician. 2019; 30 (8): 3–8. doi: 10.29296/25877305-2019-08-01
  5. Vigdorchik N.A. Occupational pathology. Course of occupational diseases / M.: Leningrad. ‘Gosmedizdat’, 1930; 371c.
  6. Constitution of the Russian Federation. М., 2023.
  7. Federal Law No. 323n ‘On the Fundamentals of Health Protection of Citizens of the Russian Federation’ (dated 21 November 2011).
  8. Order of the Ministry of Health of Russia from 28.01.2021 N 29n (ed. from 01.02.2022). ‘On Approval of the procedure for conducting mandatory preliminary and periodic medical examinations of workers, provided for in part four of Article 213 of the Labour Code of the Russian Federation, the list of medical contraindications to the implementation of work with harmful and (or) dangerous production factors, as well as work in the performance of which mandatory preliminary and periodic medical examinations are conducted.’ [registered with the Ministry of Justice of Russia on 29.01.2021 N 62277] http://www.consultant.ru/document/cons_doc_LAW_375353/ [date of circulation: 20.12.2023
  9. Order No. 417n of the Ministry of Health and Social Development of the Russian Federation (dated 27 April 2012) ‘On Approval of the List of Occupational Diseases’.
  10. Babanov S.A., Agarkova I.A., Lipatov I.S. et al. Occupational lesions of the reproductive system. Russian Medical Journal. Medical Review. 2013; 21 (17): 917–920.
  11. Babanov S.A., Agarkova I.A., Lipatov I.S. et al. Occupational risk factors in the formation of reproductive health of female workers and male fertility. Therapeut. 2019; 2: 11–43.
  12. Labour Code of the Russian Federation, Moscow, 2023.
  13. Agarkova IA, Babanov SA Occupational lesions of the reproductive system in women. Physician. 2014; 8: 9–12.
  14. Mukhin N.A., Kosarev V.V., Babanov S.A. et al. Occupational diseases. Moscow: ‘Geotar-media’, 2016; 512c.
  15. SanPiN SP 2.2.3670-20. Sanitary rules ‘Sanitary and epidemiological requirements for working conditions’
  16. R 2.2.2006-05 Hygiene of labour. Guidelines for hygienic assessment of factors of working environment and labour process. Criteria and classification of labour conditions
  17. Occupational pathology. National Manual// Edited by Izmerov N.F. M.: ‘Geotar-Media’, 2011; 784 pp.
  18. Kutsenko I.G., Evtushenko I.D., Bolotova V.P. et al. Comparative evaluation of the frequency and structure of the reproductive system in female workers of nuclear production. Siberian Medical Journal. 2009; 2: 76–78.
  19. Morozova T.V. Estimation of heating microclimate as a risk factor for reproductive health disorders in workers in polymer processing industry. ZNiSO. 2018; 11: 50–57
  20. Morozova T.V., Fesenko M.A. Occupational risk and reproductive pathology of workers in polymer processing industry. Life without dangers. Health. Prevention. Dolgoletie. 2012; 3: 76–80.
  21. Potapenko A.A. Problem of professional risk and protection of reproductive health of medical workers: dissertation ... Doctor of medical sciences: Moscow, 2008. 271 с.
  22. Merkulova G.A., Pegova E.V. Estimation of reproductive health at the stage of medical examinations of labourers. International research journal. 2017; 06 (60): 65–66. doi: 10.23670/IRJ.2017.60.020
  23. Fesenko MA, Sivochalova OV, Fedorova EV Occupational causality of reproductive system diseases in female workers employed in harmful labour conditions. Health Risk Analysis. 2017; 3: 92–100. doi: 10.21668/health.risk/2017.3.11
  24. Kuraeva NG, Spirin VF, Fomina LE The state of health of female workers in milk processing production. Labour Medicine and Industrial Ecology. 2006; 1: 38–40.
  25. Schmidt AA, Ganapolsky VP, Sadovaya ND, et al. Influence of conditions of military-professional activity on reproductive health of female servicemen training on the basis of tank regiment. Bulletin of the Russian Military Medical Academy. 2019; 4 (68): 77–79.
  26. Grishanov S.A. Clinico-hygienic substantiation of preservation of reproductive health of female workers of mental labour. Dissertation for the degree of candidate of medical sciences. FGUN ‘Federal Scientific Centre of Hygiene’. Mytishchi, 2009.
  27. Grishanov S.A., Kallistov D.Y., Romanov A.I. Actual problems of preservation of reproductive health of women - workers of mental labour. Zdravookhranenie Rossiyskoy Federatsii. 2009; 4: 43–46.
  28. Golovavane G.V., Sivochalova O.V., Fesenko M.A. et al. Risk of disease development in working women and the health of their children. Hygiene and Sanitation. 2015; 94 (5): 80–86.
  29. Kukhtina E.G., Solenova L.G., Fedichkina T.P. et al. Night shifts and the risk of women’s health disorders. Hygiene and sanitation. 2015; 5: 86–91.
  30. Pavlov V.N., Teregulov B.F. Reproductive health of male workers under the influence of unfavourable factors of industrial and environmental conditions. Labour Medicine. 2015; 4: 182–187.
  31. Radchenko O.R. Risk factors of male infertility. Methods of prevention. Practical Medicine. 2011; 6: 9–21.
  32. Sukhikh G.T., Ter-Avanesov G.V., Nazarenko T.A. Male infertility: etiology, diagnostics and treatment. Moscow, 2007; 104 p.
  33. Hauser R. The environment and male fertility: recent research on emerging chemicals and semen quality. Semin. Repord. Med. 2006; 24 (3): 67–156. doi: 10.1055/s-2006-944422
  34. Sharpe R.M Male reproductive health disorders and the potential role of exposure to environmental chemicals. Chem Trust. 2009.
  35. Balabanova L.A. et al. Factors of industrial ecology and labour process in conditions of machine-building production and their influence on reproductive health of men. Sib.med.zhurn. (Irkutsk). 2007; 2: 5.
  36. Babanov S.A., Kosareva O.V., Vorobyeva E.V. Influence of local and general vibration on reproductive health of men. Hygiene and sanitation. 2012; 91 (1): 27–29.
  37. Hauser R. The environment and male fertility: recent research on emerging chemicals and semen quality. Semin. Repord. Med. 2006; 24 (3): 67–156. doi: 10.1055/s-2006-944422
  38. Ramadan A., Agarwal S., Agarwal A. Oxidative stress and Male infertility: from research Bench to Clinical Practice. J.Androlodgy. 2002; 23 (6): 20–45.
  39. Anaschenko A.V., Evdokimov A.V., Lyapina E.P. et al. Pathology of organs of the male reproductive system in rural residents due to occupational brucellosis. Fundamental Research. 2012; 2 (2): 245–248.
  40. On compulsory social insurance against accidents at work and occupational diseases: Federal Law No. 125-FZ of 24 July 1998. ConsultantPlus.
  41. Order of the Ministry of Health and Social Development of the Russian Federation No. 160 of 24 February 2005. ‘On determining the severity of health damage in industrial accidents’.
  42. Order of the Ministry of Health of the Russian Federation from 31.01.2019 № 36n ‘On approval of the Procedure for the examination of the connection of the disease with the profession and the form of medical opinion on the presence or absence of occupational disease’.
  43. Resolution of the Government of the Russian Federation of 5 July 2022, No. 1206 ‘On the procedure for investigation and accounting of cases of occupational diseases of workers’
  44. Resolution of the Government of the Russian Federation of 16.10.2000 No. 789 (ed. 25.03.2013) ‘On Approval of the Rules for Establishing the Degree of Loss of Professional Capacity as a Result of Occupational Accidents and Occupational Diseases’.
  45. On special assessment of working conditions: Federal Law No. 426-FZ of 28 December 2013.
  46. Order of the Ministry of Health of the Russian Federation No. 282n dated 05.05.2016. ‘On approval of the procedure for conducting an expert examination of professional suitability and the form of a medical report on suitability or unsuitability to perform certain types of work’
  47. Kosarev V.V., Babanov S.A. Organisation of research and health risk assessment in modern epidemiology. Hygiene and Sanitation. 2001; 4: 64–66.
  48. Kosarev V.V., Lotkov B.C., Babanov S.A. Epidemiological studies in labour medicine. Labour medicine and industrial ecology. 2006; 8: 1–4.
  49. Babanov SA, Strizhakov LA, Budash DS, et al. The concept of occupational risk assessment in preventive medicine and issues of cautisation. Preventive Medicine. 2019; 22 (1): 98–104.
  50. Strizhakov LA, Babanov SA, Vinnikov DV, et al. Problems of evidence in labour medicine. Labour Medicine and Industrial Ecology. 2021; 61 (11): 740–749.
  51. Babanov SA, Vorobyeva EV, Gailis PV, et al. Epidemiology of non-infectious diseases: challenges at the present stage. Preventive Medicine. 2011; 14 (3): 11–14.

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