The XIV “OCCUPATION and HEALTH” Russian National Congress
with International Participation (OHRNC-2017)
VI All-Russian Congress of Occupational Health Physicians
St. Peterburg, 26–29 of September, 2017
Обновлено: 03.05.18 12:36:42
The working population on the globe accounts for more than 3 billion people who produce and maintain the material basis of society. Promotion of workers’ health is both a prerequisite of increased work productivity and a base of wellbeing and sustainable socio-economic development of all nations in the world. As it goes form the above-mentioned, the major problem nowadays is connected with the preservation of work force, provision of life quality and health by creating favorable conditions at work sites and in general life, providing timely qualified health care including the one organized directly at workplaces.
Opening Ceremony of V Congress (2006)
It is necessary to find solutions to urgent multifold problems aimed at strengthening and promotion of workers’ health in current socio-economic conditions. It is of note that OCCUPATION and HEALTH Russian National Congress having been held annually in Moscow since 2002 helps to solve and discuss topical issues of workers’ health being important regular interdepartmental and interdisciplinary OHS event.
Speech by the President of the Russian Independent Trade Union of Coal Industry, Ph.D. Ivan MOKHNACHUK (2012)
The first OCCUPATION and HEALTH Russian National Congress was held in Moscow in November 2002. Since then all the subsequent meetings of the forum were held annually in autumn, and almost all of them were conducted in Moscow. The only exception was the second meeting held in Irkutsk.
Plenary session (2011)
Meetings of the OCCUPATION and HEALTH Russian National Congress were often combined with other significant events. For instance, in 2010 the 9th Congress was held along with the 4th Congress of Occupational Health Physicians, in 2011, the 10th Congress was accompanied by the 15th International Safety and Health-2011 Exhibition and the 5th International Conference in Occupational Safety.
Is Plenary Session, the center scientific staff FGBU RAMS’ “Institute of Occupational Health”: M.D., Professor Olga SIVOCHALOVA and head of the laboratory of preventing violations of reproductive health workers M.D. Marina FESENKO (2005)
The organizers of the Congress for the recent decade have been RAMS Institute of Occupational Health, Russian Academy of Medical Science, Association of Occupational Health Physicians and Specialists, Russian Public Organization Health of Working Population of Russia.
Scientific Staff of Laboratory of the complex problems of occupational medicine industry FGBU RAMS’ “Institute of Occupational Health” M.D. Alexander CHEBOTAREV and M.D. Lyudmila LESKINA (2011)
Plenary session (2005)
The participants of the Congress (2012)
All the tasks of demographic policy aimed at providing a stable population growth given in the above-mentioned document are directly related to the need to improve working conditions and safety as well as health care services for working population.
The Members of the presidium of IV Congress —
RAMS’ Academicians Nikolai IZMEROV and Vladimir STARODUBOV (2005)
At present the level of public funding in the health care system still remains inadequate and makes up not more than from 3.2% to 3.5% of GDP which is 2–3 times lower than in the EU. In accordance with an innovative long-term scenario of the socio-economic development of Russia until the year of 2030 expenditure on health care from the national budget system should reach the figure of 4.7% of GDP which seems adequate and comparable with the developed countries.
Head of the Clinical Department of occupational and production due diseases
FGBU RAMS’ “Institute of Occupational Health”, D.Sc., Professor Lyudmila KUZMINA and Head of the Department of Dermatology Clinic
FGBU RAMS’ “Institute of Occupational Health”, M.D., Professor Natalia IZMEROVA (2011)
It should be noted that over the past six years there was a decrease in mortality rates in Russia. Life expectancy has increased by almost four years. According to Russian State Statistics related to 2011, life expectancy has increased and now makes up 70.3 years. However, life expectancy in Russia is low. It is 6.5 years less than in the newly accepted EU countries (the European countries included into the EU after May 2004), and 12.5 years less than in the so called old EU member states (European countries included into the EU before May 2004). The difference between expected life expectancy of men and women is still high and is about 12 years (expected life expectancy at birth was 64.3 years for men and, respectively, 76.1 years for women in 2011). A key role in low life expectancy plays high mortality of active to work people, mostly men. Mortality indices in this age group exceed economically developed countries by more than 2 times.
Speech by First Deputy General Director FMBC name A.I. Burnazyan FMBA of Russia,
chief pathologist Russian Ministry of Health, M.D., Professor Andrew BUSHMANOV (2012)
A significant increase over the recent years has been shown in the incidence of cardiovascular, gastrointestinal, endocrine and musculoskeletal pathologies in active to work people. Worsening of reproductive health has also been stated in working population.
The Professors of FGBU RAMS’ “Institute of Occupational Health” —
Nina GOLOVKOVA, Natalia IZMEROVA and Lyudmila IVANOVA (2005)
In the report at the National Congress of Russian Physicians in October 2012 made by Dr V. Skvortsova, Russian Minister of Health, said that the growing global epidemic of noncommunicable diseases that are the leading cause of death and disability around the world and in Russia may lead to disastrous social and economic consequences. Nine out of ten deaths in people under sixty result due to carcinogenic and respiratory pathologies and the diabetes. It should be noted that half of them is the working population. 39.7% of all deaths fall on the people who do not live up to the age of sixty.
Being registered Congress participants (2012)
Dr V. Skvortsova stressed the fact that despite the genetic predisposition factors, the greatest number of noncommunicable diseases is influenced by lifestyle, that is the quality of food, water, level of environmental pollution, physical fitness, emotional state, whether bad habits are avoided or not. Also the main social factors are important such as shifts in work and rest regimes and others.
Speech M.D., professor of laboratory physical factors
FGBU RAMS’ “Institute of Occupational Health” Yuri PALTSEV (2006)
At a governmental meeting held on 15 November 2012 State Program of Health Care Development by the year of 2020 was approved which has become a key tool in the implementation of public health policies. Russian Academy of Medical Science (RAMS) and the Russian Academy of Science (RAS) are the participants of Program along with the federal authorities and the subjects of the Russian Federation.
Presidium of the Xth Congress.
Greeting by the WHO special representative and Head of Country Office
Dr. Luigi MIGLIORINI (2011)
The program includes 11 subprograms, however, there is no subprogram aimed at maintaining and strengthening health of the working population. The information contained in Subprogram 10 entitled Medical and sanitary provision of certain categories of citizens concerns only federal health care bodies of Russia that “provide their services for the needs of industrial workers exposed to harmful factors of different nature and intensity, thus, to the workers having adverse working conditions…”.
In the Interval between meetings (2005)
Taking into account Russia’s membership in the WTO and the necessity to implement her international commitments, the ones, for instance, which are connected, in particular, with the WHO Global Plan of Action for the Health of Workers for 2008–2017, and the ILO Convention No. 187. On the Promotional of Framework for Occupational Safety and Health, it is necessary to include Subprogram on Health of Working Population of Russia into the State Program of Health Care Development by the Year of 2020 and to prepare a Draft of the National Plan of Action on Workers’ Health with its further submission to the government of the Russian Federation.
The presidium of VI Congress (2007)
It is even more so urgent that the Program Health of Working Population of Russia has already been made up. It was developed by the RAMS Institute of Occupational Health with the help of the Russian Academy of Medical Science, the RAMS, Russian Academy of Science, the RAS, the Ministry of Health and Social Development of Russia, the Social Insurance Fund, and other ministries and departments concerned and it was approved at a series of Occupation and Health Russian National Congresses, namely, by the 2nd, the 3rd and the 4th one as well as by RAMS Presidium, but has not yet been put into force till present.
Exhibition stand FGBU RAMS’ “Institute of Occupational Health” are
Ilya SIDOROV, Senior Researcher, Ph.D. Vasiliy LYSUHIN,
the audience — D.Sc., Professor Edward DENISOV and Lyudmila KURANOVA (2006)
It is known that occupational and work-related diseases and injuries are the result of adverse working conditions. The data of state reports On Sanitary-Epidemiological Situation in Russia testify to a stable trend towards worsening of working conditions in all spheres of economy, in industry and agriculture, despite the reduction of annual output.
Secretary and Chief Technical Inspector of Labour,
Federation of Independent Trade Unions of Russia Vitaly TRUMEL
and Director FGBU RAMS’ “Institute of Occupational Health”,
Russian Honored Worker of Science, M.D., Professor Igor BUKHTIYAROV (2012)
Unstable industry, lack of funds and economic interest in employers have led to a sharp decrease in the volume of work to improve industrial environment.
Greetings to the participants of the V Congress by Director Research Institute of Emergency Children’s Surgery and Traumatology, M.D., Professor Leonid ROSHAL (2006)
According to Russian State Statistics, proportion of workers employed in hazardous work at different types of enterprises has increased from 23% to 95%. The number of women-workers employed in harmful working conditions is growing fast, too.
Director FGBU RAMS’ “Institute of Occupational Health”,
Russian Honored Worker of Science, M.D., Professor Igor BUKHTIYAROV
and The Head of the trade union center FGBLPU “NCC Miners’ Health”,
M.D. Viktor SEMENIKHIN (2012)
Thus, the share of workers engaged in heavy labour has increased up to 93.2% in men and in 2.7 times in women over the past seven years in Russia.
The presidium of V Congress (2006)
It means that almost one worker out of three works in hazardous conditions and the damage due to low quality of occupational safety and health protection services of workers makes up 1.9 trillion rubles, that is 4.3% of GDP, annually.
The presidium of IV Congress (2005)
At the same time the rates of occupational morbidity in Russia are extremely low: in 2011 altogether 8923 cases of occupational diseases and poisoning were registered, occupational morbidity index at the territory of Russia was 1.92 per 10,000 workers. Complicated occupational cases with more than one occupational diagnosis reached 10%.
Presidium of the XI Congress (2012)
List of Occupational Diseases was cancelled in Russia due to Appendix 5 to Order of the Ministry of Health No. 90 dated 14 March, 1996), which was repealed by Order No. 302 of the Ministry of Health on April 12, 2011. Such a policy inevitably resulted in the reduction of reported occupational cases. The situation was improved only 5 months later when Order No. 417n of the Health Ministry of the Russian Federation was issued on April 27, 2012 entitled On Approval of the List of Occupational Diseases.
Speech by Head of the Health Department in Moscow,
M.D., Professor Andrei SELTSOVSKY (2007)
At present, every fifth case of an occupational disease is established under disability, so early diagnosis is particularly important.
Speech by the President Social Insurance Fund,
Doctor of Sociology, Professor Galina KARELOVA (2005)
The use of genomic and post-genomic technologies at a current stage of occupational health provides the basis for personalized health care where innovative methods of diagnosis, prevention, treatment and prognosis of professional, work-induced and general disorders are used for the needs of workers engaged in adverse conditions. Due to the progress of science and technology a new research trend, NBIK Convergence (nano-, bio-, info-technology and cognitive science) can be applied, which is in line with bio-information technologies also used to solve actual problems of occupational health, in particular, the problems of mental and reproductive health, stress at work, etc.
Speech by Director of conditions and safety
of the Ministry of Labor and Social Security of Russia Valery KORZH (2012)
Almost at all the meetings of Occupation and Health Russian National Congresses the problem of developing norms and regulations in occupational health prevention and their harmonization with international standards are vigorously discussed. Especially it concerns an acute question of conducting preliminary and regular health examinations.
Being registered Congress participants (2011)
It is well known that Order No. 302n dated 12.04.2011 developed by the Ministry of Health is not popular with employers. They are still not interested in the proper registration of newly diagnosed occupational diseases at their enterprises due to material costs and loss of skillful workforce with long years in occupation. Employers refuse to perform regular health examinations at occupational health centres, referring to the absence of a decision of the medical commission. Besides, previously issued orders regulating obligatory regular health examinations stated that all the employees were subject to them provided they were exposed to harmful industrial factors regardless of their intensity. As it goes from the interpretation of Order No. 302n, industrial factors are considered harmful only if there is an excess of maximum allowable concentration (MAC), which contradicts provisions of the Labor Code. Conference decision sent to the Russian Federation Ministry of Health.
Speech by Chairman of the State Duma Committee on Health,
now the deputy minister of Health of Russia, M.D. Tatyana YAKOVLEVA (2005)
In 2011 two definitions, namely, occupational risk and management and control of occupational risks were introduced into the Labor Code of the Russian Federation.
Speech by the President of the Congress, RAMS’ Academician Nikolai IZMEROV (2012)
Increased role of human capital as a factor of economic development requires more and more attention to health including reproductive and mental health. It explains the necessity of a shift from work protection to health and safety at work which calls for the development of a unit aimed at safety and health protection at work. This goes in line with ILO Convention No. 161 On Occupational Health Service which is going to be ratified soon. Development of preventive occupational health units can follow based on work protection departments in case occupational hygienists, physicians, specialists, such as occupational gynecologists and obstetricians, occupationally qualified nurses and their assistants are added to them. International terms should be discussed and adopted, in particular, it concerns such a definition as “an occupational disease diagnosed by risk factors” (ILO, 1996), introduction of “work-induced or work-related disease” (ILO, 1987), the terms “incident”, and “dangerous incident (ILO, 1996). Russian health care system adopted the concept of occupational risk which can be regarded as an important step towards greater prevention in all the its chains.
Opening Ceremony of IV Congress (2005)
Scientific and methodological basis of occupational risks management and control has been developed in recent years with the help of bio-information technologies to envisage and establish health impairment and work correlations and to develop information data bases and software with access to the net.
Speech by the Deputy Chairman of the Health Committee of the State Duma of Russia, RAMS’ Academician Sergey KOLESNIKOV (2007)
Occupational risk management mechanisms are the Orders of the Ministry of Health on assessment and attestation of workplaces and regular health examinations of workers.
Guests of Honor:
RAMS’ Corresponding member Vladislav KUTCHMA,
RAMS’ Academicians Boris VELITCHKOVSKY and Gennady SUKHIH (2005)
Attestation of workplaces incorporates almost 50% of work connected with hygienic assessment of working conditions, so when the company responsible for performing such an assessment is being certified and accredited, it is necessary to require availability of hygienists on its staff.
Director Angarsk Branch “Human Ecology East-Siberian Research Center — Institute of Occupational Health and Human Ecology” Siberian Branch of RAMS, M.D., Professor, RAMS’ Corresponding member Viktor RUKAVISHNIKOV and Head of the Clinical Department of occupational and production due diseases FGBU RAMS’ “Institute of Occupational Health”, D.Sc., Professor Lyudmila KUZMINA (2012)
It was noted at the National Congress of Physicians that a concept of unified preventive environment was developed in Russia, which got immediate recognition by the international health protection community and became the main achievement of the First Global Conference on Healthy Lifestyles and Prevention of Non-Communicable Diseases. The Russian concept was mentioned in the WHO resolutions and in the political declaration of the UNO General Assembly.
Pride of professorial FGBU RAMS’ “Institute of Occupational Health”:
Ludmila PROKOPENKO, Olga SIVOCHALOVA and Rallema AFANASIEVA (2006)
At present the number of university graduates — specialists in biology and medicine put Russia on the fourth place in the world, financing of researches gives her the ninth place. Russia occupies the fifteenth place by the number of publications. It is a surprising fact but in accordance with the rating of publication activity Russia does not enter twenty leading countries of the world.
The participants of the Congress (2011)
Dr Veronika Skvortsova, the Minister of Health said at the meeting in Skolkovo in September, 2012 that 14 relevant biomedical directions had been identified which, in fact, led to organizing and shaping priorities of research and practice in health care and medicine. A pilot project for the implementation of four out of these 14 directions has been launched in the current year, namely, connected with oncology, infections, cardiovascular pathologies and preventive environment (the latter direction demands research to be performed in the field of occupational health).
Rospotrebnadzor’ Head of the department of health surveillance
of occupational health and environmental sanitation Elena POCHTAREVA,
deputy director FGBU RAMS’ “Institute of Occupational Health”
M.D., Professor Ludmila PROKOPENKO and head of the Laboratory of complex industrial problems of occupational health the same Institute, M.D. Nina GOLOVKOVA (2012)
To provide continuous innovative process and introduce the data on pilot samples into public health care system, it is necessary to build up a new branch of the so called translational medicine in the country, and above all, its preclinical part.
RAMS’ Academicians Viktor TUTELYAN and Nikolai IZMEROV (2005)
At the last 11th Congress held in November 2012, the plenary sessions, round tables, symposia discussed the most actual problems of workers’ health, such as Strengthening of workers health: from theoretic aspects to practice; Harmonization of norms and regulations in the sphere of safety at work; Innovative technologies of prevention; diagnosis, treatment and rehabilitation of occupational and work-related patients; Expert questions of work and disease correlations; Occupational and environmental risks and their management and assessment; Occupational health and occupational pathologies in workers contacting ionizing radiation; Educational programs in occupational health; Mental health of workers and stress at workplaces; Development of primary health control and monitoring of health in migrant workers; Ecological problems and health in different branches of economy; Development of primary health control and health monitoring of migrant-workers. A contest of young researchers was held at the Congress as well as lecturing at the seminar On Health and Safety at Work: Legal Norms and Regulations on the International and Domestic Levels.
Guests Congress break. In the center Director FGBU RAMS’ “Institute of Occupational Health”, Russian Honored Worker of Science, M.D., Professor Igor BUKHTIYAROV and First Deputy General Director FMBC name A.I. Burnazyan FMBA of Russia, chief pathologist Russian Ministry of Health, M.D., Professor Andrew BUSHMANOV (2012)
According to the decision of the Organizing Committee, the 12th Occupation and Health Russian National Congress will also be combined with the 5th Russian Congress of Occupational Health Physicians and will be held in November 2013. It is expected that the Congress will be of interest to international specialists of scientific and practical medicine and to specialists in the field of occupational health and medicine as well as to occupational safety specialists, hygienists, health care and social work experts, representatives of sanitary-epidemiological service, etc.