38
Введение
      -
    
    -
    17  .,
  36,8%    
 [1].
   2012 .    -
    -
  4,4%,   2013 . 6993 ., 
1 017 .    -
  6 944 .,   (-
)  49 .,      – 
15 .        -
 1 098 . (15,7 %    -
),   156  (15,3%    -
 ).    
2013 .,     , -
    
(2031 .),     -
 (2 017 .),    
  (623 .).    -
,     -
 ,   
(20,5  10 . )  -
  (3,3   10 . -
) [2].
     
,    -
     -
.        «…
    
,      -
 ,    -
     
(  ),   ,
     -
,    (, 
   ,  -
),  - ,
  , -
   - -
…» [3].  31.12.2013 .    «»
 364    
255,3 . .,    39,4 . .
(15,4%),  – 97,7 . . (38,3%),  -
  – 118,2 . . (46,3%) [3].
      
     -
  ,   «… 
    
   ,   -
 ,  -
,    …».  -
   2015  2020 .  
     700 
 [4].
   -
       
    . 2017.  62. 1  
В.В. Уйба
1
, А.В. Гурьев
2
, А.Р. Туков
2
, А.Ю. Бушманов
2
, М.Ю. Калинина
2
, А.И. Антоненков
2
,
С.А. Афонин
3
, А.С. Немков
4
, Н.В. Капитонова
2
ЗАБОЛЕВАЕМОСТЬ ПРОФЕССИОНАЛЬНЫМИ БОЛЕЗНЯМИ РАБОТНИКОВ
ПРЕДПРИЯТИЙ И ОРГАНИЗАЦИЙ ГОСКОРПОРАЦИИ «РОСАТОМ»
1.  , ; 2.      ..   , .
E-mail: atukov40@mail.ru; 3.  «», ; 4.   50  . 
..  –   , ..., ; ..  – ...; ..  – . , ...;
..  –  . .  , ..., ; ..  –   .  
«», ...; ..  – -; C..  –    «»;
..  –    50  ; ..  – ...
Реферат
:          «».
  :      ,    
      .         -
- .
:  2014 .       ,     
    .       (26,1%),   (13,4%),   
 (4,2%  0,8% ). ,     ,  9,2%.   
   –  ,     ,     -
  – 5,9%.         50  59  (36,9%). 68,9% -
,     2014 .,     50 .      
 2010–2014 .      1,6   10 .  (2010 .)  4,5   10 .  (2014 .).
   (2010–2014 .) ,  ,   -  
  ( 0,1  2,57   10 . ),   ( 0,7  0,9   10 . ), -
  ( 0,2  4,2   10 . ).
:   2010–2014 .    ,       -
-    ,      .  
        - .
    2014 .          50–59 .
Ключевые слова: радиационный риск, группа радиационного риска, гипертензии, ликвидаторы, чернобыльская авария, избыточный относи-
тельный риск (ERR), относительный риск (RR), дозы облучения
: 13.10.2016.   : 29.12.2016
DOI 10.12737/25052
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    . 2017.  62. 1  
   
,    
     -
     -
 [5]. ,    2016 .   
   -
     -
    [2].
  
   ,    
 .   
     -
     
,      
 .       -
 ,   .
Материал и методы
  . ..    -
   2010 .  
 ,   -
 ().    -
     -
 – «   
    -
  (),    
»  «    -
».       
 ,     
 .    
   -
 ;   
   -
  ,    (-10).
   -
     -
.   
    Microso Excel
2003   .  
      -
    
   Microso Oce
Word 2003.
Результаты и обсуждение
    119 
   55 . – 52 -
  3  (94,5%  5,5% ) -
     «».
  
     2014 .  
  . 1.
    -
   -
    
. ,   -
   ()  
«»   116,1   10 .
  63,6   10 . 
.     
 (3,9   10 . )   «»
(4,3   10 . ). 
-    -
     71  
10 . ,  -
  – 23,7   10 . .
     -
   «» (6,4   10 .
  12,7   10 .  -
).  
()       -
;   «»    3,4 
 10 . .
   , 
   «»,   -
   ,  -
   -  -
 .    
     
 ,     -
  ,   
  .  ,   
      ,
   
 ,   -
     
   – , 
  ,  ,   
.. [6].
    4 
-440.   
  – 3,9   10 .
 (  -; 2014 .) – -
      -
      
 [7].
   «» , -
      -
 ,  0,9   10 . -
,      
  4   (3,4   10 . -
).  ,   -
. 1.   
    «»
  2014 .
ФГУП «ПО МАЯК»
4,3; 2 %
ЗАО «Русбурмаш»
63,6; 34 %
Кольская АЭС
3,9; 2 %
ОАО «ППГХО»
116,1; 62 %
40
      . 2017.  62. 1
    
    [8].
    
 ,    -
      .
     -
     
  (26,1%),   (13,4%), -
    (4,2%  0,8%
). ,   
   ( 
,    ),
 9,2%.      -
     5,9% (.1).
  2014 .   
  36,9%  
  50–59 .  -
     39  (5,9%)   70 
(7,6 %).    
      50  -
 68,9% (. 2).
 ,  -
 ,   – 36,8 %
( – 19,7 %,  – 17,1 %),   -
 –    – 21,2 % 
  –    
15,0%,     5,7% -
 (. 2).
  
     «»
 2014 .  4,5   10 . .
  - 
   2,6   10 . -
,   – 0,9   10 .
,  – 0,41   10 . -
,    – 0,42  
10 . .
   -
     -
  «»   2010–2014 . 
 . 3.      1,6
  10 .  (2010 .)  4,5 
 10 .  (2014 .).    
  2,16  (2014 .).
   -
    (. 4)
Таблица 1
Заболеваемость работников предприятий и организаций ГК «Росатом»
профессиональными болезнями в 2014 г. и её структура
  -10
 
10. 
. , %
   M75.0 1,17 26,1
  T75.2 0,87 19,3
 ,      M77.8 0,60 13,4
   M19.8 0,38 8,4
    H90.3 0,23 5,0
      H90.6 0,19 4,2
  M77.1 0,19 4,2
   C34.0 0,15 3,4
      C34.1 0,08 1,7
 M54.1 0,08 1,7
   M75.8 0,08 1,7
  T75.0 0,08 1,7
   C18.7 0,04 0,8
     C18.9 0,04 0,8
      C34.9 0,04 0,8
       C43.3 0,04 0,8
       C44.4 0,04 0,8
   G62.8 0,04 0,8
  G92 0,04 0,8
      J44.8 0,04 0,8
    M19.1 0,04 0,8
  M77.0 0,04 0,8
   T66 0,04 0,8
 4,5 100,0
. 2.    
      «»
2014 .   
70 и более лет
8 %
до 39 лет
6 %
40–49 лет
25 %
50–59 лет
37 %
60–69 лет
24 %
41
    . 2017.  62. 1  
     0,04 
 10 . . (2014 .)  0,29   10 . .
(2011 .).
    -
  - -
    (. 5).
    -
  - -
       40–
49  – 32,4%, 50–59 – 33,8%, 60–69 – 26,5%.
   78,3 %   -
  40–59 . 54,5%    -
  70    (. 4).
   -
    -
;      (  2010 .
 2014 .),   ( )  0,8 -
  10 . .   0,2 
 10 .   2011 .,  -
  0,9   10 .   2014 .
    -
 ;     -
 0,3–0,4   10 .  (.6).
   (2010, 2013, 2014) 
      -
     
   .   -
      19,7%  17,1%
Таблица 2
Структура вредных факторов производства у больных профессиональными заболеваниями работников
предприятий и организаций ГК «Росатом» (2014 г.)
      . , %
4.1    41 21,2
3.4.1.   38 19,7
3.4.2.   33 17,1
3.8.    29 15,0
3.5.   17 8,8
3.1.
 .       
11 5,7
3.8.1.  :        ,   8°,  
             –10°
10 5,2
1.1.4.8.1. ,     20 % ; , ,  , ,
  ,  ..      (,    )
5 2,6
1.1.4.2.1.       (, , , , -
,  ,   , -   )
3 1,6
1.1.4.1.    (-, -, -) 3 1,6
1.1.4.        2 1,0
1.1.  ,       1 0,5
 193 100,0
. 3.   
    
«» 2010–2014 .
Годы наблюдения
201420112010
0
2
4
6
Число случаев
на 10 тыс. работающих
1,6
1,7
2,9
4,0
4,5
2012 2013
. 4.   
     
  «» 2010–2014 .
Годы наблюдения
201420112010
0
0,1
0,2
0,3
Число случаев
на 10 тыс. работающих
0,14
0,29
0,18
0,25
0,04
2012 2013
. 5.   
 -   
     «»
2010–2014 .
Годы наблюдения
201420112010
0
1
2
3
Число случаев
на 10 тыс. работающих
0,10
0,47
0,98
2,10
2,57
2012 2013
Таблица 3
Распределение отдельных нозологий у работников предприятий и организаций ГК «Росатом»
повозрастным группам (2014 г.)


 39  40–49  50–59  60–69  70    
 -  5 (7,4 %) 22 (32,4 %) 23 (33,8 %) 18 (26,5 %) 68 (100 %)
  2 (8,7 %) 8 (34,8 %) 10 (43,5 %) 3 (13 %) 23 (100 %)
   6 (54,5 %) 3 (27,3 %) 2 (18,2 %) 11 (100 %)
  2 (18,2 %) 3 (27,3 %) 6 (54,5 %) 11 (100 %)
42
      . 2017.  62. 1
,   –  8,8% 
(. 3).
    
 .  2010  2014 .  -
   0,2   100 . 
(2010 .)  4,2   100 .  (2014.)
(. 7).
,    
   0,8 %; 
     
(2014 .) (.1).
    
  (NDR) ,  
     -
      
    .  -
      -
   [9].
Заключение
 ,   -
   ,
:
–    -
     -
  «»  1,6   10 . 
(2010 .)  4,5   10 .  (2014 .).
–    -
      -
  «»   
   -  
  (57,1%); 19,3%  -
,   ; -
       9,2%
.
–    -
    
  --
  – 116,1  10 . ,  
1,8      -
  «»,  27  –   
«»   29,8  –    .
–    -
,  ,    (94,5%).  2014 . 
    
,     -
 ,    -
  50–59 .
 
1.      -
   2010 .  
   .  . ..
. – .:     -
 . 2011.110 .
2.       
       2013 . . -
  .  . www.rosmintrud.ru/docs/.../15/doklad_
TEKSTOVAYa_CHASTY.doc.
3.      
 «»  2013 . (.  -
     
«» 26.06.2014 .) // http://www.rosatom.ru/resources/
37117a004494c2369041b0e920d36ab1/rosatom_anrep_2013.pdf.
4.    «  -
 » (.  -
   2.06.2014 .  506-12)// http://government.ru/
docs/12959/.
5.      426-  28
 2013 . «    » //
http://www.rg.ru/2013/12/30/ocenka-dok.html.
6.    --
  ( «»)// http://www.priargunsky.
armz.ru/.
7.  «.   -
» // http://www.kolanpp. rosenergoatom.ru/about/press-
center/news/3c8b4c80482dd49134dd94f9d71864.
8. Murata M., Miyake T., Inoue Y. et al. Life-style and other
characteristics of radiation workers at nuclear facilities in Japan:
base-line data of a questionnaire survey // J. Epidemiol. 2002.
Vol. 12.  4. P. 310–319.
9. Zielinski J.M., Shilnikova N.S., Krewski D. Canadian National
Dose Registry of radiation workers: overview of research from
1951 through 2007 // Int. J. Occup. Med. Environ. Health. 2008.
Vol. 21.  4. P. 269–275.
. 7.   
    
 «» 2010–2014 .
Годы наблюдения
201420112010
0
1
2
3
4
5
Число случаев
на 10 тыс. работающих
0,2
2,2 2,2
1,8
4,2
2012 2013
. 6.    
      
    «» 2010–2014 .
Годы наблюдения
201420112010
Шум
Вибрация
0,3
0,3
0,3
0,2
0,4
0,4
0,9
0,6 0,6
0,7
2012 2013
0
0,1
0,2
0,3
0,4
0,5
0,6
0,7
0,8
0,9
Число случаев на 10 тыс. работающих
43
REFERENCES
1. O sostojanii professional’noj zabolevaemosti v Rossijskoj
Federacii v 2010 godu. Informacionnyj sbornik statisticheskih
i analiticheskih materialov / Pod red. A.I. Vereshhagina. – M.:
Federalnyj centr gigieny i jepidemiologii Rospotrebnadzora,
2011, 110 s.
2. O realizacii gosudarstvennoj politiki v oblasti uslovij i ohrany truda
v Rossijskoj Federacii v 2013 godu. Min. truda i soc. zashhity
RF/ www.rosmintrud.ru/docs/.../15/doklad_TEKSTOVAYa_
CHASTY.doc.
3. Godovoj otchet Gosudarstvennoj korporacii po atomnoj
jenergii «Rosatom» za 2013 g. (utv. nabljudatelnym sovetom
Gosudarstvennoj korporacii po atomnoj jenergii «Rosato
26.06.2014 g.) // http://www.rosatom.ru/resources/37117a00449
4c2369041b0e920d36ab1/rosatom_anrep_2013.pdf.
4. Gosudarstvennaja programma RF «Razvitie atomnogo
jenergopromyshlennogo kompleksa» (utv. Postanovleniem
Pravitelstva RF ot 2.06.2014 g.  506-12)// http://government.
ru/docs/12959/
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2013 g. «O special’noj ocenke uslovij truda» // http://www.
rg.ru/2013/12/30/ocenka-dok.html.
6. Sajt Priargunskogo proizvodstvennogo gorno-himicheskogo
ob#edinenija (PAO «PPGHO») // http://www.priargunsky.armz.
ru/.
7. Sajt «Rosjenergoatom. Jelektrojenergeticheskij divizion
Rosatoma» // http://www.kolanpp. rosenergoatom.ru/about/
press-center/news/3c8b4c80482dd49134dd94f9d71864.
8. Murata M., Miyake T., Inoue Y. et al. Life-style and other
characteristics of radiation workers at nuclear facilities in Japan:
base-line data of a questionnaire survey // J. Epidemiol. 2002.
Vol. 12.  4. P. 310–319.
9. Zielinski J.M., Shilnikova N.S., Krewski D. Canadian National
Dose Registry of radiation workers: overview of research from
1951 through 2007 // Int. J. Occup. Med. Environ. Health. 2008.
Vol. 21.  4. P. 269–275.
Medical Radiology and Radiation Safety. 2017. Vol. 62. 1 Radiation Epidemiology
Occupational Incidence of Employees of Enterprises State Corporation «Rosatom»
V.V.Uiba
1
, A.V. Gurev
2
, A.R. Tukov
2
, A.Yu. Bushmanov
2
, M.Yu. Kalinina
2
,
A.I. Antonenkov
2
, S.A. Afonin
3
, A.S. Nemkov
4
, N.V. Kapitonova
2
1. FMBA of Russia, Moscow, Russia; 2. A.I. Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia. E-mail: atukov40@mail.ru;
3.Concern «Rosenergoatom», Moscow, Russia; 4. Clinical hospital 50 FMBA of Russia, Moscow, Russia
V.V. Uiba – Head of Federal Medical Biological Agency of Russia, MD, Prof.; A.V. Gurev – senior researcher; A.R. Tukov – head of Lab, PhD in Medical
Sciences; .Yu. Bushmanov – First Deputy General Director, MD, Prof.; M.Yu. Kalinina - Head of the Department of social services policy of State
Corporation “Rosatom, PhD. med. Sciences; A.I. Antonenkov – research engineer; S.A. Afonin – medical representative of Concern «Rosenergoatom»;
A.S. Nemkov – Federal State Healthcare Institution Clinical hospital 50 FMBA of Russia; N.V. Kapitonova – senior Researcher
Abstract
Purpose: To analyze the incidence of occupational diseases of employees of factories and organizations in State Corporation «Rosatom».
Material and methods: e study was conducted with the use of primary documents, containing information about the diseases and working conditions
in the workplace. e calculation of this indicator is based on the standard and original soware.
Results: In 2014 leading position among professional pathologies adhesive capsulitis of the shoulder (26.1%), a number enthesopathies (13.4%),
lateral and medial epicondylitis (4.2% and 0.8% respectively) occupy. Pathologies associated with decrease in hearing (9.2%). Cancers of the respiratory
system, as well as malignant neoplasms unspecied localization (5.9%). In the structure of occupational diseases employees from 50 to 59 years (36.9%)
is dominated; the lowest level of occupational diseases in the group under 39 years (5.9%). 68.9% of employees , registered in 2014, were over the age
of50. For the 2010–2014 long-term dynamics of occupational diseases shows its growth from 1.6 cases per 10,000 employees (2010) to 4.5 cases per 10,000
employees (2014). e negative long-term dynamics (2010–2014) observed for occupational diseases of the musculoskeletal system and connective tissue
(from 0.1 to 2.57 cases per 10,000 employees), vibration disease (from 0.7 to 0.9 cases per 10,000 employees), malignant neoplasms (from 0.2 to 4.2 cases
per 100,000 employees).
Conclusion: During 2010–2014 there was an increase of the incidence, mainly due to professional pathology of the musculoskeletal system and
connective tissue, cases of vibration disease and malignant neoplasms. e highest morbidity rate of professional diseases was observed in workers of
Priargunsky Industrial Mining and Chemical Union. Analysis of the data showed that the greatest number of diseases was revealed at persons in the age
range 50–59 years old.
Key words: occupational diseases, industry register, risk factors, the structure of occupational diseases
DOI 10.12737/25052