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S. K. Zelenaya, I. G. Kononova
On the territory of Kiev there are 1230 industrial facilities. The leading industry is mechanical engineering, which includes the aviation industry, agricultural engineering, machine tool construction, mechanical engineering for various sectors of the national economy. In addition, the city has a large number of instrumentation, shipbuilding, chemical and light industries.
Despite the automation and mechanization of production, the constant implementation of measures to improve working conditions, a large number of workers are exposed to unfavorable production factors. Due to the deteriorating environmental situation, workers are also exposed to a number of harmful factors outside of production.
In order to prevent vibration disease, recommendations for improving the working conditions of workers in vibration-hazardous professions have been developed for the implementation at enterprises. Air heating units for hands with micromassage are used (factories "Krasny Excavator", "Stroydormash", "Leninskaya Kuznitsa", art glass factory, PA "Bolshevik", PA "Promsh", etc.). At a number of enterprises, occupational health doctors of the city's sanitary and epidemiological service, in collaboration with scientists from the Kiev Research Institute of Occupational Hygiene and Occupational Diseases, continue to work under the Health program aimed at studying working conditions and developing recommendations for their improvement and improvement, hygienic technological processes. However, in spite of preventive work, at many enterprises conditions that are unfavorable to health and potentially dangerous in terms of the development of occupational pathology remain. This is primarily welding, construction and chemical industries. The main reasons for the danger of these industries are hygienically imperfect technological processes and equipment, violation of norms and rules in the design, construction and operation of facilities.
We share the opinion of V. M. Retnev and co-authors [1] that it is necessary to take effective measures to vigorously identify cases of occupational diseases, and not to consider their absence as a criterion for the activity of an occupational health doctor.
An increase in the quality of periodic medical examinations, the creation of an occupational pathological service in the city will also contribute to a decrease in occupational morbidity, along with an improvement in working conditions.