employee
Russian Federation
employee
Moscow, Russian Federation
employee
employee
Russian Federation
Russian Federation
GRNTI 76.33 Гигиена и эпидемиология
GRNTI 76.03 Медико-биологические дисциплины
OKSO 31.06.2001 Клиническая медицина
OKSO 31.08.08 Радиология
OKSO 32.08.12 Эпидемиология
OKSO 14.04.02 Ядерные физика и технологии
BBK 534 Общая диагностика
BBK 51 Социальная гигиена и организация здравоохранения. Гигиена. Эпидемиология
TBK 5712 Медицинская биология. Гистология
TBK 5734 Медицинская радиология и рентгенология
TBK 6212 Радиоактивные элементы и изотопы. Радиохимия
TBK 5708 Гигиена и санитария. Эпидемиология. Медицинская экология
Purpose: To identify the problem of assessing the health status of personnel working under the conditions of new technologies for the production of nuclear fuel. Material and method: The object of the research was the general morbidity of workers in the production of mixed nitride uranium-plutonium fuel (MNUP-fuel). The material for the study was the data presented in the «Health Passports». The paper used the method of comparative analysis of the overall morbidity of workers in the production of MNUP-fuel and workers in enterprises dealing with nuclear fuel. Results and analysis: At present, in our country, within the framework of the «Breakthrough» project, new technologies are being developed for the fabrication and refurbishment of mixed uranium-plutonium (MNUP) fuel. In the absence of radiation and hygienic standards for the content of fuel products in working rooms, in order to assess the influence of production factors, along with the radiation dose, the incidence of personnel is studied as an integral indicator of health. A study of the incidence of 50 workers in the production of MNUP fuel revealed: Relatively high incidence of general morbidity – 1122 diseases per 100 people or an average of 93.5 diseases per 100 people per year, regardless of the length of service. The leading diseases in the overall morbidity structure are diseases of the respiratory system – 26.0 % (1st place), eyes – 13.4 % (2nd place), musculoskeletal system – 11.4 % (3rd place), circulatory system – 10,9 % (4th place), injuries and poisoning – 8.4 % (5th place), digestive organs and genitourinary system – 7.7 % and 7.0 %, respectively (6th place), which make up 84.7 % of the total morbidity. Obviously, the effective dose of 4.6 mSv/year cannot be the only reason for the high morbidity in workers in complex radiochemical production, but characterizes only the influence of one of the many nonspecific factors of production. The existing system for assessing the health of personnel working in radiochemical production, in addition to analyzing the risks of deterministic and stochastic effects, should include an assessment of the overall morbidity of personnel.
personnel, morbidity, mixed uranium-plutonium nitride fuel, integral health indicators
1. Normy radiacionnoy bezopasnosti (NRB-99/2009). Sanitarnye pravila i normativy SanPiN 2.6.1.2523-09. - M.: Federal'nyy centr gigieny i epidemiologii Rospotrebnadzora. 2009. 100 s.
2. Buldakov L.A., Kalistratova V.S. Radioaktivnoe izluchenie i zdorov'e. M.: Inform-Atom, 2003. - S165.
3. Adamov E.O.,Vlaskin G.N., Lopatkin A.V., Rachkov V.I., Homyakov Yu.S. Radiacionno-ekvivalentnoe obraschenie radioaktivnyh nuklidov v YaTC - effektivnaya al'ternativa otlozhennomu resheniyu problemy nakopleniya OYaT. // Izvestiya akademii nauk. Energetika 2015. №6. C. 15-25.
4. Batova Z.G., Kochetkov O.A., Monastyrskaya S.G., Sayapin N.P., Simakov A.V., Stepanov S.V., Isaev O.V. Gigiena truda v atomnoy promyshlennosti i energetiki. Proizvodstvo smeshannogo uran-plutonievogo topliva // Radiacionnaya medicina 2002. №3 C. 211-230.
5. Adamov E.O., Zibudko L.M., Mashiveev V.I., Rachkov V.I., Troyanov V.M., Homyakov Yu.S., Monov V.N. Sravnitel'nyy analiz preimuschestv i nedostatkov ispol'zovaniya metallicheskogo i nitridnogo uran-plutonievogo topliva v bystryh reaktorah. // Izvestiya akademii nauk. Energetika. 2015. №2. C. 3-15.
6. Promezhutochnyy otchet «Zaklyuchenie o sostoyanii zabolevaemosti rabotnikov proizvodstva SNUP topliva po rezul'tatam provedennogo sravnitel'nogo analiza» Dogovor №11/1391D ot 01.10.2020 g. 57 s. FGBU GNC FMBC im. A.I. Burnazyana FMBA Rossii.
7. Zaklyuchitel'nyy otchet o nauchno-issledovatel'skoy rabote «Obosnovanie sanitarno-gigienicheskih trebovaniy dlya ob'ektov ODEK AO SHK». FGBU GNC FMBC im. A.I. Burnazyana FMBA Rossii M. 2018 inv. №902271.
8. Samoylov A.S., Shandala N.K., Bushmanov A.Yu., Shinkarev S.M., Cov'yanov A.G., Gancovskiy P.P., Karev A.E., Kuhta B.A., Simakov A.V., Klochkov V.N. Ocenka dozy oblucheniya personala kompleksnyh eksperimental'nyh ustanovok na SHK // Medradiologiya i radiacionnaya bezopasnost' 2020. №4
9. Ushakov A.B., Shtemberg A.S., Shifirkin A.V. Podhody k programirovaniyu individual'noy radiorezistentnosti organizma na osnove ocenki ishodnogo funkcional'nogo sostoyaniya regulyatornyh sistem. Tezisy konferencii Mediko-Biologicheskie problemy deystviya radiacii / Mezhdunarodnaya konferenciya 10-11 aprelya 2012 g. Moskva.
10. Dopolnitel'nye rekomendacii po medicinskomu obsledovaniyu rabotnikov uchastvuyuschih v proizvodstve SNUP topliva. Vneplanovyy otchet po dogovoru ot 04.06.2018 g. №33.
