ASSESSMENT OF THE STATE OF HEALTH OF THE WORKING-AGE POPULATION IN RELATION TO THE EMPLOYMENT
Keywords:occupational health, mortality in working age, periodic medical examinations, professional morbidity
Objectives. The scientific approach to assessing the health of the population and the organization of prevention and treatment measures is one of the main tasks of the state legislative and executive authorities, which determine the health protection policy. The aim of the study was the complex assessment of the health status of the working age population in the Republic of Moldova.
Material and methods. A complex socio-hygienic, retrospective-descriptive study was performed on the health status of the working age population in the Republic of Moldova. The observation period was from 1990 to 2019 years, according to the secondary data from the open databases of National Bureau of Statistics, National Agency for Public Health, World Health Organisation (Health for all). Variational analysis methods were used for small and alternative random selections. The results were processed using Microsoft Excel software.
Results. There has been a gradual increase in workers trained in harmful and dangerous working conditions, with about 1200 work places per year. The proportion of working age mortality was 41.4-48.6% of the general mortality level, of which about 75% due to non-communicable diseases. Periodic medical examinations are ineffective – in the period 2000-2019 no cases of occupational disease were detected, being detected only 0.6-2.5% people with deviations in health. Their results do not correlate with the level of general morbidity and mortality rates of working age (r <0.01).
Conclusion. The health indicators registered in the working age population differ from the values registered in the general population. The incidence of occupational diseases does not correspond to the quality of the occupational environment. The continuation of medical education of the family doctors in the areas of occupational medicine and occupational health is required.
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