Problems of working capacity expertise in patients with hearing loss
https://doi.org/10.47470/0016-9900-2017-96-7-641-646
Abstract
Results of the analytical research are given to justify methods of working capacity expertise in patients with hearing loss. The goal is to provide the successful professional rehabilitation of these workers and minimize the risk of occupational trauma or occupational disease because of harmful occupational factors. Since 2014 hearing loss patients have been allowed to work with many harmful and dangerous factors. Up-to-date laws and regulations have some logical contradictions with controversial interpretation. Some criteria for determination of working capacity in these workers have not been justified from the point of view of the professional risk yet. The paper discusses the need for the optimization of normative acts by the way of exclusion of logical contradictions and incorrect formulations. Today the determination of professional risk for the workers with hearing loss who work in noise and under the action of other harmful occupational factors is topical. According to results of this research the criteria of working capacity expertise for these cases should be revised to prevent health risk and disaster situations. Working capacity expertise in hearing loss patients should be provided by specialists in occupational medicine and labor protection. Individual peculiarities of the disease and prospective work place should be also taken into account.
About the Authors
Ivan V. BoikoRussian Federation
MD, PhD, DSci., professor of the Department of Occupational Medicine of the I.I. Mechnikov North-Western State Medical University, Saint-Petersburg, 191015, Russian Federation.
e-mail: Ivan-Boiko@yandex.ru
T. G. Shimanskaya
Russian Federation
O. N. Andreenko
Russian Federation
N. N. Loginova
Russian Federation
E. Yu. Okuneva
Russian Federation
References
1. Boboshko M.Yu., Golovanova L.E., Vladimirova O.N. On the question of evaluating the degree of hearing loss. Rossiyskaya otorinolaringologiya. 2015; (5): 24–7. (in Russian)
2. Pankova V.B., Bushmanov A.Yu. Deafness problems in the Russian civil aviation pilots. Vestnik otorinolaringologii. 2014; (6): 27–30. (in Russian)
3. Adeninskaya E.E., Bukhtiyarov I.V., Bushmanov A.Yu., Daykhes N.A., Denisov E.I., Izmerov N.F., et al. Federal Guidelines for the Diagnosis, Treatment and Prevention of Hearing Loss Caused by Noise [Federal’nye klinicheskie rekomendatsii po diagnostike, lecheniyu i profilaktike poteri slukha, vyzvannoy shumom]. Moscow; 2015. (in Russian) URL: http://www.consultant.ru/cons/cgi/online.cgi?req=query&div=LAW&opt=1&REFDOC=10102&REFBASE=ESU&REFPAGE=0&REFTYPE=CDLT_GDAS_BACKREFS&ts=2397414864909668298#0.
4. Lunev V.P., Lazareva E.S. Medical-social Examination of Persons with Hearing Impairment (Guidelines) [Mediko-sotsial’naya ekspertiza lits s narusheniem slukha (metodicheskie rekomendatsii)]. Orel; 2011. (in Russian)
5. Pomnikov V.G., ed. Persistent Hearing Loss in Adults and Children: Diagnostics, Medical and Social Expertise, Rehabilitation and Habilitation [Stoykie narusheniya slukha u vzroslykh i detey: voprosy diagnostiki, mediko-sotsial’noy ekspertizy, reabilitatsii i abilitatsii]. St. Petersburg; 2017. (in Russian)
6. Boyko I.V., Naumova T.M., Gerasimova L.B. The effectiveness of periodic medical examinations in Leningrad–St. Petersburg. Problemy sotsial’noy gigieny i istorii meditsiny. 1997; (3): 8–9. (in Russian)
7. Retnev V.M., Shlyakhetskiy N.S., Boyko I.V. Results of epidemiological studies of occupational disease. Meditsina truda i promyshlennaya ekologiya. 2001; (10): 33–6. (in Russian)
8. Izmerov N.F., ed. Professional Pathology. National Guidelines [Professional’naya patologiya. Natsional’noe rukovodstvo]. Moscow: GEOTAR-Media; 2011. (in Russian)
9. Sineva E.L., Kir’yakov V.A., Fedina I.F, Preobrazhenskaya E.A. Diagnostics and Expertise Disability and Prevention of Occupational Sensoneural Hearing Loss: Guidelines [Diagnostika, ekspertiza trudosposobnosti i profilaktika professional’noy sensonevral’noy tugoukhosti: Metodicheskie rekomendatsii]. Moscow; 2012. (in Russian)
10. Ostapkovich V.E., Brofman A.V. Occupational Diseases of Ear, Nose and Throat [Professional’nye zabolevaniya LOR-organov]. Moscow: Meditsina; 1982. (in Russian)
Review
For citations:
Boiko I.V., Shimanskaya T.G., Andreenko O.N., Loginova N.N., Okuneva E.Yu. Problems of working capacity expertise in patients with hearing loss. Hygiene and Sanitation. 2017;96(7):641-646. (In Russ.) https://doi.org/10.47470/0016-9900-2017-96-7-641-646