Production medicine The main part of the population of our country is busy in various fields of production activities and is often exposed to certain harmful

Production medicine

The main part of the population of our country is occupied in various fields of production activities and is often exposed to certain harmful production factors. Working people are sick of what they work is sad, but this is a fact. Issues related to the preservation of the professional longevity of the working population are engaged in manufacturing medicine. To disclose this concept, the Deputy Chief Physician for Clinical and Expert Works of the Medical Sanitary Part of Gazprom Dobycha Yamburg LLC Vladimir Alexandrovich Druzhinin helped us.

– Production medicine is not some special or new direction of medicine. She fully uses all the accumulated knowledge and capabilities of practical medicine and medical science. This is the set of events of the events of the already known areas of medical practice aimed at preserving performance, an increase in professional longevity in the economically active population (working in one of the economies of the economy). At the same time, in addition to the physiological and psychophysiological aspects of influence on the body, manufacturing medicine concerns economic aspects, including developing proposals for optimizing labor processes that provide favorable and safe working conditions in which the probability of developing professional diseases is minimized.

I propose to take a look at production medicine through the eyes of the employee Gazprom Mining Yamburg LLC, with which elements it will face our enterprise in the process of his work. The observation of the health of the potential employee of our company begins from the moment of its reception to work – it is sent to a preliminary medical examination.

The medical worker receives documents from the personnel department for the future employee of the enterprise, where other than personal data contains information about the presence of harmful factors on its estimated workplace. In the order of the Ministry of Health of the Russian Federation №29n dated January 28.2021 (on the procedure for compulsory preliminary and periodic medical examinations) is indicated, subject to any harmful factors there are contraindications to work in a particular position. If a person already has health problems and goes to workplace, in which harmful factors contributing to the progression of its disease are obviously present, this circumstance can lead to the development of a professional disease.That is, it is possible to say with a certain share of confidence that his employment to certain positions will lead to negative changes in the body.

In our society, the employee annually passes periodic medical examinations, and the work physician tracks changes in its health indicators. In the presence of the disease, it takes to the dispensary accounting, can change the multiplicity of medical examinations, carry out outpatient and in the conditions of the stationary branch of treatment courses, if necessary, to send to specialized medical clinics for an in-depth examination and determining the tactics of further treatment. Some employees of the company belong to the medical examination skeptical, pass formally. And in vain! The sooner the disease is diagnosed, the more effective its treatment and a favorable forecast. We have developed programs for the prevention and early detection of diseases. How it works? On medical examination, if a person has a predisposition to certain diseases or there are prerequisites for their development, the necessary additional diagnostic measures are carried out, treatment is assigned. For example, within the framework of the prevention and reduction of mortality from cardiovascular diseases and under the program of the secondary prevention of diabetes and its complications, the employee is provided with free of charge with medical drugs.

Considerable attention is paid to the problems of early detection of oncological diseases of various localizations, prevention and treatment of precancerous diseases. As part of the prevention program of infectious diseases, we carry out vaccination campaigns against seasonal influenza, hepatitis B, diphtheria, measles and a number of other infectious diseases. Relatively recently appeared the possibility of conducting vaccination against the new Coronavirus infection COVID-19.

Separately, I want to note the medical and social adaptation program. The usual situation: the person is generally healthy, can work in the specialty, but there are prerequisites for the fact that dysfunction or pathology will develop. In such cases, we send an employee for rehabilitation and rehabilitation treatment. Many call it a "junction" and often belong to this, respectively: less treated, rest more. No, colleagues, it is the "rehabilitation treatment" and it is necessary to treat him seriously.

So, our employee passed all the stages of medical examination, passed a course of rehabilitation and rehabilitation treatment. Next comes the stage of work of medical staff, which, as a rule, is not visible to the majority: according to the results of medical examinations, an engineering and medical team is collected for each division of the enterprise. Usually there are representatives of labor protection, trade union, medical schools, heads of various levels. A detailed analysis is carried out and analyzing the entire situation in the unit.

In conclusion, I want to note that I touched against all the stages and aspects of production medicine. The range of activities of this area is much broader and all of them are held with one goal – to extend the able-bodied age and preserve the health of the employee. Production medicine complements the sectoral system of labor protection and industrial safety and municipal insurance medicine and is a significant component in the overall system of maintaining the health of the working-age population of our country.