Occupational diseases arising in the area of the Ministry of Defence in the Czech Republic and their relationship to work categorization.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Central European journal of public health Pub Date : 2022-12-01 DOI:10.21101/cejph.a7235
Blanka Kupsová, Vladimír Pavlík, Jan M Horáček, Václav Šafka, Petr Lašák, Jana Fajfrová, Michaela Husárová, Karin Boušová, Milan Tuček
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Abstract

Objective: The article deals with occupational health protection and identification of health risks in the work environment of the Ministry of Defence (MoD) of the Czech Republic (CR). It focuses on the assessment of the incidence of occupational diseases (OD) in high-risk and risk-free occupational categories in the years 2010-2019 and compares them with data from the civilian sector. It identifies the differences between military staff and civilian employees of the MoD.

Methods: From the records of OD at the Department of Occupational Diseases of the Central Military Hospital in Prague, the data on acknowledged OD from the years 2010 to 2019 were obtained and then a retrospective analysis focusing on the classification of work at risk was performed. The obtained data were compared with the data from the Czech National Registry of Occupational Diseases (NROD), which are published annually by the National Institute of Public Health.

Results: In the years under review, 191 OD were confirmed at the area of MoD, 26% of all OD occurred in employees classified in the occupational risk category. Compared with the data in the NROD, where 50% of OD were found to have been caused by high-risk work, the incidence of OD caused by high-risk work in professional soldiers is lower. Only 1.6% of all OD occurred in professional soldiers whose work was classified as high-risk one. In civilian employees of MoD 24.6% of all OD were connected with high-risk work. On the contrary, the proportion of OD occurring in professional soldiers working in risk-free categories was 57.6%, in civilian employees of MoD was the ratio much lower - 16.2%.

Conclusion: Work at the Ministry of Defence was not adequately categorized, therefore, in 2020 a new categorization of work was introduced, which together with preventive measures could contribute to reducing the incidence of OD at the Ministry of Defence.

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捷克共和国国防部辖区内发生的职业病及其与工作分类的关系。
目的:本文涉及捷克共和国国防部(国防部)工作环境中的职业健康保护和健康风险识别。该报告侧重于评估2010-2019年高风险和无风险职业类别的职业病发病率,并将其与民用部门的数据进行比较。方法:从布拉格中央军事医院职业病科2010 - 2019年的OD记录中获取已确认的OD数据,并以风险工作分类为重点进行回顾性分析。将获得的数据与捷克国家职业病登记处(NROD)的数据进行了比较,后者每年由国家公共卫生研究所公布。结果:回顾年度,在MoD区域确诊OD 191例,其中26%的OD发生在职业风险类员工中。与NROD的数据相比,其中50%的OD被发现是由高风险工作引起的,职业军人中高风险工作引起的OD发生率较低。只有1.6%的OD发生在职业军人中,他们的工作被列为高危工作。在国防部文职人员中,从事高危工作的占24.6%。相反,在无风险类别工作的专业士兵中,发生OD的比例为57.6%,在国防部文职雇员中,这一比例要低得多,为16.2%。结论:国防部的工作分类不充分,因此,在2020年引入了新的工作分类,该分类与预防措施一起有助于减少国防部的工作过量发生率。
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来源期刊
Central European journal of public health
Central European journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
0.00%
发文量
45
期刊介绍: The Journal publishes original articles on disease prevention and health protection, environmental impacts on health, the role of nutrition in health promotion, results of population health studies and critiques of specific health issues including intervention measures such as vaccination and its effectiveness. The review articles are targeted at providing up-to-date information in the sphere of public health. The Journal is geographically targeted at the European region but will accept specialised articles from foreign sources that contribute to public health issues also applicable to the European cultural milieu.
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