Occupational respiratory diseases: an epidemiological analysis of underdiagnostic's causes on the example of the Republic of Tatarstan
Epidemiological analysis of occupational morbidity in the Republic of Tatarstan (RT) was made. The characteristic of the most frequents occupational lung diseases (OLD) was given. The regional features of occupational respiratory pathology caused due to the regional property of occupational exposures are shown. Epidemiologic features of OLD in the region are shown: the increase of relative density of OLD at parallel growth of the absolute number of revealed cases, the progressive reduction in the proportion of primary disability at OLD. It was shown, that for the last few years the majority of cases was diagnosed among employees of the large enterprises with preserved health centers. Thus diagnostics of OLD at working in small enterprises without their own medical services, and located in rural regions was reduced. The conclusion about the need to coordinate the activities of the employer, medical organizations, the occupational medicine center and the hygiene service was made.