Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC23610.15690/vramn.v67i12.481SHORT MESSAGESКРАТКИЕ СООБЩЕНИЯTHE ISSUES OF WORKERS REPRODUCTIVE HEALTH PROTECTION FROM HARMFUL OCCUPATIONAL END ENVIROMENRAL EXPOSURESПРОБЛЕМА СОХРАНЕНИЯ РЕПРОДУКТИВНОГО ЗДОРОВЬЯ РАБОТНИКОВ ПРИ ВОЗДЕЙСТВИИ ВРЕДНЫХ ФАКТОРОВ ПРОИЗВОДСТВЕННОЙ И ОКРУЖАЮЩЕЙ СРЕДЫIzmerovN. F.ИзмеровН. Ф.
Russian Federation

PhD, Professor, Academician of Russian Academy of Medical Sciences, Scientific Head of Federal State Budget Institution Scientific Research Institute of Labour Medicine, Russian Academy of Medical Sciences Address: 105275, Moscow, 9th Sokolinoy Gory str., 12; Tel.: (495) 365-02-09, Fax: (495) 366-05-83

izmerov@niimt.ruSivochalovaO. V.СивочаловаО. В.
Russian Federation

PhD, Professor, Head Scientific Worker, Federal State Budget Institution Scientific Research Institute of Labour Medicine, Russian Academy of Medical Sciences Address: 105275, Moscow, 9th Sokolinoy Gory str., 12; Tel.: (495) 365-29-81

sivolga38@mail.ruFesenkoM. A.ФесенкоМ. А.
Russian Federation

PhD, Head of Laboratory of Prophylaxis of Workers’ Reproductive Health Federal State Budget Institution Scientific Research Institute of Labour Medicine, Russian Academy of Medical Sciences Address: 105275, Moscow, 9th Sokolinoy Gory str., 12; Tel.: (495) 365-29-81

marnast@mail.ruDenisovE. I.ДенисовЭ. И.
Russian Federation

PhD, Professor, Head Scientific Worker, Federal State Budget Institution Scientific Research Institute of Labor Medicine, Russian Academy of Medical Sciences Address: 105275, Moscow, 9th Sokolinoy Gory str., 12;

denisov28@mail.ruGolovanevaG. V.ГолованеваГ. В.
Russian Federation
izmerov@niimt.ruResearch Institute of Occupational Health Russian Academy of Medical SciencesНаучно-исследовательский институт медицины труда РАМН, Москва, Российская Федерация101220126712Вестник Российской академии медицинских наук475307082015Copyright ©; 2012, "Paediatrician" Publishers LLCCopyright ©; 2012, Издательство "Педиатръ"2012"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/about/submissionshttps://vestnikramn.spr-journal.ru/jour/article/view/236

The problem of workers reproductive health protection from harmful occupational and environmental exposures is amongst the national priorities due to demographic situation in Russia and decrease of the manpower. Some issues of women's reproductive health disorders are considered from occupational health standpoint. The demographic and epidemiological data on pregnancy course and outcome, birth defects, children’s morbidity etc. are presented and discussed. Some proposal as to risk management and medical surveillance of reproductive health, including legal instruments are put forward.

В настоящее время одной из приоритетных задач государства является проблема сохранения репродуктивного здоровья населения (в частности — работающего во вредных и опасных условиях труда) для сокращения угрозы прогрессирующей трудонедостаточности. В статье рассмотрены вопросы расстройства репродуктивного здоровья женщин, такие как нарушения течения беременности, врожденные пороки развития и др. Проанализированы вопросы риск-менеджемента и мониторинга репродуктивного здоровья женщин-работников при воздействии вредных факторов, включая совершенствование правовых механизмов.

reproductive healthpreventionharmful working conditionsoccupational health and safety riskharmonizationfetusnewborndevelopmental disabilityрепродуктивное здоровьепрофилактикавредные условия трудапрофессиональный рискгармонизацияплодноворожденныйнарушения развития1. Ukaz Prezidenta Rossiiskoi Federatsii ot 12 maya 2009 g. № 537 «O Strategii natsional'noi bezopasnosti Rossiiskoi Federatsii do 2020 g.» [Presidential Decree dated May 12, 2009 № 537 "On National Security Strategy of the Russian Federation until 2020"].2. Zdorov'e rabotayushchikh: global'nyi plan deistvii na 2008–2017 gg [Workers' health: global plan of action for 2008-2017]. WHO, WHA60.26. 12 p.• vypolnenii v 2007–2009 gg. meropriyatii plana realizatsii kontseptsii demograficheskoi politiki RF na period do 2025 g., napravlennykh na uluchshenie sostoyaniya zdorov'ya zhenshchin, detei i podrostkov [On the implementation of activities of the implementation plan of the concept of demographic policy of the Russian Federation for the period up to 2025, aimed at improving the health of women, children and adolescents in 2007-2009]. Moscow, Ministerstvo zdravookhraneniya i sotsial'nogo razvitiya RF, 2010.3. Zdravookhranenie v Rossii. 2011. Stat.sb./Rosstat [Health in Russia. 2011. Statistics. Federal State Statistics Service]. Moscow, 2011. 326 p.4. Izmerov N.F., Sivochalova O.V. Reproductive health of the working population. Sovr. med. tekhnologii – Modern medical technology. 2009; 2.5. Professional'nyi risk dlya zdorov'ya rabotnikov. Ruk-vo. Pod red. N.F. Izmerova, E.I. Denisova [Professional health risks for workers. Guideline. Edited by N.F. Izmerov, E.I. Denisov]. Moscow, Trovant, 2003. 430 p.6. Potapenko A.A. The health status of children of health workers. Meditsina truda i promyshlennaya ekologiya = Occupational medicine and industrial ecology. 2008; 4: 13–16.7. Irmyakova A.R., Sivochalova O.V. Zabolevaniya shchitovidnoi zhelezy u zhenshchin-rabotnits proizvodstva nefteorganicheskogo sinteza. Sb. trudov Vseross. nauch.-prakt. konf. s mezhdunar. uchastiem: «Sovremennye problemy gigienicheskoi nauki i meditsiny truda» [Thyroid disease in women workers producing petroleum organic synthesis. Materials of Russian national scientific and practical conference with int. participation "Modern problems of hygiene science and occupational medicine"]. Ufa, 2010.8. Zaitseva N.V., Sandakova E.A., Alekseev V.B., Kir'yanov D.A., Gileva S.A. Vliyanie toksikantnoi nagruzki na techenie beremennosti, rodov i poslerodovogo perioda rabotnits khimicheskogo proizvodstva i prozhivayushchikh v ekologicheski destabilizirovannom regione. Mat-ly mezhregional'noi nauch.-prakt. konf.: «Aktual'nye voprosy ozdorovleniya i reabilitatsii beremennykh i ginekologicheskikh bol'nykh v sanatorno-kurortnykh usloviyakh» [Influence of toxic load during pregnancy, childbirth and the postpartum period, and chemical production workers living in ecologically destabilized region. Materials of inter-regional scientific and practical conference: "Current issues of recovery and rehabilitation of pregnant and gynecological patients in the sanatorium conditions"]. Perm, 2008. p. 158–171.9. Denisov E.I., Prokopenko L.V., I.V., Sivochalova O.V., Chelishcheva M.Yu., Chesalin P.V. Metodicheskie voprosy vyyavleniya i profilaktiki zabolevanii, svyazannykh s rabotoi. Sb. trudov Vseross. nauch.-prakt. konf. s mezhdunar. uchastiem: «Sovremennye problemy gigienicheskoi nauki i meditsiny truda» [Methodological issues of detection and prevention of diseases associated with the work. Coll. of works of Russian national scientific and practical conference with int. participation "Modern problems of hygiene science and occupational medicine"]. Ufa, 2010.10. Gainullina M.K., Valeeva E.T., Yakupova A.Kh., Safina K.F. Criteria for violations of reproductive health of women workers petrochemical industry. Byull. Vostochno-Sibirskogo nauchn. tsentra RAMN = Bulletin of East-Siberian Scientific Center of RAMS. 2009; 1 (65): 107–111.11. Talykova L.V., Sivochalova O.V. Reproductive health of women employed in the production of nickel in the current socio-economic conditions. Ekologiya cheloveka = Human Ecology. 2010; 6: 16–23.12. Golovaneva G.V. The health of children born to mothers living in areas with different anthropogenic load. Meditsina truda i promyshlennaya ekologiya – Occupational medicine and industrial ecology. 2007; 2: 44–48.13. Zakon «Ob osnovakh okhrany zdorov'ya grazhdan v Rossiiskoi Federatsii» № 323-FZ, prinyat 21 noyabrya 2011 g [The Law "On the basis of health protection in the Russian Federation» № 323-FZ, adopted November 21, 2011].14. Sivochalova O.V., Lyubchenko P.N., Denisov E.I. Vliyanie proizvodstvennykh faktorov na reproduktivnoe zdorov'e. Professional'naya patologiya. Nats. ruk-vo. Chast' IX. Glava 45.Pod red. akad. RAMN N.F. Izmerova [Influence factors on reproductive health. Professional pathology. Nat. guide. Part IX. Chapter 45. Edited by Acad. RAMS N.F. Izmerov]. Moscow, GEOTAR-Media, 2011. p. 687–721.15. Prikaz Minzdravsotsrazvitiya № 801n «Ob utverzhdenii nomenklatury dolzhnostei meditsinskogo i farmatsevticheskogo personala i spetsialistov s vysshem i srednem professional'nom obrazovaniem uchrezhdenii zdravookhraneniya ot 25.07.2011» [Order of the Health Ministry number 801n "On approval of the nomenclature of posts of medical and pharmaceutical personnel and specialists with higher and secondary vocational education of health facilities dated 25.07.2011."]. Moscow, 2011.