Regulatory and legal bases for the establishment and functioning of seafarers' health protection centers in the Russian Federation
Svetlana V. Voronkova,
Alexey A. Abakumov,
Georgii S. Torshin,
Snezhana V. Malinina,
Andrey N. Andrusenko,
Yuri V. Grabskii https://doi.org/10.31089/1026-9428-2023-63-9-586-595
EDN: sniyas
Abstract
Introduction. Ensuring the national interests of the Russian Federation in the World Ocean presupposes the development of medical and sanitary support for maritime activities, which currently requires integrated approaches in implementing the requirements for the preservation of the health of employees of the Russian fleet established by international legal acts on health and medical care in maritime navigation, of which the Russian Federation is a participant. In this regard, harmonization of legislation and improvement of measures related to the organization and functioning of seafarers' health protection centers are of particular importance.
The study aims to conduct comprehensive legal monitoring of national regulatory and methodological documents regulating the activities of seafarers' health protection centers in comparison with international standards.
Materials and methods. The authors have studied and analyzed scientific publications for the period from 1980 to 2023 defining the problems of medical and sanitary provision of water transport workers, methodological approaches of the World Health Organization, the International Labor Organization, the International Maritime Organization in this area, as well as current international and Russian regulatory legal acts, information from official websites of executive authorities and organizations.
Results. The study found that today the system of seafarers' health protection, which previously existed in our country, has suffered significantly, and its restoration requires an integrated approach and centralization of medical support for maritime activities in accordance with the Maritime Doctrine of the Russian Federation and the Concept of Development of the Russian Federation Marine medicine. To this end, in the structure of organizations subordinate to the FMBA of Russia, in large port cities, head and regional centers for the protection of seafarers' health were established, carrying out accounting and analytical, organizational and methodological, regulatory, therapeutic and preventive, expert, scientific and educational activities. An important direction in the work of these centers is the implementation of preventive measures and the identification of occupational and work-related diseases. For the successful development of a unified system of medical and sanitary support for employees of the marine and river fleet, it is advisable to assign the functions of regulatory regulation in this area to the FMBA of Russia.
Conclusion. The restoration of a full-fledged domestic system of providing medical care to water transport workers is possible through the creation and regulatory consolidation of the activities of seafarers' health protection centers in the structure of the FMBA organizations of Russia, which is an essential condition for achieving compliance of the national maritime policy with international requirements in the field of health and safety of navigation while maintaining its strategic goals and interests in the field of maritime and river navigation.
Ethics. The study was conducted in compliance with Ethical standards. This study did not require the conclusion of the Ethics committee.
Contribution:
Voronkova S.V. — research concept and design, data collection, analysis and interpretation, the text writing and editing;
Abakumov A.A. — concept and design of research, writing and editing of the text;
Torshin G.S. — data collection, analysis and interpretation, text editing;
Malinina S.V. — data collection, analysis and interpretation;
Andrusenko A.N. — data collection, analysis and interpretation;
Grabsky Yu.V. — data interpretation, text editing.
Voronkova S.V. — research concept and design, data collection, analysis and interpretation, the text writing and editing;
Abakumov A.A. — concept and design of research, writing and editing of the text;
Torshin G.S. — data collection, analysis and interpretation, text editing;
Malinina S.V. — data collection, analysis and interpretation;
Andrusenko A.N. — data collection, analysis and interpretation;
Grabsky Yu.V. — data interpretation, text editing.
Funding. The study was carried out within the framework of the State Task No. 388-00098-23-00 dated 12/30/2022.
Conflict of interests. The authors declare no conflict of interests.
Received: 07.08.2023 / Accepted: 28.08.2023 / Published: 05.10.2023
About the Authors
Svetlana V. Voronkova
Research Institute of Industrial and Maritime Medicine of Federal Medical Biological Agency
Russian Federation
Russian Federation
The Senior Researcher at the Laboratory of Marine and Diving Medicine at the Scientific Research Institute of Industrial and Marine Medicine, Federal Medical and Biological Agency, Cand. of Sci. (Law), Master of Public Health.
https://www.scopus.com/authid/detail.uri?authorId=56657454200
e-mail: sv3341015@yandex.ru
Alexey A. Abakumov
Federal Medical Biological Agency
Russian Federation
Russian Federation
Georgii S. Torshin
Research Institute of Industrial and Maritime Medicine of Federal Medical Biological Agency
Russian Federation
Russian Federation
https://www.scopus.com/authid/detail.uri?authorId=57192013208
Snezhana V. Malinina
Research Institute of Industrial and Maritime Medicine of Federal Medical Biological Agency
Russian Federation
Russian Federation
Andrey N. Andrusenko
Research Institute of Industrial and Maritime Medicine of Federal Medical Biological Agency; Military Medical Academy named after S.M. Kirov, Ministry of Defense of Russia
Russian Federation
Russian Federation
Yuri V. Grabskii
Research Institute of Industrial and Maritime Medicine of Federal Medical Biological Agency
Russian Federation
Russian Federation
https://www.scopus.com/authid/detail.uri?authorId=57191989266
References
1. Semenov S.V. History of organization of state sanitary control of water transport in the RSFSR. Gigiena i sanitariya. 1984; (1): 36–38 (in Russian).
2. Kazak N.D., Mukhin N.V. History of development state sanitary epidemiological inspection of Moscow water pool. Zdorov'e nas i sreda obit. 2013; 1(238): 44–46. (in Russian).
3. Semenov S.V., Spitsyn S.A., Estrin A.E. Improving the organization of state sanitary control of ships. Gigiena i sanitariya. 1990; (6): 82–83 (in Russian).
4. Bumay O.K., Ivanchenko A.V., Abakumov A.A., Konstantinov R.V., Sosukin A.E., Verveda A.B. Legal framework preparation of the medical and sanitary services provided to the crew personnel at sea and river crafts: the analysis of problems, suggestions and opportunities. Med. ekstrem. sit. 2017; 59(1): 65–77 (in Russian).
5. Textbook of Maritime Medicine. Available at: https://maritimemedicine.org/2016/06/24/textbook-of-maritime-medicine
6. Budiev A.Yu., Lupachev V.V., Logunov K.V. On the need to create a scientific and methodological center for marine and Arctic medicine. Zhurnal mediko-biol. issled. 2015; (2): 101–103 (in Russian).
7. Medical assistance at sea: Circular. letter of the Com. on Safety at Sea International Sea org. No. 960 of 25.05.2000. Prepared by V.V. Bronstein et al. St. Petersburg; 2000 (in Russian).
8. Mosyagin I.G. On the current state of marine medicine and on the conceptual approaches to its development in the Russian Federation. Morskaya med. 2016; 2(4): 7–19. https://doi.org/10.22328/2413-5747-2016-2-4-7-19 (in Russian).
9. Decision of the Scientific and Expert Council of the Maritime Collegium under the Government of the Russian Federation No. 1 dated 30.05.2019. Morskaya med. 2019; 5(3): 124–127 (in Russian).
10. Bumai O.K., Abakumov A.A., Turlakov Yu.S. Current problems in creating a unified system of medical support for vessels in the Northern sea route. Med. ekstrem. sit. 2020; 22(1): 109–116 (in Russian).
11. Tomaszunas S. Health Care for Seafarers. The Lancet. 1998, 351(9110): 1148. https://doi.org/10.1016/S0140-6736(05)79117-0
12. Mosyagin I.G., Gorbatova L.N., Bojko I.M., Kazakevich E.V. Centres of marine medicine, training and accreditation systems for specialists in the area of marine medicine. Morskaya med. 2019; 5(2): 7–17. https://doi.org/10.22328/2413-5747-2019-5-2-7-17 (in Russian).
13. Voronkova S.V., Abakumov A.A., Bumai O.K. at al. The current state and problematic issues of medical care in the waters of the Northern Sea Route. Med. truda i prom. ekol. 2022; 62(4): 212–224. https://doi.org/10.31089/1026-9428-2022-62-4-212-224 (in Russian).
14. Minutes of the extended meeting of the Marine Medicine Section of the Scientific Expert Council of the Maritime Collegium under the Government of the Russian Federation No. 1 dated November 30, 2022. Morskaya med. 2023; 9(1): 104–111 (in Russian).
15. Mosyagin I.G., Kazakevich E.V., Bojko I.M. Role and place of maritime medicine in Russian healthcare service. Morskaya med. 2019; 5(2): 17–27. https://doi.org/10.22328/2413-5747-2019-5-1-17-27 (in Russian).
16. Morozov S.I., Trankovsky D.E. Working conditions and occupational disease workers water transportation in Primorsky region. Zdor. Med ecol. Nauka. 2013; 2–3(52): 72–73 (in Russian).
17. Voronkova S.V. The development of information interaction as a key element of state risk management and health protection. San. vrach. 2020; (3): 68–76. https://doi.org/10.33920/med-08-2003-08 (in Russian).
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For citations:
Voronkova S.V., Abakumov A.A., Torshin G.S., Malinina S.V., Andrusenko A.N., Grabskii Yu.V. Regulatory and legal bases for the establishment and functioning of seafarers' health protection centers in the Russian Federation. Russian Journal of Occupational Health and Industrial Ecology. 2023;63(9):586-595. (In Russ.) https://doi.org/10.31089/1026-9428-2023-63-9-586-595. EDN: sniyas
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