The experience of joint work of the clinic of occupational pathology (center of occupational pathology) and the department of the scientific support of sanitary and epidemiological surveillance and expertise to establish the connection of diseases with the occupation

Introduction. The sanitary and hygienic characteristics of the patient’s working conditions made in accordance with the current regulatory documents do not contain an unambiguous conclusion about the adequacy of the occupational risk’s degree for an unambiguous justification of the relation of the disease with the occupation. In this situation a search for new methods which could help to recognize the risk degree is urgent.

Material and methods. As an example of a solution of this problem, two expert examinations are given: two patients, diagnosed adenocarcinoma of the lung and exogenous allergic alveolitis were observed in the Clinic of Occupational Pathology of North-West Public Health Research Center. The key aspect of this work was a refinement of the professional risk based on data specified in sanitary and hygienic characteristics of working conditions. The methods from the R 2.2.2006 - 05. “Guidance on hygienic assessment of working environment factors and working process. Criteria and classification of working conditions” were used. 

Discussion. The use of the described methodology was suggested in cases when it’s necessary to estimate the effect of the combination of unidirectional substances and carcinogens in low-dose rates by the long-term exposure. 

The participation of the occupational hygiene’s specialists in the expertise of the connection of the disease with the profession seems to be promisingly.