title: Current Status and Prospects of Occupational Medicine in the Russian Federation.
abstract: An in-depth analysis conducted on the historical background and current status of occupational medicine in Russia is presented. Scientific and practical bases of occupational medicine in the Russian Federation were based on 2 of the most important principles of health service: free medical care and its preventive orientation. Our analysis of the current situation in occupational medicine in modern Russia shows a transition from the vision of zero occupation-related harm to the strategy of recognizing, assessing, and managing occupational exposures. The system of workplace monitoring is developing successfully, with the creation of a federal database for the state of working conditions and the implementation of mechanisms for occupational risk assessment and management. However, at the same time, the system of medical surveillance for workers needs substantial reform. Over the past few years, the professional community of specialists in occupational medicine has taken several steps to improve the quality of its work. Understanding of the need for reforming the system of occupational medicine has continued to grow, which will improve the quality of medical monitoring for workers and extend professional longevity. Current challenges and prospects of occupational medicine in the Russian Federation are discussed.
authors.affiliation: Department of Occupational Medicine, Hygiene and Occupational Diseases, Institute of Postgraduate Education, Federal Medical Biophysical Center. Electronic address: mazitova@otolar-centre.ru.
authors.forename: Nailya N
authors.initials: NN
authors.lastname: Mazitova
authors.affiliation: Department for Science of Klinsky Institute of Occupational Safety and Working Conditions.
authors.forename: Nadejda I
authors.initials: NI
authors.lastname: Simonova
authors.affiliation: Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Lynn C
authors.initials: LC
authors.lastname: Onyebeke
authors.affiliation: Department for Science of Klinsky Institute of Occupational Safety and Working Conditions.
authors.forename: Andrey V
authors.initials: AV
authors.lastname: Moskvichev
authors.affiliation: Department of Occupational Medicine, Hygiene and Occupational Diseases, Institute of Postgraduate Education, Federal Medical Biophysical Center.
authors.forename: Elena E
authors.initials: EE
authors.lastname: Adeninskaya
authors.affiliation: Department of Occupational Medicine, Hygiene and Occupational Diseases, Institute of Postgraduate Education, Federal Medical Biophysical Center.
authors.forename: Andrey S
authors.initials: AS
authors.lastname: Kretov
authors.affiliation: Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Republic of Tatarstan.
authors.forename: Marina V
authors.initials: MV
authors.lastname: Trofimova
authors.affiliation: Department of Hygiene and Occupational Medicine, Kazan State Medical University, Kazan, Tatarstan, Russia.
authors.forename: Minzilya M
authors.initials: MM
authors.lastname: Sabitova
authors.affiliation: Department of Occupational Medicine, Hygiene and Occupational Diseases, Institute of Postgraduate Education, Federal Medical Biophysical Center.
authors.forename: Andrey Yu
authors.initials: AY
authors.lastname: Bushmanov
mesh_terms: D033161:Government Regulation / Q000266:history*; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D009784:Occupational Diseases / Q000453:epidemiology / Q000517:prevention & control*; D016273:Occupational Exposure; D009787:Occupational Medicine / Q000266:history / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012426:Russia / Q000453:epidemiology
keywords: health care system; occupational hygiene; occupational medicine; workers health