MODERN APPROACHES TO THE ORGANIZATION OF MEDICAL CARE FOR EMPLOYEES OF MINING INDUSTRY ENTERPRISES

Relevance. The mining industry is one of the most hazardous sectors and is characterized by high occupational risks. It accounts for up to 8 % of fatal occupational injuries. The prevalence of pneumoconiosis among miners is 3.7 %, while that of silicosis is up to 8 %. In some regions, a high level of comorbidity is observed, including the «triple burden of disease». These factors indicate the need for further research and improvements in workers’ medical care systems.

Objective: to analyze modern scientific data and international experience in the organization of medical care for workers in the mining industry

Materials and Methods. An analysis of scientific publications from 2010 to 2025 was conducted, focusing on workers’ health status, occupational risks, and the organization of medical care in the mining industry. The literature search was performed using the PubMed, Scopus, Web of Science, and Google Scholar databases. The review included studies published in Russian and English that were relevant to the research topic. The obtained data were systematized according to the main areas of the study.

Results. Workers are exposed to a complex of harmful factors (dust, noise, vibration, and chemical agents), which can lead to occupational diseases, including pneumoconiosis and silicosis. In some regions, a «triple burden of disease» (silicosis, tuberculosis, infectious diseases) is observed. A high prevalence of mental health disorders and the impact of shift work on injury risk were also identified. Traditional models of medical care were found to be insufficient and require a transition to preventive approaches.

Conclusions. Improving the organization of medical care for mining workers requires a shift toward preventive approaches, using digital technologies and artificial intelligence to predict risks and detect disease early.

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