Аннотация
The article analyses effect of the order of Minzdravsotsrazvitiya of Russia N 302n on dynamics of occupational incapacity seamen. This order significantly altered procedure of organization and implementation of periodical medical check-ups by eliminating superfluous barrier and from now on employer has no need in concurrence with Rospotrebnadzor agencies. The proposals emerge to revise this order and enhance administration considering that associating to results of special evaluation of labor conditions and only to unhealthy labor conditions provide no guarantees safety of health of working in acceptable conditions. The following indices of group health were analyzed (n=9331 sailors) in 2005-2010 and 2011-2016: pathological affection, primary morbidity, occupational incapacity and its causes. It is established that after the order N 302n came into force, a significant increasing of indices of pathological affection occurred with increment of 56.6% (p<0.0001) and primary morbidity with increment of 92.2% (p<0.0001). However, occupational incapacity of sailors remained unaltered and in its structure, prevail cardio-vascular diseases as before. Thereby, application of the order № 302n had no influence on indicator of occupational incapacity and revision of its provisions with purpose of increasing state administration seems inexpedient.
