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Chizhikova I.O.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department

Shigeev S.V.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department

Zolotenkova G.V.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Forensic toxicological characteristics of modern occupational injuries

Authors:

Chizhikova I.O., Shigeev S.V., Zolotenkova G.V.

More about the authors

Journal: Forensic Medical Expertise. 2024;67(4): 58‑64

DOI: 10.17116/sudmed20246704158

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Table of contents

FORENSIC TOXICOLOGICAL CHARACTERISTICS OF MODERN OCCUPATIONAL INJURIES
FORENSIC TOXICOLOGICAL CHARACTERISTICS OF MODERN OCCUPATIONAL INJURIES

To cite this article:

Chizhikova IO, Shigeev SV, Zolotenkova GV. Forensic toxicological characteristics of modern occupational injuries. Forensic Medical Expertise. 2024;67(4):58‑64. (In Russ.)
https://doi.org/10.17116/sudmed20246704158

Подписка 2025-2 (Forensic Medical Expertise)
 
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OBJECTIVE

To analyze the contribution of alcohol and drug intoxication to fatal occupational injuries and sudden death at the workplace in Moscow.

MATERIAL AND METHODS

A number of death cases of various organizations’ employees equal 357 in Moscow in 2023 were investigated. The mean age of the deceased was 48.29±13.9 years, 92.4% of them were men.

RESULTS

Ethanol in blood has been determined in 15% of the deceased. Narcotic drugs and psychotropic medications have been found in 6.7% of cases. Signs of chronic intoxication have been established in 16.5% of the deceased. Chronic intoxication accompanied or aggravated the course of 70% of cardiomyopathies. The proportion of deceased in an accident at an industry or construction site equal 23.9%, as well as 1/2 of the deceased in an accident on the street and in a residential building were impaired by alcohol.

CONCLUSION

The study of the contribution of alcohol and drug consumption to occupational mortality will allow to plan measures for reducing the mortality of working-age population.

Keywords:

alcohol
blood alcohol concentration
drugs
injuries
sudden death

Authors:

Chizhikova I.O.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department

Shigeev S.V.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department

Zolotenkova G.V.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Received:

26.06.2024

Accepted:

30.06.2024

List of references:

  1. Brun EA, Letnikova LI, Evdokimov AYu, Shevtsova YuB, Scriabin VYu. On monitoring of population mortality related to the use of psychoactive substances. Public Health. 2021;1(1):44-55 (in Russ.). https://doi.org/10.21045/2782-1676-2021-1-1-44-55
  2. Govorin NV, Sakharov AV, Gaimolenko A.S. Alcohol factor in criminal aggression and auto-aggression. Chita: Publishing House «Ivan Fedorov»; 2009. (in Russ.).
  3. Koshkina EA, Pavlovskaya NI, Yagudina RI, Kulikov AYu, Usenko KYu. Mediko-social’nye i ekonomicheskie posledstviya zloupotrebleniya alkogolem v Rossii. Social’nye aspekty zdorov’ya naseleniya. 2010;14(2):3. (In Russ.).
  4. Lebedeva-Nesevrya NA, Zhdanova-Zaplesvichko IG, Rerke VI, Barg AO. Potreblenie alkogolya kak faktor riska zdorov’yu naseleniya: obzor rossijskih issledovanij. Analiz riska zdorov’yu. 2017;4:147-160. (In Russ.). https://doi.org/10.21668/health.risk/2017.4.15
  5. Shevchenko LA. Specifika i tendencii proizvodstvennogo travma-tizma i professional’nyh zabolevanij rabotnikov organizacij Kemerovskoj oblasti. Vestnik Kemerovskogo gosudarstvennogo univer-siteta. Seriya: Biologicheskie, tekhnicheskie nauki i nauki o Zemle. 2017;3(3):65-71 (in Russ.). https://doi.org/10.21603/2542-2448-2017-3-65-71
  6. National Research Council (US) and Institute of Medicine (US) Committee on Drug Use in the Workplace; Normand J, Lempert RO, O’Brien CP, editors. Under the Influence? Drugs and the American Work Force. Washington (DC): National Academies Press (US); 1994. 5, Impact of Alcohol and Other Drug Use: Observational/Field Studies. Accessed June 22, 2024. https://www.ncbi.nlm.nih.gov/books/NBK236258/
  7. Chikritzhs T, Livingston M. Alcohol and the Risk of Injury. Nutrients. 2021;13(8):2777. https://doi.org/10.3390/nu13082777
  8. Pereverzev VA, Pereverzeva EV, Velkom MO, Razvodovskij YuE, Sikorskij AV. Upotreblenie alkogolya ‒ faktor riska travmatizma i dlitel’nogo narusheniya kognitivnyh funkcij: gendernye osobennosti Vestnik Smolenskoj gosudarstvennoj medicinskoj akademii. 2017;16(1):9-18. (In Russ.).
  9. Ramirez M, Bedford R, Sullivan R, Anthony TR, Kraemer J, Faine B, Peek-Asa C. Toxicology testing in fatally injured workers: a review of five years of Iowa FACE cases. International journal of environmental research and public health. 2013;10(11):6154-6168. https://doi.org/10.3390/ijerph10116154
  10. Kovalyova NN. Vnezapnaya smert’ sredi rabotnikov gorno-himicheskogo proizvodstva: Dis. ... kand. med. nauk. Moskva; 2005. (In Russ.).

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