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This year marks 30 years of close collaboration between a consortium of institutions, namely, the Northwest Public Health Research Center, Saint-Petersburg (NWPHRC); the Institute of Community Medicine (ICM) of UiT (The Arctic University of Norway, Tromsø); the National Institute of Occupational Health (NIOH), Oslo; the University Hospital of Northern Norway (UNN) at Tromsø; and McMaster University (MU), Hamilton, ON, Canada. During the early years of cooperation, Dr. Chashchin was the Director of the Scientific Laboratory of the North-West Public Health Centre Branch of the NWPHRC located in the town of Kirovks in the Murmansk Region. The primary focus of this long-standing collaboration was to assess and address issues that are important for maintaining the health of the population living in the border areas of Russia and Norway and included the reduction of occupational health risks among workers employed in mining, metallurgical and machine-building enterprises located in the north-western region of Norway and the adjoining Kola Peninsula in Russia. These industrial activities constituted essential components of the local industries. The ongoing Russian-Norwegian cooperation in the field of occupational medicine is an excellent example of the effective combination of intellectual potential and research technologies of multiple countries. It has resulted in the development of a scientifically based set of measures for practical implementation, contributing to the improvement of working conditions and preservation of the health of workers employed at enterprises where the joint research was carried out.

Background: One of the most worrying consequence of the production and use of persistent organohalogen pollutants (POPs) is the high accumulation in Arctic populations because of long-range transport. Study of the effects in these populations may illustrate human impacts that are difficult to assess in other locations with lower exposure to these compounds and more diverse pollutant influences., Objective: We aimed to identify the main maternal characteristics influencing on the accumulation of these compounds and the effects on the newborns in a highly exposed Arctic population (Chukotka, Russia)., Methods: Organochlorine and organobromine compounds were analysed in maternal venous serum (n = 250). The study included data on residence, educational level, age, parity and body mass index (BMI) from self-reported questionnaires and measured anthropometric characteristics of newborns., Results: Concentrations of β-hexachlorocyclohexanes, hexachlorobenzene, 4,4'-DDT and polychlorobiphenyls were high when compared with those generally found in adult populations later than year 2000. The polybromodiphenyl ethers were negligible. These POP concentrations were higher than in Alaska and Arctic Norway and similar to those in Canada. The Chukotka mothers living in inland areas showed significant lower concentrations than those living in the coast (p < 0.001) except for 4,4'-DDT. The population from the Chukotsky District, a specific coastal area, showed the highest concentrations. Residence was therefore a main concentration determinant (p < 0.001) followed by maternal age, and in some cases parity and BMI (p < 0.05). 4,4'-DDT showed an association with the anthropometric characteristics of the newborns (p < 0.05). Mothers with higher 4,4'-DDT concentrations had longer gestational ages and gave birth to infants with higher weight and length., Conclusions: The maternal accumulation patterns of POPs were mainly related with residence. Most of these compounds were found in higher concentration in women living at coastal areas except 4,4'-DDE and 4,4'-DDT which were of inland origin. This last pesticide was the pollutant showing positive associations with gestational age and newborn's weight and length. To the best of our knowledge, this is the first study reporting statistically significant associations between maternal 4,4'-DDT exposure and anthropometric characteristics of the newborns., (Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.)

The study covered data on 977 cases of occupational diseases in 615 workers of nonferrous metallurgy in Kolsky Transpolar area. Findings are high risk of occupational diseases in workers engaged into electrolysis production of aluminium, all nickel reprocessing and pyrometallic copper reprocessing (GR 7.02-10.0). Electrolysis operators and anode operators of aluminium production are more prone to occupational diseases, with bone and muscular disorders (46.8%) prevalent in the morbidity structure. Respiratory diseases are more prevalent (68.2-100%) in the occupational morbidity structure of copper-nickelindustry workers. Conclusion is made on mandatory improvement of the work conditions and more effective individual protective means against occupational hazards in workers of nonferrous metallurgy in Kolsky Transpolar area.

The article presents the results of a study on assessment of occupational exposure to air pollutants and related health effects in3792 outdoor workers engaged in operations performed in the vicinity of non-ferrous metallurgical facilities in Far North. Findings are that during cold season repeated climate and weather conditions are associated with higher level of chemical hazards and dust in surface air. At the air temperature below -17 degrees C, maximal single concentrations of major pollutants can exceed MAC up to 10 times. With that, transitory disablement morbidity parameters and occupational accidents frequency increase significantly. The workers with long exposure to cooling meteorological factors and air pollution demonstrate significantly increased prevalence of respiratory and circulatory diseases, despite relatively low levels of sculpture dioxide and dust in the air, not exceeding the occupational exposure limits. It has been concluded that severe cold is to be considered asa factor increasing occupational risk at air polluted outdoor worksites dueto more intense air pollution, higher traumatism risk and lower efficiency of filter antidust masks respiratory PPE and due to modification of the toxic effects.

The paper presents the results of an investigation of the blood levels of mercury, lead, and cadmium in women of indigenous ethnic groups in the Far North. A certain correlation was found between the higher incidence of some poor pregnancy outcomes and fetal maldevelopment upon increased maternal exposure to heavy metals. The found correlations were statistically insignificant. There was no significant association of female exposure to heavy metals with menstrual irregularities and the sex ratio of neonates.

The paper presents the general principles and procedure of the development and implementation of measures to decrease and prevent environmental pollution with persistent toxic substances (PTS) in the Russian Arctic and, accordingly, to reduce a risk of the deleterious effects of PTS on human health. Based on the results of a study of PTS in the Russian Arctic (from the Kola Peninsula to Chukotka), the authors first systematized the basic lines and actions and formulated specific measures to reduce the North population's exposure to PTSs, such as polychlorinated biphenyls, organic chlorine pesticides (dichlorodiphenyltrichloroethane, hexachlorocyclohexane, hexachlorobenzene, etc.), and heavy metals (mercury, lead, cadmium). A package of measures is aimed at maximally reducing the presence of PTS-containing objects and materials in the north (via detection, collection, and extermination), at neutralizing the soils in settlement lands, at setting up safe water consumption systems, at organizing effective control over the safe use of chemicals and the levels of PTS in raw food materials and foodstuffs, and at working out recommendations on safe procedures for food purchase, storage, and cooking.

The authors assessed peculiarities of effects caused by the most prevalent environmental pollutants (polychlorinated biphenyls, polycyclic aromatic hydrocarbons, lead, mercury) extensively accumulated in human body on clinical course of HIV-infection.

Findings are that occupational factors in nickel electrolysis workshops induce respiratory and peripheral nervous system diseases. Electrolysis workers demonstrate the highest prevalence and risk of occupational diseases. The authors make a conclusion on necessity to improve prophylactic methods for occupational disorders in these workers.

As part of AMAP's human circumpolar study of POPs, an international effort was initiated to extend coverage to communities across the Russian Arctic. Two additional laboratories were invited to join the analytical component of this effort, resulting in four participating analytical centres. Although quality assurance measures were put in place, and the level of performance of the laboratories was generally acceptable, deficiencies in the analytical protocols used were recognized subsequent to the collection and analyses of the plasma specimens. The current paper describes the criteria employed to critically appraise the four data bases and guide their integration into a single data set. Summary statistics are presented for plasma concentrations of major PCBs, p,p'-DDE, p,p'-DDT, beta-HCH, and HCB for communities/regions across the arctic/subarctic Russian continent, and for one community located in the Aral Sea area of Uzbekistan (a control group). Highly exposed people were identified in the coastal communities of Chukotka, which appears mainly related to marine mammal intake, but recent pesticide use is also suspected. Other communities with intermediate levels of PCBs had relatively elevated beta-HCH, p,p'-DDT and HCB concentrations and low DDE/DDT ratios (<10), suggesting recent pesticide use.

Objective: To investigate whether women occupationally exposed to nickel in early pregnancy are at elevated risk of delivering a newborn with a malformation or deformation of the musculoskeletal system (ICD-10: Q65-Q79)., Methods: Data about the newborn, maternal occupation and workplace were obtained using the Kola Birth Register (KBR). Each record in the KBR was assigned a categorical nickel (Ni) exposure rating according to the occupation the delivering woman had at the time of becoming pregnant. This was achieved by using as a guideline the water-soluble Ni subfraction of the inhalable aerosol fraction obtained by personal monitoring for nickel- and copper-refinery workers or/and measured urinary-Ni concentrations. The reference population was delivering women from the source population with background exposure level. In total, the study population consisted of 22,965 births., Results: Three hundred and four infants (13.3/1,000 births; 95% confidence interval (CI): 11.9-14.7) were diagnosed with isolated musculoskeletal defect(s) at birth. The adjusted odds ratio for the association between the maternal exposure to Ni and this outcome was 0.96 (95% CI: 0.76-1.21) per unit increase in exposure category., Conclusion: The incidence of defects in the musculoskeletal system at birth was high, especially for feet deformities, but we found no effect of maternal exposure to water-soluble Ni on the risk of delivering a newborn with a defect. However, the incidence among women working in the copper refinery was higher than in the other employment groups., (Copyright 2008 Wiley-Liss, Inc.)

A case-control study to investigate whether women employed in nickel-exposed work areas in early pregnancy are at elevated risk of spontaneous abortion (SA). Data about pregnancy outcome and maternal factors were obtained about each delivery and SA from women in selected work places. Each pregnancy record was assigned a categorical nickel (Ni) exposure rating according to the women's occupations at pregnancy onset. The guidelines were the water-soluble Ni subfraction of the inhalable aerosol fraction obtained by personal monitoring for nickel- and copper-refinery workers or/and measured urinary-Ni concentrations. The unadjusted odds ratio for the association between the maternal exposure to Ni and an SA for Ni-exposed women was 1.38 (95% confidence interval: 1.04-1.84), and the adjusted was 1.14 (0.95-1.37). In conclusion, there was no statistical association between maternal occupational exposure to water-soluble Ni in early pregnancy and the risk of self-reported SA. The findings do not exclude the possibility of a weak excess risk, or a risk in the first weeks of pregnancy.

The authors present hygienic evaluation of work conditions, calculate dust loads and risk of stochastic effects in workers of ore mining and processing enterprise. Integral evaluation of the work conditions, according to hygienic criteria, by totality of acting occupational hazards, corresponds to class 3.1-3.4.

Objectives: The aims of the study were to compare the prevalence of selected maternal and lifestyle factors as well as the reproductive outcome of working women in two cities in Northwestern Russia (Moncegorsk and Apatity), and to assess the quality of pregnancy-outcome data obtained in an interview with registered information., Study Design: A retrospective questionnaire study in an interview format. Women (n =1696) from selected workplaces in Apatity and Moncegorsk participated (85% of those available). Information was collected about past pregnancies, including information about the pregnancy outcome, newborn, occupation, health and life-style., Results: The investigated groups had experienced 7,254 pregnancies in total, corresponding to 4.3 pregnancies on average per woman. In both groups, about one-half of the reported pregnancies were terminated, and three-quarters of the women had undergone an induced abortion. Spontaneous abortions had been experienced by 23% of the women in the Apatity group, which was higher than in the Moniegorsk group (16%). Previous spontaneous abortions appear more likely to be disclosed than induced abortions. The smoking prevalence was 37% in the Moncegorsk group and 24% in the Apatity group. Thirteen percent of all participants had been diagnosed with a pelvic inflammatory disease., Conclusions: Induced abortions were common in Northwestern Russia regardless of city of residency, and the majority of the abortions appear to have occurred after the women had their attainable or desired number of children. The proportion of pregnancies resulting in a spontaneous abortion was higher in the investigated group in Apatity than in Moncegorsk, which should be investigated further. This study also confirmed that smoking has become more widespread among women in the Kola Peninsula, as elsewhere in Russia.

Objectives: It has not yet been established whether exposure to nickel (Ni) compounds may cause reproductive toxicity. The objective of this study was to investigate whether women employed under conditions of nickel exposure in early pregnancy were at elevated risk of delivering a newborn small-for-gestational-age (SGA)., Materials and Methods: A register-based study of a well defined population. Data on pregnancy outcome and maternal occupation were obtained from the Kola Birth Registry. Each birth record was assigned a Ni exposure rating category according to maternal occupation at the time of becoming pregnant. Nickel exposure assessment was based on determining the water-soluble Ni subfraction of respirable aerosol fraction obtained by personal monitoring, and/or on measurements of urine Ni concentration. The reference population were the delivering women with background exposure level. The study population consisted of 22 836 births (>27 weeks of gestation) and the SGA infants were defined as below the 10th percentile birth weight for gestational age in the source population. Multiple logistic regression was used to analyze the association of the outcome with the assigned exposure rating category., Results: The adjusted odds ratio for Ni-exposed women for giving birth to an SGA newborn was 0.84 (95% CI: 0.75-0.93)., Conclusions: We found no adverse effect of maternal occupational exposure to water-soluble Ni in the first part of pregnancy on the risk of delivering an SGA newborn without trisomy. The finding does not exclude a possibility that exposure throughout pregnancy might produce such an effect.

The article presents results of studies covering elements content of hair and mineral bone density among workers engaged into Utchalinsky ore-dressing and processing enterprise (Utchaly town, Bashkortostan Republic) and among residents of copper-zinc geochemical province. Finding is dysbalance between levels of essential and toxic elements in hair, that is due to environmental and occupational factors. Analysis of elements homeostasis and mineral bone density could be recommended for early diagnosis of osteoporosis.

Objectives: This study investigated whether pregnant women employed in nickel-exposed work areas are at elevated risk of delivering a newborn with a genital malformation., Methods: In this register-based cohort study, data about pregnancy outcome and occupation were obtained using the Kola Birth Registry. Each record in the Registry was assigned a categorical nickel exposure rating according to the occupation the delivering woman had at the time of becoming pregnant, using, as guidelines, the water-soluble nickel subfraction of the inhalable aerosol fraction obtained by personal monitoring for nickel-refinery workers or the measured urinary nickel concentrations. The reference population comprised delivering women from Moncegorsk with a background exposure level. The association of the outcome with the assigned exposure ratings was analyzed in a logistic regression model, adjusted for parity, maternal malformation, exposure to solvents, and infection in early pregnancy., Results: The odds ratio for nickel-exposed women delivering a newborn with a genital malformation was 0.81 [95% confidence interval (95% CI) 0.52-1.26], and that for an undescended testicle was 0.76 (95% CI 0.40-1.47)., Conclusions: In this study no negative effect of maternal exposure to water-soluble nickel was found on the risk of delivering a newborn with malformations of the genital organs. The results should be interpreted with caution since there were few cases in the higher exposure groups. The findings do not exclude the possibility of an effect on the risk of other congenital malformations and adverse outcomes (including reduced fertility).

The authors evaluate possible use of Monchegorsk retrospective birth database for demographic and epidemiologic studies of various female reproductive health parameters, newborn health parameters, as well as their connections with occupational and other environmental factors.

The authors justify importance of biologic monitoring to increase quality of hygienic control over and diagnosis of occupational disease. The article covers data on international terminology for exposure tests parameters. Although difficult in elaboration, the exposure tests are highly informative and necessary to be put into practice.

Studying risk factors of malignancies in children who reside near nickel metallurgic enterprise covers creation of a register for long-term epidemiologic monitoring. The article presents possible ways to obtain reliable information from various sources, deals with their positive and negative aspects for electronic database.

The authors necessitate biologic monitoring to be conducted along with chemical monitoring of environmental objects. Accomplishment of biologic monitoring and interpretation of its results are associated with difficulties. Being a valuable addition to chemical monitoring, biologic monitoring is a total chemical dose incorporated by a biologic object.

The legal and ethical issues related with the protection of population reproductive health, under the conditions of anthropogenic contamination of the environment, including the labor environment, are discussed in the article. A concept of pregnancy planning to ensure a healthy posterity under the mentioned conditioned was formulated. Documents of WHO, ILO and the EU experience in dealing with the issues in question are illustrated. An increasing role of social labor measurement as well as the evolution of law, i.e. civil, labor, and social law, as well as the right to unified medical-and-social insurance, are in the focus of attention. The prospects for a new WHO-ICF classification, as a social UNO classification, are pointed out. The sensitivity--susceptibility--vulnerability chain was analyzed, and a growing social context was underlined in it. The individual and team risks were considered, and the Code of professional ethics of hygienists was paid attention to.

The article deals with setting a unified group Maximal Allowable Concentration for inorganic nickel compounds that pollute ambient air in hydro- and pyrometallurgic industries.

Size, morphology and chemical composition of individual aerosol particles collected in a nickel refinery were analyzed by scanning electron microscopy and energy-dispersive X-ray microanalysis (EDX). The phase composition was determined by selected area electron diffraction and EDX in a transmission electron microscope. Most particles are heterogeneous on a nanometer scale and consist of various phases. Nickel phases observed in the roasting and anode casting departments include metallic nickel, bunsenite (NiO), trevorite (Ni,Cu)Fe2O4, heazlewoodite Ni3S2, godlevskite (Ni,Cu)9S8, orthorhombic NiSO4 and an amorphous Ni,Cu.Al,Pb sulfate of variable composition. Additional phases encountered include corundum (Al2O3), murdochite (PbCu6O8), hexagonal Na2SO4, anhydrite (CaSO4), graphite (C) and amorphous carbon. The implications of the occurrence of the different Ni phases and their nanometer size for the study of adverse health effects are explored.

The complex of physiological reactions caused by cooling is shown to change nonspecifically the organism's toxicokinetics and sensitivity to poisons resulting in considerably increased intake of inhaled harmful substances and their more rapid, though less significantly, elimination. A redistribution of heavy metals in the organism is possible, for example, prolonged cobalt retention in the adrenals. Cooling slows down association and dissociation rates of carboxyhaemoglobin in acute carbonic oxide poisoning. An increase in the acute toxicity of poisons is characteristic for the initial stages of cooling, although in pronounced hypothermia the acute effect of poisons is progressively reduced.