[Periodical medical checkups of industrial workers].

Reorganization of factory health care of Russian large industrial enterprise "Machine-building Factory" from 1994 to 2003 is described. Technical re-equipment, renovation of shop service manpower, significant increasing of scope of examinations during periodic medical check-ups, alteration of polyclinicstaff structure, implementation of target programs permitted to enhance quality of periodic medical check-ups. Indicator of identification of primary chronic pathology in professional workers during periodic medical check-ups increased more than in 2.5 times. Identification of chronic diseases at early stages resulted in increase of indicator of common morbidity of workers up to 29.7%. The most increase of identified morbidity level was established in five classes of diseases: psychic disorders (up to 3.8 times), diseases of blood and blood-forming organs (up to 2.3 times), eye and endocrine diseases (up to 2.1 times), circulatory system diseases (up to 2.0 times). Increase of identified pathology on early stages resulted in development of set of curative sanitary measures applied to workers laboring in occupation detrimental for health. So, hospital treatment increased up to 2.1 times, treatment in preventorium--up to 2.6 times and in sanatorium up to 3.3 times. To decrease infectious morbidity, workers of "Machine-building Factory" are immunized during many years. Health protection of people working in occupation detrimental to health became priority direction of factory polyclinic.