Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»2742Научная статьяAnalysis of the organization of periodic medical examinations at enterprises with high noise levelShubinDmitrii I.dimashubin@mail.ruhttps://orcid.org/0000-0002-5139-4922RoshchinDenis O.droshchin2@gmail.comhttps://orcid.org/0000-0001-7151-13241Petrovsky National Research Centre of Surgery Scientific Clinical Centre №2N. A. Semashko National Research Institute of Public Health040620242111529042025Copyright © 2025,2025<p>Professional sensorineural hearing loss is a serious problem of modern healthcare, as there is an increase in morbidity and disability from it.<br />Previous studies have confirmed this fact. Among the adult population, risk factors for the development of hearing loss are concomitant diseases, as well as bad habits. Also, occupational hazards, especially constant exposure to noise, are a frequent cause of the development of hearing loss. However, the organization of periodic medical examinations often occurs with violations.<br />This article provides an analysis of purchases for periodic medical examinations conducted by 130 organizations. As a result, the absence of a single contract form and a standardized list of documents submitted for periodic medical examinations, the lack of proper requirements for periodic medical examinations, and often the contingent of employees and harmful factors are not indicated.<br /><br /></p>professional sensorineural hearing lossperiodic medical examinationprocurementcontingent of employeesharmful factorsharmful and dangerous production factorsnoise-hazardous productions, examination by an otorhinolaryngologisttonal audiometryпрофессиональная сенсоневральная тугоухостьпериодический медицинский осмотрзакупкиконтингент сотрудниковфакторы вредностивредные и опасные производственные факторышумоопасные производстваосмотр врача-оториноларингологатональная аудиометрия1.Shahova EG. Social aspects of sensorineural hearing loss. Bulletin Volga S MedicalU. [Vestnik VolGMU]. 2006;1(17):62—65 (in Russian).2.3.Vladimirova TU, Baryshevskaya LA, Martynova AB. Chronic sensorineural hearing loss in the structure of diseases of the Samara region. Russian otorhinolaryngology. [Rossiyskaya otorinolaringologiya]. 2020;19(6):23—29 (in Russian).4.5.Silkina AV, Nakatis YaA. A modern view of hearing loss caused by noise (literature review). Russian otorhinolaryngology. [Rossiyskaya otorinolaringologiya]. 2016;4(83):97—102 (in Russian).6.7.Chen K.H., Su S. bin, Chen K.T. An overview of occupational noise-induced hearing loss among workers: epidemiology, pathogenesis, and preventive measures. Environmental Health and Preventive Medicine. 2020;25(1):1—10.8.9.Shubin DI, Roshchin DO. Professional sensorineural hearing loss: problems and prospects. Health and Social Care Journal. [Health and Social Care Journal]. 2021;11(1):13—28 (in Russian).10.11.Yatsina IV, Popova AYu, Saarkoppel LM, Serebryakov PV, Fedina IN. Indicators of occupational morbidity in the Russian Federation. Occupational medicine and industrial ecology. [Meditsina truda i promyshlennaya ekologiya]. 2015;(10):1—4 (in Russian).12.13.Christa L. Themann, Elizabeth A. Masterson; Occupational noise exposure: A review of its effects, epidemiology, and impact with recommendations for reducing its burden. J. Acoust. Soc. Am. 2019;146(5):3879—3905. doi: 10.1121/1.513446514.15.Denisov EI, Adeninskaya EE, Eremin AL, Kur’erov NN. Occupational hearing loss is a health and safety issue. Occupational medicine and industrial ecology. [Meditsina truda i promyshlennaya ekologiya]. 2014;(7):45—47 (in Russian).16.17.Vil’k MF, Pankova VB, Fedina IN. Occupational hearing loss is a socially significant problem. Health care of Russian Federation. [Zdravookhranenie RF]. 2019;63(5):258—263 (in Russian).18.19.Natarajan N., Batts S., Stankovic K.M. Noise-Induced Hearing Loss. Journal of Clinical Medicine. 2023;12(6):2347.