Sensorineural Hearing Loss in the Structure of Occupational Morbidity in Ukraine: the Problem of Disease Detection

Iryna Myshchenko, Oleksandr Soloviov, Olha Malyshevska, Mykhailo Mizyuk


The objective of the research was to compare Ukrainian statistics in occupational morbidity with data of other countries, to analyze the trend of the occupational hearing loss formation in Ukraine over a six-year period (2011 – 2016), to consider a modern state of sensorineural hearing loss detection and prophylaxis.

Materials and methods. A comparative analysis of occupational morbidity in Ukraine and other counties within 2011-2016 years was based on the data obtained from the reports of the Social Insurance Fund of Ukraine, Statistical Collector, Eurostat, the International Labour Office, the Bureau of Labor Statistic, etc.

Results. The difference in Ukrainian and international statistics in occupational morbidity can be explained by the diversity in the surveillance systems. The sharp decline in occupational morbidity in Ukraine within 2014-2016 is connected neither with the improvement of prophylactic measures nor with creating better work conditions. Sensorineural hearing loss has been ranked fourth in occupational morbidity accounting for 2.5%-4% of professional pathology and is underestimated.

Conclusions. The underestimation of occupational hearing loss in Ukraine is determined by economic and organizational reasons, scarce diagnostics during medical examinations, peculiarities of the national surveillance system. A possible solution to this problem includes but is not limited to the reduction in countless pathologies caused by a high level of unreported employment, the establishment of unified sensorineural hearing loss classification, the increase in an accuracy of noise zone determination (noise-map construction), the performance of pure-tone audiometry in extended range (9 – 16 kHz).


sensorineural hearing loss; occupational morbidity; surveillance system; prophylaxis

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WHO. Deafness and hearing loss. Fact sheet. 2017; Available from:

Occupationally-induced hearing loss. NIOSH/NORA. 2010; Available from:

Environment and Health Information System (ENHIS): occupational hazards. World Health Organization. Available from:

European Survey of Enterprises on New and Emerging Risks (ESENER). European Agency for Safety and Health at Work. 2014; Available from:

Feder K, Michaud D, Ramage-Morin P et al. Prevalence of hearing loss among Canadians aged 20 to 79: Audiometric results from the 2012/2013 Canadian Health Measures Survey. Health Reports. 2015;26(7):18-25.

Yongbing Shi, Hal Martin William. Noise induced hearing loss in china: a potentially costly public health issue. Journal of Otology. 2013; (8/1):51-56. DOI:

Kim KS. Occupational hearing loss in Korea. J Korean Med Sci. 2010; 25:62-69. DOI:

Кundiiev YI, Nagornaya АМ, Sokolova MP, Коnonova IG. Dynamics of occupational morbidity in Ukraine and experience of the institute for Occupational health of NAMS of Ukraine. Ukraiinskyi zhurnal z problem medytsyny pratsi. 2013;4(37):11-22. [published in Ukrainian].

Nahorna AM. Zahalna i profesiina zakhvoriuvanist pratsiuiuchoho naselennia. Mater. XIV ziizdu hihiienistiv Ukraiiny "Hihiienichna nauka ta praktyka na rubezhi stolit". Dnipropetrovsk. 2004;(2):29-32.

European Parliament, Council of the European Union. Directive 2003/10/EC of the European Parliament and of the Council of 6 February 2003 on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (noise) (Seventeenth individual Directive within the meaning of Article 16(1) of Directive 89/391/EEC). Official Journal L 042. 2003;0038-0044 Available from:

ISO 4871:1996 Acoustics - Declaration and verification of noise emission values of machinery and equipment. Available from:

ISO 9612: 2009 Acoustics - Determination of occupational noise exposure -- Engineering method. Available from:

ISO 1996-1:2016 Acoustics - Description, measurement and assessment of environmental noise - Part 1: Basic quantities and assessment procedures. Available from:

Sanitarni normy vyrobnychoho shumu, ultrazvuku ta infrazvuku DSN Kyiv; c1999. 34p.

On Approval of the State Sanitary Norms and Rules "Hygienic Classification of Labor According to Indicators of Harmfulness and Hazard of Factors of the Working Environment, Severity and Intensity of the Labor Process. The Order of the Ministry of Health of Ukraine of 08.04.2014. No 248.

ISO 1999:2013, Acoustics - Estimation of noise-induced hearing loss;], [ISO 8253-1, Acoustics - Audiometric test methods - Part 1: Pure-tone air and bone conduction audiometry. Available from:

Lie A, Skogstad M, Johannessen HA et al. Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health. 2016;(89):351-372. DOI:

Rabinowitz PM. The public health significance of noise-induced hearing loss. Le Prell CG, Henderson D, Fay RR, Popper AN, editors. Noise-induced hearing loss. New York, Dordrecht, Heidelberg, London: Springer; c2012; 25p.

Masterson EA, Bushnell PT, Themann CL, Morata TC. Hearing impairment among noise-exposed workers - United States, 2003-2012. MMWR Morb Mortal Wkly Rep. 2016;65:389-394. DOI:

Kostiuk IF, Kapusniak VA. Profesiini khvoroby. 2 he vyd., pererob. i dop. Kyiv; c2003. 636p.

Shydlovska ТV, Zabolotnyi DI, Shydlovska TA. Sensonevralna pryhlukhuvatist. Kyiv: Lohos; c2006. 362p.

Clark JG. Uses and abuses of hearing loss classification. ASHA. 1981;23:493-500.

European Commission. Information notices on occupational diseases: a guide to diagnosis. Luxembourg: Office for Official Publications of the European Communities; c2009. 276p.

Basanets АV, Shydlovskaya ТА, Gvozdetsky VА. Problem of diagnostics of sensorineural deafness in Ukraine. Ukraiinskyi zhurnal z problem medytsyny pratsi. 2014;4(41):12-19 [published in Ukrainian]

Gvozdetsky VА. Definition of peculiarities of occupational noise effect on the state of peripheral and central departments of the auditory analyzer and prevention of its disorders. Manuscript. Кyiv. c2016. 26p.

Social Insurance Fund of Ukraine. Available from:

Employed population by economic activities in 2012-2016.State Statistics Service of Ukraine. Available from:

Occupational diseases reported in the Czech Republic. Statistic data. Available from:

Kudász F, Nagy K, Nagy I. Occupational diseases in Belgium, the Czech Republic and Hungary - a comparison. CEJOEM. 2017;23(1-2):32-49.

OHS Statistics in Japan. Available from:

2015 Survey of Occupational Injuries & Illnesses Summary Estimates Charts Package, October 27, 2016. Available from:

Smulders PA. Review and analysis of a selection of OSH monitoring systems. Report to the European Agency for Safety and Health at Work. Luxembourg: Office for Official Publications of the European Communities. 2003; ISBN 92-9191-046-5. Available from:

Stocks SJ, McNamee R, van der Molen HF et al. Trends in incidence of occupational asthma, contact dermatitis, noise-induced hearing loss, carpal tunnel syndrome and upper limb musculoskeletal disorders in European countries from 2000 to 2012. Occup Environ Med. 2015; 72(4):294-303. DOI:

Yavorovskiy AP, Parpaley IA, Sova SG. Occupational diseases: comparative aspects of the Ukrainian and Swedish systems of diagnosis, prevention and compensation of disability. Zhurnal natsionalnoii akademiii medychnykh nauk Ukraiiny. 2014;20(2):212-219. [published in Ukrainian]

Pratsia Ukraiiny 2015: statystychnyi zbirnyk. Kyiv: Derzhavna sluzhba statystyky Ukrayiny; c2016. 310p.

Kosarev VV, Babanov SA. Professionalnaya neyrosensornaya tugoukhost. RMZH Nevralogiya. 2012;31: 1556-1560

Gvozdetskiy VA. Methodological problems software professional examination and diagnosis sensorineural hearing loss. Hihiiena naselenykh mists. 2014;(64):183-188. [published in Ukrainian]

EUROGIP. Reporting of occupational diseases: issues and good practices in five European countries. Paris: Réf. Eurogip-102/E, Eurogip; c2015. Available from:

Soloviov AI, Nazarenko VI, Timoshina DP, Zhantalay RV. Udoskonalennia kartohrafichnoho metodu otsinky vyrobnychoho shumovoho navantazhennya. Ukraiinskyi zhurnal z problem medytsyny pratsi. 2016;2(47):59-66.

Kryter KD. Impairment to hearing from exposure to noise. JASA. 1973;53:1211. DOI:

Hormozi M, Ansari-Moghaddam A, Mirzaei R et al. The risk of hearing loss associated with occupational exposure to organic solvents mixture with and without concurrent noise exposure: A systematic review and meta-analysis. Int J Occup Med Environ Health. 2017;30(4):521-535. DOI:

Myshchenko I, Nazarenko V, Kolganov A, Tereshchenko P. Peculiarities of hearing impairment depending on interaction with acoustic stimuli. Indian J Occup Environ Med. 2015;19(3):141-144. DOI:


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