Interdisciplinary approach to polymorbidity in occupational pathology: a clinical case analysis

In modern occupational medicine and occupational health, there is a growing interest in studying the phenomenon of occupational polymorbidity. The modern concept of occupational safety is based on the principle that an employee’s health is not an expense, but an investment. This directly aligns with the fundamental principle that health in the workplace and a healthy work environment are among the core values of the individual, society, and the state. However, in practice, implementing this principle faces a serious challenge — the phenomenon of polymorbidity in occupational pathology. It refers to the presence of multiple occupational diseases in a single worker, the combination of occupational pathology with chronic non infectious diseases, and the mutually aggravating effect of various nosologies on work capacity.

Contributions:
Rumyantseva O.I. — research concept and design, text writing;
Nepershina O.P. — text writing, editing;
Petrykina M.V. — text writing, editing;
Bulgakova M.V. — text writing, editing.

Funding. The study had no funding.

Conflict of interest. The authors declare no conflict of interest.

Received: 03.08.2026 / Accepted: 14.08.2026 / Published: 09.10.2026

1. Syurin S.A. Occupational Pathology of the Musculoskeletal System in Employees of Enterprises in the Arctic Zone of the Russian Federation. Russian Arctic. 2025; 7(1): 05–14. https://doi.org/10.24412/2658-4255-2025-1-05-14 (in Russian).

2. Yatsyna I.V., Sheenkova M.V., Savicheva N.M. Clinical aspects of somatic comorbidities in gas and electric welders. Zdorov’e naseleniya i sreda obitaniya. 2024; 32(1): 77–83. https://doi.org/10.35627/2219-5238/2024-32-1-77-83 (in Russian).

3. Berkheeva Z.M., Imamov A.A., Ignatans E.V., Sabitova M.M. Features of the dynamics and structure of occupational morbidity in the Republic of Tatarstan. Vestnik sovremennoj klinicheskoj meditsiny. 2023; 16(5): 78–85. https://doi.org/10.20969/VSKM.2023.16(5).78-85 (in Russian).

4. Muche-Borowski C., Lühmann D., Schäfer I., Mundt R., Wagner H.-O., Scherer M. Development of a meta-algorithm for guiding primary care encounters for patients with multimorbidity using evidence-based and case-based guideline development methodology. BMJ Open. 2017; 7(6): 015478. https://pubmed.ncbi.nlm.nih.gov/28645968/

5. Andrews J.C., Schünemann H.J., Oxman A.D., Pottie K., Meerpohl J.J., Coello P.A. et al. GRADE guidelines: 15. Going from evidence to recommendation – determinants of a recommendation’s direction and strength. Journal of Clinical Epidemiology. 2013; 66(7): 726–35. https://doi.org/10.1016/j.jclinepi.2013.02.003 https://elibrary.ru/yeojgh

6. Hearing loss caused by noise. Clinical guidelines. Association of Physicians and Specialists in Occupational Medicine, National Medical Association of Otolaryngologists. National Medical Association of Deaf People. Approved in 2024. https://cr.minzdrav.gov.ru/preview-cr/609_2

7. Syurin S.A., Polyakova E.M. To the Question of Professional Polymorbidity (on the Example of the Russian Arctic). Med. truda i prom. ekol. 2022; 62(7): 459-465. https://doi.org/10.31089/1026-9428-2022-62-7-459-465 (in Russian).