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Currently, work in any medical organization carries a risk of coronavirus infection, and, first of all, this applies to medical organizations dealing with the treatment of patients infected with coronavirus. Medical workers are a group at increased risk of infection with the SARS-CoV-2 virus in the provision of medical care in modern conditions, which determines their incidence of COVID-19 [1–3]. The aim of the study is to explore the prevalence of cases of COVID-19 infection in medical workers providing medical care on an outpatient basis. The analysis of the incidence of COVID-19 medical workers in one of the large medical organizations of the Samara region during the period of the pandemic was carried out. The medical staff of the medical organization includes 207 doctors. There are 11 subdivisions in the structure of the medical and prophylactic institution. Research methods: content analysis of the modern regulatory framework (2020-2021), statistical, expert. For the period from May 2020 to March 2021 71 cases of infection of medical workers on an outpatient basis with SARS-CoV-2 were identified, of which 32 doctors (45%) and 39 people (55%) nurses. Based on the results of the expert assessment, the insurance nature of the infection case was established in 50 people (70%). Among the medical and nursing categories of medical workers, the largest number of cases was made by doctors and nurses of primary contact — specialists of the district service: general practitioners (40%), pediatricians (32%), doctors — obstetricians-gynecologists (12%), nurses adults (76%) and children (20%) polyclinic departments. A third of health workers received inpatient treatment for severe COVID-19, an average of 60 days. Medical workers are a risk group of COVID-19 who need support measures, since the possibility of occupational infection has been sufficiently proven, and the risk probably depends on the work performed and the conditions of direct contact of medical personnel, which requires further study in the current persisting epidemic conditions. © 2021, Izmerov Research Institute of Occupational Medicine. All rights reserved.

Today, the "healthy worker effect" is understood as organized (on the part of the employer) and/or unorganized (self-selection on the part of the worker, due to the functional capabilities and the state of workers’ health) professional selection of healthier workers in unfavorable working conditions, who remain in the profession. It represents one of the most important problems in epidemiological research in occupational medicine. The “healthy worker effect” and its intensity in various industries (in various professions) can indirectly characterize the harmful and unfavorable conditions. The “healthy worker effect” and its intensity determine the need for medical and social security, as well as rehabilitation measures, not only for people who remain in this production (in this profession), but also for people who left this production or specialty, to prevent the phenomenon of increased mortality among workers who left a given production or profession due to suspension from work based on the results of periodic medical examinations and self-selection, or due to intolerance to working conditions because of the state of health.

The COVID-19 pandemic for healthcare workers is a situation of pronounced emotional stress in connection with professional activities. Healthcare professionals face new challenges in treating COVID-19 and, at the same time, they must also continue to successfully treat non-COVID-19 patients and fulfill personal responsibilities, including caring for their families and themselves. It is imperative to tackle the burnout problem affecting the wide range of healthcare professionals currently battling the COVID-19 pandemic.

The article is devoted to the study of spirographic indicators FEV1, FEV1/FVC, PEF, MEF75, MEF50, MEF25 as the most informative indicators reflecting the state of bronchial patency at the level of the proximal and distal parts of the bronchial tree in various phenotypes of professional bronchial asthma. Signs of respiratory distress are most pronounced in patients with the phenotype «PBA-occupational chronic obstructive pulmonary disease». Significantly,the» most favorable «spirographic picture in terms of FVC, FEV1, PEF, and MEF25VC is observed in the «PBA allergic» phenotype. Dynamic determination of speed indicators of forced expiration in various phenotypes of professional bronchial asthma can improve the diagnosis of obstructive disorders in this pathology, optimize the choice of treatment and prevention tactics, and predict the course of this pathology.

The article describes the features of behavior in difficult life situations of VB patients of various shapes and severity. Testing was carried out using the Lazarius copying test on the basis of the occupational pathology department of the Samara Health Unit No. 5 of the Kirov District State Health Institution SB. Non-adaptive coping strategies were identified for patients with WB: «confrontation», «acceptance of responsibility», «flight — avoidance», «planning».

Objectives - to study the severity of androgen deficiency and erectile dysfunction in patients with vibration disease and in its combination with arterial hypertension. Material and methods. 145 male patients with various forms of vibration disease were thoroughly examined. The following groups were defined - I stage and II stage vibration disease induced by local vibration; II stage, induced by local vibration with concurrent arterial hypertension; I and II stage vibration disease induced by whole body vibration; II stage vibration disease induced by whole body vibration with concurrent arterial hypertension. The control group included 30 patients. Evaluation of erectile function in men with vibration disease and its combination with arterial hypertension was carried out using the scale of severity of erectile dysfunction (International Index of Erectile Function, IIEF-5). The questionnaire for detection of androgen deficiency (Dedov II, Kalinchenko SYu, 2006) and the AMS (aging males' symptoms) questionnaire assisted in revealing the symptoms of aging in men. Results. According to the IIEF-5 questionnaire results the erectile dysfunction was defined in patients with vibration disease, most pronounced in II stage of vibration disease induced by whole body vibration and in vibration disease of any etiology with concurrent arterial hypertension. AMS-questionnaire presented the most expressed signs of androgen deficiency in patients with II stage of vibration disease induced by whole body vibration and in vibration disease of any etiology with concurrent arterial hypertension (p