Oncological morbidity of breast cancer in medical workers in the Republic of Moldova

Abstract

Actuality of the subject and the importance of the approached problem. Breast cancer (BC) remains a current problem over time and is the most common form of cancer diagnosed among women worldwide, making it a problem with a global impact on public health. According to statistics from the World Health Organization (WHO) and GLOBOCAN BC is considered the most common form of cancer in women, accounting for 11,6% of all cancers, with up to 2,1 million newly diagnosed cases and 627,000 of deaths (6,6%) annually (WHO, 2018) [146,147,248]. According to the National Cancer Registry data -2018 in the Republic of Moldova, BC ranks first in the structure of oncological morbidity from malignant tumors in women and is 10.7% of the oncological structure in the female population, annually registering about 1,125 new cases [223, 243]. The exercise of medical activity is one exposed to various risk factors that generate various diseases, including cancer. Analyzing the morbidity rate due to oncological diseases in women's medical staff, the most common remains that of BC [136]. In comparison, the health indices of medical workers (MW) are lower than other professions and differ from the average indicators, so MW being ranked 5th in the structure of morbidity, surpassing even workers in the chemical industry. Medical activity imposes various occupational risks, considered the most vulnerable in terms of health, MSong all intellectuals and is insufficiently studied both internationally and nationally [4,136]. The work of the medical staff is assigned among the heaviest activities and with an enormous responsibility. Medical activity is characterized by the intensity of intellectual work, under certain conditions - obvious physical effort, in situations of patience and responsibility, maximum attention and concentration, activities and prompt decisions in extreme situations [176, 177] and various action of risk factors - physical, chemical, biological associated with psychoemotional overload and the development of various lesions to oncological diseases among both physicians (P) and nurses (N) [177]. [...]