The aim of the research was to study the health of Tbilisi underground metro workers under modern social-economic conditions in Georgia. Occupational pathology of the cardiovascular, digestive systems, psycho-emotional state, osteo-articular apparatus were found statistically significant among the basic group workers, more frequently in comparing with a control group without professional contact to major harmful factors (vibration, noise, meteorological conditions, air pollution environment with dust and toxic gases p<0.001). On the basis of hygienic-clinical relationship between working conditions and a state of health are established.

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