Abstract: Objective To analyze the health status of workers exposed to key occupational hazards in Zaozhuang City in 2022,provide scientific reference for the occupational health regulatory authorities to formulate relevant prevention and control measures. Methods Based on the data reported by the occupational disease and health hazard monitoring information system from January 1 to December 31,2022,a database was established to analyze the abnormal detection rate of key occupational disease monitoring results. Results The detection rate of suspected occupational diseases caused by silica dust among the workers was 0.11%,the detection rate of suspected occupational diseases caused by coal dust was 0.04%,and the detection rate of suspected occupational diseases caused by noise was 0.003%,all of which were lower than the average level in Shandong Province. The detection rate of occupational contraindications for silica dust was 0.70%,the detection rate of occupational contraindications for noise was 1.07%,and the detection rate of occupational contraindications for benzene was 0.08%. The abnormal rate of pneumoconiosis like changes in silica dust workers was 0.08%,all of whom were male and came from the construction stone processing industry. The chest radiograph abnormalities of coal dust workers were mainly concentrated in the mining industry,of which two cases of pneumoconiosis like changes were from the bituminous coal and anthracite mining and washing industry,and there were 783 cases of other abnormalities,with an abnormality rate of 11.74%,and the abnormality rate of men（12.11%） was higher than that of women（4.62%）. The abnormal rate of lung function test indicators in workers exposed to dust ranked from high to low as forced vital capacity（FVC%） abnormality（17.44%）,followed by forced expiratory volume in one second（FEV1.0%） abnormality（5.98%）,and finally as FEV1.0/FVC% abnormality（0.78%）. Among the special indicators for workers exposed to benzene,the majority were abnormal reduction in white blood cells（5.91%） and neutrophils（5.58%）. The abnormal rates of white blood cells,neutrophils,and platelets in women were higher than those in men. The abnormal rate of bilateral high-frequency average hearing thresholds in males（7.32%） was higher than that in females（1.61%）. The abnormal rate of bilateral high-frequency average hearing threshold in noise exposed workers of different age groups and working years showed an increasing trend with age and working years. Conclusion The occupational hazard factor with the highest occupational health risk in Zaozhuang City is noise,followed by dust,and the occupational disease control in Zaozhuang City should mainly focus on the control of pneumoconiosis,and in combination with the special treatment of occupational hazards and the occupational health assistance action for small and medium-sized enterprises,and provide targeted assistance to quartz stone processing enterprises that exceed the standard.

Key words: Occupational hazards, Occupational diseases, Occupational health examination