Transcript Vietnam - anroev

Country Presentation
OCCUPATIONAL MEDICINE AND
MEDICAL PRACTITIONERS
IN VIETNAM
HK, October 28-29, 2013
VU XUAN TRUNG
DUONG KHANH VAN
1
CONTENT
 Some data related occupational diseases
 OH services system in VN
 Laws related for OH.
 Process of Diagnosis for Occupational Disease
 Training on OH/OD
Expectations from this meeting
2
STATISTIC OF OCCUPATIONAL DISEASES
TT
OSH resources
Local
Ministerial
Total
1
OSH specialists
305
265
570
2
In which, M.D
129
145
274
Pharmacists
11
7
18
Graduated
58
37
95
High school
106
76
182
3
OD appraisal specialists
29
16
45
4
OH units
50
8
58
5
OD clinics
34
3
37
Source: MoH, 2013
STATISTIC OF OCCUPATIONAL DISEASES
Occupatinal diseases
Silicosis
Asbestosis
Byssinosis
Occ. Chronic Bronchitis
Lead poisoning
Benzene poisoning
Mercury poisoning
Nicotine poisoning
Pesticide poisoning
X-ray and Radioactive
Hearing loss
Arm-hand vibration
Occ. Melanosis
Occ. TB
Occ. Hepatitis
Occ. Leptospira
Examined
29,961
1,894
842
13,019
1533
1516
240
3000
2422
321
58,475
65
2,524
108
941
0
Cumm.
12/2012
904
808
20,302
250
3
2
278
572
59
107
5
321
8
2
14
259
76
297
3
3
12
3,037
433
4,569
20
159
629
8
8
64
58
27
241
Source: National data on OSH 6
Diagnosed
Appraisal
OCCUPATIONAL HEALTH MANAGERMENT SYSTEM
AND OCCUPATIONAL HEALTH SERVICES IN VIETNAM
State
management
system for OH
Ministry of
Health
Ministries
of
Industries
Centre for Occ. And Env.
Health at 63 provinces
Medical Assessment
Boards
OH service Users
OH Services
Providers
Big State Companies
Industrial
Health
Centre
MOLISA
(OSH Labour
Inspector System)
Labour Offices at
the provinces
Other Companies
Health Environment
Managerment Centre at
Provinces
District
Health
Centers
Small and medium
companies
Others OH Services
Providers
District
Health
Centers
Hospitals at level of
Provinces, Districs...
Ministry of Health
5
 Officials, experts of Faculties of Occupational Health,
clinics for occupational diseases
Particulars
Localities
Industries
Total in 2006
Total of full-time officials
305
265
570
Of which:
Doctors
129
145
274
Pharmacists
11
7
18
Other undergraduate levels
58
37
95
Middle-rankinglevel
106
76
182
Assessors for occupational diseases
29
16
45
Faculties of Occupational Medicine
45
8
53
Clinics for occupational diseases
31
6
37
Resource: NATIONAL PROFILE ON OSH Period 2005-2009
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 National Institute Related to OH
 National Institute for Occupational and
Environmental Health (Under Ministry of
Health)
 National Institute for Labour Protection
(Occupational Health Centre) (Under Labour
Union).
 National Institute of Medical Appraisal
 Occupational & Environmental Health support
organizations
 Vietnam Occupational Safety and Health
Technical Science Association (VOSHA).
 Vietnam Occupational Health Association
 ILO
 WHO
 AFEDA…
 Law related OH
 Chapter IX (Labour Code 2012): articles 143 – 145.
 Circular No. 01/2011/TTLT-BLĐTBXH- BYT on
10/01/2011 by MOLISA&MOH on guiding the
implementation of safety - occupational health in
Enterprise: articles 7 – 9: Mission of Medical Unit.
 Circular No. 19/2011/TT-BYT on 06/06/2011 by
MOH: A guidelines for hygienic management ,
workers health and occupational disease.
 Circular No. 14/2013/TT-BYT on 06/05/2013 by
MOH on guiding medical examination (recruitment
and periodical examinations).
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Related periodic health examination
 Health examination at least once/year
 Twice/year (heavy, hazardous and dangerous
work)
 The occupational disease patients must be treated
according to specialists, health care and health
examination
profiles…
every
6
months,
with
specific
Related Monitoring Work Environment
 Monitoring hazardous factors in the work place at
least once/year
 Monitoring hazardous factors in the work place
twice/year (very heavy, hazardous and dangerous
work)
 Establish profile of industrial hygiene for the
factory…
 List of insured occupational diseases in Vietnam
No
Occupational disease
Year issued
Group 1: Lung and Pulmonary OD
1 Silicosis
TT 08-1976
2 Asbestosis
TT 08-1976
3 Byssinosis
TT 29-1991
4 Occupational chronic bronchitis
QĐ 167-1997
5 Occupational bronchial asthma
QĐ 27-2006
No
Group 2: Occupational Poisoning
Year issued
1 Lead poisoning
TT 08-1976
2 Benzene poisoning
TT 08-1976
3 Mercury poisoning
TT 08-1976
Occ. disease resulting from manganese and
4
TT 08-1976
manganese poisoning
5 TNT poisoning
TT 29-1991
Occ. disease resulting from arsenic and arsenic
6
QĐ 167-1997
compound poisoning
7 Nicotine poisoning
QĐ 167-1997
Occ. disease resulting from insecticide
8
QĐ 167-1997
poisoning
9 Occ. carbon monoxide contaminated disease QĐ 27-2006
10 Cadmium poisoning
TT 42/2011
No
Occupational disease
Year issued
Group 3: Occupational Diseases due to Physical factors
1 Diseases due to X - ray and radioactive
TT 08-1976
2 Noise - induced hearing loss
TT 08-1976
3 Vibration diseases
TT 29-1991
Occ. disease resulting from working in low air
4
QĐ 167-1997
pressure
Occ. disease resulting from whole body
5
TT 42/2011
vibration
No
Group 4: Occupational Skin Diseases
Year issued
1 Occupational melanosis (Melanodermia)
TT 29-1991
2 Skin diseases due to Chromium
TT 29-1991
3 Occupational oil acne disease
Occupational ulcerative skin disease,
4 occupational inflammation around the nails
and occupational nail inflammation disease.
Group 5: Occupational Infectious Diseases
1 Occupational tuberculosis
2 Occupational viral hepatitis
3 Occupational Leptospirosis
4 HIV infection related to occupational risk
QĐ 27-2006
Total: 28 diseases
QĐ 27-2006
TT 29-1991
TT 29-1991
TT 29-1991
TT 42/2011
 Process of Diagnosis for Occupational Disease:
Circular No. 12/2006/TT-BYT by MOH dated 11th
October, 2006 on guiding occupational disease
examination:
 Work environment measurements (*)
 Occupational Disease Examination (*)
 Medical Assessment Boards: Make decision and the
reduction of work ability level.
 Patients get payment from Social Insurance and
employers
Work environment measurements and Occupational
Disease Examination
 Carried out by OD clinics of Centres for
OEH/Centre for Preventive Medicine/Hospitals at
provincial and national lelvel; Medical centre of
industries/sectors; National institutes.
 Others certified by MoH or Provincial DoH
 Carried out at the workplace or at the OD
examination providers.
The examination and diagnosis of OD must be based
on the results of monitoring working environment,
occ. exposure factors and results of periodic health
examination
Training on OH/OD
 Training providers:
 Undergraduate:
 Medical Universities: M.D, Nurses, Technicians,
PH practitioners
 Medical College: Nurses, Technicians
 Public Health School: PH practitioners, Health
management
 Graduate: As above and Institutes (MoH)
 Specialist: As above and Institutes (MoH)
 Expectations
 What:
 Importance of OD examination and diagnosis;
 Knowledge and skills in recognition of OD at
early stage;
 OHS knowledge
grassroots;
for
medical
doctors
at
 Techniques in diagnosis of common and new
OD;
 Who:
 OHS practitioners at national and local level;
 OHS system managers/policy makers;
 Health Service at grassroots;
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THANK YOU FOR YOUR
ATTENTION!
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