OCCUPTIONAL HEALTH ASPECTS

DR. PARAMJIT SINGH Occupational Physician PARAbolic Drugs Ltd.

DISEASES DUE TO PHYSICAL AGENTS

 HEAT- Heat stroke , Burns  COLD- Chilblains, Frostbite  LIGHT- Miners Nystagmus.Cataract

 PRESSURE- Caisson Disease, Air Embolism  NOISE- NIHL,HTN, Iritability  RADIATION- Leukemia, Aplastic Anaemia  MECHANICAL- Injuries & Accidents  ELECTRICAL- Shock, Burns

DISEASES DUE TO CHEMICAL AGENTS

 GASES-CO,CO2, HCN, H2S , CS2  DUST- Pneumoconiosis  METAL- Lead, Mercury, Chromium, Mangnese  ACIDS, ALKALIES  SOLVENTS- Benzene, Trichloroethylene

DISEASE DUE TO BIOLOGICAL AGENTS

 BRUCELLOSIS  LEPTOSPIROSIS  ACTINOMYCOSIS  ANTHRAX

OCCUPATIONAL CANCERS

 CANCER OF SKIN  LUNG CANCER  BLADDER CANCER

OCCUPATIONAL DERMATITIS

 DERMATITIS  ECZEMA

PSYCHOSOCIAL DISEASES

 NEUROSIS  PEPTIC ULCERS  HYPERTENTION

OBJECTIVE OF OHSMS

 CONTROL OF WORK RELATED HEALTH HAZARDS  PREVENTION OF HEALTH IMPAIRMENT  PROMOTION OF PERSONAL HEALTH OF EMPLOYEES

ELEMENTS OF OCCUPATIONAL HEALTH SERVICES

 GENERAL PREVENTIVE HEALTH MEASURES  ASSESMENT & CONTROL OF WORK ENVIRONMENT  PREVENTIVE MEDICAL EXAMINATION

INVESTIGATION OF WORK RELATED DISEASE

 HIGH DEGREE OF SUSPICION  PERSUME EVERY ILLNESS TO BE OCCUPATIONAL UNLESS PROVED OTHERWISE  OBJECTIVES- Detection of occupational disease  Detection of source of exposure  Control of exposure

MEDICAL SURVEILLANCE

 Medical surveillance in the workplace is the systemic collection & evaluation of employees health data to identify occupational sickness.

 To catch illness early  To prevent illness from progression  A backup to exposure assessment

COMPONENTS OF MEDICAL SURVEILLANCE

 Exposure assessment  Selection medical test  Determination of frequency of medical tests  Natural history of disease  Level of exposure to hazardous agents  Anticipated susceptibility of exposed person  Training  Identification of employees to be tested

COMPONENTS OF MEDICAL SURVEILLANCE

 Interpertation of aggregate test result  Action based on test result  Notification  Record Keeping

PURPOSE OF MEDICAL SURVEILLANCE

 Screening of individual workers  Surveillance of group of workers to identify high risk individuals  To detect impairment which may cause decreased functional capacity  Health promotion programmes

METHOD OF MEDICAL SURVEILLANCE

 Pre- placement/ pre- employement medical examination  Periodic medical examination  Fitness medical examination  Medical examination on retirement  Executive & above 40 years medical examination

THANK YOU