Presented By Dr. Abrar Elahi Malik MBBS, DOMS, DHA, MPHDirector Human Resource Management Akhtar Saeed Medical College, Lahore
The branch of science which deals with thehealth issues specifically related to theoccupations & most commonly do not ariseotherwise e.g. Asbestosis which occurs whereasbestos is present
People working under the same roof 19 ormore personsWorking space per person 4X4 feetOne acre for 20 workersBUTIndustrialists employ people on daily basis tokeep the number less than 19
A work place where a person is gainfullyemployed. ◦ Self Employed (Shop keeper) ◦ Through Employer (in a factory)
Prescribed occupational health hazards Notifiable occupational health hazards Compensatory occupational health hazards to compensate for loss of body parts (hands, feet, fingers, eyesight, deafness etc)
Health hazards related to occupation,observed in practice ;but yet to be certified as occupational Hazard
Anthracosis,coal miners disease Byssinosis,cotton fibres,textile indus. Baggasosis,sugarcane industry Silicosis ,mining, pottery ,sandblasting Asbestosis Lead poisoning Cancers due to exposure to radioactivity
Noise induced deafness Chopping of a body part (hands, feet, finger amputation)
Causative agent According to Physical Agents ◦ Pressure ◦ Noise ◦ Vibrations ◦ Heat or Cold (Burns & Frost Bite) ◦ Radioactivity ( Workers in Xray Plants) ◦ Light
Chemical Agents ◦ Gases ◦ Liquids ◦ Solids Biological Agents ◦ Virus Health Hazards ◦ Bacterial health Hazards ◦ Fungi
Lung health hazards Skin health hazards Kidney health hazards Liver health hazards Intestinal health hazards Hearing health hazards Eye health hazards
Have you ever diagnosed a case of byssinosis or bagassosis? Can you differentiate between Ch. Bronchitis and the above two? Either no work is being done which is not possible orthere is no intersectoral communication
Punjab Employees Social Security Institutions (PESSI) Punjab Social Security Health Management Company (PSSHMC) Centre for Improvement of Working Conditions (CIWC) Labour Inspectorate Medical Inspectorate (now abolished) Medical Inspector of Factories (MIF)
Maintaining & running hospitals & dispensaries Supports employees for ◦ Marriage ◦ Hajj ◦ Education ◦ Pension ◦ Other benefits PESSI is doing marvelous work but Cater services to those who come to them.
Never visit the work places Very poor record keeping- no data is available to categorize or characterize the patients Most of health hazard patients go to LGH as general patients without any reference from social security medical centres.
How many MSc Occupational health and diplomas in industrial health employed in PESSI? No specialized/ trained occupational health staff to diagnose and advise on occupational health hazards e.g. ◦ Byssinosis ◦ Silicosis ◦ Bagassosis ◦ Asbestosis ◦ Ch. Bronchitis Much improvement is required in this department
Good material on Occupational Health No record keeping Not providing Health Services Enviormental & biological monitoring should go together Enviormental (sanitation ,water supply,general plant ,sufficient place, toilet ,ventilation ,lighting) Biological (Nutrition,communicable diseases,mental health & family planning)
Environment sanitation Water supply General Plant Sufficient place Ventilation Lighting Protection against hazards Housing etc
Nutrition Communicable Diseases Mental Health Health Education Family Planning etc
Not doing anything worth mentioning except controlling child labour
Good field staff Rarely instruct workers on health issues EDO Health is ex officio Inspector of Factories (MIF)- Just enters the factories and asks about the health of the workers, signs the health cards and collects the fee.
Medical Colleges producing doctors & paramedics for providing health care services Teaching hospitals provide clinical services to workers & teaching and traning of occupational health care staff Institute of Public Health Lahore producing health administrators and public health physicians (99% are alumni of IPH). Also trains them on occupational health issues
NOSHA (National Occupational Health Association) Lack of coordination & updated information on the issue
Major Accident If a worker remains away from duty for 72 hours (>3 days)Minor Accident If a worker remains away from duty for less than 72 hours (<3 days)Major accident can be ◦ Fatal ◦ Non fatal Disabling Non disabling
15 million work hours are wasted out of which >50% were due to pulleys accidents Could be avoided if pulleys or chain belts were covered properly Very little budget is allocated for Occupational Health in Punjab which is presently about 1 crore only. At least @Rs20 per worker-30 crore are required
Best setup in Sweden All accidents are immediately attended to and Ambulance and medical care is promptly available.