Introduction to occupational health

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Dr Abrar Introduction to occupational Health

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Introduction to occupational health

  1. 1. Presented By Dr. Abrar Elahi Malik MBBS, DOMS, DHA, MPHDirector Human Resource Management Akhtar Saeed Medical College, Lahore
  2. 2. 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
  3. 3. 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
  4. 4. A work place where a person is gainfullyemployed. ◦ Self Employed (Shop keeper) ◦ Through Employer (in a factory)
  5. 5.  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)
  6. 6. Health hazards related to occupation,observed in practice ;but yet to be certified as occupational Hazard
  7. 7.  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
  8. 8.  Noise induced deafness Chopping of a body part (hands, feet, finger amputation)
  9. 9. Causative agent According to Physical Agents ◦ Pressure ◦ Noise ◦ Vibrations ◦ Heat or Cold (Burns & Frost Bite) ◦ Radioactivity ( Workers in Xray Plants) ◦ Light
  10. 10.  Respiratory diseases Toxic hazards Accidents Zoonotic diseases Physical hazards
  11. 11.  Chemical Agents ◦ Gases ◦ Liquids ◦ Solids Biological Agents ◦ Virus Health Hazards ◦ Bacterial health Hazards ◦ Fungi
  12. 12.  Lung health hazards Skin health hazards Kidney health hazards Liver health hazards Intestinal health hazards Hearing health hazards Eye health hazards
  13. 13.  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
  14. 14.  Labour Department Health Department NGOs
  15. 15.  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)
  16. 16.  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.
  17. 17.  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.
  18. 18.  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
  19. 19.  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)
  20. 20.  Environment sanitation Water supply General Plant Sufficient place Ventilation Lighting Protection against hazards Housing etc
  21. 21.  Nutrition Communicable Diseases Mental Health Health Education Family Planning etc
  22. 22.  Not doing anything worth mentioning except controlling child labour
  23. 23.  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.
  24. 24.  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
  25. 25.  NOSHA (National Occupational Health Association) Lack of coordination & updated information on the issue
  26. 26. 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
  27. 27.  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
  28. 28.  Best setup in Sweden All accidents are immediately attended to and Ambulance and medical care is promptly available.

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