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OCCUPATIONAL DISEASE
OCCUPATIONAL HEALTH
 “Occupational Health aims at the promotion and maintenance
of the highest degree of physical, mental and social well being
of the workers in all occupations by preventing departures from
health, controlling risks and the adaptation of work to people,
and people to their job.”
- ILO/WHO
• Occupational Health is the highest degree of physical, mental and
social well-being of workers in all occupations.
• It represents a dynamic equilibrium between the worker and his
occupational environment.
OCCUPATIONAL DISEASE
• Occupational disease
is usually defined as disease
arising out of or in the course of employment.
Occupational Safety
• It is the condition of being safe or free from danger and risk from occupational
hazards.
Occupational Hazards
• Those hazards that the workers will encounter during working hour are known
as occupational hazards. They are five different types depending on the type of
occupation ie. Physical, mechanical, chemical, biological and psychological
hazards.
In the past occupational health implies
factories, mines and industries but the modern
concept of occupational health includes all
types of employment including commercial,
agriculture services, industrial
occupational accident,
forestry,
hygiene,
industrial rehabilitation,
toxicology,
occupational
psychology.
Occupational health is the application of
preventive medicine in all places employment.
OBJECTIVES OF OCCUPATIONAL HEALTH
1. To reduce industrial or occupational accidents
2. To prevent occupational hazards
3. To maintain and promote the physical, mental and social
well beings of workers
4. To reduce sick absenteeism
5. To achieve maximum human and machine efficiency
6. To adopt the workplace and work environment to the need
of the worker
OCCUPATIONAL HAZARD AND DISEASE
ASSOCIATED WITH IT
Type of occupational
Hazard
Hazard Disease
1. Physical Hazard
The factor within the
environment that can
harm the body with
or without
necessarily touching
it
a. Heat Heat hyperpyrexia, heat exhaustion, heat syncope,
heat cramps, burns and local effects such as prickly
heat
b. Cold Trench foot, frost bite, chilblains
c. Light Occupational Cataract
d. Pressure Caisson disease, air embolism, blast
e. Noise Occupational deafness
f. Radiation Cancer, leukemia, aplastic anaemia
g. Mechanical
Factor
Injuries, accidents
h. Electricity Burns
Type of occupational
Hazard
Hazard Disease
2. Chemical Hazard
It is the release of toxic agents
into the atmosphere and
environment
a. Gases CO2, CO, HCN, ammonia, etc
causes gas poisoning
b. Dusts Pneumoconiosis
A. Inorganic dust
1. Coal dust Anthracosis
2. Silica Silicosis
3. Asbestos Asbestosis, lung cancer
4. Iron Siderosis
B. Organic dust
1. Cotton dust Byssinosis
2. Cane fiber Bagassosis
3. Tobacco Tobacossis
4. Hay or grain dust Farmers’ lung
Type of occupational Hazard Hazard Disease
2. Chemical hazard
C. Metal and
their compound
Toxic hazard from lead,
mercury, cadmium, arsenic etc
D. Chemical Acid, alkalis, pesticide
E. Solvents Carbon bisulphide, benzene,
chloroform, etc
3. Biological Hazard
substance which consists
of microorganism or non
viable product of living
matter
Brucellosis, leptospirosis,
anthrax, actinomycosis,
hydatidosis, tetanus,
encephalitis, etc
4. Mechanical Hazard Accident, injuries
5. Psychosocial hazard Industrial neurosis,
hypertension, peptic ulcer,
headache, shoulder pain, back
and neck pain, heart diseases,
etc.
OTHER OCCUPATIONAL DISEASE
1. Occupational cancer
 Cancer of skin, lungs, bladder
2. Occupational dermatotis
 Dermatitis, eczema
Toxicity Hazard Risk
It a harmful effect It is the condition of It is the condition of
that occurs when imbalance of any imbalance of any
unallowable drugs are thing thing
administered
The toxicity of a The hazard of a A determinant which
substance is the chemical is the is significantly
potential of that particle likelihood associated with
substance to cause that the chemical will disease.
harm, and is only one cause harm.
factor in determining
whether a hazard
exists
The toxicity of a The different types of Risk factors play a
substance is its ability hazards are vital role in the
to cause harmful responsible to cause production of disease
Effects. Ill health effect. or health problem.
Toxicity Hazard Risk
The toxicity of a substance
depends on three factors: its
chemical structure, the
extend to which the
substance is absorbed by the
body and body’s ability to
detoxify the substance
(change it into less toxic
substances) and eliminate it
from the body.
The severity of hazard
is determined by the
nature and quantities
of various factors
The chance of
risk is
dependent on
the toxic and
hazardous
agents
Toxic materials can take the
form of solids, liquids, gases,
vapors, dusts, fumes, fibers
and mists
The hazards can be
categorized into
physical, chemical,
biological,
mechanical and
psychological
The risk factor
may be visible or
invisible
OCCUPATIONAL HEALTH SERVICE
Occupational health services are essentially
preventable in nature and responsible for advising
employers and representatives for establishing and
maintaining a safe and healthy working environment,
which will facilitate optimum physical and mental
health in relation to work.
OCCUPATIONAL HEALTH SERVICES INCLUDE:
1. pre-employment medical examination
2. First aid and emergency services
3. Periodic medical examination
4. Supervision of work environment
5. Health education and counseling
6. Sanitation, hygiene, safe water supply, provision of sanitary
latrine, canteen facilities etc
7. Stress management
8. Hazard identification research
9. Provisions of personal protective equipments
10. Others health programmes like family planning, nutrition,
immunization
Ergonomics:(ergon-work, nomas-law = greek word ) “fitting the job
to the worker”
Ergonomics is the area of scientific research and application
concerned with the design of engineering system and environment
to be compatible with the human capacities and limitation
Ergonomics is the study of human abilities and characteristics which
affects the design of equipment, machines, system, jobs with the aim of
improving efficiency, safety and well being
The objective of ergonomics is to achieve mutual adjustment of
man and his workers
OCCUPATION ENVIRONMENT
• The health of the workers in a large measures is influenced by condition
prevailing in their work place. The aim of occupational health is to
provided a safe occupational environment. In order to safegurd the health
of the workers.
• Occupational environment is the some of external condition and
influences at the work place which have a bearing on the health of
working population
• Basically there are 3 types interaction in working environment
– Man and physical, chemical , biological agent
– Man and machine
– Man and man
1. MAN AND PHYSICAL, CHEMICAL,
BIOLOGICALAGENT:
a. Physical agents: heat, cold, humidity, air movement, light,
noise, vibration, ionizing radiation etc are the factors which
may be adverse to health in the working environment. The
amount of working and breathing space, water supply toilets,
bathing facilities etc
b. Chemical agent: dusts gaseous, acid, alkalis, solvents, metals
and their compounds etc
c. Biological agent: virus, bacteria, parasites, rickettsia etc
2. Man and machines:
Unguarded machine, protruding and moving parts, poor installation of
machines, lack of safety measures are the cause of accidents, working
for long hours in un- physiological postures is the cause of
backhache, fatigue, joint disease
3. Man and man
• Humans relationship among workers themselves and those in higher
authority work stability, jobs satisfaction, security leadership style,
service condition trade union activities , bonus, incentives etc
• Hopes and fears attitudes towards their job and other workers etc are
the example of psychological factors arising in occupational
environment
PREVENTION OF OCCUPATIONAL DISEASE
A. MEDICAL MEASURES
1. Preplacement examination
 Include worker’s medical, family occupational and social history through
physical examination and biological and radiological examination. Eg: X-
ray, ECG, vision test, urine and blood test, etc
2. Periodical examination
 Periodical medical check up of workers when they handle toxic or
poisonous substances.
 Generally, workers are examined once a year but in certain occupational
exposure ( lead, radium, toxic dyes) monthly examination is indicated.
3. Medical and health care services
 First aid services should be made available. Immunization is another
accepted function of and occupational health services.
4. Notification
 Some disease require to be notified to the national and international
for the worker compensation. It helps to initiate measures for the
prevention and protection and investigate the working condition
which have caused or suspected to cause occupational disease.
5. Supervision of working environment
 Periodic examination of working environment such as temperature,
lighting, ventilation, humidity, noise, air pollution and sanitation,
etc.
6. Maintenance and analysis of records
 Proper record are essential for the planning, development and
efficient operation of an occupational health services.
7. Health education and counseling
 It help to assist the worker in his process of adjustment to the
working, home and community environment.
B. ENGINEERING MEASURE
1. Design of building
 The type of floor, wall, height, ceiling, roof, door and windows,
cubic space are all considered while constructing the building.
2. Good house keeping
 It covers general cleanliness, ventilation, lighting, washing, food
arrangement and general maintenance.
3. General ventilation
 Decreases airborne hazard of worker, especially hazard from dust and
gases.
4. Mechanization
 Dermatitis can be prevented if hand mixing is replaced by
mechanical devices.Acid can be conveyed from one place to another
through pipe.
5. Substitution
 Replacement of a harmful materials by a harmless one or one of lesser toxicity.
6. Dust
 Dusts can be controlled at the point of origin by water spray.
7. Enclosure
 Enclosing harmful materials and processes will prevent the escape of dust and
fumes into the atmosphere.
8. Isolation
 Isolation of offensive process in a separate building so that workers are not
exposed to hazard.
9. Local exhaust ventilation
 By providing local exhaust ventilation; dusts, fumes and injurious substance can
be trapped before they escape into the factory atmosphere.
 10. Protective Devices
 Use of protective devices such as respirators, mask, ear plugs, ear
muffs, helmet, safety shoes, aprons, gloves, gum boot, barrier cream,
etc.
11. Environmental monitoring
 Include environmental survey, especially sampling the factory
atmosphere to determine whether dusts and gases are within the
permissible limit.
12. Statistical monitoring
 evaluate the adequacy of preventive measure and occupational
health criteria, including permissible exposure level.
13. Research
 Research in occupational health can provide better understanding
of industrial health problems.
C. LEGISLATION
Factory law have been framed in every country to
govern the condition in industry and to safeguard the
health and welfare of the worker.

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Occupational Disease and Preventive Measure

  • 2. OCCUPATIONAL HEALTH  “Occupational Health aims at the promotion and maintenance of the highest degree of physical, mental and social well being of the workers in all occupations by preventing departures from health, controlling risks and the adaptation of work to people, and people to their job.” - ILO/WHO • Occupational Health is the highest degree of physical, mental and social well-being of workers in all occupations. • It represents a dynamic equilibrium between the worker and his occupational environment.
  • 3. OCCUPATIONAL DISEASE • Occupational disease is usually defined as disease arising out of or in the course of employment. Occupational Safety • It is the condition of being safe or free from danger and risk from occupational hazards. Occupational Hazards • Those hazards that the workers will encounter during working hour are known as occupational hazards. They are five different types depending on the type of occupation ie. Physical, mechanical, chemical, biological and psychological hazards.
  • 4.
  • 5. In the past occupational health implies factories, mines and industries but the modern concept of occupational health includes all types of employment including commercial, agriculture services, industrial occupational accident, forestry, hygiene, industrial rehabilitation, toxicology, occupational psychology. Occupational health is the application of preventive medicine in all places employment.
  • 6. OBJECTIVES OF OCCUPATIONAL HEALTH 1. To reduce industrial or occupational accidents 2. To prevent occupational hazards 3. To maintain and promote the physical, mental and social well beings of workers 4. To reduce sick absenteeism 5. To achieve maximum human and machine efficiency 6. To adopt the workplace and work environment to the need of the worker
  • 7. OCCUPATIONAL HAZARD AND DISEASE ASSOCIATED WITH IT Type of occupational Hazard Hazard Disease 1. Physical Hazard The factor within the environment that can harm the body with or without necessarily touching it a. Heat Heat hyperpyrexia, heat exhaustion, heat syncope, heat cramps, burns and local effects such as prickly heat b. Cold Trench foot, frost bite, chilblains c. Light Occupational Cataract d. Pressure Caisson disease, air embolism, blast e. Noise Occupational deafness f. Radiation Cancer, leukemia, aplastic anaemia g. Mechanical Factor Injuries, accidents h. Electricity Burns
  • 8. Type of occupational Hazard Hazard Disease 2. Chemical Hazard It is the release of toxic agents into the atmosphere and environment a. Gases CO2, CO, HCN, ammonia, etc causes gas poisoning b. Dusts Pneumoconiosis A. Inorganic dust 1. Coal dust Anthracosis 2. Silica Silicosis 3. Asbestos Asbestosis, lung cancer 4. Iron Siderosis B. Organic dust 1. Cotton dust Byssinosis 2. Cane fiber Bagassosis 3. Tobacco Tobacossis 4. Hay or grain dust Farmers’ lung
  • 9. Type of occupational Hazard Hazard Disease 2. Chemical hazard C. Metal and their compound Toxic hazard from lead, mercury, cadmium, arsenic etc D. Chemical Acid, alkalis, pesticide E. Solvents Carbon bisulphide, benzene, chloroform, etc 3. Biological Hazard substance which consists of microorganism or non viable product of living matter Brucellosis, leptospirosis, anthrax, actinomycosis, hydatidosis, tetanus, encephalitis, etc 4. Mechanical Hazard Accident, injuries 5. Psychosocial hazard Industrial neurosis, hypertension, peptic ulcer, headache, shoulder pain, back and neck pain, heart diseases, etc.
  • 10. OTHER OCCUPATIONAL DISEASE 1. Occupational cancer  Cancer of skin, lungs, bladder 2. Occupational dermatotis  Dermatitis, eczema
  • 11. Toxicity Hazard Risk It a harmful effect It is the condition of It is the condition of that occurs when imbalance of any imbalance of any unallowable drugs are thing thing administered The toxicity of a The hazard of a A determinant which substance is the chemical is the is significantly potential of that particle likelihood associated with substance to cause that the chemical will disease. harm, and is only one cause harm. factor in determining whether a hazard exists The toxicity of a The different types of Risk factors play a substance is its ability hazards are vital role in the to cause harmful responsible to cause production of disease Effects. Ill health effect. or health problem.
  • 12. Toxicity Hazard Risk The toxicity of a substance depends on three factors: its chemical structure, the extend to which the substance is absorbed by the body and body’s ability to detoxify the substance (change it into less toxic substances) and eliminate it from the body. The severity of hazard is determined by the nature and quantities of various factors The chance of risk is dependent on the toxic and hazardous agents Toxic materials can take the form of solids, liquids, gases, vapors, dusts, fumes, fibers and mists The hazards can be categorized into physical, chemical, biological, mechanical and psychological The risk factor may be visible or invisible
  • 13. OCCUPATIONAL HEALTH SERVICE Occupational health services are essentially preventable in nature and responsible for advising employers and representatives for establishing and maintaining a safe and healthy working environment, which will facilitate optimum physical and mental health in relation to work.
  • 14. OCCUPATIONAL HEALTH SERVICES INCLUDE: 1. pre-employment medical examination 2. First aid and emergency services 3. Periodic medical examination 4. Supervision of work environment 5. Health education and counseling 6. Sanitation, hygiene, safe water supply, provision of sanitary latrine, canteen facilities etc 7. Stress management 8. Hazard identification research 9. Provisions of personal protective equipments 10. Others health programmes like family planning, nutrition, immunization
  • 15. Ergonomics:(ergon-work, nomas-law = greek word ) “fitting the job to the worker” Ergonomics is the area of scientific research and application concerned with the design of engineering system and environment to be compatible with the human capacities and limitation Ergonomics is the study of human abilities and characteristics which affects the design of equipment, machines, system, jobs with the aim of improving efficiency, safety and well being The objective of ergonomics is to achieve mutual adjustment of man and his workers
  • 16. OCCUPATION ENVIRONMENT • The health of the workers in a large measures is influenced by condition prevailing in their work place. The aim of occupational health is to provided a safe occupational environment. In order to safegurd the health of the workers. • Occupational environment is the some of external condition and influences at the work place which have a bearing on the health of working population • Basically there are 3 types interaction in working environment – Man and physical, chemical , biological agent – Man and machine – Man and man
  • 17. 1. MAN AND PHYSICAL, CHEMICAL, BIOLOGICALAGENT: a. Physical agents: heat, cold, humidity, air movement, light, noise, vibration, ionizing radiation etc are the factors which may be adverse to health in the working environment. The amount of working and breathing space, water supply toilets, bathing facilities etc b. Chemical agent: dusts gaseous, acid, alkalis, solvents, metals and their compounds etc c. Biological agent: virus, bacteria, parasites, rickettsia etc
  • 18. 2. Man and machines: Unguarded machine, protruding and moving parts, poor installation of machines, lack of safety measures are the cause of accidents, working for long hours in un- physiological postures is the cause of backhache, fatigue, joint disease 3. Man and man • Humans relationship among workers themselves and those in higher authority work stability, jobs satisfaction, security leadership style, service condition trade union activities , bonus, incentives etc • Hopes and fears attitudes towards their job and other workers etc are the example of psychological factors arising in occupational environment
  • 19. PREVENTION OF OCCUPATIONAL DISEASE A. MEDICAL MEASURES 1. Preplacement examination  Include worker’s medical, family occupational and social history through physical examination and biological and radiological examination. Eg: X- ray, ECG, vision test, urine and blood test, etc 2. Periodical examination  Periodical medical check up of workers when they handle toxic or poisonous substances.  Generally, workers are examined once a year but in certain occupational exposure ( lead, radium, toxic dyes) monthly examination is indicated. 3. Medical and health care services  First aid services should be made available. Immunization is another accepted function of and occupational health services.
  • 20. 4. Notification  Some disease require to be notified to the national and international for the worker compensation. It helps to initiate measures for the prevention and protection and investigate the working condition which have caused or suspected to cause occupational disease. 5. Supervision of working environment  Periodic examination of working environment such as temperature, lighting, ventilation, humidity, noise, air pollution and sanitation, etc. 6. Maintenance and analysis of records  Proper record are essential for the planning, development and efficient operation of an occupational health services. 7. Health education and counseling  It help to assist the worker in his process of adjustment to the working, home and community environment.
  • 21. B. ENGINEERING MEASURE 1. Design of building  The type of floor, wall, height, ceiling, roof, door and windows, cubic space are all considered while constructing the building. 2. Good house keeping  It covers general cleanliness, ventilation, lighting, washing, food arrangement and general maintenance. 3. General ventilation  Decreases airborne hazard of worker, especially hazard from dust and gases. 4. Mechanization  Dermatitis can be prevented if hand mixing is replaced by mechanical devices.Acid can be conveyed from one place to another through pipe.
  • 22. 5. Substitution  Replacement of a harmful materials by a harmless one or one of lesser toxicity. 6. Dust  Dusts can be controlled at the point of origin by water spray. 7. Enclosure  Enclosing harmful materials and processes will prevent the escape of dust and fumes into the atmosphere. 8. Isolation  Isolation of offensive process in a separate building so that workers are not exposed to hazard. 9. Local exhaust ventilation  By providing local exhaust ventilation; dusts, fumes and injurious substance can be trapped before they escape into the factory atmosphere.
  • 23.  10. Protective Devices  Use of protective devices such as respirators, mask, ear plugs, ear muffs, helmet, safety shoes, aprons, gloves, gum boot, barrier cream, etc. 11. Environmental monitoring  Include environmental survey, especially sampling the factory atmosphere to determine whether dusts and gases are within the permissible limit. 12. Statistical monitoring  evaluate the adequacy of preventive measure and occupational health criteria, including permissible exposure level. 13. Research  Research in occupational health can provide better understanding of industrial health problems.
  • 24. C. LEGISLATION Factory law have been framed in every country to govern the condition in industry and to safeguard the health and welfare of the worker.