fisioterapia laboral

1. TOPIC
Epidemiological Surveillance Systems
(EVS): logical AND systematic process
that allows to know, to control and to
evaluate permanently the factors of risks
such as: biomechanical risk (manual
manipulation of loads, repetitive
movements, postures), which may cause
skeletal muscle disorders

2. • Epidemiological Surveillance in Health
and Safety at Work:
Epidemiological surveillance is the
systematic and organized collection of
information on diseases or accidents or on
risk factors for the prevention and control
of morbidity and mortality due to
occupational causes

3. Epidemiological surveillance
Has been a tool used in public health since the 50’s.
It was created in United States, more specifically in the
Communicable Diseases Center of the Public Health Service
(CDC)
Decree 614 of 1984 artc 3
Epidemiological surveillance of occupational hazards is an
inherent tool for Occupational Health and Safety; is the
observation and systematic control of risk factors and their
effects on the health of workers, to take appropriate control
measures

4. Epidemiological Surveillance System (EVS):
For the Ministry of Social Protection, public health surveillance
is an essential function that must be consistent in the
systematic and constant process of collecting, organizing,
analyzing, interpreting, updating and disseminating specific
data related to health, for use in the planning, execution and
evaluation of public health practice . Describes : how frequent
they are, whether they are increasing or decreasing, and
whether preventive efforts work or not.
To speak then of surveillance applied
to work sites, of occupationally
related events, it should be
considered that it integrates several
components:

5. a) Surveillance of health status: Are those
strategies and methods to systematically
detect and estimate the health effects of
workers derived from occupational
exposure.
Purposes:
• Protect the health of
workers.
• Detect adverse effects in
early stages of the disease.
• Evaluate control methods.
• Detection of risk factors and
initiate risk estimation
processes, risk factors.
b) Surveillance of exposure to risk factors: Are those strategies and
methods to systematically detect and estimate the accumulated
occupational exposure of the worker, of a group of workers in a job, area
or section of a company.

6. Epidemiological surveillance system of occupationally
related events, it applies to populations (and not to
individuals grouped in small areas such as a factory), and
that therefore it has specific characteristics such as:
Identifies in the
country, diseases,
injuries and risk
factors that
represent new
opportunities for
prevention.
Defines the
magnitude and
distribution of the
problem in this case
of Musculoskeletal
Disorders (DME)
and exposure to risk
factors in the
workforce.
• Observe trends in
the magnitude of
the problem of both
SMD and exposure,
and therefore it is a
first approach to
the analysis of the
effectiveness of
intervention
measures.

7. Epidemiological surveillance system of occupationally
related events, it applies to populations (and not to
individuals grouped in small areas such as a factory), and
that therefore it has specific characteristics such as:
• Identifies categories
of economic activities,
industries, trades,
which require
intensifying regulatory,
normative,
educational, etc.
efforts..
• Publicly disseminates
information in such a
way that society can
make decisions.

8. A MICRO LEVEL
• in the COMPANY,
through
Occupational
Medicine with
individual
assessment of
workers (Health
Surveillance)
MESO level
• developed by IPS,
EPS and ARL, through
the identification of
groups of workers by
economic activity,
positions and trades,
DME with potential
problems and risks.
MACRO level
• developed by the
Ministry of Social
Protection, through
the consolidation of
health surveillance
and environmental
monitoring in
workplaces,
occupations or
trades, economic
activity, geographical
area and year.
Levels of surveillance

9. • Environment: it is developed with preventive
character, identifying exposure, prioritizing risk
factors, evaluation of working conditions,
transformation of existing aggressor processes in
the socio-technical system of work with
technological, organizational measures, etc.
• Health: equally preventive, identifying symptoms
and signs, individual risk factors, medical
evaluations, timely treatment, functional and social
rehabilitation, and return to work-re-employment.

10. • For the General System of Social Security in
Health (SGSSS) should be involved, health
service providers (IPS), Health Promoting
Companies (EPS).
• The ARL must participate in the General
System of Professional Risks.
• The Ministry of Social Protection, for
consolidation and analysis of the surveillance
system information

11. BIBLIOGRAPHY
• COLOMBIA. MINISTRY OF SOCIAL PROTECTION. Report of Professional Illness in Colombia 2003-
2005. Bogotá - Colombia, 2007.
•
• COLOMBIA. MINISTRY OF HEALTH BOGOTÁ, Basic manual of work medicine for territorial directors
of health: the essentials about the professional illness and the work accident. Ministry of Health.
2001
•
• COLOMBIA. MINISTRY OF SOCIAL PROTECTION, Manual Guide on Procedures for the Rehabilitation
and Occupational Reintegration of Workers in the General System of Occupational Risks. Ministry of
social protection. Bogotá 2004
•
• OCCUPATIONAL EPIDEMIOLOGICAL SURVEILLANCE PROTOCOL OF VISUAL HEALTH Social Security.
Labor Protection Bogotá .2002.
•
• COLOMBIA. MINISTRY OF SOCIAL PROTECTION. Technical Guide of the Epidemiological Surveillance
System in Prevention of Musculoskeletal Disorders in Workers in Colombia. Bogota Colombia. 2008
•
• JOURNAL OF THE COLOMBIAN SOCIETY OF WORK MEDICINE. Colombian Congress of Occupational
Medicine and Health and Safety at Work Bogotá. Publi Print Editors. Quarterly 2002.