This document outlines various measures to protect worker health and prevent occupational diseases. It discusses nutrition, disease control, sanitation, mental health support, and health education programs for workers. It also describes engineering controls like ventilation and protective equipment, as well as legislation like the Factories Act of 1948 which regulates work hours, leave, hazardous work, and accident reporting. The Employees' State Insurance Act of 1948 is also summarized, including medical benefits, cash payments for sickness, maternity benefits, disability benefits, dependent benefits, and funeral expenses to support insured workers.

1. Dr Jazeela Mohamed Siddique
Senior Resident
Department Of Community Medicine

2. Measures for health protection of
workers
• Nutrition
• Communicable disease control
• Environmental sanitation
• Mental health
• Measures for women and children
• Health education
• Family planning

3. PREVENTION OF OCCUPATIONAL
DISEASES
1. MEDICAL MEASURES:
• Pre-placement examination
• Periodical examination
• Medical and health care services
• Notification
• Supervision of working environment
• Maintenance and analysis of records
• Health education and counselling

4. 2. ENGINEERING MEASURES
• Design of the building
• Good house-keeping
• General ventilation
• Mechanization
• Substitution of harmful material
• Dusts control
• Enclosure of harmful material
• Isolation of offensive process
• Local exhaust ventilation
• Protective devices
• Environmental monitoring
• Statistical monitoring
• Research

5. 3. LEGISLATION
THE FACTORIES ACT ,1948
• Factory using power - ≥10 workers & not using power - ≥20 workers
• Worker - contract labourer employed in manufacturing process
• No worker shall carry load likely to cause him injury
• ≥1000 workers – appoint Safety Officers
• ≥250 workers – provide canteen
• Adolescent(15 -18 years) fitness by Certifying Surgeons ; 4.5 hours per day
• Maximum 48 working hours per week (not exceed 60 hours- overtime)
• 9 hours per day with rest for atleast ½ hour after 5 hours continuous work

6. • Spread over period of work(includes rest interval) – 12 hours
• Leave with wages after 12 month continuous service
adult: 1 day for 20 day work; child: 1 day for 15 day work
• A schedule of notifiable diseases
• Enquiry in every case of fatal accident
• Safety and occupational health surveys
• Employment in hazardous processes – Site Appraisal Committee
consists of Chief Inspector and other members, not >14 members
THE FACTORIES ACT ,1948

7. • Power using factories other than seasonal factories ≥10 employed
• Medical facilities - ESI dispensaries, panel clinics, 307 diagnostic centres, ESI
hospitals
• Super-speciality care – tie-up arrangements with advanced medical institutions
• Employer contributes 3.25% &employee 0.75% of total wage bill
• Share of medical care expenditure:
State govt 1/8 & ESI Corporation 7/8 of total cost
EMPLOYEES STATE INSURANCE ACT, 1948

8. 1. MEDICAL BENEFIT
• Outpatient care
• Drugs & dressings supply
• Specialist services
• Pathological &radiological investigations
• Domiciliary services
• Antenatal, natal, postnatal services
• Immunization services
• Family planning services
• Emergency services
• Ambulance services
• Health education
• IP treatment
• Dentures, spectacles, hearing aids
• Artificial limbs
• Special appliances –walking callipers,
spinal braces

9. 2. SICKNESS BENEFIT
• Periodical cash payment to an insured person, sickness certified by an
Insurance Medical Officer.
• Benefit payable for max 91 days, daily rate 70% of daily wages
EXTENDED SICKNESS BENEFIT
• Insured persons suffering from 34 long term diseases benefit payable for
maximum period of 2 years.

10. 3. MATERNITY BENEFIT
• Benefit allowed at full wages
• Confinement-for 26 weeks
• Miscarriage-for 6 weeks
• Sickness-for 30 days
• Rate of confinement expenses Rs 5000 per confinement
4. DISABLEMENT BENEFIT
• Cash payment + free medical treatment if disablement due to employment injury
• Temporary disablement benefit is 90% of wages
• Total permanent disablement – life pension
• Partial permanent disablement – portion of life pension

11. 5. DEPENDANT’S BENEFIT
• Death of an insured person, pension at rate of 90% wages payable shared by
dependants in fixed ratio (child- upto 18 years)
6. FUNERAL EXPENSES
Not exceeding Rs 10,000 towards funeral expenses
7. REHABILITATION ALLOWANCE
Monthly payment of Rs 10, insured person & family members
continue to get medical treatment after disablement

12. THANK YOU
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