OCCUPATIONAL HEALTH




05/15/12                         1
• Harry McShane,
             age 16, 1908.
             Pulled into
             machinery in a
             factory in USA. His
             arm was ripped off
             at the shoulder
             and his leg broken.
           • No compensation
             paid.
05/15/12                       2
OCCUPATIONAL HEALTH
AIM
  "the promotion and maintenance of the
  highest degree of physical, mental and social
  well-being of workers in all occupations"




05/15/12                                          3
CONTENT
• Health promotion of workers
• Prevention of occupational diseases
• Roles and responsibilities of occupational
  health nurse
• Administration of occupational health
  services
• International organizations
• Women and occupational health
• Child labour and prevention
• Values at workplace
05/15/12                                       4
HEALTH PROMOTION OF WORKERS

    Recommendations by ILO / WHO
    committee on occupational health in
    1953




05/15/12                              5
HEALTH PROMOTION OF WORKERS
•   Nutrition
•   Communicable disease control
•   Environmental sanitation
•   Mental health
•   Measures for women and children
•   Health education
•   Family planning


05/15/12                              6
HEALTH PROMOTION OF
                 WORKERS
           NUTRITION
• Malnutrition
• Canteen /250 workers
• Diet and snacks at
  reasonable rates
• Store /dining room
• Health education
05/15/12                         7
HEALTH PROMOTION OF
                 WORKERS
COMMNICABLE DISEASE
     CONTROL
• Early diagnosis/Rx
• Cases isolated from
  working environment
• Protective measures
• Regular Medical checkup
  & Immunisation
• TB,Typhoid,hepatitis,malar
  ia, venereal diseases
05/15/12                         8
HEALTH PROMOTION OF
                   WORKERS
          ENVIRONMENTAL
               SANITATION
•   Water supply
•   Food
•   Toilet
•   General cleanliness
•   Space
•   Lighting
•   Ventillation/Temperature
•   Protection from hazards
•   Housing
    05/15/12                       9
HEALTH PROMOTION OF
                    WORKERS
           MENTAL HEALTH
• Promote health and
  happiness
• Detect signs of emotional
  stress
• Identify the cause
• Treatment
• Rehabilitation of the ill


05/15/12                          10
HEALTH PROMOTION OF
              WORKERS
  MEASURES FOR WOMEN
             &CHILDREN
• Maternity leave for 12 weeks
  with cash benefit under ESI act
• Ante/Intra/Postnatal services
• Prohibition of night work
• Prohibits of work underground
• Crèches
• No child below 14 shall be
  employed
  05/15/12                          11
HEALTH PROMOTION OF
                 WORKERS
       HEALTH EDUCATION
• Important health promotional
  measure
• Provided whenever necessary
• Content
   – Hygiene, participation
• At all levels
   – Management
   – Supervisors
   – Workers
   – Trade union leaders
  05/15/12                       12
HEALTH PROMOTION OF
                  WORKERS
      FAMILY PLANNING
• Encouraged to adopt
  small family norm
• Health education




 05/15/12                         13
PREVENTION OF OCCUPATIONAL DISEASES

 • MEDICAL MEASURES

 • ENGINEERING MEASURES

 • LEGISLATIVE MEASURES



 05/15/12                        14
MEDICAL MEASURES
• PRE PLACEMENT EXAMINATION
• PERIODICAL EXAMINATION
• MEDICAL & HEALTH CARE SERVICE
• NOTIFICATION
• SUPERVISION OF WORKING
  ENVIRONMENT
• MAINTANANCE & ANALYSIS OF
  RECORDS
• HEALTH EDUCATION &
  COUNSELLING
    05/15/12                      15
ENGINEERING MEASURES
•   DESIGN OF BUILDING
•   GOOD HOUSEKEEPING
•   GENERAL VENTILATION
•   MECHANISATION
•   SUBSTITUTION
•   DUSTS
•   ENCLOSURE
•   ISOLATION
•   LOCAL EXHAUST VENTILATION
•   PROTECTIVE DEVICES
•   RESEARCH
•   STATISTICAL MONITORING
•   ENVIRONMENTAL MONITORING
    05/15/12                          16
LEGISLATIVE MEASURES
• The Factories Act, 1948
• The Employees State Insurance
  Act, 1948
• Mine & Mineral Act,
  (Development & Regulation) Act,
  1957
• Noise Pollution (Regulation &
  Control ) Rules, 2000
• The Child Labour (Prohibition &
  Regulation) Act, 1986
• The Air (Prevention & Control of
  Pollution ) Act, 1981
• Maternity Benefit Act (1961)
• Minimum wages Act
   05/15/12                          17
THE FACTORIES ACT, 1948
• Factories act enacted in 1881
• The act amended in 1911, 1934, 1948, 1976, 1987
• Factory: establishment employing 10 or more
  workers where power is used, and 20 or more
  workers where power is not used.
• Prescribed working hours, holidays and
  employment of young men and women.
• Prohibits employment of children under 14 years
• Adolescents should be duly certified by certifying
  surgeons regarding fitness to work
 05/15/12                                       18
THE FACTORIES ACT, 1948
• Chapter III (Section 11-20) deals with health
  aspects
• Chapter IV (Section 21-40) deals with safety
  aspects
• Chapter V deals with welfare aspects
• Chapter VI deals with work hours holidays
  interval
• Chapter VII deals with employment of young
  person
05/15/12                                          19
The Employees State Insurance Act, 1948
• Provides cash and medical benefits to industrial
  employees in case of sickness, maternity and
  employment injury.
• Administration by ESI Corporation
• The Union minister for labour :chairman
  Secretary Ministry of labour : vice chairman
• 4 principal officers
    – Insurance commissioner
    – Medical commissioner
    – Finance commissioner
    – Actuary
 05/15/12                                        20
The Employees State Insurance Act, 1948
Benefits to employees              Benefits to employers
  •      Medical benefit       • Exemption from the applicability
                                 of Workmen's Compensation Act
  •      Sickness benefit        1923
  •      Maternity benefit     • Exemption from Maternity
  •      Disablement benefit     Benefit Act 1961
  •      Dependent benefit     • Exemption from payment of
                                 Medical allowance to employees
  •      Funeral expense         and their dependants or
  •      Rehabilitation          arranging for their medical care
         allowance             • Rebate under the Income Tax
                                 Act on contribution deposited in
                                 the ESI Account
                               • Healthy work-force.
  05/15/12
The Child Labour (Prohibition &
                 Regulation) Act, 1986
• Child (under 14 years) labour
  is prohibited in India under
  The Child Labour (Prohibition
  And Regulation) Act, 1986.
• It includes work in a shop,
  commercial establishment,
  work-shop, farm, residential
  hotel, restaurant, eating-
  house, theatre or other place
  of public amusement or
  entertainment
  05/15/12                                     22
ROLES AND RESPOSIBILITIES OF
             OCCUPATIONAL HEALTH NURSE
• Prevention of occupational injury and
  disease
• Promotion of health and work ability
• Improving environmental health
  management


  05/15/12                                  23
ROLES AND RESPONSIBILITIES OF
       OCCUPATIONAL HEALTH NURSE
•   Clinician
•   Specialist
•   Manager
•   Coordinator
•   Adviser
•   Health educator
•   Counselor
•   Researcher
05/15/12                               24
ADMINISTRATION OF OCCUPATIONAL
          HEALTH SERVICES

• CENTRAL LEVEL

• STATE LEVEL

• VOLUNTARY ORGANIZATIONS



  05/15/12                     25
ADMINISTRATION OF OCCUPATIONAL
          HEALTH SERVICES

• CENTRAL LEVEL
  – The director general for factory inspection and advisory
    services
  – The government departments of labour and health and
    the Board of mines
  – The atomic energy commission
  – Central labour institute at Mumbai and regional labour
    institutes in Kanpur, Kolkata and Chennai.

  05/15/12                                               26
ADMINISTRATION OF OCCUPATIONAL
          HEALTH SERVICES

• STATE LEVEL
  – No occupational health division in state health
    directorate except Uttar Pradesh
  – State responsibilities are vested in Chief inspector of
    factories




  05/15/12                                                    27
ADMINISTRATION OF OCCUPATIONAL
          HEALTH SERVICES

• VOLUNTARY ORGANIZATIONS
  – Tata institute of industrial hygiene
  – Society of Industrial Medicine.
  – Also certain political association work for the welfare of
    workers like,




  05/15/12                                                28
INTERNATIONAL ORGANIZATIONS
• The International Labour Organization
• Canadian Centre for Occupational Health and Safety
  (Canada)
• Congressional Office of Compliance (US)
• European Agency for Safety and Health at Work (EU)
• Government & Educational OHS Resources (Australia)
• Health and Safety Executive (UK)
• Health for Work Adviceline for small businesses (UK)
• Information Center of Occupational Safety and Health
  (Israel)
• Workplace Safety & Health Council, Singapore
 05/15/12                                         29
The International Labour
           Organization
• The International Labour Organization is a
  specialized agency in relationship with the United
  Nations,
• Comprises the International Labour Conference, the
  Governing Body, and the International Labour
  Office.
• Conference meets annually, is composed of national
  representatives of government, management, and
  labour
• Principal function is to formulate international
  labour standards in the form of Conventions and of
  Recommendations. It may also record its decisions
  in the form of resolutions which is accepted by
05/15/12                                        30
WELFARE ORGANISATION OF EMPLOYEES
• Indian National Trade Union Congress
  (INTUC)
• Centre of Indian trade unions (CITU)




05/15/12                                 31
WOMEN AND OCCUPATIONAL HEALTH
• Women's jobs have specific characteristics
• Equipment and schedules designed in relation
  to the average male body
• Low wages
• Sexual harassment at work place
• Discrimination against women
• Excluded from many health-promoting
  benefits
• Increased responsibility on household works
• The laws of labour are male oriented
05/15/12                                     32
Global Commission Report
• Issues should be examined within the context of gender specific analyses
• identify the specific occupational health risks of particular industries,
• Women's work in the informal sector, in agriculture and in the home has to
  be conceptualized and measured
• specific occupational health risks of women are to be addressed.
• studies to identify and assess occupational health risks should be extended.
• Legislation addressing women's occupational health needs should be
  reassessed
• International agreement about the classification of reproductive hazards
  (such as chemicals) and on the precautions needed to protect both men
  and women from those hazards, should be developed.
• collaboration on the part of the various international agencies concerned,
  such as WHO and ILO.
• Interdisciplinary research with a strong social science component.
                                                                         33
VALUES AT WORKPLACE
Characteristics of people at a work place
• Different genders
• Diverse ethnic, racial and cultural backgrounds
• Different ages and experiences
• Different abilities
• Different religions
• Different languages
• Different family structures
• Different educational backgrounds
• Different work and life experiences
05/15/12                                        34
VALUES AT WORKPLACE
1. Believe in yourself and your   1. Be sensitive to the impact you
   values.                           have on others.
2. Know your rights as well as    2. Respect others‘ dignity,
   duties                            values , beliefs and feelings.
3. Be responsible, sincere and    3. Communicate honestly.
   honest in your work.           4. Never harass or accept the
4. Be acknowledgeable to             harassment of others.
   superiors and kind towards     5. Confront prejudices and
   subordinates.                     stereotypes that demean or
5. Don’t compromise justice          exclude people
6. Be a learner.                  6. Accept our mistakes and don’t
7. Be an advocate for others         blame it on others.
   when situation calls.          7. Excuse others mistake, all are
                                     humans
   05/15/12                                                   35
Thank You




05/15/12               36

Occupational health ppt

  • 1.
  • 2.
    • Harry McShane, age 16, 1908. Pulled into machinery in a factory in USA. His arm was ripped off at the shoulder and his leg broken. • No compensation paid. 05/15/12 2
  • 3.
    OCCUPATIONAL HEALTH AIM "the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations" 05/15/12 3
  • 4.
    CONTENT • Health promotionof workers • Prevention of occupational diseases • Roles and responsibilities of occupational health nurse • Administration of occupational health services • International organizations • Women and occupational health • Child labour and prevention • Values at workplace 05/15/12 4
  • 5.
    HEALTH PROMOTION OFWORKERS Recommendations by ILO / WHO committee on occupational health in 1953 05/15/12 5
  • 6.
    HEALTH PROMOTION OFWORKERS • Nutrition • Communicable disease control • Environmental sanitation • Mental health • Measures for women and children • Health education • Family planning 05/15/12 6
  • 7.
    HEALTH PROMOTION OF WORKERS NUTRITION • Malnutrition • Canteen /250 workers • Diet and snacks at reasonable rates • Store /dining room • Health education 05/15/12 7
  • 8.
    HEALTH PROMOTION OF WORKERS COMMNICABLE DISEASE CONTROL • Early diagnosis/Rx • Cases isolated from working environment • Protective measures • Regular Medical checkup & Immunisation • TB,Typhoid,hepatitis,malar ia, venereal diseases 05/15/12 8
  • 9.
    HEALTH PROMOTION OF WORKERS ENVIRONMENTAL SANITATION • Water supply • Food • Toilet • General cleanliness • Space • Lighting • Ventillation/Temperature • Protection from hazards • Housing 05/15/12 9
  • 10.
    HEALTH PROMOTION OF WORKERS MENTAL HEALTH • Promote health and happiness • Detect signs of emotional stress • Identify the cause • Treatment • Rehabilitation of the ill 05/15/12 10
  • 11.
    HEALTH PROMOTION OF WORKERS MEASURES FOR WOMEN &CHILDREN • Maternity leave for 12 weeks with cash benefit under ESI act • Ante/Intra/Postnatal services • Prohibition of night work • Prohibits of work underground • Crèches • No child below 14 shall be employed 05/15/12 11
  • 12.
    HEALTH PROMOTION OF WORKERS HEALTH EDUCATION • Important health promotional measure • Provided whenever necessary • Content – Hygiene, participation • At all levels – Management – Supervisors – Workers – Trade union leaders 05/15/12 12
  • 13.
    HEALTH PROMOTION OF WORKERS FAMILY PLANNING • Encouraged to adopt small family norm • Health education 05/15/12 13
  • 14.
    PREVENTION OF OCCUPATIONALDISEASES • MEDICAL MEASURES • ENGINEERING MEASURES • LEGISLATIVE MEASURES 05/15/12 14
  • 15.
    MEDICAL MEASURES • PREPLACEMENT EXAMINATION • PERIODICAL EXAMINATION • MEDICAL & HEALTH CARE SERVICE • NOTIFICATION • SUPERVISION OF WORKING ENVIRONMENT • MAINTANANCE & ANALYSIS OF RECORDS • HEALTH EDUCATION & COUNSELLING 05/15/12 15
  • 16.
    ENGINEERING MEASURES • DESIGN OF BUILDING • GOOD HOUSEKEEPING • GENERAL VENTILATION • MECHANISATION • SUBSTITUTION • DUSTS • ENCLOSURE • ISOLATION • LOCAL EXHAUST VENTILATION • PROTECTIVE DEVICES • RESEARCH • STATISTICAL MONITORING • ENVIRONMENTAL MONITORING 05/15/12 16
  • 17.
    LEGISLATIVE MEASURES • TheFactories Act, 1948 • The Employees State Insurance Act, 1948 • Mine & Mineral Act, (Development & Regulation) Act, 1957 • Noise Pollution (Regulation & Control ) Rules, 2000 • The Child Labour (Prohibition & Regulation) Act, 1986 • The Air (Prevention & Control of Pollution ) Act, 1981 • Maternity Benefit Act (1961) • Minimum wages Act 05/15/12 17
  • 18.
    THE FACTORIES ACT,1948 • Factories act enacted in 1881 • The act amended in 1911, 1934, 1948, 1976, 1987 • Factory: establishment employing 10 or more workers where power is used, and 20 or more workers where power is not used. • Prescribed working hours, holidays and employment of young men and women. • Prohibits employment of children under 14 years • Adolescents should be duly certified by certifying surgeons regarding fitness to work 05/15/12 18
  • 19.
    THE FACTORIES ACT,1948 • Chapter III (Section 11-20) deals with health aspects • Chapter IV (Section 21-40) deals with safety aspects • Chapter V deals with welfare aspects • Chapter VI deals with work hours holidays interval • Chapter VII deals with employment of young person 05/15/12 19
  • 20.
    The Employees StateInsurance Act, 1948 • Provides cash and medical benefits to industrial employees in case of sickness, maternity and employment injury. • Administration by ESI Corporation • The Union minister for labour :chairman Secretary Ministry of labour : vice chairman • 4 principal officers – Insurance commissioner – Medical commissioner – Finance commissioner – Actuary 05/15/12 20
  • 21.
    The Employees StateInsurance Act, 1948 Benefits to employees Benefits to employers • Medical benefit • Exemption from the applicability of Workmen's Compensation Act • Sickness benefit 1923 • Maternity benefit • Exemption from Maternity • Disablement benefit Benefit Act 1961 • Dependent benefit • Exemption from payment of Medical allowance to employees • Funeral expense and their dependants or • Rehabilitation arranging for their medical care allowance • Rebate under the Income Tax Act on contribution deposited in the ESI Account • Healthy work-force. 05/15/12
  • 22.
    The Child Labour(Prohibition & Regulation) Act, 1986 • Child (under 14 years) labour is prohibited in India under The Child Labour (Prohibition And Regulation) Act, 1986. • It includes work in a shop, commercial establishment, work-shop, farm, residential hotel, restaurant, eating- house, theatre or other place of public amusement or entertainment 05/15/12 22
  • 23.
    ROLES AND RESPOSIBILITIESOF OCCUPATIONAL HEALTH NURSE • Prevention of occupational injury and disease • Promotion of health and work ability • Improving environmental health management 05/15/12 23
  • 24.
    ROLES AND RESPONSIBILITIESOF OCCUPATIONAL HEALTH NURSE • Clinician • Specialist • Manager • Coordinator • Adviser • Health educator • Counselor • Researcher 05/15/12 24
  • 25.
    ADMINISTRATION OF OCCUPATIONAL HEALTH SERVICES • CENTRAL LEVEL • STATE LEVEL • VOLUNTARY ORGANIZATIONS 05/15/12 25
  • 26.
    ADMINISTRATION OF OCCUPATIONAL HEALTH SERVICES • CENTRAL LEVEL – The director general for factory inspection and advisory services – The government departments of labour and health and the Board of mines – The atomic energy commission – Central labour institute at Mumbai and regional labour institutes in Kanpur, Kolkata and Chennai. 05/15/12 26
  • 27.
    ADMINISTRATION OF OCCUPATIONAL HEALTH SERVICES • STATE LEVEL – No occupational health division in state health directorate except Uttar Pradesh – State responsibilities are vested in Chief inspector of factories 05/15/12 27
  • 28.
    ADMINISTRATION OF OCCUPATIONAL HEALTH SERVICES • VOLUNTARY ORGANIZATIONS – Tata institute of industrial hygiene – Society of Industrial Medicine. – Also certain political association work for the welfare of workers like, 05/15/12 28
  • 29.
    INTERNATIONAL ORGANIZATIONS • TheInternational Labour Organization • Canadian Centre for Occupational Health and Safety (Canada) • Congressional Office of Compliance (US) • European Agency for Safety and Health at Work (EU) • Government & Educational OHS Resources (Australia) • Health and Safety Executive (UK) • Health for Work Adviceline for small businesses (UK) • Information Center of Occupational Safety and Health (Israel) • Workplace Safety & Health Council, Singapore 05/15/12 29
  • 30.
    The International Labour Organization • The International Labour Organization is a specialized agency in relationship with the United Nations, • Comprises the International Labour Conference, the Governing Body, and the International Labour Office. • Conference meets annually, is composed of national representatives of government, management, and labour • Principal function is to formulate international labour standards in the form of Conventions and of Recommendations. It may also record its decisions in the form of resolutions which is accepted by 05/15/12 30
  • 31.
    WELFARE ORGANISATION OFEMPLOYEES • Indian National Trade Union Congress (INTUC) • Centre of Indian trade unions (CITU) 05/15/12 31
  • 32.
    WOMEN AND OCCUPATIONALHEALTH • Women's jobs have specific characteristics • Equipment and schedules designed in relation to the average male body • Low wages • Sexual harassment at work place • Discrimination against women • Excluded from many health-promoting benefits • Increased responsibility on household works • The laws of labour are male oriented 05/15/12 32
  • 33.
    Global Commission Report •Issues should be examined within the context of gender specific analyses • identify the specific occupational health risks of particular industries, • Women's work in the informal sector, in agriculture and in the home has to be conceptualized and measured • specific occupational health risks of women are to be addressed. • studies to identify and assess occupational health risks should be extended. • Legislation addressing women's occupational health needs should be reassessed • International agreement about the classification of reproductive hazards (such as chemicals) and on the precautions needed to protect both men and women from those hazards, should be developed. • collaboration on the part of the various international agencies concerned, such as WHO and ILO. • Interdisciplinary research with a strong social science component. 33
  • 34.
    VALUES AT WORKPLACE Characteristicsof people at a work place • Different genders • Diverse ethnic, racial and cultural backgrounds • Different ages and experiences • Different abilities • Different religions • Different languages • Different family structures • Different educational backgrounds • Different work and life experiences 05/15/12 34
  • 35.
    VALUES AT WORKPLACE 1.Believe in yourself and your 1. Be sensitive to the impact you values. have on others. 2. Know your rights as well as 2. Respect others‘ dignity, duties values , beliefs and feelings. 3. Be responsible, sincere and 3. Communicate honestly. honest in your work. 4. Never harass or accept the 4. Be acknowledgeable to harassment of others. superiors and kind towards 5. Confront prejudices and subordinates. stereotypes that demean or 5. Don’t compromise justice exclude people 6. Be a learner. 6. Accept our mistakes and don’t 7. Be an advocate for others blame it on others. when situation calls. 7. Excuse others mistake, all are humans 05/15/12 35
  • 36.