SlideShare a Scribd company logo
OCCUPATIONAL HAZARDS
AND PRINCIPLES OF
CONTROL
DR. SHADMAN NASREEN
OBJECTIVES:
■ Identify the occupational health hazards associated with
workplace
■ Recognize the effect of exposure to hazardous
substances
■ Explain the etiology and clinical features of occupational
diseases
■ Understand the responsibilities of doctor providing
occupational health services
■ Learn the significance of using appropriate preventive
measures and work practice controls to prevent the
occupational diseases
CONTENTS:
■ Hazards
– Physical hazards
– Chemical hazards
– Biological hazards
– Psychosocial hazards
■ Pneumoconiosis
■ Plumbism
■ Sickness absenteeism
■ General control of occupational hazard
■ Legislation on occupational health in Pakistan
DISEASES DUE TO PHYSICAL
AGENTS:
COLD
Chillblains Trench Foot Frost Bite
DISEASES DUE TO PHYSICAL
AGENTS:
PHSICAL
AGENTS
DISEASES
Heat
Heat hyperpyrexia, heat exhaustion, heat syncope,
heat cramps, burns and local effects e.g., prickly
heat
Light Occupational cataract, Miner’s nystagmus
Pressure Caisson disease, air embolism, blast (explosion)
Noise Occupational deafness
Vibration
Motion sickness, blurred vision, Raynaud’s
phenomenon, permanent disability
Radiation Cancer, Leukemia, aplastic anemia, pancytopenia
Chemical Factors Injuries, accidents
Irritant Gases or Fumes:
GAS/FUME
S
SOURCES ACUTE EFFECTS CHRONIC
EFFECTS
Ammonia Fertilizers,
explosives,
refrigeration, oil
refining, plastic
production
Pain in eye, mouth &
throat, oedema of mucous
membrane, conjunctivitis,
pulmonary oedema
Airway
obstruction
Chlorine Alkali, bleaches
and
disinfectants
Chest pain, cough,
pulmonary oedema
Occasionall
y Airway
obstruction
GAS/FUM
ES
SOURCES ACUTE EFFECTS CHRONIC
EFFECTS
Nitrogen
oxides
Silo filling, arc
welding,
combustion of
nitrogen containing
materials
Pulmonary oedema,
obliteration of bronchiole
in severe cases
Permanent
lung
damage if
continuous
exposure
Ozone Argon-shielded
welding
Cough, chest tightness,
pulmonary edema
None
Phosgene Chemical industry,
WW1 gas
Pulmonary oedema Chronic
bronchitis
Sulphur
dioxide
Paper production,
oil refining,
atmospheric
Pain in eye, mouth &
throat, oedema of
mucous membrane,
Chronic
bronchitis
GAS/FUM
ES
SOURCES ACUTE EFFECTS CHRONIC
EFFECTS
Mercury
vapour
Chemical and
metal industries
Cough and chest pain,
acute pneumonia
Rarely
pulmonary
fibrosis
Osmium Chemical &
metal industries
lab.
Tracheitis, bronchitis,
conjuctivitis
None
Vanadium
pentoxide
Ash and soot
from fuel oil
Nasal irritation, chest pain,
cough
Bronchitis,
bronchopne
umonia
Zinc
chloride
Manufacture of
dry cells,
galvanizing
Tracheobronchitis None
DISEASES DUE TO CHEMICAL
AGENTS:
■ Metals and their compounds: Toxic hazards from lead,
mercury, cadmium, manganese, beryllium, arsenic,
chromium etc.
■ Chemicals : Acids, alkalies, pesticides
■ Solvents : Carbon bisulphide, benzene, trichloroethylene,
chloroform, etc.
Grain dust
DISEASES DUE TO CHEMICAL
AGENTS:1.DUSTS (Pneumoconiosis)
Inorganic dusts:
a. Coal dust ____ Anthracosis
b. Silica ____ Silicosis
c. Asbestos ____ Asbestosis, cancer lung
d. Iron ____ Siderosis
Organic (vegetable) dust:
a. Cane fibre _____ Bagassosis
b. Cotton dust _____ Byssinosis
c. Tobacco _____ Tobacossis
d. Hay or _____ Farmer’s lung
grain dust
Occupational Dermatosis:
■ Contact dermatitis : Epoxy resins, rubber chemicals,
chrome, nickel, cobalt, formaldehyde, antibiotics, local
anesthetics
■ Eczema
OCCUPATIONAL
CANCERS
AGENT CANCER
Asbestos Mesothelioma
Arsenic Skin, Lung, Liver
Benzene Leukemia
Benzidine Urinary bladder
Beryllium Lung
Cadmium Lung
Chromium Nasal sinus, Lung
Ethylene oxide Leukemia
Ionizing radiation Skin, Thyroid, Lung
Nickel Nasal sinus, Lung
Polycyclic aromatic hydrocarbons Skin, Scrotum, Lung
Radon Lung
Silica Lung
Vinyl chloride Liver
Effect of Radiation:
DISEASES DUE TO
BIOLOGICAL AGENTS
DISEASES DUE TO
PSYCHOLOGICAL
ORIGIN
■ Industrial neurosis
■ Hypertension
■ Peptic ulcer etc.
■ Brucellosis
■ Leptospirosis
■ Anthrax
■ Actinomycosis
■ Hydatidosis
■ Psittacosis
■ Tetanus
■ Encephalitis
■ Fungal infections etc.
PNEUMOCONIOSIS:
■ “A disease of the lungs due to inhalation of dust,
characterized by inflammation, coughing, and fibrosis”
■ Particles 0.5 – 3 micron are dangerous
■ Ventilatory function by “Peak flow meter” and
“Spirogram”
■ Following indices can be measured:
■ Forced expiratory volume in 1 sec (FEV1)
■ Forced mid expiratory flow rates (FMF)
■ Forced vital capacity (FVC)
■ FEV-FVC ratio
SILICOSIS:
■ Cause : inhalation of silica or silicon dioxide (SiO2)
■ Industries involved : Mining industry (coal, mica, gold,
silver, lead, zinc, manganese and other metals), pottery
and ceramic industry, sand blasting, metal grinding,
building and construction work, rock mining, iron and
steel industry and several others
■ Incubation period : few months - 6 years
■ Pathogenesis: particles ingested by phagocytes
accumulate and block lymph channels
■ Characterized by dense nodular fibrosis
■ Sign and Symptoms :
Irritant cough, dyspnea on
exertion and pain in chest, in
more advanced cases TLC of
lung becomes impaired
(rarely shows tubercle bacilli)
ANTHRACOSIS:
■ A type of coal workers' pneumoconiosis due to inhalation
of coal dust not containing silica.
■ 2 phases
– 1st is called “simple pneumoconiosis” little ventilatory
impairment
– 2nd characterized by massive pulmonary fibrosis
■ Sign & Symptoms : chronic cough, sputum production
in case of pulmonary fibrosis --- dyspnea, respiratory
failure
■ Chest X-Ray: Small irregular opacities (prominent in upper lobes
mostly)
Large masses often surrounded by lucent regions
■ Differential Diagnosis: (PFT showing lung restriction in absence of
pulmonary fibrosis or systematic symptoms)
Sarcoidosis, Fibrosing alveolitis
PREVENTION:
1. Proper ventilation
2. Improved work practices (wetting coal face before mining it and
wetting dust before removing it from mine shaft)
3. Affected workers should be removed from further exposure
4. Respiratory support (supplemental oxygen), bronchodilator therapy
BYSSINOSIS
■ Cause: Inhalation of cotton fibre
■ In textile industry
■ SIGN & SYMPTOMS : chronic cough, progressive
dyspnea, chronic bronchitis, emphysema
BAGASSOSIS
■ CAUSE:
– Inhalation of bagasse
– Occurs due to inhalation of spores of thermophilic
actenomycete named Thermoactinomyces sacchari
■ SIGN & SYMPTOMS:
Breathlessness, cough, hemoptysis and fever.
Impairment of
pulmonary function. If left untreated, diffuse fibrosis,
emphysema and bronchiectasis
■ Skiagram : Mottling in lung and shadows
PREVENTION:
■ Dust control (wet process, enclosed apparatus,
exhaust ventilation etc.)
■ Personal protection (mask or respirator with
mechanical filters or with oxygen or air supply)
■ Medical control (periodical medical checkups)
■ Bagasse control : by keeping the moisture
content above 20% and spraying the bagasse
with 2% propionic acid which is a fungicide
ASBESTOSIS:
■ Lung disease that develops by inhaling asbestos fibers and
they cause scarring in lungs
■ Is a natural mineral, used in asbestos cement, fire proof
textiles, roof lining, brake lining, gaskets and several other
items
■ PATHOLOGY: Deposited in alveoli causing pulmonary fibrosis
leading to respiratory insufficiency and death
■ SIGN & SYMPTOMS: Dyspnea in advanced cases clubbing of
finger, cardiac distress and cyanosis
■ Greater risk of lung cancer (bronchial cancer, mesothelioma)
■ Fibrosis is diffuse in character
and basal in location while in
silicosis fibrosis is nodular and
present in upper part of lung
■ Sputum shows “asbestos
bodies:
“Ground-glass
appearance”
Preventive measures:
■ Use of safe type of asbestos (chrysolite, amosite)
■ Substitution of other insulants (glass fibre, mineral
wool, calcium silicate, plastic foam etc.)
■ Dust control
■ Periodic examination of workers, biological monitoring
(clinical, X-ray, lung function)
■ Continuing research
FARMER’S LUNG:
■ Due to inhalation of mouldy hay or grain dust
■ Cause : Thermophilic actinomycetes of which
Micropolyspora faeni is the main cause of farmer’s
lung
■ Pulmonary fibrosis, inevitable pulmonary damage and
corpulmonale
Pulmonary Fibrosis
PLUMBISM (LEAD POISONING)
SOURCES OF LEAD:
■ Manufacturing storage batteries, glass manufacturing, ship building,
printing & potteries, rubber industry etc.
■ Non-occupational sources------gasoline, drinking water, chewing lead
paints on widow sills or toys in case of children
MODE OF ABSORPTION :
■ Inhalation
■ Ingestion
■ Through skin
CLINICAL FEATURES:
■ Inorganic Lead ----- Anorexia, abdominal colic, anemia,
blue line on gums, basophilic stippling of RBC,
constipation, wrist drop and foot drop
■ Organic Lead ------- insomnia, Persistent headache,
mental confusion, delirium etc. (CNS symptoms)
LABORATORY TESTS:
a. Coproporphyrin in urine
b. Amino levulinic acid in urine
c. Measurement of lead in blood & urine
d. Basophic stippling of Red Blood Cells
PREVENTIVE MEASURES
■ Substitution: by less toxic material
■ Isolation: harmful conc. of dust & fumes should be
enclosed and segregated
■ Personal Protection: by respirators
■ Good Housekeeping: essential where lead dust are
present. Floors, bench, machines should be kept clean by
wet sweeping
■ Working Atmosphere: in working place its conc. should
be kept below 2 mg/10 cu metres of air
■ Periodic Examination of Workers: lab determination of urinary lead, blood lead, red cell count,
haemoglobin estimation and coproporphyrin test of urine should be done periodically
■ Personal Hygiene: hand washing before eating, adequate washing facilities in industry, prohibition
on taking food on work place
■ Health Education: high risk and personal protection.
■ MANAGEMENT:
Saline purge (will remove unabsorbed lead from gut)
■ Penicillamine (has been reported to be effective)
■ Ca-EDTA is a chelating agent and promotes lead excretion in urine
MANAGEMENT:
■ Saline purge (will remove unabsorbed lead from gut)
■ Penicillamine (has been reported to be effective)
■ Ca-EDTA is a chelating agent and promotes lead
excretion in urine
SICKNESS ABSENTEEISM
■ Term used to refer to unscheduled employee
absences from the work place
Prevention:
■ Good factory management and practices
■ Adequate preplacement examination
■ Good human relations
■ Application of ergonomics
LEGISLATION ON OCCUPATIONAL
HEALTH IN PAKISTAN
■ Factories Act 1934: Chief inspector of Factories is
authorized to declare any process as hazardous
■ Dock Labourers Act 1934
■ Mines Act 1923
■ Workman Compensation Act 1923
■ Provincial Employees Social Security Act 1965
■ Boilers and Pressure Vessels Ordinance 2002
All depends on inspector industries to enforce these
laws

More Related Content

Similar to _'Occupational Health.pptx

Occupational diseases 11
Occupational diseases 11Occupational diseases 11
Occupational diseases 11
Arun Raj
 
Occupational health:The objective of an occupational health .
Occupational health:The objective of an occupational health .Occupational health:The objective of an occupational health .
Occupational health:The objective of an occupational health .
LalrinchhaniSailo
 
Important Concepts in Occupational Health
Important Concepts in Occupational HealthImportant Concepts in Occupational Health
Important Concepts in Occupational Health
DrTundeAjibola
 
Occupational health and occupational hazards by Dr. Sonam Aggarwal
Occupational health and occupational hazards by Dr. Sonam AggarwalOccupational health and occupational hazards by Dr. Sonam Aggarwal
Occupational health and occupational hazards by Dr. Sonam Aggarwal
Dr. Sonam Aggarwal
 
Occupational Lung Diseases
Occupational Lung DiseasesOccupational Lung Diseases
Occupational Lung Diseases
DrZahid Khan
 
Occupational lung diseases
Occupational lung diseasesOccupational lung diseases
Occupational lung diseases
Johny Wilbert
 
Occupational health and_safety
Occupational health and_safetyOccupational health and_safety
Occupational health and_safety
joshibhushan143
 
Occupational & Environmental Lung Diseases | Jindal Chest Clinic
Occupational & Environmental Lung Diseases | Jindal Chest ClinicOccupational & Environmental Lung Diseases | Jindal Chest Clinic
Occupational & Environmental Lung Diseases | Jindal Chest Clinic
Jindal Chest Clinic
 
Inhalation injury NURSING TOPIC ppt.pptx
Inhalation injury NURSING TOPIC ppt.pptxInhalation injury NURSING TOPIC ppt.pptx
Inhalation injury NURSING TOPIC ppt.pptx
mitchtiad
 
Occupational health
Occupational healthOccupational health
Occupational health
Stephi Poulose
 
PNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptx
PNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptxPNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptx
PNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptx
Ashraf Shaik
 
occupational health.pptx
occupational health.pptxoccupational health.pptx
occupational health
occupational healthoccupational health
occupational health
sobana M
 
Interstitial Lung Disease
Interstitial Lung DiseaseInterstitial Lung Disease
Interstitial Lung Diseaseguest37d6e
 
EHS Presentation.pptxjjjjjjkkkkkkkkkkkgtty
EHS Presentation.pptxjjjjjjkkkkkkkkkkkgttyEHS Presentation.pptxjjjjjjkkkkkkkkkkkgtty
EHS Presentation.pptxjjjjjjkkkkkkkkkkkgtty
AtulTiwari892261
 
Occupational health services or Industrial health services
Occupational health services or Industrial health servicesOccupational health services or Industrial health services
Occupational health services or Industrial health services
Kunal Soni
 
occupational lung disease
occupational lung diseaseoccupational lung disease
occupational lung disease
Varoon Vadodaria
 
Copd
CopdCopd
Copd
OM VERMA
 
Occupational health
Occupational healthOccupational health
Occupational health
ashokdhakad6
 
pneumoconiosis-140723053017-phpapp02.pdf
pneumoconiosis-140723053017-phpapp02.pdfpneumoconiosis-140723053017-phpapp02.pdf
pneumoconiosis-140723053017-phpapp02.pdf
Ashraf Shaik
 

Similar to _'Occupational Health.pptx (20)

Occupational diseases 11
Occupational diseases 11Occupational diseases 11
Occupational diseases 11
 
Occupational health:The objective of an occupational health .
Occupational health:The objective of an occupational health .Occupational health:The objective of an occupational health .
Occupational health:The objective of an occupational health .
 
Important Concepts in Occupational Health
Important Concepts in Occupational HealthImportant Concepts in Occupational Health
Important Concepts in Occupational Health
 
Occupational health and occupational hazards by Dr. Sonam Aggarwal
Occupational health and occupational hazards by Dr. Sonam AggarwalOccupational health and occupational hazards by Dr. Sonam Aggarwal
Occupational health and occupational hazards by Dr. Sonam Aggarwal
 
Occupational Lung Diseases
Occupational Lung DiseasesOccupational Lung Diseases
Occupational Lung Diseases
 
Occupational lung diseases
Occupational lung diseasesOccupational lung diseases
Occupational lung diseases
 
Occupational health and_safety
Occupational health and_safetyOccupational health and_safety
Occupational health and_safety
 
Occupational & Environmental Lung Diseases | Jindal Chest Clinic
Occupational & Environmental Lung Diseases | Jindal Chest ClinicOccupational & Environmental Lung Diseases | Jindal Chest Clinic
Occupational & Environmental Lung Diseases | Jindal Chest Clinic
 
Inhalation injury NURSING TOPIC ppt.pptx
Inhalation injury NURSING TOPIC ppt.pptxInhalation injury NURSING TOPIC ppt.pptx
Inhalation injury NURSING TOPIC ppt.pptx
 
Occupational health
Occupational healthOccupational health
Occupational health
 
PNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptx
PNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptxPNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptx
PNEUMOCONIOSIS4(OCCUPATIONLA LUNG DISEASES).pptx
 
occupational health.pptx
occupational health.pptxoccupational health.pptx
occupational health.pptx
 
occupational health
occupational healthoccupational health
occupational health
 
Interstitial Lung Disease
Interstitial Lung DiseaseInterstitial Lung Disease
Interstitial Lung Disease
 
EHS Presentation.pptxjjjjjjkkkkkkkkkkkgtty
EHS Presentation.pptxjjjjjjkkkkkkkkkkkgttyEHS Presentation.pptxjjjjjjkkkkkkkkkkkgtty
EHS Presentation.pptxjjjjjjkkkkkkkkkkkgtty
 
Occupational health services or Industrial health services
Occupational health services or Industrial health servicesOccupational health services or Industrial health services
Occupational health services or Industrial health services
 
occupational lung disease
occupational lung diseaseoccupational lung disease
occupational lung disease
 
Copd
CopdCopd
Copd
 
Occupational health
Occupational healthOccupational health
Occupational health
 
pneumoconiosis-140723053017-phpapp02.pdf
pneumoconiosis-140723053017-phpapp02.pdfpneumoconiosis-140723053017-phpapp02.pdf
pneumoconiosis-140723053017-phpapp02.pdf
 

Recently uploaded

Daan Park Hydrangea flower season I like it
Daan Park Hydrangea flower season I like itDaan Park Hydrangea flower season I like it
Daan Park Hydrangea flower season I like it
a0966109726
 
Presentación Giulio Quaggiotto-Diálogo improbable .pptx.pdf
Presentación Giulio Quaggiotto-Diálogo improbable .pptx.pdfPresentación Giulio Quaggiotto-Diálogo improbable .pptx.pdf
Presentación Giulio Quaggiotto-Diálogo improbable .pptx.pdf
Innovation and Technology for Development Centre
 
Celebrating World-environment-day-2024.pdf
Celebrating  World-environment-day-2024.pdfCelebrating  World-environment-day-2024.pdf
Celebrating World-environment-day-2024.pdf
rohankumarsinghrore1
 
Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...
Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...
Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...
Open Access Research Paper
 
ppt on beauty of the nature by Palak.pptx
ppt on  beauty of the nature by Palak.pptxppt on  beauty of the nature by Palak.pptx
ppt on beauty of the nature by Palak.pptx
RaniJaiswal16
 
IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...
IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...
IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...
ipcc-media
 
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for..."Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...
MMariSelvam4
 
International+e-Commerce+Platform-www.cfye-commerce.shop
International+e-Commerce+Platform-www.cfye-commerce.shopInternational+e-Commerce+Platform-www.cfye-commerce.shop
International+e-Commerce+Platform-www.cfye-commerce.shop
laozhuseo02
 
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business Ventures
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business VenturesWillie Nelson Net Worth: A Journey Through Music, Movies, and Business Ventures
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business Ventures
greendigital
 
Sustainable farming practices in India .pptx
Sustainable farming  practices in India .pptxSustainable farming  practices in India .pptx
Sustainable farming practices in India .pptx
chaitaliambole
 
AGRICULTURE Hydrophonic FERTILISER PPT.pptx
AGRICULTURE Hydrophonic FERTILISER PPT.pptxAGRICULTURE Hydrophonic FERTILISER PPT.pptx
AGRICULTURE Hydrophonic FERTILISER PPT.pptx
BanitaDsouza
 
NRW Board Paper - DRAFT NRW Recreation Strategy
NRW Board Paper - DRAFT NRW Recreation StrategyNRW Board Paper - DRAFT NRW Recreation Strategy
NRW Board Paper - DRAFT NRW Recreation Strategy
Robin Grant
 
Bhopal Gas Leak Tragedy - A Night of death
Bhopal Gas Leak Tragedy - A Night of deathBhopal Gas Leak Tragedy - A Night of death
Bhopal Gas Leak Tragedy - A Night of death
upasana742003
 
Summary of the Climate and Energy Policy of Australia
Summary of the Climate and Energy Policy of AustraliaSummary of the Climate and Energy Policy of Australia
Summary of the Climate and Energy Policy of Australia
yasmindemoraes1
 
Navigating the complex landscape of AI governance
Navigating the complex landscape of AI governanceNavigating the complex landscape of AI governance
Navigating the complex landscape of AI governance
Piermenotti Mauro
 
Prevalence, biochemical and hematological study of diabetic patients
Prevalence, biochemical and hematological study of diabetic patientsPrevalence, biochemical and hematological study of diabetic patients
Prevalence, biochemical and hematological study of diabetic patients
Open Access Research Paper
 
Q&A with the Experts: The Food Service Playbook
Q&A with the Experts: The Food Service PlaybookQ&A with the Experts: The Food Service Playbook
Q&A with the Experts: The Food Service Playbook
World Resources Institute (WRI)
 
UNDERSTANDING WHAT GREEN WASHING IS!.pdf
UNDERSTANDING WHAT GREEN WASHING IS!.pdfUNDERSTANDING WHAT GREEN WASHING IS!.pdf
UNDERSTANDING WHAT GREEN WASHING IS!.pdf
JulietMogola
 
growbilliontrees.com-Trees for Granddaughter (1).pdf
growbilliontrees.com-Trees for Granddaughter (1).pdfgrowbilliontrees.com-Trees for Granddaughter (1).pdf
growbilliontrees.com-Trees for Granddaughter (1).pdf
yadavakashagra
 
Artificial Reefs by Kuddle Life Foundation - May 2024
Artificial Reefs by Kuddle Life Foundation - May 2024Artificial Reefs by Kuddle Life Foundation - May 2024
Artificial Reefs by Kuddle Life Foundation - May 2024
punit537210
 

Recently uploaded (20)

Daan Park Hydrangea flower season I like it
Daan Park Hydrangea flower season I like itDaan Park Hydrangea flower season I like it
Daan Park Hydrangea flower season I like it
 
Presentación Giulio Quaggiotto-Diálogo improbable .pptx.pdf
Presentación Giulio Quaggiotto-Diálogo improbable .pptx.pdfPresentación Giulio Quaggiotto-Diálogo improbable .pptx.pdf
Presentación Giulio Quaggiotto-Diálogo improbable .pptx.pdf
 
Celebrating World-environment-day-2024.pdf
Celebrating  World-environment-day-2024.pdfCelebrating  World-environment-day-2024.pdf
Celebrating World-environment-day-2024.pdf
 
Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...
Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...
Micro RNA genes and their likely influence in rice (Oryza sativa L.) dynamic ...
 
ppt on beauty of the nature by Palak.pptx
ppt on  beauty of the nature by Palak.pptxppt on  beauty of the nature by Palak.pptx
ppt on beauty of the nature by Palak.pptx
 
IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...
IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...
IPCC Vice Chair Ladislaus Change Central Asia Climate Change Conference 27 Ma...
 
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for..."Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...
"Understanding the Carbon Cycle: Processes, Human Impacts, and Strategies for...
 
International+e-Commerce+Platform-www.cfye-commerce.shop
International+e-Commerce+Platform-www.cfye-commerce.shopInternational+e-Commerce+Platform-www.cfye-commerce.shop
International+e-Commerce+Platform-www.cfye-commerce.shop
 
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business Ventures
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business VenturesWillie Nelson Net Worth: A Journey Through Music, Movies, and Business Ventures
Willie Nelson Net Worth: A Journey Through Music, Movies, and Business Ventures
 
Sustainable farming practices in India .pptx
Sustainable farming  practices in India .pptxSustainable farming  practices in India .pptx
Sustainable farming practices in India .pptx
 
AGRICULTURE Hydrophonic FERTILISER PPT.pptx
AGRICULTURE Hydrophonic FERTILISER PPT.pptxAGRICULTURE Hydrophonic FERTILISER PPT.pptx
AGRICULTURE Hydrophonic FERTILISER PPT.pptx
 
NRW Board Paper - DRAFT NRW Recreation Strategy
NRW Board Paper - DRAFT NRW Recreation StrategyNRW Board Paper - DRAFT NRW Recreation Strategy
NRW Board Paper - DRAFT NRW Recreation Strategy
 
Bhopal Gas Leak Tragedy - A Night of death
Bhopal Gas Leak Tragedy - A Night of deathBhopal Gas Leak Tragedy - A Night of death
Bhopal Gas Leak Tragedy - A Night of death
 
Summary of the Climate and Energy Policy of Australia
Summary of the Climate and Energy Policy of AustraliaSummary of the Climate and Energy Policy of Australia
Summary of the Climate and Energy Policy of Australia
 
Navigating the complex landscape of AI governance
Navigating the complex landscape of AI governanceNavigating the complex landscape of AI governance
Navigating the complex landscape of AI governance
 
Prevalence, biochemical and hematological study of diabetic patients
Prevalence, biochemical and hematological study of diabetic patientsPrevalence, biochemical and hematological study of diabetic patients
Prevalence, biochemical and hematological study of diabetic patients
 
Q&A with the Experts: The Food Service Playbook
Q&A with the Experts: The Food Service PlaybookQ&A with the Experts: The Food Service Playbook
Q&A with the Experts: The Food Service Playbook
 
UNDERSTANDING WHAT GREEN WASHING IS!.pdf
UNDERSTANDING WHAT GREEN WASHING IS!.pdfUNDERSTANDING WHAT GREEN WASHING IS!.pdf
UNDERSTANDING WHAT GREEN WASHING IS!.pdf
 
growbilliontrees.com-Trees for Granddaughter (1).pdf
growbilliontrees.com-Trees for Granddaughter (1).pdfgrowbilliontrees.com-Trees for Granddaughter (1).pdf
growbilliontrees.com-Trees for Granddaughter (1).pdf
 
Artificial Reefs by Kuddle Life Foundation - May 2024
Artificial Reefs by Kuddle Life Foundation - May 2024Artificial Reefs by Kuddle Life Foundation - May 2024
Artificial Reefs by Kuddle Life Foundation - May 2024
 

_'Occupational Health.pptx

  • 1. OCCUPATIONAL HAZARDS AND PRINCIPLES OF CONTROL DR. SHADMAN NASREEN
  • 2. OBJECTIVES: ■ Identify the occupational health hazards associated with workplace ■ Recognize the effect of exposure to hazardous substances ■ Explain the etiology and clinical features of occupational diseases ■ Understand the responsibilities of doctor providing occupational health services ■ Learn the significance of using appropriate preventive measures and work practice controls to prevent the occupational diseases
  • 3. CONTENTS: ■ Hazards – Physical hazards – Chemical hazards – Biological hazards – Psychosocial hazards ■ Pneumoconiosis ■ Plumbism ■ Sickness absenteeism ■ General control of occupational hazard ■ Legislation on occupational health in Pakistan
  • 4.
  • 5. DISEASES DUE TO PHYSICAL AGENTS: COLD Chillblains Trench Foot Frost Bite
  • 6. DISEASES DUE TO PHYSICAL AGENTS: PHSICAL AGENTS DISEASES Heat Heat hyperpyrexia, heat exhaustion, heat syncope, heat cramps, burns and local effects e.g., prickly heat Light Occupational cataract, Miner’s nystagmus Pressure Caisson disease, air embolism, blast (explosion) Noise Occupational deafness Vibration Motion sickness, blurred vision, Raynaud’s phenomenon, permanent disability Radiation Cancer, Leukemia, aplastic anemia, pancytopenia Chemical Factors Injuries, accidents
  • 7. Irritant Gases or Fumes: GAS/FUME S SOURCES ACUTE EFFECTS CHRONIC EFFECTS Ammonia Fertilizers, explosives, refrigeration, oil refining, plastic production Pain in eye, mouth & throat, oedema of mucous membrane, conjunctivitis, pulmonary oedema Airway obstruction Chlorine Alkali, bleaches and disinfectants Chest pain, cough, pulmonary oedema Occasionall y Airway obstruction
  • 8. GAS/FUM ES SOURCES ACUTE EFFECTS CHRONIC EFFECTS Nitrogen oxides Silo filling, arc welding, combustion of nitrogen containing materials Pulmonary oedema, obliteration of bronchiole in severe cases Permanent lung damage if continuous exposure Ozone Argon-shielded welding Cough, chest tightness, pulmonary edema None Phosgene Chemical industry, WW1 gas Pulmonary oedema Chronic bronchitis Sulphur dioxide Paper production, oil refining, atmospheric Pain in eye, mouth & throat, oedema of mucous membrane, Chronic bronchitis
  • 9. GAS/FUM ES SOURCES ACUTE EFFECTS CHRONIC EFFECTS Mercury vapour Chemical and metal industries Cough and chest pain, acute pneumonia Rarely pulmonary fibrosis Osmium Chemical & metal industries lab. Tracheitis, bronchitis, conjuctivitis None Vanadium pentoxide Ash and soot from fuel oil Nasal irritation, chest pain, cough Bronchitis, bronchopne umonia Zinc chloride Manufacture of dry cells, galvanizing Tracheobronchitis None
  • 10. DISEASES DUE TO CHEMICAL AGENTS: ■ Metals and their compounds: Toxic hazards from lead, mercury, cadmium, manganese, beryllium, arsenic, chromium etc. ■ Chemicals : Acids, alkalies, pesticides ■ Solvents : Carbon bisulphide, benzene, trichloroethylene, chloroform, etc. Grain dust
  • 11. DISEASES DUE TO CHEMICAL AGENTS:1.DUSTS (Pneumoconiosis) Inorganic dusts: a. Coal dust ____ Anthracosis b. Silica ____ Silicosis c. Asbestos ____ Asbestosis, cancer lung d. Iron ____ Siderosis Organic (vegetable) dust: a. Cane fibre _____ Bagassosis b. Cotton dust _____ Byssinosis c. Tobacco _____ Tobacossis d. Hay or _____ Farmer’s lung grain dust
  • 12. Occupational Dermatosis: ■ Contact dermatitis : Epoxy resins, rubber chemicals, chrome, nickel, cobalt, formaldehyde, antibiotics, local anesthetics ■ Eczema
  • 13. OCCUPATIONAL CANCERS AGENT CANCER Asbestos Mesothelioma Arsenic Skin, Lung, Liver Benzene Leukemia Benzidine Urinary bladder Beryllium Lung Cadmium Lung Chromium Nasal sinus, Lung Ethylene oxide Leukemia Ionizing radiation Skin, Thyroid, Lung Nickel Nasal sinus, Lung Polycyclic aromatic hydrocarbons Skin, Scrotum, Lung Radon Lung Silica Lung Vinyl chloride Liver
  • 15. DISEASES DUE TO BIOLOGICAL AGENTS DISEASES DUE TO PSYCHOLOGICAL ORIGIN ■ Industrial neurosis ■ Hypertension ■ Peptic ulcer etc. ■ Brucellosis ■ Leptospirosis ■ Anthrax ■ Actinomycosis ■ Hydatidosis ■ Psittacosis ■ Tetanus ■ Encephalitis ■ Fungal infections etc.
  • 16. PNEUMOCONIOSIS: ■ “A disease of the lungs due to inhalation of dust, characterized by inflammation, coughing, and fibrosis” ■ Particles 0.5 – 3 micron are dangerous ■ Ventilatory function by “Peak flow meter” and “Spirogram” ■ Following indices can be measured: ■ Forced expiratory volume in 1 sec (FEV1) ■ Forced mid expiratory flow rates (FMF) ■ Forced vital capacity (FVC) ■ FEV-FVC ratio
  • 17. SILICOSIS: ■ Cause : inhalation of silica or silicon dioxide (SiO2) ■ Industries involved : Mining industry (coal, mica, gold, silver, lead, zinc, manganese and other metals), pottery and ceramic industry, sand blasting, metal grinding, building and construction work, rock mining, iron and steel industry and several others ■ Incubation period : few months - 6 years ■ Pathogenesis: particles ingested by phagocytes accumulate and block lymph channels ■ Characterized by dense nodular fibrosis
  • 18. ■ Sign and Symptoms : Irritant cough, dyspnea on exertion and pain in chest, in more advanced cases TLC of lung becomes impaired (rarely shows tubercle bacilli)
  • 19. ANTHRACOSIS: ■ A type of coal workers' pneumoconiosis due to inhalation of coal dust not containing silica. ■ 2 phases – 1st is called “simple pneumoconiosis” little ventilatory impairment – 2nd characterized by massive pulmonary fibrosis ■ Sign & Symptoms : chronic cough, sputum production in case of pulmonary fibrosis --- dyspnea, respiratory failure
  • 20. ■ Chest X-Ray: Small irregular opacities (prominent in upper lobes mostly) Large masses often surrounded by lucent regions ■ Differential Diagnosis: (PFT showing lung restriction in absence of pulmonary fibrosis or systematic symptoms) Sarcoidosis, Fibrosing alveolitis PREVENTION: 1. Proper ventilation 2. Improved work practices (wetting coal face before mining it and wetting dust before removing it from mine shaft) 3. Affected workers should be removed from further exposure 4. Respiratory support (supplemental oxygen), bronchodilator therapy
  • 21. BYSSINOSIS ■ Cause: Inhalation of cotton fibre ■ In textile industry ■ SIGN & SYMPTOMS : chronic cough, progressive dyspnea, chronic bronchitis, emphysema
  • 22. BAGASSOSIS ■ CAUSE: – Inhalation of bagasse – Occurs due to inhalation of spores of thermophilic actenomycete named Thermoactinomyces sacchari ■ SIGN & SYMPTOMS: Breathlessness, cough, hemoptysis and fever. Impairment of pulmonary function. If left untreated, diffuse fibrosis, emphysema and bronchiectasis
  • 23. ■ Skiagram : Mottling in lung and shadows PREVENTION: ■ Dust control (wet process, enclosed apparatus, exhaust ventilation etc.) ■ Personal protection (mask or respirator with mechanical filters or with oxygen or air supply) ■ Medical control (periodical medical checkups) ■ Bagasse control : by keeping the moisture content above 20% and spraying the bagasse with 2% propionic acid which is a fungicide
  • 24. ASBESTOSIS: ■ Lung disease that develops by inhaling asbestos fibers and they cause scarring in lungs ■ Is a natural mineral, used in asbestos cement, fire proof textiles, roof lining, brake lining, gaskets and several other items ■ PATHOLOGY: Deposited in alveoli causing pulmonary fibrosis leading to respiratory insufficiency and death ■ SIGN & SYMPTOMS: Dyspnea in advanced cases clubbing of finger, cardiac distress and cyanosis ■ Greater risk of lung cancer (bronchial cancer, mesothelioma)
  • 25. ■ Fibrosis is diffuse in character and basal in location while in silicosis fibrosis is nodular and present in upper part of lung ■ Sputum shows “asbestos bodies: “Ground-glass appearance”
  • 26. Preventive measures: ■ Use of safe type of asbestos (chrysolite, amosite) ■ Substitution of other insulants (glass fibre, mineral wool, calcium silicate, plastic foam etc.) ■ Dust control ■ Periodic examination of workers, biological monitoring (clinical, X-ray, lung function) ■ Continuing research
  • 27. FARMER’S LUNG: ■ Due to inhalation of mouldy hay or grain dust ■ Cause : Thermophilic actinomycetes of which Micropolyspora faeni is the main cause of farmer’s lung ■ Pulmonary fibrosis, inevitable pulmonary damage and corpulmonale Pulmonary Fibrosis
  • 28. PLUMBISM (LEAD POISONING) SOURCES OF LEAD: ■ Manufacturing storage batteries, glass manufacturing, ship building, printing & potteries, rubber industry etc. ■ Non-occupational sources------gasoline, drinking water, chewing lead paints on widow sills or toys in case of children MODE OF ABSORPTION : ■ Inhalation ■ Ingestion ■ Through skin
  • 29. CLINICAL FEATURES: ■ Inorganic Lead ----- Anorexia, abdominal colic, anemia, blue line on gums, basophilic stippling of RBC, constipation, wrist drop and foot drop ■ Organic Lead ------- insomnia, Persistent headache, mental confusion, delirium etc. (CNS symptoms) LABORATORY TESTS: a. Coproporphyrin in urine b. Amino levulinic acid in urine c. Measurement of lead in blood & urine d. Basophic stippling of Red Blood Cells
  • 30. PREVENTIVE MEASURES ■ Substitution: by less toxic material ■ Isolation: harmful conc. of dust & fumes should be enclosed and segregated ■ Personal Protection: by respirators ■ Good Housekeeping: essential where lead dust are present. Floors, bench, machines should be kept clean by wet sweeping ■ Working Atmosphere: in working place its conc. should be kept below 2 mg/10 cu metres of air
  • 31. ■ Periodic Examination of Workers: lab determination of urinary lead, blood lead, red cell count, haemoglobin estimation and coproporphyrin test of urine should be done periodically ■ Personal Hygiene: hand washing before eating, adequate washing facilities in industry, prohibition on taking food on work place ■ Health Education: high risk and personal protection. ■ MANAGEMENT: Saline purge (will remove unabsorbed lead from gut) ■ Penicillamine (has been reported to be effective) ■ Ca-EDTA is a chelating agent and promotes lead excretion in urine
  • 32. MANAGEMENT: ■ Saline purge (will remove unabsorbed lead from gut) ■ Penicillamine (has been reported to be effective) ■ Ca-EDTA is a chelating agent and promotes lead excretion in urine
  • 33. SICKNESS ABSENTEEISM ■ Term used to refer to unscheduled employee absences from the work place Prevention: ■ Good factory management and practices ■ Adequate preplacement examination ■ Good human relations ■ Application of ergonomics
  • 34. LEGISLATION ON OCCUPATIONAL HEALTH IN PAKISTAN ■ Factories Act 1934: Chief inspector of Factories is authorized to declare any process as hazardous ■ Dock Labourers Act 1934 ■ Mines Act 1923 ■ Workman Compensation Act 1923 ■ Provincial Employees Social Security Act 1965 ■ Boilers and Pressure Vessels Ordinance 2002 All depends on inspector industries to enforce these laws