OCCUPTIONAL HEALTH ASPECTS DR. PARAMJIT SINGH Occupational Physician PARAbolic Drugs Ltd.

DISEASES DUE TO PHYSICAL AGENTS HEAT- Heat stroke, Burns COLD- Chilblains, Frostbite LIGHT- Miners Nystagmus.Cataract PRESSURE- Caisson Disease, Air Embolism NOISE- NIHL,HTN, Iritability RADIATION- Leukemia, Aplastic Anaemia MECHANICAL- Injuries & Accidents ELECTRICAL- Shock, Burns

DISEASES DUE TO CHEMICAL AGENTS GASES-CO,CO2, HCN, H2S, CS2 DUST- Pneumoconiosis METAL- Lead, Mercury, Chromium, Mangnese ACIDS, ALKALIES SOLVENTS- Benzene, Trichloroethylene

DISEASE DUE TO BIOLOGICAL AGENTS BRUCELLOSIS LEPTOSPIROSIS ACTINOMYCOSIS ANTHRAX

OCCUPATIONAL CANCERS CANCER OF SKIN LUNG CANCER BLADDER CANCER

OCCUPATIONAL DERMATITIS DERMATITIS ECZEMA

PSYCHOSOCIAL DISEASES NEUROSIS PEPTIC ULCERS HYPERTENTION

OBJECTIVE OF OHSMS CONTROL OF WORK RELATED HEALTH HAZARDS PREVENTION OF HEALTH IMPAIRMENT PROMOTION OF PERSONAL HEALTH OF EMPLOYEES

ELEMENTS OF OCCUPATIONAL HEALTH SERVICES GENERAL PREVENTIVE HEALTH MEASURES ASSESMENT & CONTROL OF WORK ENVIRONMENT PREVENTIVE MEDICAL EXAMINATION

INVESTIGATION OF WORK RELATED DISEASE HIGH DEGREE OF SUSPICION PERSUME EVERY ILLNESS TO BE OCCUPATIONAL UNLESS PROVED OTHERWISE OBJECTIVES- Detection of occupational disease Detection of source of exposure Control of exposure

MEDICAL SURVEILLANCE Medical surveillance in the workplace is the systemic collection & evaluation of employees health data to identify occupational sickness. To catch illness early To prevent illness from progression A backup to exposure assessment

COMPONENTS OF MEDICAL SURVEILLANCE Exposure assessment Selection medical test Determination of frequency of medical tests Natural history of disease Level of exposure to hazardous agents Anticipated susceptibility of exposed person Training Identification of employees to be tested

COMPONENTS OF MEDICAL SURVEILLANCE Interpertation of aggregate test result Action based on test result Notification Record Keeping

PURPOSE OF MEDICAL SURVEILLANCE Screening of individual workers Surveillance of group of workers to identify high risk individuals To detect impairment which may cause decreased functional capacity Health promotion programmes

METHOD OF MEDICAL SURVEILLANCE Pre- placement/ pre- employement medical examination Periodic medical examination Fitness medical examination Medical examination on retirement Executive & above 40 years medical examination

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