1. Health care activity and occupational diseases in vietnam national INSTITUTE OF LABOR PROTECTION (NILP) HONG KONG 21-23 SEPTEMBER 2005 Anroav meeting 2005

2. Chart 1. EMPLOYEES’ HEALTH CARE SYSTEM

3. OCCUPATIONAL DISEASE IN VIETNAM In Vietnam, there are 21 diseases having insurance: -1 st group: Pulmonary and bronchial diseases (caused by dust exposure): 1. Silicosis 2. Asbestosis 3. Byssinosis 4. Chronic bronchitis

4. - 2 nd group: Occupational poisoning diseases (caused by chemicals exposure): 1. Lead and its compounds poisoning disease 2. Benzene and its compounds poisoning disease 3. Mercury and its compounds poisoning disease 4. Manganese and its compounds poisoning disease 5. Trinitrotoluene (TNT) poisoning disease 6. Arsenic and its compounds poisoning disease 7. Nicotine poisoning disease 8. Pesticides poisoning disease

5. 3 rd group: OD by physical factors exposure: 1. Radiation disease 2. Noise induced hearing loss (Occupational deafness) 3. Occupational vibration 4. Occupational chronic decompression 3 rd group: OD by physical factors exposure: 1. Radiation disease 2. Noise induced hearing loss (Occupational deafness) 3. Occupational vibration 4. Occupational chronic decompression 4 th group: Occupational dermatitis by chemicals exposure 5. Occupational melanosis 6. Occupational skin disease caused by chromium and its compound: dermal ulcers, nose partition ulcers, dermatitis, contact eczema

6. - 5 th group: Occupational bacterial contamination diseases by pathogenic microorganisms 1. Occupational tuberculosis 2. Occupational viral hepatitis 3. Occupational leptospirosis

7. 1.1. Occupational disease monitoring data in 2004 Among the confirmed OD, the followed diseases have the highest percentage: -Silicosis – 67.5%, - Noise induced hearing loss-16.6%, - Byssinosis -7.03% and - Melanosis – 3.9%.

8. Table 2. OD examination data in 2004

10. Occupational diseases data cumulative from 1976 to –2004

11. Silicosis: - In Vietnam, silicosis is recognized as occupational disease for compensation since 1976. - The number of workers having high risk of silicosis is very high. - 1998: “National Action Plan on silicosis prevention and control” having the objective to reduce the incidence silicosis until year 2010 and to eliminate it thought out the country until year 2030.

12. - Silicosis statistic data from 1999 to 2003: +76714 workers exposed to silica are examined. + 10526 are identified suffering silicosis + 4389 have compensation Situation of confirmed silicosis cases from 1991 to 2004

13. Some pictures Working condition in private sector

14. Very dirty and dark workplace Very dirty and dark workplace

15. No personal protective equipment No personal protective equipment

16. Unsafe workshop Unsafe workshop

17. Painting process isolated by simple clothes Painting process isolated by simple clothes

18. High risk of burnt and poisoning of chemicals

19. Air polluted by coal dust, heat and toxic gases

21. High risk of fire by electric short-circuit

22. Air polluted by solvent and painting dust Air polluted by solvent and painting dust

23. Products and semi-products in bedroom Products and semi-products in bedroom

25. Incorrect posture, unsafe work, dusty air Incorrect posture, unsafe work, dusty air

27. some technical measures provided by nilp and oxfam belgium to improve working condition and to protect environment

28. Painting booth

32. Air and wastewater treatment facility for a mechanical craft village

35. Thank you for attention