1. Recognition & Reporting of Occupational Diseases

2.  Early recognition of occupational diseases  Occupational disease surveillance  Fitness for work determination  General health screening  Diabetes, hyperlipidema, …

3.  Treatment & control of early recognized occupational diseases  Prevention from progression of ODs to advanced & compensable disease  Incidence & prevalence of occupational diseases  As a main performance indicator in occupational health system  Distribution of various type of ODs  Occupational disease clusters

4.  Reporting & notification system ▪ Well-defined ▪ Proper structure

5.  Reporting System ( Notifying system )  Referral system  Industry level ( first-line )  General occupational physicians  Definite Diagnosis  Specialized level ( second-line)  Clinical ( Management and FFW )  Legal aspects ( compensation )

9.  1. A specialized referral system  2. Prioritize the most important ODs  Priority disease groups  Notifiable occupational diseases  3. Case-definition tables for first-line GPs  4. Training the GPs  5. Active surveillance of ODs  6. Consulting & referring the identified cases  7. Reporting the confirmed cases  8. Take control & preventive actions  9. Prevalence & incidence  10. Analyze the results

11.  Lack of standard reporting system  Lack of medical expertise of occupational GPs  Due to Insufficient training  Less awareness of job influence on worker’s health  Lack of awareness among employees for reporting their illness

13.  Refusal to notify disease by:  Employers  Fear visit of agencies, closure of operations, stop work order  Employees  Fear job loss or reduce income  Factory doctors  Fear of contract loss

15.  Noise-induced hearing loss  Occupational asthma  Lumbosacral disc herniation  Carpal tunnel syndrome  Occupational dermatitis  Occupational cancers:  Lung, skin, mesothelioma, bladder, sinus, liver, leukemia,

16.  Clinical diagnostic criteria  Exposure criteria  Causative exposures  Minimum exposure intensity  Minimum exposure duration  Minimum latency period