1. Markku Seuri, FIOH, 20041 GLOBAL ASPECT OF OCCUPATIONAL INFECTIOUS DISEASES Tartu 10.3.-11.3.2004

2. Markku Seuri, FIOH, 20042 INFECTIOUS DISEASES DIFFER  in time  in different climates  in different cultures  according to the economic status  migration  --> differences in the occupational infectious diseases

3. Markku Seuri, FIOH, 20043 AT DIFFERENT TIMES  epidemics  vaccination  ways to breed cattle  level of occupational hygiene  changes in climate

4. Markku Seuri, FIOH, 20044 IN DIFFERENT CLIMATES  climate determines endemic diseases: –by vectors (malaria, Lyme diseases etc) –by the effect on the environmental shelter of the microbe (cholera, microbes living within amoeba)  in directly climate has an effect on the housing and thus, to the quality of indoor air

5. Markku Seuri, FIOH, 20045 IN DIFFERENT CULTURES  eating and breeding of certain types of cattle  cultural differences in treatment of sick family members, hygiene etc.  in occupational settings has to be considered at least in training

6. Markku Seuri, FIOH, 20046 ECONOMIC STATUS  level of sanitation (clean water)  food production and delivery  health care (treatment, detection of epidemics)  migration  temporary foreign workers  use of narcotics

7. Markku Seuri, FIOH, 20047 MIGRATION  Spanish colonization and smallpox  Phytophthora infestans and the Irish famine (1984-1986; 1,24 million died) causing emigration of 1,2 million  migrants carrying diseases: –hepatitis B –TBC –tropic diseases like trypanosomiasis –intestinal diseases

8. Markku Seuri, FIOH, 20048 MIGRATION GROUPS  refugees –refugee camps –malnutrition  temporary foreign workers  undocumented migrants  adopted children  return migrants  occupations involved: health care, social work etc.