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Is work making your patients ill? Work and disease. Grant McMillan Hon Senior Clinical Lecturer. Institute of Occupational and Environmental Health University of Birmingham Number 8 of a series of lectures and tutorials for medical undergraduates. Learning points.
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Is work making your patients ill? Work and disease Grant McMillan Hon Senior Clinical Lecturer Institute of Occupational and Environmental Health University of Birmingham Number 8 of a series of lectures and tutorials for medical undergraduates
Learning points • Range of adverse effects of work on individuals in common occupations • Importance of considering occupation when seeking a diagnosis or a remedy • Readily accessible sources of information about occupational disease
Categories of work-related diseases I Work the cause II Work a causal factor in diseases of common occurrence III Work aggravating an established disease IV Work offering ready access to potential dangers
Learning points • Range of adverse effects of work on individuals in common occupations • Importance of considering occupation when seeking a diagnosis or a remedy • Readily accessible sources of information about occupational disease
Work the cause • Tanner • Bricklayer • Needle gun operator • Chrome plater
Work the cause - tanning animal hides Hazard and effect?
Work the cause - tanning animal hides Hazard - Bacillus Anthracis
Work the cause - tanning animal hides Effect - cutaneous anthrax. There is also a pulmonary form.
Work the cause - bricklaying - Hazard and effect?
Work the cause - bricklaying Clue – spot the difference
Bricklaying Hazard – cement is hygroscopicEffect is excess dryness – usually short-lived if treated
Hazard – hexavalent chromium in cement Effect - allergic/contact dermatitis - sensitised for life
Work the cause – needle gun operator Hazards and effects?
Hazards are high sound pressure levels and high levels of vibration.
Work the cause – needle gun Effects – noise-induced hearing loss and Hand Arm Vibration Syndrome
Work the cause – chrome plating - Hazard and effects?
Work the cause – chrome plating Hazard is hexavalent chromium in mists
Work the cause – chrome plating Effects – sensitisation, irritation, cutaneous ulcers, perforation of nasal septum (and lung cancer)
Categories of work-related diseases I Work the cause II Work a causal factor in diseases of common occurrence III Work aggravating an established disease IV Work offering ready access to potential dangers
Work a causal factor in diseases of common occurrence • Shipwright • Typist • Road construction workers • Soldier, sailor and airman • Teachers, Prison Service, Police • Florist, hairdresser • Vehicle sprayers, bakers • Fishmonger
Categories of work-related diseases I Work the cause II Work a causal factor in diseases of common occurrence III Work aggravating an established disease IV Work offering ready access to potential dangers
Categories of work-related diseases I Work the cause II Work a causal factor in diseases of common occurrence III Work aggravating an established disease IV Work offering ready access to potential dangers
Learning points • Range of adverse effects of work on individuals in common occupations • Importance of considering occupation when seeking a diagnosis or a remedy • Readily accessible sources of information about occupational disease
Readily accessible sources of information about occupational disease First port of call : Health and Safety Executive: www.hse.gov.uk Government policy on health at work: www.dh.gov.uk
Is work making your patients ill? Part 2 Work and disease Grant McMillan Hon Senior Clinical Lecturer Thank you for your attention
