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Occupational History Taking and Physical Examinations

Occupational History Taking and Physical Examinations. A. H. Mehrparvar Yazd University of medical sciences. Occupational History. Present job Previous jobs Duration of employment Occupational exposures Specific tasks Non-occupational exposures Personal factors.

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Occupational History Taking and Physical Examinations

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  1. Occupational History Taking and Physical Examinations A. H. Mehrparvar Yazd University of medical sciences

  2. Occupational History • Present job • Previous jobs • Duration of employment • Occupational exposures • Specific tasks • Non-occupational exposures • Personal factors

  3. Occupational Examinations • Pre-placement • Fitness for work • Periodic • Return to work • Exit • Specific

  4. Agricultural Work:Occupational Diseases

  5. Introduction • Agricultural work seems a safe and healthy job: - weather - less pollution • High incidence of morbidity and mortality • One of the most hazardous jobs

  6. Introduction • A unique industry: - Workers in all ages - Constant, seasonal and migrant workers - Farm as worksite and home - Working extra times

  7. Occupational hazards • Physical • Chemical • Biologic • Ergonomic • Accidents

  8. Physical hazards • Heat - Heat stroke • Sunlight (UV) - Dermatitis - Cancer • Noise (equipment, Vehicles)

  9. Chemical hazards • Pesticides: - Organophosphates - Carbamates - Organochlorines • Fertilizers • Nitrogen oxides

  10. Biologic hazards • Infectious diseases (Zoonosis): - Brucelosis - Leptospirosis - Anthrax - Toxoplasmosis

  11. Ergonomic hazards • Lifting • Bending and twisting of trunk • Repetitive work by hands (e.g. picking) • Awkward postures (Kneeling, Squatting, Overhead work, …)

  12. Accidents • A high frequency of accidents - minor trauma (laceration, …) - Major trauma

  13. Special diseases • Trauma • Respiratory diseases • Skin diseases • Cancers • Infections • Musculoskeletal diseases

  14. Trauma • Equipments • Falling objects • Vehicles • Falling • Drowning • Animals

  15. Respiratory diseases • Organic dust toxic syndrome (ODTS) • Chronic Bronchitis • Asthma • Farmers’ lung (Hypersensitivity pneumonitis) • Silo Fillers’ disease

  16. Skin diseases • Dermatitis: - ACD, ICD - Due to: Sunlight, Pesticides, Corps, livestock, As • Cancers

  17. Cancers • Causes: - UV - Chemicals (pesticides, …) • Types: - Skin (SCC, BCC, Melanoma) - Lymphatic - Hematopoietic - Stomach, Brain, Prostate

  18. MSDs • Low back pain • Repetitive strain injuries

  19. Physical examination • Respiratory system • Musculoskeletal system • Skin • Nervous system

  20. Carpet Weavers:Occupational diseases

  21. Introduction • A unique industry: - Workers in all ages - Constant, seasonal and migrant workers - Same worksite and home - Working extra times

  22. Occupational hazards • Chemical (organic dust) • Biologic (infectious agents) • Ergonomic (prolonged sitting, static work, awkward posture)

  23. Specific diseases • Pulmonary (asthma, ODTS, …) • Infectious (anthrax) • Skin (dermatitis)

  24. Examinations • Musculoskeletal system • Eye • Skin • Respiratory system

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