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DR. PARAMJIT SINGH Occupational Physician PARAbolic Drugs Ltd. OCCUPTIONAL HEALTH ASPECTS. DISEASES DUE TO PHYSICAL AGENTS. HEAT- Heat stroke , Burns COLD- Chilblains, Frostbite LIGHT- Miners Nystagmus.Cataract PRESSURE- Caisson Disease, Air Embolism NOISE- NIHL,HTN, Iritability
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DR. PARAMJIT SINGH Occupational Physician PARAbolic Drugs Ltd. OCCUPTIONAL HEALTHASPECTS
DISEASES DUE TO PHYSICAL AGENTS • HEAT- Heat stroke , Burns • COLD- Chilblains, Frostbite • LIGHT- Miners Nystagmus.Cataract • PRESSURE- Caisson Disease, Air Embolism • NOISE- NIHL,HTN, Iritability • RADIATION- Leukemia, Aplastic Anaemia • MECHANICAL- Injuries & Accidents • ELECTRICAL- Shock, Burns
DISEASES DUE TO CHEMICAL AGENTS • GASES-CO,CO2, HCN, H2S , CS2 • DUST- Pneumoconiosis • METAL- Lead, Mercury, Chromium, Mangnese • ACIDS, ALKALIES • SOLVENTS- Benzene, Trichloroethylene
DISEASE DUE TO BIOLOGICAL AGENTS • BRUCELLOSIS • LEPTOSPIROSIS • ACTINOMYCOSIS • ANTHRAX
OCCUPATIONAL CANCERS • CANCER OF SKIN • LUNG CANCER • BLADDER CANCER
OCCUPATIONAL DERMATITIS • DERMATITIS • ECZEMA
PSYCHOSOCIAL DISEASES • NEUROSIS • PEPTIC ULCERS • HYPERTENTION
OBJECTIVE OF OHSMS • CONTROL OF WORK RELATED HEALTH HAZARDS • PREVENTION OF HEALTH IMPAIRMENT • PROMOTION OF PERSONAL HEALTH OF EMPLOYEES
ELEMENTS OF OCCUPATIONAL HEALTH SERVICES • GENERAL PREVENTIVE HEALTH MEASURES • ASSESMENT & CONTROL OF WORK ENVIRONMENT • PREVENTIVE MEDICAL EXAMINATION
INVESTIGATION OF WORK RELATED DISEASE • HIGH DEGREE OF SUSPICION • PERSUME EVERY ILLNESS TO BE OCCUPATIONAL UNLESS PROVED OTHERWISE • OBJECTIVES- Detection of occupational disease • Detection of source of exposure • Control of exposure
MEDICAL SURVEILLANCE • Medical surveillance in the workplace is the systemic collection & evaluation of employees health data to identify occupational sickness. • To catch illness early • To prevent illness from progression • A backup to exposure assessment
COMPONENTS OF MEDICAL SURVEILLANCE • Exposure assessment • Selection medical test • Determination of frequency of medical tests • Natural history of disease • Level of exposure to hazardous agents • Anticipated susceptibility of exposed person • Training • Identification of employees to be tested
COMPONENTS OF MEDICAL SURVEILLANCE • Interpertation of aggregate test result • Action based on test result • Notification • Record Keeping
PURPOSE OF MEDICAL SURVEILLANCE • Screening of individual workers • Surveillance of group of workers to identify high risk individuals • To detect impairment which may cause decreased functional capacity • Health promotion programmes
METHOD OF MEDICAL SURVEILLANCE • Pre- placement/ pre- employement medical examination • Periodic medical examination • Fitness medical examination • Medical examination on retirement • Executive & above 40 years medical examination