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EOH3202 Occupational Health. Dr. Emilia Zainal Abidin 14 April 2013 BSHRD 2 nd semester f-2-f meeting. Mid semester examination. Chapter 1 to 11 from module 2 hours examination 50 objectives 5 out of 8 short answer questions How well did you do?
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EOH3202 Occupational Health Dr. Emilia ZainalAbidin 14 April 2013 BSHRD 2nd semester f-2-f meeting
Mid semester examination • Chapter 1 to 11 from module • 2 hours examination • 50 objectives • 5 out of 8 short answer questions • How well did you do? • Comments or feedback to improve the type of questions
Final Exam • Chapter 12 to 22 • X hours? • XX objectives? • XX short answer questions? • Any requests?
What to focus on? • Chapter 12: Chemical hazards – Pesticides • Based on chapter in module • Classification of pesticides • Occupational exposures of pesticides • Toxic effects from exposure • Neurotoxic effect – cholinesterase function diagram • How to control and manage pesticide use in the workplace
What to focus on? • Chapter 13: Bio hazard management • Based on lecture notes • What is biohazard? • Classification of infective microorganism by risk group?
What to focus on? • Chapter 14: Occupational Psychosocial Hazards • Based on chapter in module and lecture • Scope of occupational psychosocial hazards • Type of psychosocial hazards – job content, workload, work pace, work schedule, control, environment and equipment, organisation culture, interpersonal relationship at work, role in organisation, career development, home work interface • Questionnaires
Work environment Conceptual Frame Work of Stress Home environment FAMILY & SOCIO DEMOGRAPHIC STRESSORS OCCUPATIONAL STRESSORS Work load Work environment Health status Family Conflict Financial Time and System Management ACUTE AND CHRONIC EFFECT 1. Physiological 2. Psychological 3. Behavioral OUTCOMES OF STRESS Organizational relationship Personality Training MODYFYING VARIABLES SUPPORT Knowledge Skill Social Interaction Coping mechanism Emotional support PERCEIVED STRESS
What to focus on? • Chapter 15: Prevention and Control principles • Based on module • Roles of occupational hygienists • Prevention and control according to the hierarchy of control
What to focus on? • Chapter 16: Workers’ compensation • Based on the module and half of lecture • Work compensation scheme in Malaysia • Private – SOCSO • Civil servants – Ex Gratia Scheme • Foreign workers – Insurance • Self-employed – None
What to focus on? • Chapter 17: Biological monitoring • Based on the module • What is biological monitoring • What are biomarkers
Exposure, absorption and effects* Ambient monitoring Exposure Internal dose Adverse effects Biological monitoring Biological effect monitoring *Adapted from Cassarett & Doull’s Toxicology 5th Edition, ed. Klassen CD pp995. McGraw Hill, 1995
What to focus on? • Chapter 18: Stress and Violence and the workplace • Based on the module and lecture • Definition • Scope and characteristics • Any action, incident or behaviour that departs from reasonable conduct in which a person is assaulted, threatened, harmed, injured in the course of, or as a direct result 1 of, his or her work. • Internal workplace violence • is that which takes place between workers, including managers and supervisors. • External workplace violence • is that which takes place between workers (and managers and supervisors) and any other person present at the workplace.
What to focus on? • Chapter 19: Cause and effect of sick leave • Based on the module and lecture • What is sick leave • The benefit of sick leave • Human right • Protect the worker • Cost of losing an employee is greater than the cost of providing sick days to retain existing employees • Sick leave and legislation in Malaysia
Sources: WHO (2010). WHO Healthy Workplace Framework and Model: Background and Supporting Literature and Practices.
Tools for tackling short term absence • Rigorous notification procedure • Return to work interviews • Should all short term absences be counted? • Medical evidence? • Withholding sick pay • Employee health initiatives
Tools for tackling long term absence • Keep in touch • Early intervention 4-6 weeks • Consider temporary adjustments • Be proactive in asking for medical advice • Preferably Occupational Health Practitioner
What to focus on? • Chapter 20: Water and Air Decompression • Based on the module and lecture • Gas laws – Boyle and Henry • Hyperbaric work environment • The effects of hyperbaric work environments • Decompression sickness and other symptoms
What to focus on? • Chapter 21: Emergency Response Plan and First Aid • Based on the module • ERP should include • Procedures • Emergency medical equipment • Internal and external contact and support • Management of injury and triage • Evacuation plan • Training to those involved • Local facilities • Give knowledge to all workers • Elements of ERP – evacuation plan, area custodian/damage control team, fire brigade, emergency medical facility • What is in First Aid Box?
What to focus on? • Chapter 22: Risk Communication • Based on module • Definition of risk communication • Primary goals of risk communication • Risk communication strategies • Principles of risk communication