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Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN VIETNAM

Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN VIETNAM HK, October 28-29, 2013. VU XUAN TRUNG DUONG KHANH VAN. CONTENT Some data related occupational diseases OH services s ystem in VN Laws related for OH. Process of Diagnosis for Occupational Disease

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Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN VIETNAM

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  1. Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN VIETNAM HK, October 28-29, 2013 VU XUAN TRUNG DUONG KHANH VAN

  2. CONTENT • Some data related occupational diseases • OH servicessystem in VN • Laws related for OH. • Process of Diagnosis for Occupational Disease • Training on OH/OD • Expectations from this meeting

  3. STATISTIC OF OCCUPATIONAL DISEASES Source: MoH, 2013

  4. STATISTIC OF OCCUPATIONAL DISEASES Source: National data on OSH

  5. Ministry of Health MOLISA (OSH Labour Inspector System) Ministries of Industries State management system for OH Centre for Occ. And Env. Health at 63 provinces Medical Assessment Boards Labour Offices at the provinces District Health Centers OH service Users Small and medium companies Other Companies Big State Companies Industrial Health Centre District Health Centers Health Environment Managerment Centre at Provinces Others OH Services Providers OH Services Providers Hospitals at level of Provinces, Districs... Ministry of Health OCCUPATIONAL HEALTH MANAGERMENT SYSTEM AND OCCUPATIONAL HEALTH SERVICES IN VIETNAM 5

  6. Officials, experts of Faculties of Occupational Health, clinics for occupational diseases Resource: NATIONAL PROFILE ON OSH Period 2005-2009 6

  7. National Institute Related to OH • National Institute for Occupational and Environmental Health (Under Ministry of Health) • National Institute for Labour Protection (Occupational Health Centre) (Under Labour Union). • National Institute of Medical Appraisal

  8. Occupational & Environmental Health support organizations • Vietnam Occupational Safety and Health Technical Science Association (VOSHA). • Vietnam Occupational Health Association • ILO • WHO • AFEDA…

  9. Law related OH • Chapter IX (Labour Code 2012): articles 143 – 145. • Circular No. 01/2011/TTLT-BLĐTBXH- BYT on 10/01/2011 by MOLISA&MOH on guiding the implementation of safety - occupational health in Enterprise: articles 7 – 9: Mission of Medical Unit. • Circular No. 19/2011/TT-BYT on 06/06/2011 by MOH: A guidelines for hygienic management , workers health and occupational disease. • Circular No. 14/2013/TT-BYT on 06/05/2013 by MOH on guiding medical examination (recruitment and periodical examinations).

  10. Related periodic health examination • Health examination at least once/year • Twice/year (heavy, hazardous and dangerous work) • The occupational disease patients must be treated according to specialists, health care and health examination every 6 months, with specific profiles…

  11. Related Monitoring Work Environment • Monitoring hazardous factors in the work place at least once/year • Monitoring hazardous factors in the work place twice/year (very heavy, hazardous and dangerous work) • Establish profile of industrial hygiene for the factory…

  12. List of insured occupational diseases in Vietnam

  13. Total: 28 diseases

  14. Process of Diagnosis for Occupational Disease: Circular No. 12/2006/TT-BYT by MOH dated 11th October, 2006 on guiding occupational disease examination: • Work environment measurements (*) • Occupational Disease Examination (*) • Medical Assessment Boards: Make decision and the reduction of work ability level. • Patients get payment from Social Insurance and employers

  15. Work environment measurements and Occupational Disease Examination • Carried out by OD clinics of Centres for OEH/Centre for Preventive Medicine/Hospitals at provincial and national lelvel; Medical centre of industries/sectors; National institutes. • Others certified by MoH or Provincial DoH • Carried out at the workplace or at the OD examination providers. The examination and diagnosis of OD must be based on the results of monitoring working environment, occ. exposure factors and results of periodic health examination

  16. Training on OH/OD • Training providers: • Undergraduate: • Medical Universities: M.D, Nurses, Technicians, PH practitioners • Medical College: Nurses, Technicians • Public Health School: PH practitioners, Health management • Graduate: As above and Institutes (MoH) • Specialist: As above and Institutes (MoH)

  17. Expectations • What: • Importance of OD examination and diagnosis; • Knowledge and skills in recognition of OD at early stage; • OHS knowledge for medical doctors at grassroots; • Techniques in diagnosis of common and new OD; • Who: • OHS practitioners at national and local level; • OHS system managers/policy makers; • Health Service at grassroots;

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  20. THANK YOU FOR YOUR ATTENTION!

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