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Kayvan Karamifar , M.D Occupational Medicine Specialists Petroleum Industry Health Organization

Recognition & Reporting of Occupational Diseases. Kayvan Karamifar , M.D Occupational Medicine Specialists Petroleum Industry Health Organization. Main Goals of Periodic Examinations. Early recognition of occupational diseases Occupational disease surveillance Fitness for work determination

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Kayvan Karamifar , M.D Occupational Medicine Specialists Petroleum Industry Health Organization

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  1. Recognition & Reporting of Occupational Diseases KayvanKaramifar, M.DOccupational Medicine SpecialistsPetroleum Industry Health Organization

  2. Main Goals of Periodic Examinations • Early recognition of occupational diseases • Occupational disease surveillance • Fitness for work determination • General health screening • Diabetes, hyperlipidema, …

  3. Main Outputs of Periodic Exam • Treatment & control of early recognized occupational diseases • Prevention from progression of ODs to advanced & compensable disease • Incidence & prevalence of occupational diseases • As a main performance indicator in occupational health system • Distribution of various type of ODs • Occupational disease clusters

  4. Basic Requirement for ODs Recognition • Reporting & notification system • Well-defined • Proper structure

  5. Reporting System ( Notifying system ) • Referral system • Industry level ( first-line ) • General occupational physicians • Definite Diagnosis • Specialized level ( second-line) • Clinical ( Management and FFW ) • Legal aspects ( compensation )

  6. Why recognition & diagnosis of occupational diseases is important?

  7. Why reporting of ODs is important?

  8. Reporting & Notification System(components) • 1. A specialized referral system • 2. Prioritize the most important ODs • Priority disease groups • Notifiable occupational diseases • 3. Case-definition tables for first-line GPs • 4. Training the GPs • 5. Active surveillance of ODs • 6. Consulting & referring the identified cases • 7. Reporting the confirmed cases • 8. Take control & preventive actions • 9. Prevalence & incidence • 10. Analyze the results

  9. Obstacles in early detection, diagnosis and notification

  10. Causes of underreporting in ODs • Lack of standard reporting system • Lack of medical expertise of occupational GPs • Due to Insufficient training • Less awareness of job influence on worker’s health • Lack of awareness among employees for reporting their illness

  11. Causes of underreporting in ODs

  12. Causes of underreporting in ODs • Refusal to notify disease by: • Employers • Fear visit of agencies, closure of operations, stop work order • Employees • Fear job loss or reduce income • Factorydoctors • Fear of contract loss

  13. Reasons for poor reporting by doctors

  14. List of Occupational Diseases(NIOC Industrial Medicine) • Noise-induced hearing loss • Occupational asthma • Lumbosacral disc herniation • Carpal tunnel syndrome • Occupational dermatitis • Occupational cancers: • Lung, skin, mesothelioma, bladder, sinus, liver, leukemia,

  15. Main Components of Diagnostic Criteria • Clinical diagnostic criteria • Exposure criteria • Causative exposures • Minimum exposure intensity • Minimum exposure duration • Minimum latency period

  16. Characters of Case-definition Tables

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