Post on 17-Jan-2016
The Practice of Occupational
Medicine
Presented By: Dr. Majid Golabadi
Occupational Medicine Specialist
Location of Occupational
Illnesses & Injuries amongLeading causes of
Morbidity & Mortality in…
5Nearly half of all injuries in some age groups !
Occupational Fatalities Ranking
8
Financial Costs of
Occupational Illnesses &
InjuriesExceed $150 billion per year
The Human Costs
Staggering!!?
The ILO estimates that : The World’s Work Force suffers More than 1 Billion Accidents Every Year.
Over 2 million People are killed by Their Work Every Year.
More than 6% of National Incomes
Cause Permanent Disabilities &
Economic Losses
The WHO estimates that : There are at least 250 million Cases of Occupational Disease Worldwide!!! with an Unknown additional toll on National Incomes !?
How much of all injury cases result
in Loss of Work ?
One- third
What Percent of those Severely Disabled
from an Occupational Disease receive
Workers’ Compensation Benefits?
5 %
How many Chemicals are found in Work Settings?How many Workers are exposed to these Substances?Many Millions
More than Half a Million
What is the most common
Occupational Respiratory Disease
?
Asthma
How muchof new-onset
Asthma in adults is Work-related ?
20%
Workplace Exposure to Carcinogens
All Cancer Cases5-10 %
Less than 0.1% of cancer patient ever receive any settlement from employers !!!
How many Lung Cancer Cases in Men & Women are Work-related?16-17 %
2%
How many Occupational Exposures cause of all Cancers?
20%
Occupational Cancers are
Totally Preventable !!!100
%
Work Health
Worker
Workplace
O.M O.H
Industrial or Occupational
Hygiene
Anticipation Recognition Evaluation Control Of Health Hazards arising in or
from the Workplace
Occupational Medicine
Practices in Occupational medicine
• Occupational Medicine focuses on the prevention, evaluation, treatment and resolution of health conditions caused by the workplace environment.
Occupational Physician must :Determine that an injury or illness is caused by work,
Diagnose it,Treatment,Assess the extent of impairment, &
Assess the ability of the worker to resume work.
Independent Medical Examiner
The highest level of evaluation the worker
Most requests for IME opinions come from …
Occupational Medicine Services
Preventive ServicesCurative Services Rehabilitative Services Consultative Services Administrative ServicesResearch ServicesEducational & Training Services
& Other Services
The Rationale forOccupational Medicine
ServicesSize of Working Population
Economic Consequences
Special Hazards associated with Work
Levels of Prevention
Primordial PreventionPrimary PreventionSecondary PreventionTertiary Prevention
Primary Prevention at an Organizational LevelSubstitution of a Less Hazardous
Process for a More Hazardous One
Substitution of a Less Hazardous Substance for a More Hazardous One
Installation of Engineering Controls & Devices
Job Redesign, Work Organization Changes, & Work Practice Alternatives
Primary Prevention at an Individual Level
Education
Personal Protective Equipment
Administrative Measures
Secondary Prevention of
Occupational IllnessScreening for Occupational Disease
Screening at-risk Workers who are not Covered by Standard-mandated Examination
Tertiary Prevention of Occupational
IllnessPrevent DisabilityPrevent Further Progression
Health Examination
Programs
Preemployment H.E. or
Preplacement H.E. ?
The Objectives of the Preplacement Health
Exam. (Employment Entrance
Examination)
Periodic Health Examination
General Specific (Hazard-
related)
The Objectives of Periodic Health
Exam.
Other Mandatory Health Examinations
Return-to-Work Examination
a- Postinjury
b- PostillnessMotor Vehicle Operator ExaminationLocomotive Engineer ExaminationPhysical Fitness ExaminationFlight Personnel ExaminationJob Transfer ExaminationDisability & Retirement ExaminationForeign Travel Examination (prior to)