Occupational History Taking and Physical Examinations
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Transcript of Occupational History Taking and Physical Examinations
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Occupational History Occupational History Taking and Physical Taking and Physical
ExaminationsExaminations
A. H. MehrparvarA. H. Mehrparvar
Yazd University of medical sciencesYazd University of medical sciences
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Occupational HistoryOccupational History
Present jobPresent job Previous jobsPrevious jobs Duration of employmentDuration of employment Occupational exposuresOccupational exposures Specific tasksSpecific tasks Non-occupational exposuresNon-occupational exposures Personal factorsPersonal factors
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Occupational Occupational ExaminationsExaminations
Pre-placementPre-placement Fitness for workFitness for work PeriodicPeriodic Return to workReturn to work ExitExit SpecificSpecific
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Agricultural Work:Agricultural Work:Occupational DiseasesOccupational Diseases
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IntroductionIntroduction
Agricultural work seems a Agricultural work seems a safe and healthy job:safe and healthy job:- weather- weather- less pollution- less pollution
High incidence of morbidity High incidence of morbidity and mortalityand mortality
One of the most hazardous jobsOne of the most hazardous jobs
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IntroductionIntroduction
A unique industry:A unique industry:
- Workers in all ages- Workers in all ages
- Constant, seasonal and migrant - Constant, seasonal and migrant workers workers
- Farm as worksite and home- Farm as worksite and home
- Working extra times- Working extra times
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Occupational hazardsOccupational hazards
Physical Physical ChemicalChemical BiologicBiologic ErgonomicErgonomic AccidentsAccidents
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Physical hazardsPhysical hazards
HeatHeat
- Heat stroke- Heat stroke Sunlight (UV)Sunlight (UV)
- Dermatitis- Dermatitis
- Cancer- Cancer Noise (equipment, Vehicles)Noise (equipment, Vehicles)
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Chemical hazardsChemical hazards
Pesticides:Pesticides:
- Organophosphates- Organophosphates
- Carbamates- Carbamates
- Organochlorines- Organochlorines FertilizersFertilizers Nitrogen oxidesNitrogen oxides
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Biologic hazardsBiologic hazards
Infectious diseases Infectious diseases (Zoonosis):(Zoonosis):
- Brucelosis- Brucelosis
- Leptospirosis- Leptospirosis
- Anthrax- Anthrax
- Toxoplasmosis- Toxoplasmosis
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Ergonomic hazardsErgonomic hazards
LiftingLifting Bending and twisting of trunkBending and twisting of trunk Repetitive work by hands Repetitive work by hands
(e.g. picking)(e.g. picking) Awkward postures (Kneeling, Awkward postures (Kneeling,
Squatting, Overhead work, …)Squatting, Overhead work, …)
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AccidentsAccidents
A high frequency of accidentsA high frequency of accidents
- minor trauma (laceration, …)- minor trauma (laceration, …)
- Major trauma- Major trauma
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Special diseasesSpecial diseases
TraumaTrauma Respiratory diseasesRespiratory diseases Skin diseasesSkin diseases CancersCancers InfectionsInfections Musculoskeletal diseasesMusculoskeletal diseases
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TraumaTrauma
EquipmentsEquipments Falling objectsFalling objects VehiclesVehicles Falling Falling DrowningDrowning AnimalsAnimals
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Respiratory diseasesRespiratory diseases
Organic dust toxic syndrome Organic dust toxic syndrome (ODTS)(ODTS)
Chronic BronchitisChronic Bronchitis AsthmaAsthma Farmers’ lung (Hypersensitivity Farmers’ lung (Hypersensitivity
pneumonitis)pneumonitis) Silo Fillers’ diseaseSilo Fillers’ disease
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Skin diseasesSkin diseases
Dermatitis:Dermatitis:- ACD, ICD- ACD, ICD
- Due to: Sunlight, Pesticides, Corps, - Due to: Sunlight, Pesticides, Corps, livestock, Aslivestock, As
CancersCancers
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CancersCancers
Causes:Causes:
- UV- UV
- Chemicals (pesticides, …)- Chemicals (pesticides, …) Types:Types:
- Skin (SCC, BCC, Melanoma)- Skin (SCC, BCC, Melanoma)
- Lymphatic- Lymphatic
- Hematopoietic- Hematopoietic
- Stomach, Brain, Prostate- Stomach, Brain, Prostate
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MSDsMSDs
Low back painLow back pain Repetitive strain injuriesRepetitive strain injuries
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Physical examinationPhysical examination
Respiratory systemRespiratory system Musculoskeletal systemMusculoskeletal system SkinSkin Nervous system Nervous system
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Carpet Weavers:Carpet Weavers:Occupational diseasesOccupational diseases
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IntroductionIntroduction
A unique industry:A unique industry:
- Workers in all ages- Workers in all ages
- Constant, seasonal and migrant - Constant, seasonal and migrant workers workers
- Same worksite and home- Same worksite and home
- Working extra times- Working extra times
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Occupational hazardsOccupational hazards
Chemical (organic dust)Chemical (organic dust) Biologic (infectious agents)Biologic (infectious agents) Ergonomic (prolonged sitting, Ergonomic (prolonged sitting,
static work, awkward posture)static work, awkward posture)
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Specific diseasesSpecific diseases
Pulmonary (asthma, ODTS, …)Pulmonary (asthma, ODTS, …) Infectious (anthrax)Infectious (anthrax) Skin (dermatitis)Skin (dermatitis)
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ExaminationsExaminations
Musculoskeletal systemMusculoskeletal system EyeEye SkinSkin Respiratory systemRespiratory system