Occupational Medicine in Construction Industry1 OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR...

Occupational Medicine in Construction Industry

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OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR

PARTICULARITIES OF OCCUPATIONAL ACCIDENTS

AND DISEASES MEDICAL PREVENTION

Prof. Eugenia Naghi MD, PhDUMF<Carol Davila>, Bucharest

Bogdan Draghici, MDOccupational medicine resident


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5CONSOLIDATION


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CONSOLIDATION


7DEMOLITION


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9CONSTRUCTION


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Occupational medicine Occupational medicine physicianphysician

OCCUPATIONAL RISK:

WORK RELATED INJURIESOCCUPATIONAL DISEASES


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Case presentationCase presentation

– V.M, woman, 47 years- old

– Diagnosis: Occupational asthma Allergic contact dermatitis Occupational deafness


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Occupational route

– 1985-1991: Construction Company A

– 1991-1996: Construction Company B


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Medical route

– Bucharest University Hospital (first crisis- urgent admission)

– Occupational Medicine Clinic- Colentina Hospital : complete medical evaluation; diagnosis; recommendations


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Patient evolution:

– Work place change / Job restrictions– Medical retirement– Severe evolution of the disease

(Occupational Asthma)

– Repeated hospitalizations


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JobJob: : concrete/terrazzo workerconcrete/terrazzo worker

Hazard

– Cement (potassium dichromate), latex (rubber gloves)

– Isocyanate or epoxy sealants, adhesives or foams, cement (potassium dichromate)

Disease

– Allergic contact dermatitis

– Occupational asthma– Allergic contact

dermatitis


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Job: construction painterJob: construction painter

Hazard

– Paint/ oil- based

– Paint/ water- based– Paint/ 2- part epoxy

or urethane

– Solvents (cleaning)

Disease

– Acute solvent syndrome

– Allergic contact dermatitis

– Occupational asthma, Allergic dermatitis

– Acute solvent syndrome


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Job: demolition workerJob: demolition worker

Hazard

– Asbestos (remove insulation)

– Noise

– Vicious position, effort

Disease

– Asbestosis, other asbestos- related pathology

– Occupational deafness

– Musculo- skeletal disorders


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Diagnosed occupational Diagnosed occupational diseasesdiseases

Occupational asthma

Allergic contact dermatitis

Occupational deafness


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Occupational diseases Occupational diseases still still possiblepossible

Malignant and benign asbestos- related pathology


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Causes of diseasesCauses of diseases

Personal protective equipment ?

Unsuitable rhythm and duration of the work ?

Medical surveillance : occupational medicine ?


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Prophylactic medical Prophylactic medical measuresmeasures

Occupational risk recognition

Pre- placement and return- to- work evaluations

Periodic medical examination (occupational- medical preventive examination)

Education


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Occupational risk recognitionOccupational risk recognition

Occupational hazards identification

Qualitative/ quantitative hazards evaluation

Epidemiological studies


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Medical examinationsMedical examinations

Avoid employment of high risk persons (diseases caused by occupational agents)

Diseases diagnosis in early (sub clinical) stages; work- place change; avoid medical complications;

Essential to be done by an occupational medicine physician


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EducationEducation

Technical and administrative personnel

– Adequate technical and administrative prophylactic measures

Working personnel – Individual hygiene– Personal protective

equipment– First- aid measures– First disease

simtoptoms recognition

– Importance of medical examination


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Thank you for your attention Thank you for your attention

Occupational Medicine in Construction Industry1 OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR...

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