STOP THAT NOISE! 1
Case study: particularities in
occupational hearing impairment diagnosis
Claudia Handra- MD
Prof. Eugenia Naghi- MD, Ph DChair of Occupational Medicine, UMF<Carol Davila>
Occupational Medicine Clinic, Hospital Colentina, Bucharest
STOP THAT NOISE! 2
Noise
Dictionary= sound or a mixture of discordant, strong sounds, disagreeable for the hearing
STOP THAT NOISE! 3
Occupational noise
One of the most frequent hazard in very different work places
Mechanization of the production processes increased the intensity of noise
STOP THAT NOISE! 4
STOP THAT NOISE! 5
STOP THAT NOISE! 6
STOP THAT NOISE! 7
STOP THAT NOISE! 8
STOP THAT NOISE! 9
STOP THAT NOISE! 10
Case presentation
M.D. male, age 39
engine technician
power plant
I. G. male, age 49
locksmith
steel foundry
STOP THAT NOISE! 11
Diagnosis
COPD Cor pulmonale- work related disease
Ischemic heart disease
Occupational loss of hearing
Spondilarthrosys
Chronic bronchitis- work related disease
High blood pressure
Occupational loss of hearing
Dorsal scoliosis
Neurasthenic syndrome
STOP THAT NOISE! 12
Professional routeExposure= 23 years
1982- 1986 - excavator operator- power plant
1986- 1987-military service
1987- 2005- engine technician- power plant
Exposure= 25 years
1974- 1976- locksmith- steel foundry
1976- 1977- military service
1977- 1980- locksmith-steel foundry
1980- 2005- locksmith- steel foundry
STOP THAT NOISE! 13
Medical history
Two medical evaluations- local hospital
2005- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic
2001- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic
STOP THAT NOISE! 14
ConsequencesJob restrictions/ preventive measures
Irreversible loss of hearing
Severe aggravation of work related diseases
Medical retirement
Freequent hospitalizations
Job restrictions/ preventive measuresIrreversible loss of hearingAggravation diseasesFrequent hospitalizations
STOP THAT NOISE! 15
Hazard
coal dust
noise >87 dB
vibrations
outdoor work conditions
silica dust
noise > 87 dB
indoor work conditions
STOP THAT NOISE! 16
Expected occupational disease
Coal miner’s pneumoconiosis
Occupational loss of hearing
Occupational musculoskeletal disease
Silicosis
Occupational cancer
Occupational loss of hearing
Occupational musculoskeletal disease
STOP THAT NOISE! 17
Diagnosed occupational disease
Occupational loss of hearing
Occupational loss of hearing
STOP THAT NOISE! 18
Possible causes
Lack of personal protective equipment
Unsuitable pace and duration of work activities
Lifestyle
Lack of personal protective equipment
Unsuitable pace and duration of work activities
Lifestyle
STOP THAT NOISE! 19
Preventive measures
Occupational risk acknowledgment
Pre-employment medical evaluation
Periodical medical examination
Education
STOP THAT NOISE! 20
Occupational risk acknowledgment
Assessment of occupational hazards endangering hearing other than occupational noise
Epidemiological studies
STOP THAT NOISE! 21
Medical examination
Early stage diagnosis; professional reorientation; prevention of disease aggravations
Occupational physician in charge of medical evaluation and follow-ups
STOP THAT NOISE! 22
Education
Employer
Adequate technical and administrative measures of prevention
Employee
Personal hygiene
Personal protection equipment
First- aid measures
First symptom acknowledgement
Awareness of the importance of medical follow-ups
STOP THAT NOISE! 23
STOP THAT NOISE!
Top Related