scholarly journals Occupational diseases and general practitioners

Sigurnost ◽  
2019 ◽  
Vol 60 (4) ◽  
pp. 343-356
Author(s):  
Renata Ecimović Nemarnik ◽  
Marija Bubaš ◽  
Denis Lisica Mandek ◽  
Zoran Šimurina ◽  
Hrvoje Radić ◽  
...  

SUMMARY: The aim of this study is to investigate the views of general practitioners regarding the reporting of occupational diseases and the possible link between work status, sickness and assessment of work ability with occupational diseases. The study also places focus on the need to improve collaboration with occupational medicine specialists, on general practitioners' need for education in certain areas of occupational health and occupational diseases, and on topics and ways of implementing education. The subjects were family physicians and general practitioners (50) employed in community health centers in Zagreb. The reported occupational diseases in family physician's surgeries were analyzed. It was found that 26% respondents reported occupational disease, 70% did not report it, and 4% did not know whether or not they had reported occupational disease in the last five years. The most commonly reported occupational diseases were diseases of the musculoskeletal system (38%) and skin diseases (38%). The reasons given for not reporting occupational diseases were that doctors were not aware that those were occupational diseases (91%), and because they feared that the patient may get fired (9%). The vast majority of respondents (94%) agreed that it is necessary to improve cooperation between family physicians and occupational medicine specialists. Seventy eight percent of family physicians were interested in education on how to recognize occupational diseases. Preventive team work on the part of occupational medicine specialists and family physicians using the 'check lists' in family physician's surgeries, and education courses on occupational health would improve primary prevention of occupational diseases, while early detection would halt the progress of occupational diseases and thus reduce ensuing disability caused by occupational disease.

Author(s):  
Alina S. Kovaleva ◽  
Igor V. Bukhtiyarov ◽  
Natalya S. Serova ◽  
Tatyana B. Burmistrova

Respiratory system diseases are one of the main problems in contemporary occupational medicine and exceed one fifth of all occupational diseases. Objective of the review was search and analysis of literature on diagnosis of silicosis as an important occupational disease of respiratory organs, by computed tomography and high-resolution computed tomography, from evidence-based medicine viewpoint.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Iancheva ◽  
T Kundurzhiev ◽  
N Tzacheva ◽  
L Hristova

Abstract The study is based on the National Science Program 'eHealth in Bulgaria (e-Health)', funded by the Ministry of Education and Science. Partnership Contract No. D-01-200/16.11.2018 Issue Occupational health is closely linked to public health and health system. In Bulgaria there are many software products related to the registration and reporting of occupational health. Description of the Problem It is necessary to study all the determinants of occupational health, including the risks of diseases and accidents in the occupational environment, social and individual factors. The establishment of electronic systems for registering and monitoring both the health status of each worker and the possible hazards in the work environment is associated with the introduction and use of the occupational health record of each worker. Results The methodology for improving the module for occupational diseases in the structure of the occupational health record in Bulgaria has been developed. The classifications are in compliance with the legislation in the country and the requirements of the developing Eurostat methodology for European statistics on occupational diseases are applied. The occupational health record will serve both employers and physicians working in Occupational Health Services. Lessons The occupational disease module in the structure of the occupational health record will contribute to the statistical comparability of occupational disease data at regional and national level. Not only will the registration of the harmful factors of the working environment and the diseases related to the work process, but also the introduction of timely measures to ensure good occupational and public health. Key messages Through the occupational disease module, the structure of the occupational health record introduces the possibility of taking adequate measures to ensure good occupational health. The occupational health record will serve both employers and physicians working in Occupational Health Services.


2021 ◽  
Vol 15 (2) ◽  
pp. 21-28
Author(s):  
Paul J. Jansing ◽  
Audry Morrison ◽  
Travis W. Heggie ◽  
Thomas Küpper

<p><b>Background: </b>Occupational physicians work directly with individual employees regarding diseases that has been caused or exacerbated by workplace factors. However, employees are increasingly required to travel for their work, including to tropical countries where they risk exposure to diseases they would not normally encounter at home (i.e., malaria). Such disease/s may also take days to months to incubate before becoming symptomatic, even after their return home, thus delaying and complicating the diagnosis. Proving this was an occupational disease with respective sick leave entitlement or compensation can be challenging. There is a lack of data concerning occupational diseases caused by tropical infections. <p> <b>Material and methods: </b>Employee case records for the period 2003-2008 from the State Institute for Occupational Health and Safety of North-Rhine Westphalia in Germany were analysed and assessed within Germany’s regulatory framework. These records included Germany’s largest industrial zone.<p> <b>Results: </b>From 2003-2008the suspected cases of “tropical diseases and typhus”, categorized as occupational disease “Bk 3104” in Germany, have decreased significantly. A high percentage of the suspected cases was accepted as occupational disease, but persistent or permanent sequelae which conferred an entitlement to compensation were rare. <p><b>Conclusion: </b> There is scope to improve diagnosis and acceptance of tropical diseases as occupational diseases. The most important diseases reported were malaria, amoebiasis, and dengue fever. Comprehensive pre-travel advice and post-travel follow-ups by physicians trained in travel and occupational health medicine should be mandatory. Data indicate that there is a lack of knowledge on how to prevent infectious disease abroad.


Author(s):  
Nicola Magnavita

Dramatic changes in the age structure of the population have led to a rise in the age of retirement. An ageing working population may be a problem for companies and for their health and safety services that must face the long-term management of active, chronically ill workers. For sustainability reasons the discipline of occupational medicine must be replaced by occupational health, which not only combats occupational diseases, but actively works to promote the health of older workers. More in general, occupational health has a strong interest in promoting engagement in professional activities. Shifting from a reactive to a proactive logic will take time and require a big effort on the part of employers, employees and health and safety staff in order to develop participatory ergonomics and best health promotion practices in the workplace.


Author(s):  
Miriama Piňosová ◽  
Miriam Andrejiova ◽  
Miroslav Badida ◽  
Marek Moravec

This article not only offers a chronological overview of the development of occupational medicine, but also offers a summary of occupational diseases recommended by the ILO and legislative decisions that have influenced how we approach assessment today. We consider that these areas form a whole in which they cannot function without each other and they would lose their relevance if the system was collapsed. By excluding even one part of it, we would find ourselves at the beginning of the era of occupational medicine, and a large number of employees would once again be exposed to conditions that previously led to considerable illness and mortality of employees. The article also examines legislation and the development of occupational diseases in Slovakia in the period 1997–2019. Using basic statistical methods and time series, a trend model for the time series of the development of the number of occupational diseases over the last 20 years is created. The modeling also includes a forecast for the development of the number of occupational diseases for the next 5 years. The model created shows a favorable, decreasing trend in the number of occupational diseases in Slovakia.


Acta Medica ◽  
2021 ◽  
pp. 1-5
Author(s):  
Mehmet Erdem Alagüney

Objective: The specialty of occupational medicine is newly developing in Turkey and the number of specialists and the specialty clinics are very few. The aim of this study is to present the first two-year data of an occupational medicine outpatient clinic. This clinic is unique as it is the first outpatient clinic in a secondary health care center in Turkey (except dedicated occupational disease hospitals), and the first residency-trained occupational medicine specialist in Turkey was running this clinic. The data will be compared with national numbers in order to show if these clinics make a difference in diagnosis and notification of occupational diseases. Materials and Methods: The data is collected from the hospital database between 2017 August to 2019 August who applied to Occupational Diseases Clinic in the hospital. Only the patients who were referred by a physician or applied themselves with suspicion of an occupational disease are included to the study. The patients who applied for periodic examinations, fitness for work evaluations are not included. Results: A total of 491 patients were included to the study. 444 of them did not have a prior diagnosis of occupational disease. Of these patients, 162 (36.4%) were diagnosed with an occupational disease. 42.6 % of these diagnoses were pneumoconiosis. Conclusion: Occupational diseases are underdiagnosed and/or underreported in Turkey. A single center dedicated to occupational diseases made a substantial increase in the number of occupational diseases in two years. In conclusion, these clinics would help improving recognition of occupational diseases.


1929 ◽  
Vol 25 (4) ◽  
pp. 451-453
Author(s):  
M. M. Gran

Edited by prof. E. M. Kogan and Dr. I. Ya. Shtrum. Ukrainian State Institute of Occupational Pathology and Hygiene (formerly the Institute of Occupational Medicine). Stalin's branch. Stalin. Publishing house "Dictatorship of Labor". 1928 465 pages. "Proceedings and Materials" of the Institute. Issue Vii. This January marked the 5th anniversary of the existence of the "Ukrainian State Institute of Pathology and Occupational Health" (until 1928, it was called the "Ukrainian Institute of Working Medicine"). This jubilee, modest in time, was solemnly celebrated. This institute, like a number of similar institutes, is the "brainchild of Soviet medicine". This is a new type of research institutes, born of the October Revolution, dedicated to the study of the problem of labor along the lines of "occupational pathology" and "occupational hazards". In the USSR we now have a whole network of similar institutions in the capital and large industrial centers (Moscow 4 institutes, Leningrad, Kharkov with several branches in Ukraine, Sverdlovsk, Rostov n / A, Baku); in a wide - on a predominantly industrial periphery - we have up to 30 similar small institutes under various names - "offices and laboratories for the study of occupational pathology", "offices of social pathology", "occupational dispensaries", etc. The history of all these institutes is a little more than 5 years; the first and "oldest" in this short history is the Institute. Butt in Moscow to serve Moscow and the Moscow province; the first "Clinic of Social and Occupational Diseases" was the Clinic of the 1st MGU (now the Central State Institute for the Study of Occupational Diseases). The Ukrainian Institute is also one of the "oldest" ones. All these institutes already have an interesting and rich chronicle of scientific research searches and works. This is evidenced by the history of the Ukrainian Institute. This is evidenced by the VII scientific collection, devoted to one of our most important industries - metallurgical, one of the most difficult areas - the study of "pathology and occupational health in open-hearth and rolling shops". These workshops, as you know, are the most difficult and difficult in terms of working conditions, and are burdened with the greatest "occupational hazards and occupational pathology."


1981 ◽  
Vol 11 (2) ◽  
pp. 191-205 ◽  
Author(s):  
Hans-Ulrich Deppe

The development of occupational diseases, accidents, and injuries is analyzed within the framework of social, technological, and economic development in the Federal Republic of Germany. The interaction between economic crisis and occupational accidents is described and the distribution and origins of occupational accidents discussed. Finally, the occupational health care system in the Federal Republic is analyzed.


Author(s):  
Kathleen Kreiss ◽  
Kristin J. Cummings

Occupational diseases and injuries continue to exact a societal burden on productivity, acute and chronic disease, and preventable medical costs. Occupational problems require collaboration from employers, labor, and government both for investigation and for preventive intervention. A key characteristic is the need for exposure assessment with a multidisciplinary investigative team that includes environmental scientists or industrial hygienists who can evaluate workplace characteristics needed for design, questionnaire development, quantitative assessment of exposure, interpretation of findings, and guidance for prevention. A field epidemiologic investigation often is triggered by worker or physician recognition of clusters of disease or injury. The relatively few field investigators working on occupational disease and injury provide room for many contributions. Occupational health field investigations are exciting because of the opportunity they provide to learn from other disciplines and collaborators in other agencies and because of impact.


2020 ◽  
Vol 71 (1) ◽  
pp. 63-68
Author(s):  
Mihaela Stoia

AbstractThis study aimed to provide a brief historical overview of occupational medicine in Sibiu County combined with epidemiological evidence and trends in occupational diseases useful to design an agenda for future research and development of other components. Methods: to depict a model of circumstances, correlations, and trends, we applied to the local employee population a semi-structured narrative review method combined with the analysis of occupational diseases. The search strategy relied on literature and document review to create a timeline. We used a statistic chart histogram to highlight the most significant factors. Results: since 1950, concerning the industrial profile and the significant health effects on workers, we identified six stages of developing an occupational health network. The coverage was both for medical and hazard surveillance through a centralized system in the communist regime and recovery in the unique Sanatorium for occupational diseases established in the area. Occupational medicine private health services and the Faculty of Medicine from Sibiu appeared in the 1990s. Sibiu’s occupational disease model was a particular one in the 20th century, given the burden of lead poisoning from local industries. Infectious diseases in medical staff related to sporadic epidemics and the ongoing COVID-19 pandemic as an emergent professional risk pose new current challenges for occupational medicine. Conclusion: unique challenges increase the need for occupational epidemiologic research and the need for advances in other components of occupational health, but lessons from the past and traditional methods are well documented and still valuable.


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