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Recognition & Reporting of Occupational Diseases
Early recognition of occupational diseases Occupational disease surveillance
Fitness for work determinationGeneral health screening
Diabetes, hyperlipidema, …
Treatment & control of early recognized occupational diseases
Prevention from progression of ODs to advanced & compensable disease
Incidence & prevalence of occupational diseases As a main performance indicator in
occupational health system Distribution of various type of ODs
Occupational disease clusters
Reporting & notification system▪Well-defined▪ Proper structure
Reporting System ( Notifying system ) Referral system Industry level ( first-line ) General occupational physicians
Definite Diagnosis Specialized level ( second-line) Clinical ( Management and FFW ) Legal aspects ( compensation )
1. A specialized referral system 2. Prioritize the most important ODs
Priority disease groups Notifiable occupational diseases
3. Case-definition tables for first-line GPs 4. Training the GPs 5. Active surveillance of ODs 6. Consulting & referring the identified
cases 7. Reporting the confirmed cases 8. Take control & preventive actions 9. Prevalence & incidence 10. Analyze the results
Lack of standard reporting systemLack of medical expertise of
occupational GPs Due to Insufficient training
Less awareness of job influence on worker’s health
Lack of awareness among employees for reporting their illness
Refusal to notify disease by:Employers
Fear visit of agencies, closure of operations, stop work order
Employees Fear job loss or reduce income
Factory doctors Fear of contract loss
Noise-induced hearing lossOccupational asthmaLumbosacral disc herniationCarpal tunnel syndromeOccupational dermatitisOccupational cancers:
Lung, skin, mesothelioma, bladder, sinus, liver, leukemia,
Clinical diagnostic criteria
Exposure criteria Causative exposures Minimum exposure intensity Minimum exposure duration Minimum latency period
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