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Public Health Forum

A Forum to discuss Public Health Issues in Pakistan

Welcome to the most comprehensive portal on Community Medicine/ Public Health in Pakistan. This website contains content rich information for Medical Students, Post Graduates in Public Health, Researchers and Fellows in Public Health, and encompasses all super specialties of Public Health. The site is maintained by Dr Nayyar R. Kazmi

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    Occupational Health

    Dr Abdul Aziz Awan
    Dr Abdul Aziz Awan


    Pisces Number of posts : 685
    Age : 56
    Location : WHO Country Office Islamabad
    Job : National Coordinator for Polio Surveillance
    Registration date : 2007-02-23

    Occupational Health Empty Occupational Health

    Post by Dr Abdul Aziz Awan Mon Feb 26, 2007 1:24 pm

    Occupational safety and health
    Occupational Safety and Health (OSH) is a cross-disciplinary area concerned with protecting the safety, health and welfare of people engaged in work or employment. As a secondary effect OSH may also protect employers, customers, suppliers, and members of the public who may experience an impact from the workplace environment.
    Since 1950, the International Labour Organization (ILO) and the World Health Organization (WHO) have had a common definition of occupational health. This definition was adopted by the Joint ILO/WHO Committee on Occupational Health at its First Session (1950) and revised at its 12th Session (1995): "Occupational health should aim at: the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations; the prevention amongst workers of departures from health caused by their working conditions; the protection of workers in their employment from risks resulting from factors adverse to health; the placing and maintenance of the worker in an occupational environment adapted to his physiological and psychological capabilities; and, to summarize, the adaptation of work to man and of each man to his job."
    The primary, and in the view of many, the most prominent reason for establishing occupational safety and health (OSH) standards is moral - an employee should not have to expect that by coming to work life or limb is at risk, nor should others be adversely affected by their undertaking.
    A further factor that favours OSH is economic - many governments realize that poor occupational safety and health performance results in cost to the State (e.g. through social security payments to the incapacitated, costs for medical treatment, and the loss of the "employability" of the worker). Employing organisations also sustain costs in the event of an incident at work (such as legal fees, fines, compensatory damages, investigation time, lost production, lost goodwill from the workforce, from customers and from the wider community).
    OSH standards are, generally speaking, further reinforced in both civil law and criminal law; it is accepted that without the extra "encouragement" of potential regulatory action or litigation, many organisations would not act upon their implied moral obligations.
    Different states take different approaches to legislation, regulation, and enforcement.
    In the European Union, Member States have enforcing authorities to ensure that the basic legal requirements relating to occupational safety and health are met. In many EU countries, there is strong cooperation between employer and worker organisations (e.g. Unions) to ensure good OSH performance as it is recognized this has benefits for both the worker ( throughmaintenance of health) and the enterprise (through improved productivity and quality). In 1996 the European Agency for Safety and Health at Work was founded.
    In the UK, health and safety legislation is drawn up and enforced by the Health and Safety Executive and local authorities (the local council) under the Health and Safety at Work Act 1974. Increasingly in the UK the regulatory trend is away from prescriptive rules, and towards risk assessment. Recent major changes to the laws governing asbestos and fire safety management embrace the concept of risk assessment.
    In the USA, OSHA, the Occupational Safety and Health Administration, has been regulating occupational safety and health since the 1971. OSH regulation of a limited number of specifically defined industries was in place for several decades before that, and broad regulations by some of the individual states was in place for many years prior to the establishment of OSHA.
    In Canada, workers are covered by provincial or federal labour codes depending on the sector in which they work. Workers covered by federal legislation (including those in mining, transportation, and federal employment) are covered by the Canada Labour Code; all other workers are covered by the health and safety legislation of the province they work in. The Canadian Centre for Occupational Health and Safety (CCOHS), an agency of the Government of Canada, was created in 1978 by an Act of Parliament. The act was based on the belief that all Canadians had "...a fundamental right to a healthy and safe working environment." . CCOHS is mandated to promote safe and healthy workplaces to help prevent work-related injuries and illnesses.
    In Malaysia, the Department of Occupational Safety and Health (DOSH) under the Ministry of Human Resource is responsible to ensure that the safety, health and welfare of workers in both the public and private sector is uphold. DOSH is responsible to enforce the Factory and Machinery Act 1969 and the Occupational Safety and Health Act 1994.
    Occupational safety and health may involve interaction among many cognate disciplines, including occupational medicine, occupational (or industrial) hygiene, public health, safety engineering, health physics, ergonomics, toxicology, epidemiology, industrial relations, public policy, sociology, and psychology. [edit] Hazards, risks, outcomes
    The terminology used in OSH varies between states, but generally speaking:
    • A hazard is something that can cause harm if not controlled.
    • A risk is the probability of the hazard causing harm.
    • The outcome is the harm that results from an uncontrolled hazard.
    “Hazard”, “risk”, and “outcome” are used in other fields to describe e.g. environmental damage, or damage to equipment. However, in the context of OSH, “harm” generally describes the direct or indirect degradation, temporary or permanent, of the physical, mental, or social well-being of workers. For example, repetitively carrying out manual handling of heavy objects is a hazard (it can cause harm). The risk can either be expressed mathematically, (0.5 = a 50/50 chance) or just as "high/medium/low". The outcome would be a musculoskeletal disorders (MSDs).
    Risk assessment
    Modern occupational safety and health legislation usually demands that a risk assessment be carried out prior to making an intervention. This assessment should:
    • Identify the hazards
    • Identify all affected by the hazard and how
    • Evaluate the risk
    • Identify and prioritise the required actions
    The calculation of risk is based on the likelihood or probability of the harm being realised and the severity of the consequences. This can be expressed mathematically as a quantitative assessment (by assigning low, medium and high likelihood and severity with integers and multiplying them to give a risk factor), or as a description of the circumstances by which the harm could arise i.e. qualitative.
    The assessment should be recorded and reviewed periodically and whenever there is a significant change to work practices. The assessment should include practical recommendations to control the risk.
    The precautionary principle is a increasingly used method for reducing potential chemical or biological OSH risks.
    Common workplace hazard groups• Biological agents
    • Chemical agents, including
    o solvents
    • Heavy metals
    • Physical agents, including
    o noise
    o vibration
    o ionizing radiation
    • Physical hazards
    o Slips and trips
    o Falls from height
    o Workplace transport
    o Dangerous machinery
    o Electricity
    • Reproductive hazards
    • Work related stress causal factors
    o Overtime, as well as emotional, verbal, and psychological abuse.
    • Workplace comfort
    o Temperature, humidity, lighting, welfare and the avoidance of musculoskeletal disorders by the employment of good ergonomic design
    Prevention of fire often comes within the remit of health and safety professionals as well.

    Dr Abdul Aziz Awan
    Dr Abdul Aziz Awan
    Dr Abdul Aziz Awan


    Pisces Number of posts : 685
    Age : 56
    Location : WHO Country Office Islamabad
    Job : National Coordinator for Polio Surveillance
    Registration date : 2007-02-23

    Occupational Health Empty Re: Occupational Health

    Post by Dr Abdul Aziz Awan Fri Aug 07, 2009 1:06 pm

    Dr Abdul Aziz Awan
    Dr Abdul Aziz Awan


    Pisces Number of posts : 685
    Age : 56
    Location : WHO Country Office Islamabad
    Job : National Coordinator for Polio Surveillance
    Registration date : 2007-02-23

    Occupational Health Empty Re: Occupational Health

    Post by Dr Abdul Aziz Awan Fri Aug 07, 2009 1:10 pm

    What is Occupational Health?



    DEFINITION:
    Occupational Health is the promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations by preventing departures from health, controlling risks and the adaptation of work to people, and people to their jobs.
    (ILO/WHO 1950)
    Dr Abdul Aziz Awan
    Dr Abdul Aziz Awan


    Pisces Number of posts : 685
    Age : 56
    Location : WHO Country Office Islamabad
    Job : National Coordinator for Polio Surveillance
    Registration date : 2007-02-23

    Occupational Health Empty Occupational Health Services

    Post by Dr Abdul Aziz Awan Fri Aug 07, 2009 1:15 pm

    Introduction: Objectives of this Book


    Section I. Purpose and Structure of Occupational Health Services

    Chapter 1. The Occupational Health Care System
    Chapter 2. Occupational Health Services
    Chapter 3. Services to Small Business
    Chapter 4. Providing Services to Many Employers
    Chapter 5. Providing Services to a Single Large Employer
    Chapter 6. Work Organization and Labor Relations
    Chapter 7. Workers' Compensation
    Chapter 8. Occupational Safety and Health Regulation
    Section II. Administration

    Chapter 9. Staffing and Personnel Needs
    Chapter 10. Facilities and Equipment
    Chapter 11. Costs and Benefits
    Chapter 12. Marketing
    Chapter 13. Office Procedures
    Chapter 14. Liability Coverage for Physicians
    Chapter 15. Records
    Section III. Services

    Chapter 16. Occupational Health Services - An Overview
    Chapter 17. Clinical Management
    Chapter 18. Fitness-to-Work and Disability Evaluations
    Chapter 19. Health Monitoring and Surveillance
    Chapter 20. AIDS in the Workplace
    Chapter 21. Equal Access and Opportunity
    Chapter 22. Absence Monitoring
    Chapter 23. Hazard Evaluation and Control
    Chapter 24. Industrial Emergencies
    Chapter 25. Drug Screening
    Chapter 26. Employee Assistance
    Chapter 27. Health Promotion
    Section IV. Standards and Evaluation

    Chapter 28. Preparation of the Physician for Occupational Medicine Practice
    Chapter 29. Research
    Chapter 30. Ethics in Occupational Health
    Chapter 31. Standards and Quality of Care
    Chapter 32. Evaluation of Programs and Projects

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    Occupational Health Empty Re: Occupational Health

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