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The Practice of Occupational
Medicine
Presented By: Dr. Majid Golabadi
Occupational Medicine Specialist
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Location of Occupational
Illnesses & Injuries amongLeading causes of
Morbidity & Mortality in…
5Nearly half of all injuries in some age groups !
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Occupational Fatalities Ranking
8
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Financial Costs of
Occupational Illnesses &
InjuriesExceed $150 billion per year
The Human Costs
Staggering!!?
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The ILO estimates that : The World’s Work Force suffers More than 1 Billion Accidents Every Year.
Over 2 million People are killed by Their Work Every Year.
More than 6% of National Incomes
Cause Permanent Disabilities &
Economic Losses
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The WHO estimates that : There are at least 250 million Cases of Occupational Disease Worldwide!!! with an Unknown additional toll on National Incomes !?
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How much of all injury cases result
in Loss of Work ?
One- third
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What Percent of those Severely Disabled
from an Occupational Disease receive
Workers’ Compensation Benefits?
5 %
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How many Chemicals are found in Work Settings?How many Workers are exposed to these Substances?Many Millions
More than Half a Million
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What is the most common
Occupational Respiratory Disease
?
Asthma
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How muchof new-onset
Asthma in adults is Work-related ?
20%
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Workplace Exposure to Carcinogens
All Cancer Cases5-10 %
Less than 0.1% of cancer patient ever receive any settlement from employers !!!
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How many Lung Cancer Cases in Men & Women are Work-related?16-17 %
2%
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How many Occupational Exposures cause of all Cancers?
20%
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Occupational Cancers are
Totally Preventable !!!100
%
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Work Health
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Worker
Workplace
O.M O.H
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Industrial or Occupational
Hygiene
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Anticipation Recognition Evaluation Control Of Health Hazards arising in or
from the Workplace
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Occupational Medicine
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Practices in Occupational medicine
• Occupational Medicine focuses on the prevention, evaluation, treatment and resolution of health conditions caused by the workplace environment.
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Occupational Physician must :Determine that an injury or illness is caused by work,
Diagnose it,Treatment,Assess the extent of impairment, &
Assess the ability of the worker to resume work.
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Independent Medical Examiner
The highest level of evaluation the worker
Most requests for IME opinions come from …
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Occupational Medicine Services
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Preventive ServicesCurative Services Rehabilitative Services Consultative Services Administrative ServicesResearch ServicesEducational & Training Services
& Other Services
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The Rationale forOccupational Medicine
ServicesSize of Working Population
Economic Consequences
Special Hazards associated with Work
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Levels of Prevention
Primordial PreventionPrimary PreventionSecondary PreventionTertiary Prevention
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Primary Prevention at an Organizational LevelSubstitution of a Less Hazardous
Process for a More Hazardous One
Substitution of a Less Hazardous Substance for a More Hazardous One
Installation of Engineering Controls & Devices
Job Redesign, Work Organization Changes, & Work Practice Alternatives
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Primary Prevention at an Individual Level
Education
Personal Protective Equipment
Administrative Measures
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Secondary Prevention of
Occupational IllnessScreening for Occupational Disease
Screening at-risk Workers who are not Covered by Standard-mandated Examination
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Tertiary Prevention of Occupational
IllnessPrevent DisabilityPrevent Further Progression
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Health Examination
Programs
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Preemployment H.E. or
Preplacement H.E. ?
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The Objectives of the Preplacement Health
Exam. (Employment Entrance
Examination)
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Periodic Health Examination
General Specific (Hazard-
related)
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The Objectives of Periodic Health
Exam.
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Other Mandatory Health Examinations
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Return-to-Work Examination
a- Postinjury
b- PostillnessMotor Vehicle Operator ExaminationLocomotive Engineer ExaminationPhysical Fitness ExaminationFlight Personnel ExaminationJob Transfer ExaminationDisability & Retirement ExaminationForeign Travel Examination (prior to)
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