introduction of occupational health activities in...
TRANSCRIPT
INTRODUCTION
of Occupational Health
Activities in Vietnam
Ministry of Health of SR Vietnam
Health Environment Management Agency
VIHEMA
Dr. Tran Anh Thanh, Head of OH and IP Division
Health Environment Management Agency MoH
CONTENT
1. Introduce MoH and HEMA
2. Results of OH activities
3. Ongoing activities and orientation
to 2020
VIHEMA
Population size : 91.7 million (2015 est.) General office for population family planning – MOH
Labor force - by occupation:
agriculture: 48% industry: 21% services: 31%
Main industries and occupations Agriculture: Rice, cassava, sweet potatoes, coffee, tea, soybeans, natural
rubber, livestock, sugarcane
Fishing: Fish, shrimp and prawns, mollusks, crab, other shellfish
Mining: Petroleum, coal, iron, phosphate rock, zinc, chromite, gypsum, tin,
antimony
Manufacturing: Paper, cement, textiles, food products, fertilizers,
electronics
VIET NAM
VIHEMA
INTRODUCTION
OF MOH AND HEMA
VIHEMA
Leaders of MoH
Dept.
Com
munic
ation
Dept.
Maternal
and
Childhood
Health
Care
Dept.
Health
Equipment
and
Building
Dept.
Health
Insuran
ce
Dept.
Plannin
g and
Finance
Personn
el Office
Dept. Of
Internation
al
Cooperati
on
Legal
Dept
Cabine
t Office
Inspector
al Dept.
G.
Dept.
on
Preven
tive
Medici
ne
G.
Dept.
on
HIV/A
IDS
contro
l
G. Dept.
on Food
Safety
G. Dept.
on Health
Science,
Technique
and
Education
Medica
l
Servic
es
Admini
stration
G.
Dept.
on
Traditio
nal
Medici
ne
G.
Dept.
on
Phar
macy
G.
Dept.
on
Health
Techni
cal
Inform
ation
G. Dept.
on
Population
and
Family
Planning
Health
Env.
Managem
ent
Agency
Structure of MOH Viet Nam
Administration/Functional units Administration
Functional units
Business units Journal on Health and Social Life
Journal on Practical Medicine
Institutes ………. VIHEMA
HISTORY OF VIHEMA
Preventive Medicine
Department
Department of Food Safety
2013: ORDINANCE ON FOOD SAFETY
G. Department of Preventive Medicine and HIV/AIDS
prevention
G. Department of Preventive Medicine
and Environment
G. Department of HIV/AIDS control
2005: Ordinance on HIV/AIDS prevention
2006: Law on HIV/AIDS prevention
G. Department of Preventive Medicine Health Environment
Management Agency
2000
2010
2005
VIHEMA
Operational Structure of VIHEMA
Director General Board
Health
Environ.
Infor.
Center
Division
of
Health
Facility
Environment
Division
of
Planning
&
Finance
Cabinet
Office
Division
of
Chemical
Management
& Health
Environment
Impact
Assessment
Division
of
Occ.
Health
&
Injury
Prevention
Division
of
Community
Environment
Health
Division of
Legislation
and
Inspection
State management activities in general
Development legislation documents,
guidelines, strategies, and plans;
Implementing activities: IEC, training
course, dissemination…
Monitoring, inspect, and evaluation;
Research and international collaboration
VIHEMA
RESULTS OF OH ACTIVITIES
VIHEMA
Division of OH –IP of VIHEMA State management on:
Monitoring working environment and OD prevention
Worker health management
- Worker’s Health enrollment standard
- Health examination and OD examination
- List of occupational diseases
- OD notification
- Examination of working capacity loss
- Classification of hazardous, heavy and toxic jobs
First aid at workplace
Occupational expose limit
Regulation on health staff at workplace
Occupational health and safety for health workers
Treatment and rehabilitation: MSA
VIHEMA
Occupational Health Network
MOH (VIHEMA) UN Agencies, NGOs,
Other Inter. Organization Related Ministries
(MONRE, MOLISA, MARD, …)
National Institute
Occupational
&Env. Health
Pasteur In.
Nhatrang
Tay Nguyen In.
Hygiene
Epidemiology
Other related
Institutes
In. of Hygiene
Public Health
HCMC
Occupational Health
Centers of Ministries Provincial Centers of
Preventive Medicine Centers of Occupational
Env. Health (8/63 total)
Provincial
Departments of Health
District
Health Centers
Commune
Health Centers
Health units of
enterprises
/company VIHEMA
Situation of OH in Viet Nam
VIHEMA
Vietnam workforce in 2016
31,260% 10,6
20%
10,420%21
40%
Informal sector
Formal sector with social insurance
Formal sector without social insurance
21
40%
VIHEMA
Result of OH activities in 2006-2016
242345
324910
176284
383212 376476
453804
581265
475547 535,189
823,250
735,887
0
200000
400000
600000
800000
1000000
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Total sample
1. Occupational environment monitoring in 2006-2016
VIHEMA
Result of OH activities in 2006-2016 1. Occupational environment monitoring in 2006-2016
16.9
14.4
13.4
13.6
10.6
10.99
9.07
8.35 10.9 10.25
8.3
0
2
4
6
8
10
12
14
16
18
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
% samples exceeding the national standard
New hazard factors: Biological factors (SARS, H5N1, Êbola,…); toxic gas, new chemicals, Ergonomic,…
Only monitor and take samples in big companies/factories (10-20%) VIHEMA
2. Workers’ health situation
a. Periodical health examination for workers
Increasing( x 1,7 times) with 2-3 million
people per year (14% of total workers
signed occupational contracts)
b. Common diseases of workers
Respiratory system, eyes, musculoskelal,
ears, skin
VIHEMA
c) Sick-leaves situation
- Increase 3%
- Absence working day average decrease: 1,36
– 0,8 day/person/year
- reported 620.000 workers (3%): 500.000
working day lossed = losed 114,5 billon VND
d) Occupational mortality and morbidity
- Mortality average: 2000 cases/year
- Injuries average: 160.000 cases/year
VIHEMA
Statistics and Reported Cases in Occupational Injuries and Diseases 2011-2015
Year Serious Occupational Accidents (OA) Occupational diseases (OD)
Number of Serious
Occupational Accidents
Number of
fatal victim
Number of
Serious
injury victim
New cases
in the year
Total number
occupational
diseases gathering
previous year (to
be subsidized by
social insurance )
2011 504 574 1314 3557 27246
2012 552 606 1470 5171 27515
2013 562 627 1506 7472 27878
2014 592 630 1544 6577 28274
2015 629 666 1704 8966 28669
Source Occupational accidents reports of the Occupational Safety
Bureau, MOLISA
Occupational health reports of the
Health Environment Management
Agency, MOH
VIHEMA
e) Occupational diseases
- 34 ODs. Accumulated number: 28.905 people
- Highest diseases: silicosis, occupational
deafness, skin diseases
- Sectors: mining, construction, health, chemical,
mechanic
- 100.000 workers having health examination per
year
- Average 5000 workers with ODs, expertised
500 workers VIHEMA
Source: Occupational health reports of the Health Environment Management Agency, MOH, 2011 - 2016.
Numbers of occupational diseases in Vietnam (2011-2016)
No. Occupational disease 2011 2012 2013 2014 2015 2016
1 Bronchopulmonary diseases
group 1001 1733 2039 982 1558 567
2 Poisoning diseases group 128 89 171 130 382 165
3 Group of diseases caused by
physical factors 1762 3040 4145 4638 6611 2344
4 Occupational skin diseases
group 445 243 356 653 351 142
5 Group of diseases caused by
microbial factors 221 66 761 174 64 49
Total 3,557 5,171 7,472 6,577 8,966 3,267
g) Rehabilitation occupational diseases
- 58 health facilities can serve 20.000
workers/year
- ODs with rehabilitation: 1%
- Needs of rehabilitation: x 10 times
VIHEMA
Workers’ health situation i) Other factors
- Communicable diseases: H5N1, HIV/AIDS
- NCD: diabetes, hypertension
- Unsafe food at workplace due to the lack of
health workers
The number of food poisoning time increasing
more 21 times than last year 3.422 poisoning
cases (higher 17,6%) and 2.712 hospital
admitted cases (higher 14,8%). VIHEMA
1. OSH Law development in 2015; National progaram on
OSH until 2020;
2. Checking enterprises: 1200 enter./year; 30 health
facilities/year
3. Capacity building: Training courses on OD prevention, first aid at workplace
Postgraduate: PHD, Master of occupational health and OD
prevention.
Short time: certificate from 1 week – 3 month on occupational
environment monitoring, worker’ health monitoring, OD, first aid…
Some specific activities on OH
VIHEMA
OSH Law development
VIHEMA
Training workshop on pneumoconioses prevention (ILO/WHO)
BOHS WORKSHOP in Thai Binh province for Aquaculture
VIHEMA
Workshops on ARDs and Health
4. Advise to improve the occupation condition, arrange
work appropriated with health situation
5. IEC activities:
Health promotion, CD prevention, NCD prevention at
workplace Website, Leaflets, Media reportage
National Week on Safety, Occupational Health and Fire
Prevention
6. Implementation models: Health promotion at workplace,
Healthy workplace,
Prevention of common ODs,
Basic occupational health services for informal sectors.
VIHEMA
National Week on Safety,
Occupational Health and
Fire prevention
VIHEMA
IEC activities
HEMA
WEBSITE
WEBSITE ON
ARDS
ELIMINATION
http://vihema.gov.vn/
http://amiang.org.vn/vi/ VIHEMA
Traditional village – Informal sector OSH review
VIHEMA
BOHS activities in Hue for Agriculture
VIHEMA
NUS expert-HEMA-Eyes hospital
7. Research: New ODs, national standard, list of
hazard, toxic, heavy and dangerous jobs
8. International collaboration:
WHO, ILO, APHEDA, NIOSH, SINGAPORE,
AUSTRA-LIA, KOSHA KOREA…
VIHEMA
MOU signing between MoH and KOSHA
VIHEMA
Ongoing activities and orientation to 2020
Implementation of OHS Law and under law regulations
BOHS for informal sectors
Elimination of Asbestos
OSH for health care workers
Reviewing list of ODs
Reviewing occupational expose limit
Piloting TWSH for health facilities
Research relating to Asbestos, Silicosis, lead poisoning, young workers, female workers
VIHEMA
Challenges
Limited knowledge on OH of
employers and employees.
Capacity of health staff
Limited budget and resources
VIHEMA
