Occupational Medicine in Construction Industry1 OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR PARTICULARITIES OF OCCUPATIONAL ACCIDENTS AND DISEASES MEDICAL.

Occupational Medicine in Construction Industry

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OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR

PARTICULARITIES OF OCCUPATIONAL ACCIDENTS

AND DISEASES MEDICAL PREVENTION

Prof. Eugenia Naghi MD, PhDUMF<Carol Davila>, Bucharest

Bogdan Draghici, MDOccupational medicine resident


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5CONSOLIDATION


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CONSOLIDATION


7DEMOLITION


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9CONSTRUCTION


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Occupational medicine Occupational medicine physicianphysician

OCCUPATIONAL RISK:

WORK RELATED INJURIESOCCUPATIONAL DISEASES


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Case presentationCase presentation

– V.M, woman, 47 years- old

– Diagnosis: Occupational asthma Allergic contact dermatitis Occupational deafness


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Occupational route

– 1985-1991: Construction Company A

– 1991-1996: Construction Company B


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Medical route

– Bucharest University Hospital (first crisis- urgent admission)

– Occupational Medicine Clinic- Colentina Hospital : complete medical evaluation; diagnosis; recommendations


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Patient evolution:

– Work place change / Job restrictions– Medical retirement– Severe evolution of the disease

(Occupational Asthma)

– Repeated hospitalizations


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JobJob: : concrete/terrazzo workerconcrete/terrazzo worker

Hazard

– Cement (potassium dichromate), latex (rubber gloves)

– Isocyanate or epoxy sealants, adhesives or foams, cement (potassium dichromate)

Disease

– Allergic contact dermatitis

– Occupational asthma– Allergic contact

dermatitis


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Job: construction painterJob: construction painter

Hazard

– Paint/ oil- based

– Paint/ water- based– Paint/ 2- part epoxy

or urethane

– Solvents (cleaning)

Disease

– Acute solvent syndrome

– Allergic contact dermatitis

– Occupational asthma, Allergic dermatitis

– Acute solvent syndrome


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Job: demolition workerJob: demolition worker

Hazard

– Asbestos (remove insulation)

– Noise

– Vicious position, effort

Disease

– Asbestosis, other asbestos- related pathology

– Occupational deafness

– Musculo- skeletal disorders


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Diagnosed occupational Diagnosed occupational diseasesdiseases

Occupational asthma

Allergic contact dermatitis

Occupational deafness


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Occupational diseases Occupational diseases still still possiblepossible

Malignant and benign asbestos- related pathology


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Causes of diseasesCauses of diseases

Personal protective equipment ?

Unsuitable rhythm and duration of the work ?

Medical surveillance : occupational medicine ?


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Prophylactic medical Prophylactic medical measuresmeasures

Occupational risk recognition

Pre- placement and return- to- work evaluations

Periodic medical examination (occupational- medical preventive examination)

Education


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Occupational risk recognitionOccupational risk recognition

Occupational hazards identification

Qualitative/ quantitative hazards evaluation

Epidemiological studies


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Medical examinationsMedical examinations

Avoid employment of high risk persons (diseases caused by occupational agents)

Diseases diagnosis in early (sub clinical) stages; work- place change; avoid medical complications;

Essential to be done by an occupational medicine physician


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EducationEducation

Technical and administrative personnel

– Adequate technical and administrative prophylactic measures

Working personnel – Individual hygiene– Personal protective

equipment– First- aid measures– First disease

simtoptoms recognition

– Importance of medical examination


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Thank you for your attention Thank you for your attention

Occupational Medicine in Construction Industry1 OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR PARTICULARITIES OF OCCUPATIONAL ACCIDENTS AND DISEASES MEDICAL.

Documents

construction industryjob

construction company

medical surveillance

epoxy sealants

latex rubber glovesisocyanate

bucharestbogdan draghici

unsuitable rhythm

years olddiagnosis