OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR PARTICULARITIES OF OCCUPATIONAL

OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR PARTICULARITIES OF OCCUPATIONAL ACCIDENTS AND DISEASES MEDICAL PREVENTION Prof. Eugenia Naghi MD, Ph. D UMF<Carol Davila>, Bucharest Bogdan Draghici, MD Occupational medicine resident Occupational Medicine in Construction Industry 1

Occupational Medicine in Construction Industry 2

Occupational Medicine in Construction Industry 3

Occupational Medicine in Construction Industry 4

CONSOLIDATION Occupational Medicine in Construction Industry 5

CONSOLIDATION Occupational Medicine in Construction Industry 6

DEMOLITION Occupational Medicine in Construction Industry 7

Occupational Medicine in Construction Industry 8

CONSTRUCTION Occupational Medicine in Construction Industry 9

Occupational medicine physician OCCUPATIONAL RISK: v. WORK RELATED INJURIES v. OCCUPATIONAL DISEASES Occupational Medicine in Construction Industry 10

Case presentation – V. M, woman, 47 years- old – Diagnosis: v. Occupational asthma v. Allergic contact dermatitis v. Occupational deafness Occupational Medicine in Construction Industry 11

Case presentation u Occupational route – 1985 -1991: Construction Company A – 1991 -1996: Construction Company B Occupational Medicine in Construction Industry 12

Case presentation u Medical route – Bucharest University Hospital (first crisisurgent admission) – Occupational Medicine Clinic- Colentina Hospital : complete medical evaluation; diagnosis; recommendations Occupational Medicine in Construction Industry 13

Case presentation u. Patient evolution: – Work place change / Job restrictions – Medical retirement – Severe evolution of the disease (Occupational Asthma) – Repeated hospitalizations Occupational Medicine in Construction Industry 14

Job: concrete/terrazzo worker u Hazard u Disease – Cement (potassium dichromate), latex (rubber gloves) – Allergic contact dermatitis – Isocyanate or epoxy sealants, adhesives or foams, cement (potassium dichromate) – Occupational asthma – Allergic contact dermatitis Occupational Medicine in Construction Industry 15

Job: construction painter u Hazard u Disease – Paint/ oil- based – Acute solvent syndrome – Paint/ water- based – Paint/ 2 - part epoxy or urethane – Allergic contact dermatitis – Occupational asthma, Allergic dermatitis – Solvents (cleaning) – Acute solvent syndrome Occupational Medicine in Construction Industry 16

Job: demolition worker u Disease u Hazard – Asbestos (remove insulation) – Noise – Vicious position, effort – Asbestosis, other asbestos- related pathology – Occupational deafness – Musculo- skeletal disorders Occupational Medicine in Construction Industry 17

Diagnosed occupational diseases u Occupational asthma u Allergic contact dermatitis u Occupational deafness Occupational Medicine in Construction Industry 18

Occupational diseases still possible u. Malignant benign asbestosrelated pathology Occupational Medicine in Construction Industry and 19

Causes of diseases u Personal protective equipment ? u Unsuitable rhythm and duration of the work ? u Medical surveillance : occupational medicine ? Occupational Medicine in Construction Industry 20

Prophylactic medical measures u Occupational risk recognition u Pre- placement and return- to- work evaluations u Periodic medical examination (occupational- medical preventive examination) u Education Occupational Medicine in Construction Industry 21

Occupational risk recognition u Occupational u Qualitative/ hazards identification quantitative hazards evaluation u Epidemiological studies Occupational Medicine in Construction Industry 22

Medical examinations u Avoid employment of high risk persons (diseases caused by occupational agents) u Diseases diagnosis in early (sub clinical) stages; work- place change; avoid medical complications; u Essential to be done by an occupational medicine physician Occupational Medicine in Construction Industry 23

Education u Technical and administrative personnel – Adequate technical and administrative prophylactic measures u Working personnel – Individual hygiene – Personal protective equipment – First- aid measures – First disease simtoptoms recognition – Importance of medical examination Occupational Medicine in Construction Industry 24

Thank you for your attention Occupational Medicine in Construction Industry 25