Slide 1: ``De Morbis Artificum Diatriba``
First book on occupational diseases – 1700 in Italy Bernardino Ramazzini (1633-1714) OCCUPATIONAL HEALTH : OCCUPATIONAL HEALTH The modern definition of Occupational Health (ILO and WHO) is: “The promotion and maintenance of the highest degree of physical, mental and social well-being of workers in all occupations – total health of all at work” OCCUPATIONAL HAZARD: : OCCUPATIONAL HAZARD: ``Source or situation with a potential for harm in terms of injury or ill health, damage to property, damage to the workplace environment, or a combination of these`` Safety and Health Legislations :THE FACTORIES ACT,1948 : Safety and Health Legislations :THE FACTORIES ACT,1948 Chapter- III - Covers Health
Chapter- IV - Covers Safety
Chapter- Iva -Provision-related-to
Chapter- V - Welfare
Chapter- VI - Working hrs-adults
Chapter- IX - Special provisions
-Notifications 11 Chapters
3 Schedules Safety and Health Legislations :THE FACTORIES ACT,1948 : Safety and Health Legislations :THE FACTORIES ACT,1948 SCHEDULES
First schedule- List of Factories involving Hazardous processes (29)
Second schedule- Permissible levels of certain chemical substances in work environment.
Third schedule- List of notifiable diseases. (29 categories) OCCUPATIONAL HEALTH HAZARDS : OCCUPATIONAL HEALTH HAZARDS TYPES OF OCCUPATIONAL HEALTH HAZARDS
E. Psychosocial PHYSICAL HAZARDS : PHYSICAL HAZARDS Temperature - Heat / Cold
Atmospheric pressure DISEASES DUE TO PHYSICAL AGENTS : DISEASES DUE TO PHYSICAL AGENTS Heat - Heat hyperpyrexia, Heat Exhaustion Heat Syncope, Heat Cramps, burns, Prickly heat
Cold - Frost bite,
Light – Occupational Cataract,
Atmospheric-pressure-Caisson disease,air embolism, explosion.
Noise - Occupational deafness,
Radiation -Cancer,Leukemia,aplastic anemia, Pancytopenia
Electricity - Burns, Shocks, Human Heat Balance Equation : Human Heat Balance Equation M+R+-C+-CV-E=+-S
Basic equation can be used for any adjustment in relation to
existing Environmental condition to keep body in thermo neutral
in that particular environment HEAT= Evaporative cooling will be more
COLD= Process of conserving heat from conductive,
radiative & convective heat will be more so that
the body will remain in thermo-neutral e.g.
it will neither gain or loss heat irrespective of
environment heat or cold change. Heat Illness : Heat Illness Predisposing Factors
Extremes of age, poor physical condition, fatigue
Phenothiazines, anticholinergics, B and Ca channel blockers, diuretics, amphetamines, LSD, cocaine, MAOIs Heat Stroke : Heat Stroke SYMPTOMS
Any neurological finding
And elevated temperature
May still be sweating initially
History is critical PREVENTION
Adaptation of behavioral and
Education Frost Bite : Frost Bite SYMPTOMS
Caused by freezing conditions which cut off circulation, usually in extremities (hands, feet, ears, nose), which may be permanently affected. Frost-bitten areas are cold, pale or marbled-looking, solid to the touch, and painless (until circulation is restored). TREATMENT
Giving warm drinks, and covering with
blankets. Warm the injured part with body
heat only-put a hand under an armpit,
for example. Do not rub the skin or apply
direct heat to the injured area. CHEMICAL HAZARDS : CHEMICAL HAZARDS Routes of entry - Inhalation, Ingestion, skin absorption. (inhalation is the main route of entry)
Chemical agents can be classified into- 1) Metals - Lead, TEL, As, Hg, Cd, Ni , Co etc. 2) Aromatic Hydrocarbons - Benzene, Toluene,phenol etc. 3) Aliphatic Hydrocarbons - Methyl alcohol 4) Gases - *Simple asphyxiants : N2, CH4, CO2 * Chemical asphyxiants : CO, H2S, HCN * Irritant gases : Ammonia, SO2, Cl2, * Systemic poison : CS2 TLV CONCEPT : TLV CONCEPT The Threshold Limit Value - Time Weighted Average
(TLV-TWA) : ``Time-weighted average concentration
for a normal 8-hour working day and a 40-hour working
week, to which nearly all workers may be repeatedly
exposed day after day, without adverse effect`` The Threshold Limit Value - Short Term Exposure Limit
(TLV-STEL) is defined as a 15-minute, time-weighted
average which should not be exceeded at any time
During a working day, even if the 8-hour time-weighted
average is within the TLV`` DUSTS (Pneumoconiosis) : DUSTS (Pneumoconiosis) Inorganic Dust
- Coal Dust -Anthracosis
¨ Silica -Silicosis
¨ Asbestos -Asbestosis
¨ Cane Fiber -Bagassosis (Bronchi gets affected)
- Cotton dust -Byssinosis (In Textile industries)
¨ Tobacco - Tobaccosis,Lung Cancer
¨ Grain Dust -Farmer’s Lungs Biological Hazards : Biological Hazards Bacteria-Tetanus,Tuberculosis, Anthrax, Brucellosis (Milkmen),Gonorrhea(Sex-workers-Genital organs get affected).
Virus - Hepatitis, AIDS
Protozoal&Parasitic-Malaria,Hydatid(Dog handlers),Hookworms, tapeworms (Agri-workers), etc.
Fungi-(Agri-workers)-Tinea-infections, Coccidiomycosis, Psittacoses, ornithosis, etc. MECHANICAL HAZARDS : MECHANICAL HAZARDS Injuries-Falls,cuts,abrasions,concussions,contusions,etc.
Musculo-skeletal disorders(MSDs),Cumulative-trauma-Disorders (CTDs) etc.
Ergonomics: ``Adjustment of Man & Machine``/
Application of human biological sciences with engineering science to achieve optimum mutual adjustment of man & his work, the benefit being measured in terms of human efficiency and well being
Tool / machine design to fit to work. Ergo tools/ ergofriendly tools : Tools which reduce the stresses or problems resulting in CTD’s / MSD’s.) Manual Handling - Back Injuries : Manual Handling - Back Injuries All forces which come down the spine compresses discs and as a result of
Continuous squeezing they can rupture and bulge causing severe pain.
Most back injuries are built over along period of time by repetitive pounding on discs caused by improper methods. After sometime some minor lift can produce such rupture
``Straight back rule``
‘Thinking before lifting’ Manual Handling - Back Injuries : Manual Handling - Back Injuries *CONTROL any risk by reducing necessity for manual handling by using alternative means of handling
*consider the load; size, awkward shape, etc*consider need for mechanical or manual assistance*position legs apart - one foot level with the load*keep back straight, look up Manual Handling - Back Injuries : Manual Handling - Back Injuries *bend from the hips, avoid ‘twisting’ the body*tighten the stomach muscles, but don’t hold breath*BEND THE KNEES
*keep the load close to the body*lift with the legs, not the back*keep carrying distance short*avoid changing grip or ‘jerking’ the load*deposit the load by bending the knees and
keeping the back straight VDT USER`S-ERGONOMIC GUIDELINES : VDT USER`S-ERGONOMIC GUIDELINES *Seat height to be adjusted so that thighs are horizontal & feet are resting flat on the floor*Thigh-torso angle is not less than 90 degrees, with 100 degrees as preferable*Chair should have ``Backrest``with support for curvature in lumbar area SEATING POSITION Natural S-curvature of the spine VDT USER`S-ERGONOMIC GUIDELINES : VDT USER`S-ERGONOMIC GUIDELINES *Wrist and forearm-held in straight line to reduce tendon & nerve stress
*Upper & lower arm-at 90 degree angle *Elbows to be kept close to the sides
*Head-Screen distance=25-48 inches(min 12 ``) from the VDT users eye
*Optimal viewing angle is 20 degrees below the horizontal line from the eyes WORKING POSTURE VDT USER`S-ERGONOMIC GUIDELINES : VDT USER`S-ERGONOMIC GUIDELINES *NO GLAIR
*VDT to be placed 90 degrees to the light source, adjust screen angle *Use screen filters to reduce glare
*Screen intensity needs to be adjusted
*Frequent breaks from the screen to reduce stress on eyes
*Optical illusion VISION & LIGHTING VDT USER`S-ERGONOMIC GUIDELINES : VDT USER`S-ERGONOMIC GUIDELINES *Change positions, Stretch or walk around if feeling tiredness
*``LIGHT TOUCH`` on Keyboard to reduce hand stress or developing CTD`s
*Look at ``Optical Illusion`` for 1-2 minutes after every 20 minutes of work with vdt to reduce eye stress
*Rotate eye ball and also concentrate on a distant object & near object alternatively to reduce eye stress
*Keep the vdt screen and eyeglasses clean GENERAL GUIDELINES VDT USER`S-ERGONOMIC GUIDELINES : VDT USER`S-ERGONOMIC GUIDELINES OPTICAL ILLUSIONS PSYCHOSOCIAL HAZARDS : PSYCHOSOCIAL HAZARDS v Lack of job satisfaction, insecurity, poor interpersonal relations, work pressure, ambiguity, etc.
v Psychological & behavioral changes – hostility, aggressiveness, anxiety, depression, alcoholism, drug addiction, sickness absenteeism.
v Psychosomatic disorders- Hypertension, headache, body-ache, peptic ulcers, asthma, diabetes, heart disorders, etc. TYPE OF CONTROL MEASURES : TYPE OF CONTROL MEASURES Medical (required to monitor effectiveness of Engg. Controls)
Engineering (Best Engg. Control is to reduce exposure)
Administrative / Legal. (Emphasis given to reduce the exposure ENGINEERING CONTROLS : ENGINEERING CONTROLS A Designing-building, Work station.
B Good Housekeeping.
H Local Exhaust Ventilation.
I Personal Protective Devices.
J Work Environment Monitoring
K Statistical Monitoring. Thank You! : Thank You! Carbon-Dioxide : Carbon-Dioxide • Has no odor.
• Heavier than air.
• TLV exposure limit is 5,000 ppm.
• IDLH 50,000 ppm
• Can cause death by asphyxiation Ammonia : Ammonia • Odor detection limit 1-5 ppm
• Irritating 50 ppm (eyes), 100
ppm (respiratory tract)
TLV 25 ppm
IDLH 500 ppm
Lethal 10,000 ppm
Irritant in nature