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OCCUPATIONAL
DISEASES
PRESENTATIVES
B.SC HONS NSG. 3RD YEAR
EVALUATOR
Ms.MILAN TIRWA
OCCUPATIONAL DISEASE OCCUR AS
THE RESULT OF EXPOSURE TO
PHYSICAL, CHEMICAL, BIOLOGICAL OR
PSYCHOLOGICAL FACTORS IN WORK
PLACE WHICH ARE PREDOMINANT AND
ESSENTIAL IN CAUSATION OF OD
OD occur exclusively
among workers exposed
to specific hazards
In some instances these may also
occur among general community as a
consequence of contamination of
environment from work place . Ex
lead, pesticides
Other factors such as individual
susceptibility may play role in
development of disease among
exposed workers
Occupational
diseases
Are causes
specific
Ex. Asbestos
causes
asbestosis
PNEUMOCONIOSIS
ANTHRACOSIS AND SILICOSIS
Pneumoconiosis is an occupational lung disease and a
restrictive lung disease caused by the inhalation of
dust, often in mines and from agriculture.
In 2013, it resulted in 260,000 deaths, up from 251,000
deaths in 1990. Of these deaths, 46,000 were due to
silicosis, 24,000 due to asbestosis and 25,000 due to
coal workers pneumoconiosis.
CLASSIFICATION
Depending upon the type of dust, the disease is given different
names:
a. Coalworker's pneumoconiosis (also known as miner's lung,
black lung or anthracosis) — coal, carbon
b. Aluminosis — Aluminium
c. Asbestosis — asbestos
d. Silicosis (also known as "grinder's disease" or Potter's rot, or
when related to silica inhaled from the ash of an erupting
volcano, Pneumonoultramicroscopicsilicovolcanoconiosis)
— crystalline silica dust
e. Bauxite fibrosis — bauxite
f. Berylliosis — beryllium
g. Siderosis — iron
h. Byssinosis — cotton
i. Silicosiderosis — mixed dust containing silica and iron
j. Labrador lung (found in miners in Labrador, Canada) —
mixed dust containing iron, silica and anthophyllite, a type
of asbestos
k. Stannosis — tin oxide
PNEUMOCONIOSIS
•Dust with in the size range -.5 to 3 micron
• Factors:
• Chemical composition
• Fineness
• Concentration of dust in the air
• Period of exposure
• Health status
ANTHRACOSIS
Cause: coal dust
Two phases
•Simple pneumoconiosis
•Progressive massive fibrosis
R/f : working in cold mine
Risk of death among coal miner is nearly twice than that
of general population
Its an occupational lung disease caused by inhalation of
crystaline silica dust and is marked by inflammation and
scaring in forms of nodular lesions in the upper lobes of lungs
Cause: sio2 or free silica
Incubation period : few months to 6 yrs
Pathophysiology:
Particles are ingested by phagocytes which accumulate
and block lymph channels
Dense nodular fibrosis
Size: 3 to 4 mm
CLINICAL
MANIFESTATION
Irritant cough
Dyspnea on exertion
Chest pain
Impairment of total lung capacity
silicotics are prone to pulmonary
tuberculosis
CHEST Xrays: snow storm appearance
•MANAGEMENT
•No effective treatment
•Control measures
1. Rigorous dust control measures
• Substitution
• Complete enclosure
• Isolation
• Hydroblasting
• Good housekeeping
• Personal protective measures
Bagassosis
• Inhalation of bagasse or sugarcane dust
• Thermophilic actinomycete –
thermoacetinomyces sacchari
• Symptoms – breathlessness, cough,
haemoptysis, slight fever
• Acute diffuse bronchiolitis – initial
• Skiagram – mottling in lungs or shadow
• Resolution of inflammation – if treated early
Skiagram - Mottling in lungs
• Untreated – difuse fibrosis, emphysema,
bronchiectasis
• Preventive measures
- Dust control
Wet process, Enclosed apparatus, exhaust
ventilation
- Personal protection
Mask, mechanical filters
- Medical control
Initial & periodical examinations
- Bagasse control
Keeping moisture > 20%, Spraying bagasse
with 2% propionic acid (fungicide)
BYSSINOSIS
• Rare occupational lung disease
• Also known as BROWN LUNG DISEASE
• Comes under pneumoconiosis
• Form of occupational asthma
• INCIDENCE : 7-8% in 3 independent studies
CAUSES AND RISK FACTORS
• Inhalation of raw flax,hemp,cotton dust and
similar particles
• Smoking
• H/O asthma
SYMPTOMS
• Tightness in chest
• Wheezing and coughing
• Fever
• Muscle and joint pain
• Shivering
• Tiredness
DIAGNOSIS
• History
• Chest X-ray
• CT Scan of lungs
• PFT
• Peak flow meter
TREATMENT
• Avoid exposure to harmful dust
• Bronchodilators
• Inhaled corticosteroids
• Nebuliser for chronic byssinosis
• Oxygen therapy
• Breathing excercise
PREVENTION
• Wear mask in exposure area
• Quit smoking
• Reduce risk factors
ASBESTOSIS
ASBESTOSIS
FARMER’S LUNG
LEAD POSIONING
● Pure lead (Pb) is a heavy metal at room temperature and
pressure. A basic chemical element, it can combine with various
other substances to form numerous lead compounds.
Lead has been poisoning workers for thousands of years. Lead
can damage the central nervous system, cardiovascular system,
reproductive system, hematological system, and kidneys. When
absorbed into the body in high enough doses, lead can be toxic.
Short-term (acute) overexposure–as short as days--can cause
acute encephalopathy, a condition affecting the brain that develops
quickly into seizures, coma, and death from cardiorespiratory arrest.
Lead is most commonly absorbed into the body
by inhalation.
When workers breathe in lead as a dust, fume,
or mist, their lungs
and upper respiratory tract absorb it into the
body. They can also
absorb lead through the digestive system if it
enters the mouth and
is ingested.
Workers at Risk
■ Abrasive blasting and
■ Welding, cutting, and burning on steel structures.
Other operations with the potential to expose workers to lead
include:
■ Lead burning;
■ Using lead-containing mortar;
■ Power tool cleaning without dust collection systems;
■ Rivet busting;
■ Cleanup activities where dry expendable abrasives are used;
■ Movement and removal of abrasive blasting enclosures;
■ Manual dry scraping and sanding;
■ Manual demolition of structures;
■ Heat-gun applications;
■ Power tool cleaning with dust collection systems; and
■ Spray painting with lead-based paint.
○ Adverse effects
● ■ Loss of appetite;
■ Constipation;
■ Nausea;
■ Excessive tiredness;
■ Headache;
■ Fine tremors;
■ Colic with severe abdominal pain;
■ Metallic taste in the mouth;
■ Weakness;
■ Nervous irritability;
■ Hyperactivity;
● ■ Muscle and joint pain or soreness;
■ Anxiety;
■ Pallor;
■ Insomnia;
■ Numbness; and
■ Dizziness.
● REPRODUUCTIVE RISKS
Lead is toxic to both male and female reproductive systems.
Lead can alter the structure of sperm cells and there is evidence of
miscarriage and stillbirth in women exposed to lead or whose
partners have been exposed. Children born to parents who were
exposed to excess lead levels are more likely to have birth defects,
mental retardation, or behavioral disorders or to die during the first
year of childhood.
Lead poisoning
Prevention and management
PREVENTIVE MEASURES
1.SUBSTITUTION
2.ISOLATION
3.LOCAL EXHAUST
VENTILATION
4.PERSONAL PROTECTION
5.GOOD.HOUSE KEEPING
6.WORKING ATMOSPHERE
7.PERIODIC EXAMINATION OF
WORKERS
8.PERSONAL HYGIENE
9.HEALTH EDUCATION
MANAGEMENT
.PREVENTION OF FURTHER
ABSORPTION
.EARLY RECOGNITION IS
IMPORTANT
.SALINE PURGE
.D-PENICILLAMINE
.CA-EDTA
PRACTICAL ASPECTS OF
OCCUPATIONAL
HAZARDS
DISPLAY SCREEN EQUIPMENT
DISORDER
•Assess the risk
•Plan breaks
•Activity changes
•Regular eye check ups
•Position
MUSCULO SKELETAL DISORDERS
• Manual handling(lifting, pushing, lowering, pulling
etc)
• Repetitive movements
• Uncomfortable working position
• Continued working without breaks
Management
•Identify high risk work place activities
•Provide appropriate information and
training on safe movements and
handling
•Healthy lifestyle
•Rest and activity
•Safety
•Physiotherapy and exercise
Occupational dermatitis
•Risk assessment
•Effective control measures
•Use of PPE
•Skin hygiene
•Barrier creams
•Early recognition and regular check ups
•Seek feedbacks
•Open and understanding attitude
•Haelthy lifestyle
•Work-life balance
•Giving and seeking advice
HEALTHY PEOPLE
MAKE
HEALTHY PROFITS
THANK YOU
FOR YOUR
PATIENCE

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Occupational diseases

  • 1. OCCUPATIONAL DISEASES PRESENTATIVES B.SC HONS NSG. 3RD YEAR EVALUATOR Ms.MILAN TIRWA
  • 2. OCCUPATIONAL DISEASE OCCUR AS THE RESULT OF EXPOSURE TO PHYSICAL, CHEMICAL, BIOLOGICAL OR PSYCHOLOGICAL FACTORS IN WORK PLACE WHICH ARE PREDOMINANT AND ESSENTIAL IN CAUSATION OF OD
  • 3. OD occur exclusively among workers exposed to specific hazards In some instances these may also occur among general community as a consequence of contamination of environment from work place . Ex lead, pesticides Other factors such as individual susceptibility may play role in development of disease among exposed workers
  • 6.
  • 7. Pneumoconiosis is an occupational lung disease and a restrictive lung disease caused by the inhalation of dust, often in mines and from agriculture. In 2013, it resulted in 260,000 deaths, up from 251,000 deaths in 1990. Of these deaths, 46,000 were due to silicosis, 24,000 due to asbestosis and 25,000 due to coal workers pneumoconiosis.
  • 8. CLASSIFICATION Depending upon the type of dust, the disease is given different names: a. Coalworker's pneumoconiosis (also known as miner's lung, black lung or anthracosis) — coal, carbon b. Aluminosis — Aluminium c. Asbestosis — asbestos d. Silicosis (also known as "grinder's disease" or Potter's rot, or when related to silica inhaled from the ash of an erupting volcano, Pneumonoultramicroscopicsilicovolcanoconiosis) — crystalline silica dust e. Bauxite fibrosis — bauxite f. Berylliosis — beryllium g. Siderosis — iron h. Byssinosis — cotton i. Silicosiderosis — mixed dust containing silica and iron j. Labrador lung (found in miners in Labrador, Canada) — mixed dust containing iron, silica and anthophyllite, a type of asbestos k. Stannosis — tin oxide
  • 9. PNEUMOCONIOSIS •Dust with in the size range -.5 to 3 micron • Factors: • Chemical composition • Fineness • Concentration of dust in the air • Period of exposure • Health status
  • 10. ANTHRACOSIS Cause: coal dust Two phases •Simple pneumoconiosis •Progressive massive fibrosis R/f : working in cold mine Risk of death among coal miner is nearly twice than that of general population
  • 11. Its an occupational lung disease caused by inhalation of crystaline silica dust and is marked by inflammation and scaring in forms of nodular lesions in the upper lobes of lungs Cause: sio2 or free silica Incubation period : few months to 6 yrs Pathophysiology: Particles are ingested by phagocytes which accumulate and block lymph channels Dense nodular fibrosis Size: 3 to 4 mm
  • 12. CLINICAL MANIFESTATION Irritant cough Dyspnea on exertion Chest pain Impairment of total lung capacity silicotics are prone to pulmonary tuberculosis
  • 13. CHEST Xrays: snow storm appearance
  • 14. •MANAGEMENT •No effective treatment •Control measures 1. Rigorous dust control measures • Substitution • Complete enclosure • Isolation • Hydroblasting • Good housekeeping • Personal protective measures
  • 15.
  • 16. Bagassosis • Inhalation of bagasse or sugarcane dust • Thermophilic actinomycete – thermoacetinomyces sacchari • Symptoms – breathlessness, cough, haemoptysis, slight fever • Acute diffuse bronchiolitis – initial • Skiagram – mottling in lungs or shadow • Resolution of inflammation – if treated early
  • 18. • Untreated – difuse fibrosis, emphysema, bronchiectasis • Preventive measures - Dust control Wet process, Enclosed apparatus, exhaust ventilation
  • 19. - Personal protection Mask, mechanical filters - Medical control Initial & periodical examinations - Bagasse control Keeping moisture > 20%, Spraying bagasse with 2% propionic acid (fungicide)
  • 20. BYSSINOSIS • Rare occupational lung disease • Also known as BROWN LUNG DISEASE • Comes under pneumoconiosis • Form of occupational asthma • INCIDENCE : 7-8% in 3 independent studies
  • 21. CAUSES AND RISK FACTORS • Inhalation of raw flax,hemp,cotton dust and similar particles • Smoking • H/O asthma
  • 22. SYMPTOMS • Tightness in chest • Wheezing and coughing • Fever • Muscle and joint pain • Shivering • Tiredness
  • 23. DIAGNOSIS • History • Chest X-ray • CT Scan of lungs • PFT • Peak flow meter
  • 24. TREATMENT • Avoid exposure to harmful dust • Bronchodilators • Inhaled corticosteroids • Nebuliser for chronic byssinosis • Oxygen therapy • Breathing excercise
  • 25. PREVENTION • Wear mask in exposure area • Quit smoking • Reduce risk factors
  • 28.
  • 29.
  • 30.
  • 32.
  • 33.
  • 34.
  • 35. LEAD POSIONING ● Pure lead (Pb) is a heavy metal at room temperature and pressure. A basic chemical element, it can combine with various other substances to form numerous lead compounds. Lead has been poisoning workers for thousands of years. Lead can damage the central nervous system, cardiovascular system, reproductive system, hematological system, and kidneys. When absorbed into the body in high enough doses, lead can be toxic. Short-term (acute) overexposure–as short as days--can cause acute encephalopathy, a condition affecting the brain that develops quickly into seizures, coma, and death from cardiorespiratory arrest.
  • 36. Lead is most commonly absorbed into the body by inhalation. When workers breathe in lead as a dust, fume, or mist, their lungs and upper respiratory tract absorb it into the body. They can also absorb lead through the digestive system if it enters the mouth and is ingested.
  • 37. Workers at Risk ■ Abrasive blasting and ■ Welding, cutting, and burning on steel structures. Other operations with the potential to expose workers to lead include: ■ Lead burning; ■ Using lead-containing mortar; ■ Power tool cleaning without dust collection systems; ■ Rivet busting; ■ Cleanup activities where dry expendable abrasives are used; ■ Movement and removal of abrasive blasting enclosures; ■ Manual dry scraping and sanding; ■ Manual demolition of structures; ■ Heat-gun applications; ■ Power tool cleaning with dust collection systems; and ■ Spray painting with lead-based paint.
  • 38. ○ Adverse effects ● ■ Loss of appetite; ■ Constipation; ■ Nausea; ■ Excessive tiredness; ■ Headache; ■ Fine tremors; ■ Colic with severe abdominal pain; ■ Metallic taste in the mouth; ■ Weakness; ■ Nervous irritability; ■ Hyperactivity;
  • 39. ● ■ Muscle and joint pain or soreness; ■ Anxiety; ■ Pallor; ■ Insomnia; ■ Numbness; and ■ Dizziness. ● REPRODUUCTIVE RISKS Lead is toxic to both male and female reproductive systems. Lead can alter the structure of sperm cells and there is evidence of miscarriage and stillbirth in women exposed to lead or whose partners have been exposed. Children born to parents who were exposed to excess lead levels are more likely to have birth defects, mental retardation, or behavioral disorders or to die during the first year of childhood.
  • 43. 6.WORKING ATMOSPHERE 7.PERIODIC EXAMINATION OF WORKERS 8.PERSONAL HYGIENE 9.HEALTH EDUCATION
  • 45. .PREVENTION OF FURTHER ABSORPTION .EARLY RECOGNITION IS IMPORTANT .SALINE PURGE .D-PENICILLAMINE .CA-EDTA
  • 47.
  • 49. •Assess the risk •Plan breaks •Activity changes •Regular eye check ups •Position
  • 50. MUSCULO SKELETAL DISORDERS • Manual handling(lifting, pushing, lowering, pulling etc) • Repetitive movements • Uncomfortable working position • Continued working without breaks
  • 51. Management •Identify high risk work place activities •Provide appropriate information and training on safe movements and handling •Healthy lifestyle •Rest and activity •Safety •Physiotherapy and exercise
  • 52. Occupational dermatitis •Risk assessment •Effective control measures •Use of PPE •Skin hygiene •Barrier creams •Early recognition and regular check ups
  • 53.
  • 54. •Seek feedbacks •Open and understanding attitude •Haelthy lifestyle •Work-life balance •Giving and seeking advice