This document discusses the history and concepts of occupational health. It notes that occupational health originated from concerns over child labor and factory/workshop safety laws in Sudan in 1908 and 1949. Modern occupational health aims to promote optimal health, productivity and social adjustment for workers. It addresses physical, chemical, biological, ergonomic and psychological hazards present in various occupations. The document also outlines the roles and interventions of occupational health nurses in conducting health assessments, education, screening and promoting safety measures to prevent work-related diseases, injuries and disability.
4. HISTORY OF OCCUP. H. IN SUDAN
1908 – Child labor Act
1949 – Factory and Workshops Act
1968 – Establishment of Occup. H.
Dept.
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5. Previously it was thought
that related to factories and
mines.
common term of industrial
hygiene.
6. Modern concept include all
occupational hazards and
ergonomics.
7. DEFINITION
occupational health
Promotion and maintenance of
the highest degree of physical,
mental and social well-being of
all workers in all occupations
(WHO1953).
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8. PROBLEM
Annual deaths > 200 000.
Annual diseases > over 120 millions.
New introduced chemicals.
Affects economics directly.
Chemical epidemics are serious.
Industrialization is growing -
Developing countries use pollutant
industries.
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9. Aim of occupational heath:-
Promotion and maintain of
highest physical, mental and
social well-being of worker in all
occupation.
10. The protection of worker in their
employment.
placing the worker in an adapted
environment(ergonomics).
11. assist the injured and
disabled for rehabilitation.
Provide safe occupational
environment.
14. (1)Heat and cold:-
a)Direct effect is burn, heat
exhaustion and heat stroke.
b)- Indirect effect is
decreased efficient, fatigue,
risk of accident.
16. (2)- Light:-
poor illumination lead
to strain, headache, eye
pain, and eye fatigue.
bright of light lead to
visual fatigue and blurring
vision lead to accident.
17. (3)- Noise:-
Auditory effects for
e.g. temporary or permanent
loss of hearing.
Non auditory effect –
nervousness, interference
with communication.
26. Poor human relationship,
Emotion tension, lack of job
satisfaction, Frustration and
insecurity which may in turn
may lead to Psychosocial and
Psychosomatic Hazard.
27. In Psychosocial changes:-
hostility, aggressiveness,
anxiety, depression, tiredness,
abuse, sickness and absenteeism.
In Psychosomatic changes:-
Fatigue, headache, pain in
(shoulder, neck and back), peptic
ulcer, hypertension, heart
diseases and rapid ageing
32. 32
2. LUNG CANCERS
10% of lung cancer are
occupational
It is a hazard in:
Gas industry.
Asbestos industry.
Radio-active substances (a
large number of industries
are using radioactive
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3. LEUKEMIA
Radioactive substances
Characteristics of Occupational
Leukemia:
Appear after a long exposure (10
-15 years)
The disease develop even after
cessation of exposure
The average age is earlier
35. TYPES OF OCCUPATIONAL ACCIDENTS
DISORDERS
1. Injuries due to falls, cuts, abrasions
…..
2. Ergonomic Disorders (Muscular-
skeletal)
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37. ERGONOMICS
Ergonomics: Adjustment of Man &
Machine”
Ergo-friendly tools: Tools which
reduce the stresses or problems
resulting work
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38. CAUSES OF ACCIDENTS
1. Human factors:
Inadequate visual or hearing
acuity
Use of drugs and alcohol
Carelessness
Poor training
Overconfidence
Working hours
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39. CONT. CAUSES OF ACCIDENTS
2. Environmental factors:
Noise
Poor light
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41. Formerly called industrial
nursing.
Began late in the 19th century.
Death hazard related to
working condition gave rise to a
new field of nursing practice.
42. DEF OCCUPATIONAL HEALTH NURSING
is the application of nursing and
public health philosophy and
skills to the relationship of
people to their occupation for the
purpose of prevention of disease
and injury and the promotion of
optimal health , productivity and
social adjustments.
44. Participate in a health
assessment program.
Counsel workers regarding
personal and family health
problems.
Advise on environmental
sanitation and safety.
45. Work cooperatively with
many professional and non
professional people at the local
and state level.
Compile individual records
for each employee.
Evaluate Health program.
46. NURSING INTERVENTIONS AT THE WORK
SITE
Primary prevention
Health promotion
Prenatal care
Risk reduction
Immunizations
Injury prevention
Use of personal protective gear
48. 2. ENGINEERING
1. Good housekeeping
2. Design of building
3. Mechanization
4. Substitution
5. Control of dust
6. Isolation
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49. NURSING INTERVENTIONS AT THE
WORKSITE
Secondary
Pre-employment screening
Periodic screening
Environmental screening
50. NURSING INTERVENTIONS AT THE
WORKSITE
Tertiary
Prevent the spread of communicable
diseases
Prevent complications of acute and
chronic illnesses
Assess fitness to return to work.