Is work making your patients ill?
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Is work making your patients ill? Work and disease. Grant McMillan Hon Senior Clinical Lecturer. Institute of Occupational and Environmental Health University of Birmingham Number 8 of a series of lectures and tutorials for medical undergraduates. Learning points.

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Is work making your patients ill work and disease

Is work making your patients ill?

Work and disease

Grant McMillan

Hon Senior Clinical Lecturer

Institute of Occupational and Environmental Health

University of Birmingham

Number 8 of a series of lectures and tutorials

for medical undergraduates


Learning points

Learning points

  • Range of adverse effects of work

    on individuals in common occupations

  • Importance of considering occupation

    when seeking a diagnosis or a remedy

  • Readily accessible sources of information about occupational disease


Categories of work related diseases

Categories of work-related diseases

IWork the cause

II Work a causal factor in diseases of common occurrence

III Work aggravating an established disease

IV Work offering ready access to potential dangers


Learning points1

Learning points

  • Range of adverse effects of work

    on individuals in common occupations

  • Importance of considering occupation

    when seeking a diagnosis or a remedy

  • Readily accessible sources of information about occupational disease


Work the cause

Work the cause

  • Tanner

  • Bricklayer

  • Needle gun operator

  • Chrome plater


Is work making your patients ill work and disease

Work the cause - tanning animal hides

Hazard and effect?


Clue can also be hazard to postal workers

Clue!Can also be hazard to postal workers


Is work making your patients ill work and disease

Work the cause - tanning animal hides

Hazard - Bacillus Anthracis


Is work making your patients ill work and disease

Work the cause - tanning animal hides

Effect - cutaneous anthrax.

There is also a pulmonary form.


Is work making your patients ill work and disease

Work the cause - bricklaying

- Hazard and effect?


Is work making your patients ill work and disease

Work the cause - bricklaying

Clue – spot the difference


Bricklaying hazard cement is hygroscopic effect is excess dryness usually short lived if treated

Bricklaying Hazard – cement is hygroscopicEffect is excess dryness – usually short-lived if treated


Hazard hexavalent chromium in cement effect allergic contact dermatitis sensitised for life

Hazard – hexavalent chromium in cement Effect - allergic/contact dermatitis - sensitised for life


Is work making your patients ill work and disease

Work the cause – needle gun operator

Hazards and effects?


Is work making your patients ill work and disease

Hazards are high sound pressure levels and high levels of vibration.


Is work making your patients ill work and disease

Work the cause – needle gun

Effects – noise-induced hearing loss

and Hand Arm Vibration Syndrome


Is work making your patients ill work and disease

Work the cause – chrome plating

- Hazard and effects?


Is work making your patients ill work and disease

Work the cause – chrome plating

Hazard is hexavalent chromium in mists


Is work making your patients ill work and disease

Work the cause – chrome plating

Effects – sensitisation, irritation, cutaneous ulcers, perforation of nasal septum (and lung cancer)


Work the cause of what disorders of the knee

Work the cause of what disorders of the knee?


Categories of work related diseases1

Categories of work-related diseases

IWork the cause

II Work a causal factor in diseases of common occurrence

III Work aggravating an established disease

IV Work offering ready access to potential dangers


Work a causal factor in diseases of common occurrence

Work a causal factor in diseases of common occurrence

  • Shipwright

  • Typist

  • Road construction workers

  • Soldier, sailor and airman

  • Teachers, Prison Service, Police

  • Florist, hairdresser

  • Vehicle sprayers, bakers

  • Fishmonger


Categories of work related diseases2

Categories of work-related diseases

IWork the cause

II Work a causal factor in diseases of common occurrence

III Work aggravating an established disease

IV Work offering ready access to potential dangers


Welding fume and chronic obstructive pulmonary disease

Welding fume and chronic obstructive pulmonary disease


Categories of work related diseases3

Categories of work-related diseases

IWork the cause

II Work a causal factor in diseases of common occurrence

III Work aggravating an established disease

IV Work offering ready access to potential dangers


Learning points2

Learning points

  • Range of adverse effects of work

    on individuals in common occupations

  • Importance of considering occupation

    when seeking a diagnosis or a remedy

  • Readily accessible sources of information about occupational disease


Readily accessible sources of information about occupational disease

Readily accessible sources of information about occupational disease

First port of call :

Health and Safety Executive: www.hse.gov.uk

Government policy on health at work: www.dh.gov.uk


Is work making your patients ill work and disease

Is work making your patients ill?

Part 2 Work and disease

Grant McMillan

Hon Senior Clinical Lecturer

Thank you for your attention


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