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Is work making your patients ill? Work and disease

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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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Presentation Transcript
slide1

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

I Work 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
slide8

Work the cause - tanning animal hides

Hazard - Bacillus Anthracis

slide9

Work the cause - tanning animal hides

Effect - cutaneous anthrax.

There is also a pulmonary form.

slide10

Work the cause - bricklaying

- Hazard and effect?

slide11

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
slide16

Work the cause – needle gun

Effects – noise-induced hearing loss

and Hand Arm Vibration Syndrome

slide18

Work the cause – chrome plating

Hazard is hexavalent chromium in mists

slide19

Work the cause – chrome plating

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

categories of work related diseases1
Categories of work-related diseases

I Work 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

I Work 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

categories of work related diseases3
Categories of work-related diseases

I Work 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

slide31

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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