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Jagdish Patel Ashish Mittal

Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN INDIA Hong Kong, October 28-29, 2013. Jagdish Patel Ashish Mittal . Labour Force in the country. Total Population (2011 Census): 1.21 billion (Rural – 830 Million, Urban – 380 Million)

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Jagdish Patel Ashish Mittal

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  1. Country PresentationOCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN INDIAHong Kong, October 28-29, 2013 Jagdish Patel Ashish Mittal

  2. Labour Force in the country • Total Population (2011 Census): 1.21 billion (Rural – 830 Million, Urban – 380 Million) • Working Population (2001 Census): 402 million (39% of total population) (Rural ~ 310 Million, Urban ~ 92 Million) Male Workers – 275 million Female workers – 127 million

  3. Industry-wise Classification of Workers in India (in millions) Source: Census of India, 2001

  4. Statistics of Factories (2009)

  5. Data on Burden of Occupational Diseases Source:NATIONAL PROGRAMME FOR CONTROL & TREATMENT OF OCCUPATIONAL DISEASES, NIHFW Website No information or breakup on the above categories is available

  6. Data on Burden of Occupational Diseases • Under the Right to Information Act, ESIC gave information in 2010 that it has the reports of 1576 cases of occupational diseases,15 which occurred between 1997 and 2009. Diseases include Silicosis, Asbestosis (Total 47, Maharashtra-36, W.Bengal-10), Byssinosis, other lung diseases (70), Noise-induced hearing loss (total 471, Gujarat 39, Maharashtra 432) and few cases of mercury, lead and chromium poisoning (97 altogether), Dermatitis (7), COPD (6). • Occupational asthma following exposure to soldering fumes as well as chromium. One case of liver damage due to Chromium. • Indian Labour Year Book 2005 and 2006 (P.167) reports only 7 suspected cases of occupational diseases.

  7. Labour laws • The Factory Act, 1948 • Mines Act 1952, and 1957 and Mines Rules 1957. • Dock Workers (Safety, Health and Welfare) Act, 1986, • Building and other Construction Workers (Regulation and the Employment and Conditions of Service) Act, 1996, • Child labour (Prohibition and Regulation) Act 1986, • Insecticides Act, 1968

  8. Government institutions and agencies • Ministry Of Labour And Employment • Directorate General Of Factory Advice Service & Labour Institutes (DGFASLI) / CLI / RLI • Directorate General Of Mines Safety (DGMS) • State Factories Directorates/ Chief Inspector Of Factories • State Mines Inspectorate • Labour Bureau • Various sectoral Labour Welfare Boards

  9. Government institutions and agencies • Employee State Insurance Corporation (ESIC) • National Institute of Occupational Health (NIOH) • National Institute of Miner’s Health (NIMH) • National Safety Council of India (NSC) • Indian Toxicology Research Centre (ITRC)

  10. Inter-sectoral Linkages in Occupational health in India Industry Ministry of Industries Workers Union Ministry of Environment Corresponding Departments of the respective State Governments Ministry of Health and Family welfare Ministry of Labour Ministry of Agriculture NGO’s Ministry of Law International Organizations

  11. Public health, medical and laboratory services overview • In 335 Medical Colleges ~ 40,000 Graduates are being trained (2011-12) for Primary Health Care. • 12000 Govt. Hospitals with 0.8 million beds with 72,000 Doctors. 0.8 million registered doctors. • General Nursing Midwives – 1.2 million, Auxiliary Nursing Midwives – 0.6 million • Health Visitors/Supervisors – 53,000

  12. Laws related for Occupational Medicine and Medical Practitioners • Appointment of Certifying Surgeon / Inspector Medical u/s 10 of Factories Act and 11 of Mines Act. • Any Medical graduate can be appointed without OHS qualification • Inspector of Factories (Medical)/ Certifying Surgeon, can also suo-moto carry out medical examination of workers engaged in hazardous processes.

  13. Laws related for Occupational Medicine and Medical Practitioners • NOTICE OF CERTAIN DISEASES (Factories and Mines Act) • If any medical practitioner attends on a person who is or has been employed in a factory, and who is, or is believed by the medical practitioner to be, suffering from any disease, specified in the Third Schedule the medical practitioner shall without delay send a report in writing to the office of the Chief Inspector. • If any medical practitioner fails to comply with the provisions of above sub-section, he shall be punishable with fine. • Similar provisions in BOCW Act. List may be different

  14. Process of Diagnosis for Occupational Disease • Pre-employment and periodic medical examination of workers under Factories Act and Mines Act • Workers covered under ESIC Act, ESI dispensaries and Hospitals provide the diagnostic services to the covered employees. Have 4 referral centres for Occ. Diseases, remained non-functional. • Any qualified medical practitioner can diagnose OD

  15. Current Curriculum – Industrial Health

  16. Current Curriculum – Industrial Safety

  17. Current Curriculum – Industrial Safety

  18. Expectations from this meeting • Developing training curriculum for all relevant stakeholders. • Training for Health Workers at PHC level. • Support for more emphasis on OHS in Medical graduation. • Support for training of Practitioners in the endemic area on specific issues. • Developing Orientation training curriculum for future managers (HR, Engineers, Safety).

  19. Chrome Nasal Perforation

  20. Bilateral Wrist Drop (Lead)

  21. Machine Oil Contact Dermatitis

  22. Awareness Session of Workers

  23. Eye Examination of workers

  24. Thank you

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