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Case study: particularities in occupational hearing impairment diagnosis. Claudia Handra- MD Prof. Eugenia Naghi- MD, Ph D Chair of Occupational Medicine, UMF<Carol Davila> Occupational Medicine Clinic, Hospital Colentina, Bucharest. Noise.

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case study particularities in occupational hearing impairment diagnosis

Case study: particularities in occupational hearing impairment diagnosis

Claudia Handra- MD

Prof. Eugenia Naghi- MD, Ph D

Chair of Occupational Medicine, UMF<Carol Davila>

Occupational Medicine Clinic, Hospital Colentina, Bucharest

STOP THAT NOISE!

noise
Noise
  • Dictionary= sound or a mixture of discordant, strong sounds, disagreeable for the hearing

STOP THAT NOISE!

occupational noise
Occupational noise
  • One of the most frequent hazard in very different work places
  • Mechanization of the production processes increased the intensity of noise

STOP THAT NOISE!

case presentation
M.D. male, age 39

engine technician

power plant

I. G. male, age 49

locksmith

steel foundry

Case presentation

STOP THAT NOISE!

diagnosis
COPD Cor pulmonale- work related disease

Ischemic heart disease

Occupational loss of hearing

Spondilarthrosys

Chronic bronchitis- work related disease

High blood pressure

Occupational loss of hearing

Dorsal scoliosis

Neurasthenic syndrome

Diagnosis

STOP THAT NOISE!

professional route
Exposure= 23 years

1982- 1986 - excavator operator- power plant

1986- 1987-military service

1987- 2005- engine technician- power plant

Exposure= 25 years

1974- 1976- locksmith- steel foundry

1976- 1977- military service

1977- 1980- locksmith-steel foundry

1980- 2005- locksmith- steel foundry

Professional route

STOP THAT NOISE!

medical history
Two medical evaluations- local hospital

2005- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic

2001- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic

Medical history

STOP THAT NOISE!

consequences
Job restrictions/ preventive measures

Irreversible loss of hearing

Severe aggravation of work related diseases

Medical retirement

Freequent hospitalizations

Job restrictions/ preventive measures

Irreversible loss of hearing

Aggravation diseases

Frequent hospitalizations

Consequences

STOP THAT NOISE!

hazard
coal dust

noise >87 dB

vibrations

outdoor work conditions

silica dust

noise > 87 dB

indoor work conditions

Hazard

STOP THAT NOISE!

expected occupational disease
Coal miner’s pneumoconiosis

Occupational loss of hearing

Occupational musculoskeletal disease

Silicosis

Occupational cancer

Occupational loss of hearing

Occupational musculoskeletal disease

Expected occupational disease

STOP THAT NOISE!

diagnosed occupational disease
Occupational loss of hearing

Occupational loss of hearing

Diagnosed occupational disease

STOP THAT NOISE!

possible causes
Lack of personal protective equipment

Unsuitable pace and duration of work activities

Lifestyle

Lack of personal protective equipment

Unsuitable pace and duration of work activities

Lifestyle

Possible causes

STOP THAT NOISE!

preventive measures
Preventive measures
  • Occupational risk acknowledgment
  • Pre-employment medical evaluation
  • Periodical medical examination
  • Education

STOP THAT NOISE!

occupational risk acknowledgment
Occupational risk acknowledgment
  • Assessment of occupational hazards endangering hearing other than occupational noise
  • Epidemiological studies

STOP THAT NOISE!

medical examination
Medical examination
  • Early stage diagnosis; professional reorientation; prevention of disease aggravations
  • Occupational physician in charge of medical evaluation and follow-ups

STOP THAT NOISE!

education
Employer

Adequate technical and administrative measures of prevention

Employee

Personal hygiene

Personal protection equipment

First- aid measures

First symptom acknowledgement

Awareness of the importance of medical follow-ups

Education

STOP THAT NOISE!

slide23
STOP THAT NOISE!

STOP THAT NOISE!

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