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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

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


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

Work the cause vibration.– needle gun

Effects – noise-induced hearing loss

and Hand Arm Vibration Syndrome


Is work making your patients ill work and disease

Work the cause vibration.– chrome plating

- Hazard and effects?


Is work making your patients ill work and disease

Work the cause vibration.– chrome plating

Hazard is hexavalent chromium in mists


Is work making your patients ill work and disease

Work the cause vibration.– 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 vibration. of what disorders of the knee?


Categories of work related diseases1
Categories of work-related diseases vibration.

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 vibration.

  • 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 vibration.

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


Welding fume and chronic obstructive pulmonary disease
Welding fume vibration.and chronic obstructive pulmonary disease


Categories of work related diseases3
Categories of work-related diseases vibration.

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 vibration.

  • 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? disease

Part 2 Work and disease

Grant McMillan

Hon Senior Clinical Lecturer

Thank you for your attention