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OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR

OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR. PARTICULARITIES OF OCCUPATIONAL ACCIDENTS AND DISEASES MEDICAL PREVENTION Prof. Eugenia Naghi MD, PhD UMF<Carol Davila>, Bucharest Bogdan Draghici, MD Occupational medicine resident. CONSOLIDATION. CONSOLIDATION. DEMOLITION. CONSTRUCTION.

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OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR

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  1. OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR PARTICULARITIES OF OCCUPATIONAL ACCIDENTS AND DISEASES MEDICAL PREVENTION Prof. Eugenia Naghi MD, PhD UMF<Carol Davila>, Bucharest Bogdan Draghici, MD Occupational medicine resident Occupational Medicine in Construction Industry

  2. Occupational Medicine in Construction Industry

  3. Occupational Medicine in Construction Industry

  4. Occupational Medicine in Construction Industry

  5. CONSOLIDATION Occupational Medicine in Construction Industry

  6. CONSOLIDATION Occupational Medicine in Construction Industry

  7. DEMOLITION Occupational Medicine in Construction Industry

  8. Occupational Medicine in Construction Industry

  9. CONSTRUCTION Occupational Medicine in Construction Industry

  10. Occupational medicine physician OCCUPATIONAL RISK: • WORK RELATED INJURIES • OCCUPATIONAL DISEASES Occupational Medicine in Construction Industry

  11. Case presentation • V.M, woman, 47 years- old • Diagnosis: • Occupational asthma • Allergic contact dermatitis • Occupational deafness Occupational Medicine in Construction Industry

  12. Case presentation • Occupational route • 1985-1991: Construction Company A • 1991-1996: Construction Company B Occupational Medicine in Construction Industry

  13. Case presentation • Medical route • Bucharest University Hospital (first crisis- urgent admission) • Occupational Medicine Clinic- Colentina Hospital : complete medical evaluation; diagnosis; recommendations Occupational Medicine in Construction Industry

  14. Case presentation • Patient evolution: • Work place change / Job restrictions • Medical retirement • Severe evolution of the disease (Occupational Asthma) • Repeated hospitalizations Occupational Medicine in Construction Industry

  15. Hazard Cement (potassium dichromate), latex (rubber gloves) Isocyanate or epoxy sealants, adhesives or foams, cement (potassium dichromate) Disease Allergic contact dermatitis Occupational asthma Allergic contact dermatitis Job: concrete/terrazzo worker Occupational Medicine in Construction Industry

  16. Hazard Paint/ oil- based Paint/ water- based Paint/ 2- part epoxy or urethane Solvents (cleaning) Disease Acute solvent syndrome Allergic contact dermatitis Occupational asthma, Allergic dermatitis Acute solvent syndrome Job: construction painter Occupational Medicine in Construction Industry

  17. Hazard Asbestos (remove insulation) Noise Vicious position, effort Disease Asbestosis, other asbestos- related pathology Occupational deafness Musculo- skeletal disorders Job: demolition worker Occupational Medicine in Construction Industry

  18. Diagnosed occupational diseases • Occupational asthma • Allergic contact dermatitis • Occupational deafness Occupational Medicine in Construction Industry

  19. Occupational diseases still possible • Malignant and benign asbestos- related pathology Occupational Medicine in Construction Industry

  20. Causes of diseases • Personal protective equipment ? • Unsuitable rhythm and duration of the work ? • Medical surveillance : occupational medicine ? Occupational Medicine in Construction Industry

  21. Prophylactic medical measures • Occupational risk recognition • Pre- placement and return- to- work evaluations • Periodic medical examination (occupational- medical preventive examination) • Education Occupational Medicine in Construction Industry

  22. Occupational risk recognition • Occupational hazards identification • Qualitative/ quantitative hazards evaluation • Epidemiological studies Occupational Medicine in Construction Industry

  23. Medical examinations • Avoid employment of high risk persons (diseases caused by occupational agents) • Diseases diagnosis in early (sub clinical) stages; work- place change; avoid medical complications; • Essential to be done by an occupational medicine physician Occupational Medicine in Construction Industry

  24. Technical and administrative personnel Adequate technical and administrative prophylactic measures Working personnel Individual hygiene Personal protective equipment First- aid measures First disease simtoptoms recognition Importance of medical examination Education Occupational Medicine in Construction Industry

  25. Thank you for your attention Occupational Medicine in Construction Industry

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