JC Block C - Occupational Medicine Flashcards

1
Q

Define Occupational health

A

Promotion and maintenance of highest degree of PHYSICAL, MENTAL and SOCIAL well-being

For workers in all occupations

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2
Q

Describe the relationship between work and health

A

Good work = therapeutic, promotes recovery and rehabilitation, beneficial to health and well-being

Worklessness = Poor physical and mental well-being, higher mortality

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3
Q

Examples for physical occupational health hazards

A

Noise
Air pressure
Temperature
Vibration

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4
Q

Examples of chemical occupational health hazard

A

Solvents, acid and alkalis, gas, dust (pnuemoconiosis included)

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5
Q

Examples of biological occupational health hazard

A

TB

Strep. suis

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6
Q

Examples of ergonomical occupational heath hazards

A

Poor posture

Incompatibility between height of chairs/ tables

Body-built of employees

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7
Q

Examples of psychosocial occupational health hazard

Manifestations

A

Stress, Shift work

Manfestations:

  • IBS
  • Gastroduodenal symptoms
  • HTN
  • Chronic headache
  • Muscle tension: back/ neck
  • More infections
  • Fatigue, burnout
  • Adjustment disorder
  • Anxiety and depression
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8
Q

Compare Occupational Diseases and Work-related diseases

A
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9
Q

Role of medical practitioner in occupational medicine notification

A

Notify commissioner of labor if:

  • Finds/ suspects a worker that suffers from occupational diseases specified in Schedule 2 of Occupation Safety and Health Ordinance
  • Believes a disease is attributable to occupation

Failure to comply = liable on conviction + maximum fine of 10k

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10
Q

Sources of OD notification

A

Labor Department Occupational health clinics

Doctors in public and private sectors

Employees/ Employers report employee’s compensation cases to Labor Department

Complaints from employees/ union

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11
Q

Role of Occupational Heath Service, Labor department

A

Investigation notified case and find other affected workers

Advice on compensation

Occupation safety and health (OSH) assessment of workplace and law enforcement

Recommend preventive measures

Monitor occupational disease trend/ pattern

Form governmental OSH strategies

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12
Q

Compare Individual employer’s liability and Collective employer’s liability

A
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13
Q

Employee’s Compensation Ordinance

What is covered?

A

Medical expenses

Prosthesis and surgical appliances

Cost of care and attention

Loss of earning potential due to temporary or permanent total/ partial incapacity

at 16 HA hospitals under different specialties

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14
Q

Employee’s Compensation Ordinance

List of assessments and notification time-line

A
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15
Q

When to arrange medical assessment under Employee’s Compensation Ordinance

A
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16
Q

Pneumoconiosis and Mesothelioma Compensation Ordinance

Criteria for application

A

Any person suffering from pneumoconiosis or mesothelioma with any incapacity, pain, suffering, loss of amenities

Resident in HK for at least 5 years
or
Resident in HK for less than 5 years but contracted the disease in HK

17
Q

Logistics for compensation of Pneumoconiosis and Asbestosis

18
Q

Logistics for compensation of Pneumoconiosis and Asbestosis

19
Q

Occupational Deafness Compensation Ordinance

Criteria for application

20
Q

Occupational Deafness Compensation Ordinance

Criteria for application

21
Q

Logistics for Occupational Deafness Compensation

22
Q

List the most common occupational diseases in HK - top 5

A
  1. Occupational deafness**
  2. Silicosis
  3. Tenosynovitis of hand/ forearm
  4. Mesothelioma
  5. TB
23
Q

Primary prevention of Occupational disease

24
Q

Primary prevention of Occupational disease

25
Secondary prevention of Occupation disease
26
Tertiary prevention of Occupational disease
27
9 control measures to prevent occupation disease
1. Elimination - stop use of causative agent 2. Substitution 3. Engineering control - enclose, isolate, ventilation...etc 4. Administrative control - safety management system, tools and aids, repair and maintenance, job rotations...etc 5. PPE 6. Environmental monitoring - measure hazards in work place 7. Health surveillance - Pre-employment and periodic medical exam 8. Personal hygiene and vaccination 9. Healthy lifestyle
28
Outline occupational history
29
Outline management plan of Occupational disease Workplace, patient care...etc
30
Burn-out is a occupational disease True or false
False WHO classify it as an occupational phenomenon, not a medical condition
31
Occupational hazards to healthcare workers during COVID-19
32
Occupational medicine, Labor department Scope of their work
33
Occupational medicine, Labor department Scope of their work
+ health promotion