Occupational Disease Flashcards
Risk of Hep B from BBV
1 in 3
Risk of Hep C from BBV
1 in 30
Risk of HIV from BBV
1 in 300
Diabetic Group 2 licence holders
Must tell DVLA if on any tx
IDDM -Check BM 2 hours before driving and every 2 hours while driving.
Need yearly assessment
Group 2 licence - Epilepsy
Cannot be on treatment.
Must be seizure free for 10 years
Noise Induced Hearing Loss
Shows a notch at 4kHz and or 6kHz
Afro-Caribbeans more susceptible
Boorman Report
For NHS employees
How to achieve a healthy workforce
Allergic Contact Dermatitis
Type 4 hypersensitivity - delayed reaction, it is chronic
Diagnosed with patch test
Chromium contact dermatitis - results permanent
Atopics have lower threshold for the ACD
Allergic Contact Urticaria
Type 1 hypersensitivity - immediate (within 30 min)
Causes systemic reaction - eg latex
Causes Weals
Diagnosed with prick testing
HSE Guidance on Stress
Job suitability (role) - Job descriptions
Relationships at work - Anti-bullying
Demand at Work - Change in workload
Control over work - Employee input
Support at work - encouraging things like sponsorship
Organisational change - good communication and encouraging employee input
(Control, relationships, demand, support and role change)
Respiratory Sensitizers
Animals Flour Isocyanates (in paint) Latex Rosin (found in soldering flux) Hardwood and Softwood Dust
Group 1 License and Epilepsy
After stopping medication, have to wait 6 months before driving again.
Must be 12 months seizure free with diagnosis of epilepsy.
Irritant Contact Dermatitis
Not immune mediated. Caused by breaks in the skin leads to flaking and itching. Max time with gloves 20 mins, should use barrier creams.
Prick and patch testing not indicated.
High molecular weight compounds
Allergic responses with production of specific IgE
Usually have positive skin prick test
Atopic individuals
May return to work with enhanced protection
eg animal products insects, lab animals, plants, coffee
Low molecular weight compounds
May combine with proteins (haptens) prior to eliciting an immunological response
Specific IgE may not be detectable.
Diisocyanates, anhydrides, epoxy resins, wood dusts
Return to work is rarely possible
Sick Building Syndrome
Constellation of sx experienced by occupants of air conditioned buildings.
Work related headaches, lethargy, nasal stiffness.
Due to poor ventilation, high temp, low humidity
Humidifier Fever
A form of sick building syndrome that usually develops on Monday or the first workday of the week. The hallmark of the disease is the sudden onset of fever.
Resolves in 24 hours.
Bradford Hill Criteria
Considerations used to determine whether an agent causes a disease.
Driving and CABG
Group 1 licence - 1 month
Group 2 licence - 3 months.
Driving and Angioplasty
Group 1 - 1 month
Refusing a Group 2 Licence
- Wishing 3 months of CABG
- Uncontrolled angina, HF or arrhythmia
- Implanted defibrillator
- HTN with systolic >180 and/or diastolic >100
- Stroke or TIA within last 12 months
- Menieres Disease or sudden disabling dizziness in the past 12 months
- Major brain surgery or recent severe head injury
- Parkingons, MS
- Dementia
- Lung cancer
Single Isolate Seizures and Driving
Group 1 - 6 months after confirm dx by neurologist.
Group 2 - 5 years provided on single isolated one and none within 5 years. Not on medication.
Single isolated TIA and driving
Group 1 - 1 month
Group 2 - 12 months
D4 Form
DVLA form for Group 2 licence renewals
