1. Occupational Medicine in Construction Industry1 OCCUPATIONAL MEDICINE IN CONSTRUCTION SECTOR PARTICULARITIES OF OCCUPATIONAL ACCIDENTS AND DISEASES MEDICAL PREVENTION Prof. Eugenia Naghi MD, PhD UMF, Bucharest Bogdan Draghici, MD Occupational medicine resident

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5. 5 CONSOLIDATION

6. Occupational Medicine in Construction Industry6 CONSOLIDATION

7. Occupational Medicine in Construction Industry7 DEMOLITION

8. Occupational Medicine in Construction Industry8

9. 9 CONSTRUCTION

10. Occupational Medicine in Construction Industry10 Occupational medicine physician OCCUPATIONAL RISK: vWORK RELATED INJURIES vOCCUPATIONAL DISEASES

11. Occupational Medicine in Construction Industry11 Case presentation –V.M, woman, 47 years- old –Diagnosis: vOccupational asthma vAllergic contact dermatitis vOccupational deafness

12. Occupational Medicine in Construction Industry12 Case presentation u Occupational route –1985-1991: Construction Company A –1991-1996: Construction Company B

13. Occupational Medicine in Construction Industry13 Case presentation u Medical route –Bucharest University Hospital (first crisis- urgent admission) –Occupational Medicine Clinic- Colentina Hospital : complete medical evaluation; diagnosis; recommendations

14. Occupational Medicine in Construction Industry14 Case presentation u Patient evolution: –Work place change / Job restrictions –Medical retirement –Severe evolution of the disease (Occupational Asthma) –Repeated hospitalizations

15. Occupational Medicine in Construction Industry15 Job: concrete/terrazzo worker u Hazard –Cement (potassium dichromate), latex (rubber gloves) –Isocyanate or epoxy sealants, adhesives or foams, cement (potassium dichromate) u Disease –Allergic contact dermatitis –Occupational asthma –Allergic contact dermatitis

16. Occupational Medicine in Construction Industry16 Job: construction painter u Hazard –Paint/ oil- based –Paint/ water- based –Paint/ 2- part epoxy or urethane –Solvents (cleaning) u Disease –Acute solvent syndrome –Allergic contact dermatitis –Occupational asthma, Allergic dermatitis –Acute solvent syndrome

17. Occupational Medicine in Construction Industry17 Job: demolition worker u Hazard –Asbestos (remove insulation) –Noise –Vicious position, effort u Disease –Asbestosis, other asbestos- related pathology –Occupational deafness –Musculo- skeletal disorders

18. Occupational Medicine in Construction Industry18 Diagnosed occupational diseases u Occupational asthma u Allergic contact dermatitis u Occupational deafness

19. Occupational Medicine in Construction Industry19 Occupational diseases still possible u Malignant and benign asbestos- related pathology

20. Occupational Medicine in Construction Industry20 Causes of diseases u Personal protective equipment ? u Unsuitable rhythm and duration of the work ? u Medical surveillance : occupational medicine ?

21. Occupational Medicine in Construction Industry21 Prophylactic medical measures u Occupational risk recognition u Pre- placement and return- to- work evaluations u Periodic medical examination (occupational- medical preventive examination) u Education

22. Occupational Medicine in Construction Industry22 Occupational risk recognition u Occupational hazards identification u Qualitative/ quantitative hazards evaluation u Epidemiological studies

23. Occupational Medicine in Construction Industry23 Medical examinations u Avoid employment of high risk persons (diseases caused by occupational agents) u Diseases diagnosis in early (sub clinical) stages; work- place change; avoid medical complications; u Essential to be done by an occupational medicine physician

24. Occupational Medicine in Construction Industry24Education u Technical and administrative personnel –Adequate technical and administrative prophylactic measures u Working personnel –Individual hygiene –Personal protective equipment –First- aid measures –First disease simtoptoms recognition –Importance of medical examination

25. Occupational Medicine in Construction Industry25 Thank you for your attention