1. 1 Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN VIETNAM HK, October 28-29, 2013 VU XUAN TRUNG DUONG KHANH VAN

2. 2 CONTENT  Some data related occupational diseases  OH services system in VN  Laws related for OH.  Process of Diagnosis for Occupational Disease  Training on OH/OD  Expectations from this meeting

3. STATISTIC OF OCCUPATIONAL DISEASES Source: MoH, 2013 TTOSH resourcesLocalMinisterialTotal 1OSH specialists305265570 2In which, M.D129145274 Pharmacists11718 Graduated583795 High school10676182 3OD appraisal specialists291645 4OH units50858 5OD clinics34337

4. STATISTIC OF OCCUPATIONAL DISEASES Source: National data on OSH Occupatinal diseasesExaminedDiagnosedAppraisal Cumm. 12/2012 Silicosis 29,961904808 20,302 Asbestosis 1,894 250 3 Byssinosis8422 278 Occ. Chronic Bronchitis 13,019 572 59 107 Lead poisoning15335 321 Benzene poisoning15168 2 Mercury poisoning240 14 Nicotine poisoning3000 259 Pesticide poisoning242276 297 X-ray and Radioactive 321 3 312 Hearing loss 58,475 3,037 433 4,569 Arm-hand vibration65 20 Occ. Melanosis 2,524 159 629 Occ. TB 108 8 8 64 Occ. Hepatitis 941 58 27 241 Occ. Leptospira0 6 Total119,0725,1711,33827,515

5. 5 Other Companies Small and medium companies Big State Companies Ministry of Health MOLISA (OSH Labour Inspector System) Ministries of Industries Centre for Occ. And Env. Health at 63 provinces Labour Offices at the provinces District Health Centers Medical Assessment Boards Health Environment Managerment Centre at Provinces Industrial Health Centre District Health Centers Hospitals at level of Provinces, Districs... Others OH Services Providers Ministry of Health State management system for OH OH service Users OH Services Providers OCCUPATIONAL HEALTH MANAGERMENT SYSTEM AND OCCUPATIONAL HEALTH SERVICES IN VIETNAM

6. 6  Officials, experts of Faculties of Occupational Health, clinics for occupational diseases Resource: NATIONAL PROFILE ON OSH Period 2005-2009

7.  National Institute Related to OH  National Institute for Occupational and Environmental Health (Under Ministry of Health)  National Institute for Labour Protection (Occupational Health Centre) (Under Labour Union).  National Institute of Medical Appraisal

8.  Occupational & Environmental Health support organizations  Vietnam Occupational Safety and Health Technical Science Association (VOSHA).  Vietnam Occupational Health Association  ILO  WHO  AFEDA…

9. 9  Law related OH  Chapter IX (Labour Code 2012): articles 143 – 145.  Circular No. 01/2011/TTLT-BLĐTBXH- BYT on 10/01/2011 by MOLISA&MOH on guiding the implementation of safety - occupational health in Enterprise: articles 7 – 9: Mission of Medical Unit.  Circular No. 19/2011/TT-BYT on 06/06/2011 by MOH: A guidelines for hygienic management, workers health and occupational disease.  Circular No. 14/2013/TT-BYT on 06/05/2013 by MOH on guiding medical examination (recruitment and periodical examinations).

10. Related periodic health examination Health examination at least once/year Twice/year (heavy, hazardous and dangerous work) The occupational disease patients must be treated according to specialists, health care and health examination every 6 months, with specific profiles…

11. Related Monitoring Work Environment Monitoring hazardous factors in the work place at least once/year Monitoring hazardous factors in the work place twice/year (very heavy, hazardous and dangerous work) Establish profile of industrial hygiene for the factory…

12.  List of insured occupational diseases in Vietnam

15. Total: 28 diseases

16.  Process of Diagnosis for Occupational Disease: Circular No. 12/2006/TT-BYT by MOH dated 11th October, 2006 on guiding occupational disease examination: Work environment measurements (*) Occupational Disease Examination (*) Medical Assessment Boards: Make decision and the reduction of work ability level. Patients get payment from Social Insurance and employers

17. Work environment measurements and Occupational Disease Examination Carried out by OD clinics of Centres for OEH/Centre for Preventive Medicine/Hospitals at provincial and national lelvel; Medical centre of industries/sectors; National institutes. Others certified by MoH or Provincial DoH Carried out at the workplace or at the OD examination providers. The examination and diagnosis of OD must be based on the results of monitoring working environment, occ. exposure factors and results of periodic health examination

18. Training on OH/OD  Training providers:  Undergraduate: Medical Universities: M.D, Nurses, Technicians, PH practitioners Medical College: Nurses, Technicians Public Health School: PH practitioners, Health management  Graduate: As above and Institutes (MoH)  Specialist: As above and Institutes (MoH)

19.  Expectations  What: Importance of OD examination and diagnosis; Knowledge and skills in recognition of OD at early stage; OHS knowledge for medical doctors at grassroots; Techniques in diagnosis of common and new OD;  Who: OHS practitioners at national and local level; OHS system managers/policy makers; Health Service at grassroots;

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33. 33 THANK YOU FOR YOUR ATTENTION!