NATIONAL PREVENTION AND
CONTROL OF SILICOSIS
PROGRAMME IN TAMIL NADU
Outline of the presentation
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What is Silicosis
Classification of silicosis
Silicosis prone industries
Action Taken
– Committee Formation
– One day Sensitization workshop.
– Identification of Un Organized Sector
– Module Preparation
– Modular Training
– Screening/ IEC Activities
– Hospital/ Treatment Facilities
– Policy in Place
– Board / Fund for the Rehabilitation
– Insurance / Welfare Scheme
– Steps taken for prevention
2
What is Silicosis?
Silicosis
• Silicosis is one of the occupational Health
Hazard called as Pneumoconiosis.
• Inhalation of dust containing free silica or
silicon dioxide - <10 Micron inhaled by
the workers are deposited in the alveoli
of the lungs leading to pathological
changes(Decreases Elasticity, Prevents Oxygen/CO2
Exchange) resulting in Chronic Obstructive
Pulmonary Diseases ( COPD)
Classification of Silicosis
Disease Classes of Silicosis
1. Simple Chronic Silicosis (Moderate
Exposure)
– Latency >15 years
2. Accelerated Silicosis (High Exposure)
– Latency of 5 to 15 years
3. Acute Silicosis (Highest Exposure)
– Latency of weeks to 5 years
6
Silicosis prone
Industries
Silicosis Prone Industries
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•
•
•
•
Iron and steel industry
Pottery and ceramic industry
Rock mining
Blue metal grinding
Granite industry
Glass manufacturing
Construction sector
Potential Silica Exposures
• Foundries
• Manufacturing of
cleaning agents
• Ceramics Industry
• Mining Operations
• Abrasive Blasting
• Construction
• Use of Coal (e.g.,
electric power
generation)
Georgia Tech Safety and Health
Consultation Program
9
BUDGET
• A sum of Rs. 23,83,000 was sanctioned by
the Govt. of Tamil Nadu and the fund has
been released through the State Health
Society, Tamil Nadu for carrying out the
following activities.
ACTIVITIES INITIATED
Co ordination Committee
The following committees were formed for
the Prevention and Control of Silicosis in
Tamil Nadu.
• State Level Co-ordination Committee
( Annexure – I )
• State Level Technical Committee
( Annexure – II)
• District Level Co-ordination Committee
( Annexure – III)..\committee
Training
• Conducted One day sensitization workshop
on State and District Level officials.
PARTICIPANTS :
• All Programme officers of DPH & PM and
DDHS
• Deans of all Medical college and Hospital
• Joint Director Medical and Rural Health
Services of all Districts
• DD (TB) and DTTMO of all Districts
• Technical PAs to DDHS of all Districts.
Identification of Silicosis Prone
Industries
Organized sector
•
Total No Industries
•
Total No of workers
- 714
- 13,752
Unorganized Sector
•
Total No Industries
•
Total No of workers
- 2,570
- 97,437
Training Module Preparation
• Training Module for Medical Officer
• Training Module for Field Staff
• Above training Modules were prepared by
the State Technical Committee.
• The Modules were finalized
• Module Printing under process, will be
completed with in middle of August, 2014.
Modular Training
• DD TB, DTTMOs , TPA to DDHS already trained
as Master trainer in the District level.
• Silicosis control programme is already integrated
with existing Revised National Tuberculosis
Control Programme
• DD TB will act as a technical expertise in
this programme.
• Training to the Medical Officers and Paramedical
Staff will be commenced and completed from 15th
August to 15th September, 2014.
IEC
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•
Pamphlets
Posters
Flex Board
Banners
Under preparation process it will completed
the end of August, 2014.
Screening Campaign
• Screening Campaign for prevention and control of silicosis
is on going in all Districts in unorganized sectors based on
the state level one day sensitization workshop for Health
Officials.
• Screening will be done twice a year.
• During Campaign Health Education will be imparted by
the Paramedical Staff.
• 16 Districts Conducted Silicosis Screening Campaign
• Total No. of workers screened – 38350
• Clinically they are symptom free.
• Minor Ailment treated Patients - 23
• No referral .
Health Care Delivery System in
Tamil Nadu
DME
Tertiary
care
DMS
Secondary
Care
DPH
Primary Care
Health Facilities Functions
Primary Care:
Conducting Screening Campaign at site.
Minor Ailment Treatment at the site itself.
Referral ( so far no referral )
Secondary / Tertiary Care
The District Head Quarter Hospitals and Medical
College Hospitals are
identified as referral unit for
terminally ill patients.
– X-ray, PFT will be available at District Head Quarter
Hospitals and Medical College Hospitals.
– Separate Ventilators for silicosis affected patients also
available in Secondary / Tertiary Care Hospitals.
Proposed Policy
• In Tamil Nadu Public Health Act,1939 a
draft amendment was submitted to the
Government of TamilNadu on the 5th month
of
2014
to
include
occupational
pneumoconiosis as a new provision in the
section 62 A non communicable notified
Diseases , in Chapter VII, Part II.
Board / Fund for Rehabilitation
Instead of Board various level of
Committees formed.
• State Level Co-ordination Committee
• State Level Technical Committee
• District Level Co-ordination Committee
This Committee review the Health Hazards in
Silicotic Industries Workers Periodically.
Insurance / Welfare Schemes
Un organised Sector :
– General Welfare Scheme
• Chief Minister Comprehensive Health Insurance
Scheme.
• Dr.Muthulakshi Reddy Maternity Beneficiary
Scheme for Pregnant Women ( Rs.12,000 for Two
Children's )
Organised Sector :
– Employee’s State Insurance Scheme.
STEPS TAKEN FOR PREVENTION
• Awareness Creation among workers
• Providing Personal Protective Equipments by the
owners of the industries.
• Periodical Medical Examination in the Field.
• Clinical suspected COPD workers will be
removed from the work place and he should find
out alternative job.
• In this regard counselling will be done by the
paramedical staff.
• Terminally ill patients will be admitted to the near
by District Head Quarter Hospitals/ Medical
College Hospitals.
National Conference on
Silicosis
DIRECTORATE OF INDUSTRIAL
SAFETY AND HEALTH,
GOVERNMENT OF TAMILNADU
IDENTIFICATION OF INDUSTRIES
In the state of Tamilnadu, 13752 Workers are
employed in 714 factories carrying on the following
five Categories of manufacturing processes that are
prone to Silicosis.
Glass Manufacturing
Sand & shot blasting
Pottery
Manipulation of stone
Foundries
Sl.
No
Process
No. of
factory
No. of
workers
1.
Glass Manufacturing
4
93
2.
Sand & shot blasting
118
1177
3.
Pottery
56
2279
4.
Manipulation of stone
215
3056
5.
Foundries
32
7147
Total
714
13752
20
56
491
93
2
28
2
23
538
30
148
1
4
No.of
Factories
4
118 1177
56
181
2279
Total
Workers
1
404
882
26
Total
Factories
16
6
41
2
No.of
Workers
6
1
8
38
12
Total
No.of
Factories
13
15
280
Foundries
No.of
Workers
1
80
117
74
802
1
1
Manipulation of
Stone
No.of
Workers
3
14
29
12
Pottery
No.of
Factories
Chennai.
Tiruvallur
Kanchipuram
Vellore
Cuddalore
Villupuram
Salem
Namakkal
Trichy
Perambalur
Thanjavur
Pudukkottai
Dindigul
Theni
Madurai
Sivagangai
Virudhunagar
Tirunelveli
Tuticorin
Coimbatore
Tirupur
Erode
Krishnagiri
Dharmapuri
TOTAL
No.of
Workers
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
No.of
Factories
District
No.of
Workers
Sl.No
Glass Mfg
Sand and
Shot
Blasting
No.of
Factories
DISTRICT WISE DISTRIBUTION OF FACTORIES
21
380
260
159
4
19
34
9
108
337
190
822
5
453
3
6
1661
391
4
20
1
4
18
59
222
3
2464
600
7
24
321
7147
6
42
104
39
41
4
28
2
9
8
2
5
19
3
9
2
3
4
9
279
6
4
80
6
714
144
1114
604
2187
882
49
538
30
944
82
6
1677
472
24
75
5
828
59
106
2616
625
235
420
30
13752
8
2
2
6
3
4
2
2
82
6
16
52
24
35
5
810
9
1
3
3
73
6
215
106
4
25
54
396
30
3056
PREVALENCE OF SILICOSIS
Eight Certifying surgeons and one Chief
Medical Officer under the control of Director
of Industrial Safety and Health conduct
Medical surveys and examination of workers
employed in the above factories. During such
medical examination, the analysis of work
place exposure, pulmonary function test, CT
scan for confirmation and biopsy (in rare
cases) are carried out by the medical officers.
In Sri Nataraj Ceramics & Chemicals Ltd.,
Dalmiapuram, Tiruchirapalli District,
Tamilnadu-621 651, three workers were found
affected by silicosis during the Medical
examination of certifying surgeon in January
2013 and the Occupational disease was
confirmed by ESI Hospital, KK Nagar,
Chennai, where the facilities for diagnosis and
treatment is available in Tamilnadu.
Sl.No. Name and Full Address
Present Status
1.
A.Vincent, 52,
G-115, SJ Colony,
Dalmiapuram -621 651
He has been transferred to
another safe work place in
the factory and medical
monitoring done by ESI
utilization Dispensary,
Dalmiapuram, Trichy.
2.
C.Panneer Selvam, 57,
E-176, SJ Colony
Dalmiapuram
3.
S.Pitchai, 60
S/o.Savari Muthu,
Mela Street,
Alambakkam .po
Lalgudi Thaluk,
Trichy District
Retired from service and
applied for ESI
Compensation and in
process.
Died in December 2013.
ESI Medical Board for
occupational diseases
awarded 70% permanent
disablement benefit.
PREVENTION OF SILICOSIS
During the periodical inspection, the officials of
Directorate of Industrial Safety and Health,
monitor the implementation of Occupational
safety and health provisions of Factories Act and
Tamilnadu Factories Rules applicable to silicosis
prone factories. Apart from enforcement, Safety
training programs are conducted by the officials
and the workers are imparted with safe and
healthy operating procedures at work place. The
importance of selection and usage of proper
personal protective equipments are also
highlighted to the management and workers.
In order to ensure hazard free work place, the
provision and maintenance of ventilation
systems and exhaust arrangements are strictly
monitored during inspection. The efficiency
of the above equipments is also verified
through the periodical examination and
certification of competent persons notified
under the Factories Act 1948.
The Director of Medical and Rural health
services, Director of Public health and
preventive medicine and Director of medical
Education, Government of Tamilnadu, have
been addressed to inform all their medical
officers to intimate the diagnosis of Silicosis to
the Director of Industrial Safety and Health,
Chennai-14, as per section 89 (2) of the
Factories Act 1948 for further follow up action
by our directorate.
THANK YOU