National Institute of Labour Protection, Vietnam THE SITUATION OF OCCUPATIONAL HEALTH IN VIETNAM VU XUAN TRUNG 1 CONTAIN Show some occupational health data related The result of health check up for workers Data statistics related illness and diseases of workers Data statistics on occupational diseases Introduction of our Occupational Health Clinic 2 The system of occupational health services in Vietnam: State management: Preventive Medicine Department, Ministry of Health Provincial Preventive Medicine Centers; Central and Provincial Occupational Diseases Committees Carry out services: Occupational Health Centers of Ministries. Provincial and District Occupational Health Centers Occupational Health Clinics 3 Up to 2006, there are about: 50 occupational health centers 37 Occupational Health clinics (With total 570 staffs) Carry out Occupational Services for enterprises All the organs, centers and clinics have to submit annual report to Preventive Medicine 4 Dept. The result of health check up for workers In 2006, Only 3854 enterprises (17.3 % of the total reported enterprises) organized health check up for 469,931 workers (30 % of the total reported workers). Prevalence (%) Health classification Level I (very good) Level II (good) Level III (average) Level IV (weak) Level V (very weak) 2004 2005 (N= 428,316) (N= 543,086) 18.1 41.2 28.1 10.1 2.5 20.4 44.9 25.5 7.65 1.5 Source: Preventive Medicine Dept. 2006 (N= 469,931) 19.4 40.3 27.9 9.4 2.9 5 Illness and diseases of workers Statistics on 307500 workers visited workers in 2006 and 807465 visited workers in 2005. Type of diseases Pulmonary diseases Eyes diseases Musculoskeletal Ear - nose - throat Skin diseases Cardiovascular Others Prevalence (%) 2005 2006 (N= 807,465) (N= 307,500) 25.3 30.5 6.8 6.6 5.5 5.7 8.2 4.6 3.7 2.3 2.6 2.9 47.9 52.6 Source: Preventive Medicine Dept. 6 Illness and diseases of workers Following table showed the number of sickness absence at the reported enterprises in the period of 2004 to 2006 2004 2005 Total of workers at 989,731 1,006,408 reported enterprises Numbers of worker out 406,520 205,128 of work due to sickness (41.03%) (20.38 %) Sickness absence time 206,877 312,582 Numbers of day absent 807514 989,896 Source: Preventive Medicine Dept. 2006 739,910 131,211 (17.7 %) 308,564 863733 7 Statistics on occupational diseases Occupational diseases The total occupati onal diseases cases from 1977 to 2006 Silicosis Byssinosis Occupational chronic bronchitis Lead poisoning TNT poisoning Nicotine poisoning Pesticide poisoning Noise - induced hearing loss Occupational melanosis Occupational tuberculosis Occupational viral hepatitis Cases percent 17262 278 99 309 151 259 292 3722 570 53 111 Source: Preventive Medicine Dept. 74.52 1.20 0.43 1.33 0.65 1.12 1.26 16.07 2.46 0.23 0.48 8 Statistics on occupational diseases Workers receiving Examined workers Occupational diseases compensation The year of 2005 The year of 2005 28653 53683 1123 (3.92 %) 700 (62.33 %) 948 (1.77 %) 318 (33.54 %) Source: Preventive Medicine Dept. 9 CONCLUTION There were 82.7 % of the total reported enterprises not organize health check up. 70 % of their workers did not have health check up and occupational diseases examination; Workers classified as weak and very weak categorizes is still at high level (9 to 12.5 %). The prevalence of some common occupational diseases is still at high level A lot of workers suffering occupational 10 diseases have not received insurance ORGANIZATION STRUCTURE OF NATIONAL INSTITUTE OF LABOUR PROTECTION (2007-2010) MINISTRY OF HEALTH VIETNAM GENERRAL CONFEDERATION OF LABOUR SCIENTIFIC COUNCIL SCIENTIFIC COUNCIL NILP RESEARCH SECTOR SERVICES SECTOR CENTRE FOR HEALTH AND HUMAN SCIENCES OCUPATIONAL CLINIC 11 The tasks and functions of Clinic. Carry out health check up for workers Supply occupational diseases examination services and treatment for workers Carry out working environment auditing Do consultation in the field of occupational health Type of services: Carryout services at located address of clinic Supply services at enterprises by mobile clinic 12 PHÒNG KHÁM SỨC KHỎE NGHỀ NGHIỆP 13 Dental Unit 14 X ray and functions exploration Unit 15 Biochemistry and hematology Unit 16 Mobile services 17 THANK YOU FOR YOUR ATTENTION! 18