消防员职业安全与健康 Occupational Health for Firefighters 贾晓东 Jia Xiaodong 上海市疾病预防控制中心 Shanghai Municipal Center for Disease control and Prevention 消防员工作危险的原因 What is dangerous about firefighters? 工作环境始终处于动态变化,并充满了 不确定性 Firefighters work under constantly changing and often unstable environments 消防员工作危险的原因 What is dangerous about firefighters? 突发事件现场不同于普通场所,消防员 无法全面掌握工作环境中的危险因素 Firefighters is seldom aware of all of the risks in the environment where the work takes place 消防员工作危险的原因 What is dangerous about firefighters? 工作现场可能充斥多种交通工具,因此 发生交通运输事故的概率相对较高 The risks of transportation accidents are heightened during response to emergencies 消防员工作危险的原因 What is dangerous about firefighters? 消防员因工作性质,将面对心血管疾病、 心理精神压力和骨骼肌肉组织扭拉伤等 问题。 Firefighters face an increased risk of cardiovascular disease, post incident psychological stress, and strain injury due to improper lifting 消防工作中的职业危害 Hazards related to fire-fighting 事故危害 Accident hazards 坠落伤害 Falls from heights 救火过程中遭受物品撞击伤害 Struck by objects during fire-fighting operations 消防工作中的职业危害 Hazards related to fire-fighting 事故危害 Accident hazards 坍塌建筑物吞没 Caught in collapsing or collapsed structures 玻璃、金属或其它锐利物品造成的切割伤或 擦伤,以及因爆炸引起的伤害 Stepping on, struck by or striking against glass, metal or other sharp objects leading to cuts or scratches 消防工作中的职业危害 Hazards related to fire-fighting 事故危害 Accident hazards 因爆炸引起的伤害 Injuries due to explosions 交通运输工具事故伤害 Transportation accidents in responding to an emergency 供气障碍造成窒息 Interruption of air supply 消防工作中的职业危害 Hazards related to fire-fighting 物理危害 Physical hazards 热应激 Exposure to heat leading to heat stress 烧灼伤 Exposure to heat leading to burns 消防工作中的职业危害 Hazards related to fire-fighting 物理危害 Physical hazards 寒冷 Exposure to cold during winter firefighting 噪声 Exposure to noise in vicinity of pump or other equipment 消防工作中的职业危害 Hazards related to fire-fighting 化学危害 Chemical hazards 缺氧 Inadequate oxygen in the breathing air 一氧化碳及其它燃烧后产生的化学物质 The presence of carbon monoxide gas and other products of combustion in the breathing air 消防工作中的职业危害 Hazards related to fire-fighting 化学危害 Chemical hazards 其它有毒有害化学物质 Exposure to chemicals during chemical emergencies 消防工作中的职业危害 Hazards related to fire-fighting 生物危害 Biological hazards 在实施人员救援活动中,有接触传染病人的 可能 Diseases while treating patients as part of emergency medical related activities 消防工作中的职业危害 Hazards related to fire-fighting 其它危害 Other hazards 人体工效学、心理精神因素和工作组织等方 面危害 Ergonomic, psychosocial and organizational hazards 职业危害对消防员健康影响 Health effects of occupational hazards on firefighters 死亡 Death 伤害 Injury 中毒 Poisoning 疾病 Disease 预防与控制措施 Preventive measures 知识 Knowledge 装备 Equipment 训练 Training 干预 Intervention