Mobile Occupational Health Unit
and
Workers’ Health Surveillance at Workplaces
Republic of Turkey
Occupational Health and Safety Institute (ISGUM)
Dr. Nuri Vidinli
nvidinli@csgb.gov.tr
nurividinli@yahoo.com
Occupational Health and Safety Institute (İSGÜM)
• Established in 1968 by a joint Project of the Government,
the UNDP and ILO
• Non-profit governmental organization
Facilities of İSGÜM
•Regional Laboratories
•Occupational hygiene and health laboratories
•Mobile occupational health units
•Pneumoconiosis Monitoring Unit
•Training rooms, workshop rooms, conference hall
•Library
•OHS museum
İSGÜM Reg. Labs
Main Activities of İSGÜM
• Performing laboratory and field research on occupational
health and safety and developing suggestions,
• Giving service on OHS measurements and analysis,
• Supporting studies of standard on occupational health
and safety,
• Supporting small and medium sized enterprises,
• Planning occupational health and safety trainings for
various target groups,
• Giving OHS trainings and consultancy services in case
of necessity,
• Preparing publications and documentations on OHS,
• Collaborating with international and national institutions,
• Preparing statistics on OHS.
Occupational Health Surveillance
Occupational health surveillance is
• the ongoing systematic collection,
analysis, interpretation, and dissemination
of data for the purpose of prevention.
• essential to the planning, implementation
and evaluation of occupational health
programmes and control of work-related ill,
health and injuries and the protection and
promotion of workers' health.
Occupational Health Surveillance
• Workers' Health Surveillance
• Working Environment Surveillance
Workers' Health Surveillance
• Workers' health surveillance is a generic
term which covers procedures and
investigations to assess workers' health in
order to detect and identify any abnormality.
• It comprises many forms of medical
evaluation of health effects developed as a
result of workers’ exposure to occupational
health hazards.
Workers' Health Surveillance
at the enterprise level
• The main purposes of health examinations
are
– to assess the fitness of a worker to carry out
certain jobs,
– to assess any health impairment which may
be related to the exposure to harmful agents
inherent in the work process
– to identify cases of occupational diseases in
accordance with national legislation.
Workers' Health Surveillance
• Health examinations help to identify
conditions which may make a worker more
susceptible to the effects of hazardous
agents or detect early signs of health
impairment caused by these agents.
Workers' Health Surveillance
Health surveillance of workers may be
• Active
• Passive
Active health surveillance at the
enterprises level
• Occupational physician actively select and
invite workers to preventative medical
examination to detect early symptoms of
work related disease and /or nonoccupational disease which can reduce
work ability
Workers' Health Surveillance
• In case of passive health surveillance, ill or
affected workers are themselves coming
to consult occupational physician .
• Passive surveillance usually detects only
diseases with apparent symptoms
Workers' Health Surveillance
• In case of active health surveillance,
occupational physicians select and examine
workers who are at high risk of work-related
disease or injury.
• Specific forms of health surveillance depend
largely upon possible health effects resulting
from a particular occupational exposure.
• Active surveillance is more appropriate for
workers with a history of multiple exposures
and those at higher risk for disease or injury.
Workers' Health Surveillance
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Types of preventative medical examinations
(a) health assessment of workers before their
assignment to specific tasks which may involve a danger
to their health or that of others;
(b) health assessment at periodic intervals during
employment which involves exposure to a particular
hazard to health;
(c) health assessment on resumption of work after a
prolonged absence for health reasons for the purpose of
determining its possible occupational causes, of
recommending appropriate action to protect the workers
and of determining the worker's suitability for the job and
needs for reassignment and rehabilitation;
(d) health assessment on and after the termination of
assignments involving hazards which might cause or
contribute to future health impairment
Workers' Health Surveillance
• Health examinations should be monitored
and continuously developed to identify the
work-related health effects at their earliest
stage of development
• Collection of data on diseases occurred to
population working in a given enterprises
to assess whether frequency of certain
diseases are more frequent than in the
general population
MOBILE OCCUPATIONAL HEATH UNITS
• Early diagnosis and treatment are important in
respect of occupational diseases.
• Difficulties have been experienced in diagnosing in
occupational diseases in Turkey.
• Govenment, social security institutions, employers
and employees have losses due to lack of early
diagnosis and treatment of occupational diseases.
• İn order to provide occupational health surveillance
services, Mobile Occupational health units for
İSGÜM were purchased in 2008 by a EU Project.
MOBILE OCCUPATIONAL HEATH UNITS
The Occupational Health Units are vehicles
that include;
• 2 Mobile occupational health heart - lung
screening systems,
• 2 Mobile occupational health medical
laboratory systems
• 2 Mobile occupational health audiometry
screening systems.
• 8 sample transporting vehicles
MAIN AIMS AND TASKS
of
MOBILE OCCUPATIONAL HEALTH UNITS
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Providing occupational health surveillance services
Diagnosing occupational diseases early, accurately and quickly
performing mandatory periodical examinations
preventing work-day lost and labour force lost that is caused when
periodical examinations are performed at hospitals and health
centers,
giving preventive and protective occupational health services,
conducting scientific investigation on occupational health and
diseases,
transferring samples to be taken in working environment/ from
workers to İSGÜM and Regional Laboratories safely and as soon as
possible
transfering the OHS technical staff and OHS experts to workplaces
for occupational health surveillance
making investigations and training
OBJECTIVES of MOBILE
OCCUPATIONAL HEALTH UNITS
• Supporting Small and Medium sized enterprises
• Taking part, directing and monitoring activities of
accreditation of both public and private mobile
occupational heath units and laboratories which will
serve in the field of OHS,
• Performing occupational health surveillance, laboratory
and field research on occupational health and safety,
occupational diseases and work related diseases,
occupational health and safety and developing
suggestions,
Mobile Occupational Health
Heart- Lung Screening Unit
Mobile Occupational Health Heart- Lung Screening Unit
Passengers Room
6 passsenger seats
Mobile Occupational Health Heart- Lung Screening Unit
Medical Examination Room
• Medical examination
equipments,
• Portable diagnostic
spirometers,
• Portable digital ECG’s,
• Height-mass body
index equipments,
• Refrigerator
• Dry laser printer for
radiological films
• Work station of digital
X-Ray unit
Mobile Occupational Health Heart- Lung Screening Unit
X-ray Laboratory Room
Mobile digital X-Ray unit
and Equipment
Mobile Occupational Health
Medical Laboratory Unit
Mobile Occupational Health Medical Laboratory Unit
Passengers Room
6 passsenger seats
Mobile Occupational Health Medical Laboratory Unit
Examination Room
• Medical examination
equipments
• Refrigerator
Mobile Occupational Health Medical Laboratory Unit
Medical Laboratory Room
•UV spectrophotometer
•Centrifuge
•Blood counter equipment
•Shaker
•Urine strip reader equipment
•Incubator
•Deep freezer
Sample Transporting Vehicle
2 transportable refrigerators
Mobile Occupational Health
Audio Screening Unit
Mobile Occupational Health Audio Screening Unit
Passengers Room
6 passsenger seats
Mobile Occupational Health Audio Screening Unit
Examination Room
• Medical examination
equipments
• Refrigerator
Mobile Occupational Health Audio Screening Unit
2 silent cabins
2 audiometers
SERVICES of MOBILE OCCUPATIONAL HEALTH UNITS
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Medical examination
Health Assessment of Workers
Blood test and urine analysis
Respiratory function test
ECG test
Audiometric test
Radiological examination
Microbiological examination
Risk assessment in the workplaces
Occupational health and safety trainings
Consultancy services
THANK YOU FOR YOUR ATTENTION
Dr.Nuri Vidinli
nvidinli@csgb.gov.tr
nurividinli@yahoo.com
Mobile phone:+905337675755
Dr.Nuri Vidinli
nvidinli@csgb.gov.tr
nurividinli@yahoo.com
Mobile phone :+905337675755
27 May 2010