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3

.. 2546

64.24
15 59 35.2 (
54.8) 34.56 ( 53.8)

639,000 ( 1)

19.8 ( 57.46)

( 4.8 27)
( 1.4 8)

( 4.6 26)

( 6.2 39)

35.1
31.1 22.5
7.8

3.3

7,033,907 ..
2545 492,802

24

.. 2545

10

1

(Silicosis) -(Byssinosis)

..
2546

3.1

.. 2546

25

19,404

3,580

1,047

187

111

()
()

()

280,
050

19

(100) (91.4
2,12
4

2)

1,759

(6.93)

(8.80)

(1.28)
(5.23)

(100) (82.8
2)

()

256,0

116,
462

(0.37
)

67

(3.15
)

12,528

(10.76)
81

88,76 (4.40)

14,814

(12.72)
100

(5.44)

357

(0.31

26

()
()

(100)
1,83
9

2)

(1.1

(76.2

21

(100) 1,637

4)

(89.0

()

2)

()

3.1

.. 2546


()

27

(Silicosis)

()
()

()
()

(Byssinosis)

217,

057

157,4
38

(100) (72.5
7,73
2

3)

3,924

20,395

21,354 17,87

1,487

1,160

(9.39)

(19.23)

(100) (50.7
5)

516,
415

430,5

4,80

(83.3

(100)
2

78
8)

(100) 4,229

50,807

(9.84)

(15.00
)

34,564

(6.85)

237

47,078

(8.23
)

1,161
(15.0
1)

(9.84)

329

(6.69)

(4.94)

466

(0.09
)

(0.15
28

()

(88.0 (7.64)

()

()
()

()
()

7)

616,

2,576

(13.35)

118

(100) 525,1
19,2
96

(100)

23,353

(3.79)
1,922

(9.96)

20,59
5

58

(3.34

4)

1,548

(85.2
13,21

(8.21

(68.4
8)

()
()
:


30 -

29

(.) 9
21
13

(1 )

(1 )

(1 ) (2 ) (4 )
(7 ) (3 )

(3 )

(2 ) (2 ) (2 )
( 1 ) (1 )

(occupational disease)

(work- related disease)

30

..
2545 3 4

..

2535 2544

2546

.. 2536-2546
( 3.2)

3.2
2546

.. 2536

()

()

31

()

()

2536

34,772

921.36

3,355,805

156,548

2537

41,690

1,126.35

4,248,414

186,053

2538

49,860

1,397.81

4,903,736

216,335

2539

58,129

1,837.50

5,425,422

245,616

2540

61,533

2,235.25

5,825,821

230,376

2541

64,423

1,732.53

5,145,835

186,498

2542

69,946

1,630.79

5,321,872

171,997

2543

74,617

1,673.01

5,417,041

179,566

2544

79,235

1,764.63

5,544,436

189,621

2545

253,363

1,991.64

6,541,105

190,979

2546

273,626

2,183.34

7,033,907

210,673

1,000 .. 2537-2546 (

3.1)

.. 2545
(1 .. 2545)

10


32

3.1

1,000

1,000

50
40
30
20
10
0

43.79 44.12 45.27

.. 2537-2546

39.54

36.24

32.32 33.15 34.2

29.2

29.95

2537253825392540254125422543254425452546

..

33

.. 2546



210,685

792 ( 0.38)
17 ( 0.01)
3,826 ( 1.82)

52,366 ( 24.86)

3 153,684 ( 72.94)
29.95 1,000

..2545

29.20 1,000


20 29 3.2

3.2

..2546
34

.. 2546


//( 52,249 )

( 36,340 )
( 35,687 )

( 14,060 )

( 12,203 )
( 10,074 )


10 ..2546 10

35

10



3.3

3.3

10

..2546

224

612

2.

13,36
9

56

851

1.

8,656

41,824

56,03
3

34,275 43,84
36


3.

0
18

580

4,217

12,187

17,00
2

10,56

4.

30

179

2,327

8,027

5.

22

97

2,062

6,132

8,314

6.

19

269

1,253

6,156

7,697

7.

16

110

1,334

4,348

5,808

19

85

1,088

3,951

5,143

14

72

1,188

3,287

4,561

27

88

940

3,079

4,134

8.

9.

10.

:
:

.. 2545

127
(89 )

37

24 13


.. 2540 2544


3,000 .. 2544

3,035 ( 87)

)
( 3.4) ( 3.4)

( 3.4)
( 1.5)

( 1.0)

.. 2546

33 1

17 8

.. 2544

13,039


2,082

850
38

521 48
35

4 3
1


. 506 .506/2

.. 2546

39

3.4

..2546


1
-

4,604

64

515

2 .
-

29,638

6,407

36,123

9,625


4 .

40

4.1
-

19

493

30

568

70

4,537

- 1

620

- 2

17

- 3

94

- 4

523

- 5

46

36

2,990

1,148

4.2

4.3

4.4

41

3.4

.. 2546 ()

4.5
-

42

3,069

984

221

617

- < 40 ug/dl

414

- 40 - 60 ug/dl

57

- > 60 ug/dl

44

14

16

5.2.1 BENZENE

389

5.2.2 TOLUENE

384

50

5
5.1
5.1.1

5.1.2
-
5.1.3
-
5.2

- PHENOL (>50 ug/gm-

creatinine)

- Hippuric acid (>2500


ug/gm-creatinine)

42

5.2.3 XYLENE

692

5.2.4 STYRENE

295

75

456

26

-
- Methy hippuric acid

(>1.5g/gm-creatinine)

- Mandelic acid (>800


ug/gm-creatinine)
5.2.5 ( Thiocgahate )
-
:

(DALY)

(DALY)
43

15 - 19
5

30 - 39


(WHO)


2 15

( 30 ) 8

( 15 60 )
7.5 (
15 ) 10 (

15 ) 2
( 15 ) 2

44

(Silicosis)

()


..2544

Silicosis Elimination Programme


(ILO) 10

(MOU)


45

( 2497)
27

.. 2515


46

.. 2538


31 ( 93.9)

33 ( total
dust) /
(respirable dust)

61 ( 9.0)

13

( 1.9)

.. 2540

2539

ILO,

1980

21.3% ( 10 47 )
47

.. 2538 - 2541

3.5

.. 2538-2541

2538

2539

190,

190,6

207,

211,

()

653

53

581

796

()

5,85

5,047

7,72

8,14

1
2

1
3

2540 2541

99

86

55

169

16.9

17.0

7.1

20.7

3,22

3,249

1,47

4,39

()
4

1,000

48

2544

289

302
44 9

253 44
23

4,572
17

84 2

FVC
FEV1<80 % 597

< 80 % 582

..2543

(Healthy Workplace)


(Healthy City)
(Healthy Workplace)

(Healthy City)

49

..2544 3.6

3.6
..2544

1.

1 (
2

4,0

0
0

1
6

60

50

1 177

8 286

7 333

2.

2
6

2
5

1
8

0
4

5 324

91

97

3 264

1 506

3
2

2
0
1

6
9
6

4
5

2
1
7
3

0
9

9
5
8

1
9

8
9

0
0

5
6

4
3
8

7
2
3

2 271
7
51

- ./.

0
8
-

1,2

74

0 437

0
4
3

7
3.

7 343

6 288

9 277

0
6
3

2
8

7
2
7

0
3
7

7
4

9
1
2

3,750

2545

- 3
(SMEs)

52

2546
5,250

- 5
(SMEs)

12,550

2549

- 10
(SMEs)

)
" "

53

10

10



"

1:

2:

. . .

54

( Hippuric

acid ),
(Methyl
(Phenol),

Hippuric acid),

(Acetone)

.. 2546


2546


62

82 76



.. 2544 2546

(Organic Solvents)

1)

2)

3)

4)

55

1)

3)

2)

10

40

1)
56

2)

3)

.. 2547


57

..2546



2544

..




1 ,
4 , 5 , 6 7

58



..2545

59

(.) ..2521 2545


122

3.7

..2521 2545

../ ( )
2521 2526
-

2525 2530

2531 - 2536 2535

2540

2541
-

2545

12

21

13

14

18

- /

10

12

- //

12

12

60

28

38

13

17

86

122

:

(.)

.. 2538

.. 2538 2539


..2542

1,000


.. 2538

1.5
61

1.1 73.3

.. 2538 .. 2539

.. 2546
754

40

( 24) ( 16)
( 11) ( 4)
( 3) ( 2)
( 3.3)

3.3

.. 2546

62

.. 2547

.. 2547
426

37
( 25) (
17) ( 13) ( 3)

( 3) ( 2)
( 3.4)

3.4

.. 2547

.. 2545

63



.. 2529 .. 2536
3,333

.. 2537

.. 2539-2540


(0.05 )

.. 25402544


64


/
.. 2538

10

96 73


7 23

20

65

.. 2545 3-5 %
.. 2544 (1.31 )

8-10 %

1.5

5-10% ( 1.4 ) ..2545



10% 2544 (0.18 )


101 105 106 12

10
( 2545)

.. 2546

66

67

10
2 120

11

.. 2542 ..

2540 77

68

/ /

1 10

..2546

86,205
3.8 3.9

69

3.8

2546)

( 25

86,2 16,7 6,21 5,91 6,0 5,24 4,82 4,24 2,81 2,39 2,1 29,6

05

38

08

05 84

1.

, 42,4 11,1 3,04 4,36 3,1

1,94 3,03

2.

2,21

3.

4.
5.

38

34

14,2 1,88 2,27


21

70

627 5 316

5,29 1,44
2

1
4

170

579
1,67
3

87 07

29 3,31

747 9

84
33 53

3,40

13 1,22

317 284 5 148 216 293 278 101 6

839 226 23

68 723

1,25 1,3 11,8

28

29

35

25 23 359

25

2,03

208 34 106 9 585 28

62

18

25 44

6.

( 1,83

1,10
1

14 703

7.

2,16
0

270 47

85

24

5 328 21

8.

34

22 19
13

85

70
12

1,00
4

3.9
12

25 2546)

4,

15, 4,

2,

782 780 067 78 71 732 653 417 376 357 257 294

1.

158 31

18

17 1

13 1

55 15

17

10

43 2

38

2.

3.

284 3

4. 24

92
-

10

5.

6.

2,

11

192 454 571 32 2

16 242 22 119 55 100 469


7

146
71


25 ..2546

( 3.10)

3.10

( 25

2546)

()

90,205

14,42

75,782

61,944 13,83

45,490

7,306

38,184

32,861 5,323

44,715

7,117

37,598

29,083 8,515

5,706

269

5,437

4,628

13,314

1,191

12,123

10,061 2,062

11,005

921

10,084

6,660

3,424

3,401

2,069

1,332

949

383

11,289

2,667

8,622

6,785

1,837

809

72

.. 2545

72 24,250
.. 2544 ( 59 ) 23.7

21,146 ( 87.2)
39 ( 3.11)

3.11

.. 2540-2545

73

..

2540

25,82 129 20,321

97

5,499

32

2541

22,42 124 17,312 101

5,108

23

2542

18,77 102 12,087

81

6,686

21

2543

16,57

75

8,384

55

8,194

20

2544

19,59

65

14,503

59

5.096

2545

24,25

50

21,146

39

3,104

11

0
0
3
8
9
0

72

10

( 3.12)
13,809 10,441

1:1.3

74

5 ( 24.7) 15-24 ,
25-34 ,35-44
3.12

10 .. 2545

4,318

3,031

1,631

140

10

3,262
1,058
1,096

9
-

755

531

515

77.4

6.5, 2.6 ,
0.3, 0.1
13.1 ( 3.13)

3.13

.. 2545

75

17,728

32

573

57

261
-

26

2,501

21,146
:

39

7,770 ( 32.0)

6,108 ( 25.2) 2,528 (

10.4) 2,046 ( 8.4)


1,361 ( 5.6) ( 3.14)

76

3.14

10 .. 2545

(Acute

7,770

32.04

(Malaria)

6,108

25.19

(Pyrexia of

2,528

10.42

diarrhoea)

unknown origin)
4

(Heamorrhagic conjunctivitis)

2,046

8.44

(Pneumonia)

1,361

5.61

11

(Dengue haemorrhagic

698

2.88

Fever)
7

(Food poisoning)

596

2.46

572

2.36

() (Tuberculosis Total)

487

2.01

10

() (Dysentery Total)

399

1.65

(Sexually transmitted diseases)

77

100 71.4
25.0 17.4
10.5 ( 3.15)
3.15

10 .. 2545

(%)

(Rabies)

100.00

(Diptheria)

71.43

(Meningococcal

25.00

23

17.39

19

10.53

meningitis)
4

(Leptospirosis)

(Tetanus
Exc.Neo.)

(Suicide)

44

9.09

(Severe

56

7.14

(Mushroom

21

4.76

27

3.70

diarrhoea)

Poisoning)

(Occupational diseases)

78

10

(Tuberculosis)

487

0.82

1.

..2535

..2541


.. 2535


.. 2546

79

80

2.

.. 2539 1.2 -

81

3.


ISO 14000


. 18000

4.

82

83

84