OCCUPATIONAL HEALTH

Define occupational health

The promotion and maintenance of the highest degree of physical, mental and
social well-being of workers in all occupations" .

• Health promotion of workers

• Prevention of occupational diseases

• Roles and responsibilities of occupational health nurse

• Administration of occupational health services

• International organizations

• Women and occupational health

• Child labour and prevention

• Values at workplace

HEALTH PROMOTION OF WORKERS

Recommendations by ILO / WHO committee on occupational health in 1953

HEALTH PROMOTION OF WORKERS

• Nutrition

• Communicable disease control

• Environmental sanitation

• Mental health

• Measures for women and children

 • Health education

• Family planning

COMMUNICABLE DISEASE CONTROL

• Early diagnosis

• Cases isolated from working environment

• Protective measures

• Regular Medical checkup & Immunisation

• TB,Typhoid,hepatitis,malaria, venereal diseases

ENVIRONMENTAL SANITATION

• Water supply

• Food

• Toilet

• General cleanliness

• Space

• Lighting

• Ventillation/Temperature

• Protection from hazards

• Housing

MENTAL HEALTH

• Promote health and happiness

• Detect signs of emotional stress

 • Identify the cause

• Treatment

• Rehabilitation of the ill

MEASURES FOR WOMEN &CHILDREN

• Maternity leave for 12 weeks with cash benefit under ESI act

• Ante/Intra/Postnatal services

• Prohibition of night work

• Prohibits of work underground

• Crèches

• No child below 14 shall be employed

Health education

• Important health promotional measure

• Provided whenever necessary

• Content

– Hygiene, participation

• At all levels

– Management

– Supervisors

– Workers

– Trade union leaders

Family planning
 • Encouraged to adopt small family norm

• Health education

Prevention of occupational diseases

• Medical measures

• Engineering measures

• Legislative measures

Medical measures

• Pre placement examination

• Periodical examination

• Medical & health care service

• Notification

• Supervision of working environment

• Maintenance & analysis of records

• Health education & counseling

Engineering measures

• Design of building

• Good housekeeping

• General ventilation

• Mechanization

• Substitution

• Dusts
 • Enclosure

• Isolation

• Local exhaust ventilation

• Protective devices

• Research

• Statistical monitoring

• Environmental monitoring

LEGISLATIVE MEASURES

• The Factories Act, 1948

• The Employees State Insurance Act, 1948

• Mine & Mineral Act, (Development & Regulation) Act, 1957

• Noise Pollution (Regulation & Control ) Rules, 2000

• The Child Labour (Prohibition & Regulation) Act, 1986

• The Air (Prevention & Control of Pollution ) Act, 1981

• Maternity Benefit Act (1961)

• Minimum wages Act

THE FACTORIES ACT, 1948

• Factories act enacted in 1881

• The act amended in 1911, 1934, 1948, 1976, 1987

• Factory: establishment employing 10 or more workers where power is used,

and 20 or more workers where power is not used.
 • Prescribed working hours, holidays and employment of young men and
women.

• Prohibits employment of children under 14 years

• Adolescents should be duly certified by certifying surgeons regarding fitness

to work

THE FACTORIES ACT, 1948

• Chapter III (Section 11-20) deals with health aspects

• Chapter IV (Section 21-40) deals with safety aspects

• Chapter V deals with welfare aspects

• Chapter VI deals with work hours holidays interval

• Chapter VII deals with employment of young person

THE EMPLOYEES STATE INSURANCE ACT, 1948

• Provides cash and medical benefits to industrial employees in case of

sickness, maternity and employment injury.

• Administration by ESI Corporation

• The Union minister for labour :chairman Secretary Ministry of labour : vice
chairman

• 4 principal officers

– Insurance commissioner

– Medical commissioner

– Finance commissioner

– Actuary

The Employees State Insurance Act, 1948

Benefits to employees

• Medical benefit

• Sickness benefit

• Maternity benefit

• Disablement benefit

• Dependent benefit

• Funeral expense

• Rehabilitation allowance

Benefits to employers

• Exemption from the applicability of Workmen's Compensation Act

1923

• Exemption from Maternity Benefit Act 1961

• Exemption from payment of Medical allowance to employees and

their dependants or arranging for their medical care

• Rebate under the Income Tax Act on contribution deposited in the ESI
Account

• Healthy work-force.

The Child Labour (Prohibition & Regulation) Act, 1986

• Child (under 14 years) labour is prohibited in India under The Child

Labour (Prohibition And Regulation) Act, 1986.
 • It includes work in a shop, commercial establishment, work-shop, farm,
residential hotel, restaurant, eating-house, theatre or other place of public
amusement or entertainment

ROLES AND RESPOSIBILITIES OF OCCUPATIONAL HEALTH NURSESE

Prevention of occupational injury and disease

• Promotion of health and work ability

• Improving environmental health management

ROLES AND RESPONSIBILITIES OF OCCUPATIONAL HEALTH NURSE

• Clinician

• Specialist

• Manager

• Coordinator

• Adviser

• Health educator

• Counselor

• Researcher