OCCUPATIONAL HEALTH STRATEGIES: ASSESSMENT AND CONTROL OF
HAZARDS IN THE WORKPLACE The way by which the occupational health could classify occupational health concerns in the workplace is to identify (1) health hazards and (2) safety hazards. Health hazards are the elements in the work environment that work-related diseases to the worker. Safety hazards are the unsafe conditions or unsafe acts that significantly increase the risk of a worker to be injured. Typically, the occupational health team begins with risk anticipation and assessment by creating a job-safety analysis. This could be done through reviews of records, process and equipment reviews, chemical inventories, interviews, focused group discussions, surveys, observations, and walk- through methods. In this process, the hazards present, those who are exposed, and the degree of individual exposures are identified. The occupational health team may categorize identified health hazards in the workplace as follows: 1. Biological-infectious hazards: Infectious biological agents such as bacteria, viruses, fungi, or parasites that may be transmitted via contact with infected clients or coworkers, and contaminated materials. 2. Chemical hazards: Various forms of chemical agents, including medications, solutions, and gases, that interact with body tissues and cells and are potentially toxic or irritating to body systems. 3. Enviromechanical hazards: Factors encountered in work environments that cause accidents, injuries, strain, or discomfort (e.g., poor equipment or lifting devices and slippery floors). 4. Physical hazards: Agents within work environments such radiation, electricity, extreme temperatures, and noise that can cause tissue trauma through transfer of energy from these sources. 5. Psychosocial Factors and hazards: situations encountered or associated with the job or work environment that create stress, emotional strain, or interpersonal problems. Table 17.1 provides examples of work- related exposures in each of these areas, together with the illness that the worker develop. Having a good understanding of the nature of these hazards will allow for the development of health promotion and prevention strategies to mitigate exposure risk. Typical control measures for occupational hazards can be categorized into three, namely: 1. Administrative control - refers to the development and implementation of policies, standards, trainings, job design, and the like. For example, a workplace where a substantial level of noise is involved may need to implement job rotation policies to be able to assure that no worker is exposed to the threshold limit (i.e., 85 decibels per 8- hour shift) in any given work day. 2. Engineering - refers to the adoption of physical, chemical, or technological improvements to limit the exposure of workers to the hazards of the workplace. Noise- emitting machines can be isolated with sound-proof walls, and dangerous machine parts can be guarded with tough materials. Toxic chemicals could be substituted with alternatives, and their handling could be automated as well. 3. Materials provision - refers to providing the workers with supplies or supplements that can decrease their exposure or susceptibility to occupational hazards. Personal (PPE), immunization, and vitamin supplementation are some examples of these. Health care and laboratory workers could be provided with masks, eye shields, and daily doses of multivitamins to decrease the exposure and increase the resistance to infections. protective equipments.