Documente Academic
Documente Profesional
Documente Cultură
CALCUTtA
UMESCHANDRA COLLEGE
13, Surya Sen Street,
Kolkata 700012
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UNIVERSITY OF
CALCUTtA
ENVIROMENTAL STUDIES PROJECT
ON
OCCUPATIONAL DISEASES
SUBMITTED BY
NAME
Ayush Agarwal
128
SEC:
126-1121-0891-
13
UMESCHANDRA COLLEGE
13, Surya Sen Street,
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Kolkata - 700012
CONTENTS
Sl. No.
Particulars
Page No.
Introduction
5-8
9 - 13
Asbestosis
Silicosis
Anthracosis
Siderosis
Byssinosis
Bagassosis
Tabacosis
14 - 16
17 - 24
Conclusion
25 - 27
Acknowledgement
28
Bibliography
29
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1.
Introduction
Occupational diseases span a broad range of human illnesses, many of which
clinically and pathologically are not different from those of non-occupational
origins. They are contracted as a result of exposure to risk factors resulting, at
least partially, from work activities. The diagnosis of occupational diseases can
rarely be established on clinical grounds alone. It is essential to reveal the link
between occupation and disease because of the employers responsibility to
prevent occupational diseases and the compensation of ill workers. However, the
list of reportable occupational diseases, as well as the related compensation
systems, differs from country to country, making comparisons considerably
more difficult.
An occupational disease is a disease or disorder that is caused by the work or
working conditions. This means that the disease must have developed due to
exposures in the workplace. An occupational disease is any chronic Workrelated diseases have multiple causes, where factors in the work environment
may play a role, together with other risk factors, in the development of such
diseases i.e. ailment that occurs as a result of work or occupational activity.
An occupational disease is the consequence of exposure of varying duration to a
risk that exists during the course of an individuals job. It can be, for example,
daily absorption of small doses of dust or toxic vapours or repeated exposure to
physical agents such as noise or vibration. It is almost always impossible to
accurately determine the point at which the disease began, especially since
some occupational diseases do not become apparent until years after the first
exposure to the risk, and even sometimes long after the worker stopped
performing the task thought to be responsible.
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2.
Meaning of Occupational Disease Relevance in Modern Age.
The overall picture that emerges from all parts of the developing world is one
of increased health and safety risks in all occupations for which data are
available.
Dramatic changes in the global labour force will occur as globalization and
population growth continue to affect the global economy. For example, the
labour force in Latin America and the Caribbean is one of the fastest growing in
the world, with 217 million workers in 2000; the number of workers is expected
to reach 270 million in 2010 (PAHO 2002). The burden of disease and injury
attributable to workplace risks in the formal and informal sectors is grave and
will continue to rise. Inadequate data and reporting systems make capturing the
effect of workplace risks problematic. Nonetheless, several recent efforts by
international bodies have shed some light on the staggering burden, although in
general attempts to derive evidence-based estimates are likely to
systematically and significantly underrepresent the extent of the problem.
The gravity of workplace risks is seen in the recent International Labour
Organization (ILO) estimate that among the world's 2.7 billion workers, at least
2 million deaths per year are attributable to occupational diseases and injuries.
The ILO estimates for fatalities are the tip of the iceberg because data for
estimating nonfatal illness and injury are not available for most of the globe.
The ILO also notes that about 4 percent of the GDP is lost because of workrelated diseases and injuries (Takala 2002).
A recent effort of the World Health Organization (WHO) has provided insight
into the global dimensions of several selected occupational health risks. WHO
included five occupational risk factors in its comparative risk assessment in a
unified framework of 26 major health risk factors contributing to the overall
global burden of disease and injury (Ezzati and others 2002, 2003; WHO
2002). The WHO comparative approach used a common statistical model that
allows a reader to compare the contribution (attributable fraction) of several
risk factors to a single outcomelung cancer, for example. Stringent
requirements for consistency in describing risk factors limited the number of
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occupational risk factors that could be included in the study. For all risk
factors, it was necessary to estimate an exposed population and exposure levels
for 224 age, sex, and country groups in the 14 WHO geographic regions of the
world. Where possible, data could be extrapolated to age, sex, and country
groups for which data were not available, based on similarities in demographic,
socioeconomic, or other relevant indicators. Because knowing the existing
burden of disease and injury globally was necessary, the only outcomes included
were those for which WHO had rates of disease or injury for all regions
calculated by International Classification of Disease (ICD) codes. Finally,
estimates of the risk factorburden relationships by age, sex, and WHO sub
region were generated. Risk measures (relative risks or mortality rates) for the
health outcomes resulting from exposure to the risk factors were determined
primarily from studies published in peer-reviewed journals. Adjustments were
made to account for differences in levels of exposure; exposure duration; and
age, sex, and sub region, as appropriate. The information about each risk factor
was entered into the WHO common model for comparative analysis. The
resulting burden was described as the attributable fraction of disease or
injury, using mortality and disability-adjusted life years (DALYs) lost, with one
DALY being equal to the loss of one healthy life yearthe common currency
measure that includes mortality and morbidity.
Because of the requirements for global data, only five occupational risk factors
could be described: risks for injuries, carcinogens, airborne particulates,
ergonomic risks for back pain, and noise. The exposed worker populations were
estimated using an approach based on the International Standard Industrial
Classification of All Economic Activities (ISIC), an economic classification
system of the United Nations that organizes all economic activities by economic
sectors and relevant sub groupings (UN 2000). The ISIC system is used almost
universally by national and international statistical services to categorize
economic activity; therefore, it allows global comparisons. The ILO has
developed economically active population (EAP) estimates by applying economic
activity rates, by sex and by age group (older than age 15), to the population
estimates and projections of the United Nations (ILO 1996). The EAP provides
the most comprehensive global accounting of people who may be exposed to
occupational risks because it includes people in paid employment, the selfemployed, and people who work to produce goods and services for their own
household consumption, both in the formal and in the informal sectors (ILO
2002a). For the WHO comparative risk assessment, the EAP was further
divided into nine economic subsectors (where people work) and seven
occupational categories (what type of work people do), on the basis of countrylevel data for 31 countries (ILO 1995).
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The absence of data in much of the developing world limited the range of
occupational risk factors that WHO could measure, and the available data
excluded children under age 15 who work. The WHO comparative risk
assessment also excluded important occupational risks for reproductive
disorders, dermatitis, infectious disease, coronary heart disease, intentional
injuries, musculoskeletal disorders of the upper extremities, and most cancers.
Psychosocial risk factors such as workplace stress could not be studied, nor
could pesticide, heavy metal, or solvent exposures. The potential consequences
of omitting just pesticides from the global burden analysis can be illustrated by
the situation in Central America (PAHO 2002). The isthmus is primarily an
agricultural and forested area of .5 million square kilometres, of which 40
percent is arable. Pesticide imports almost tripled from 15,000 metric tons in
1992 to 41,000 in 1998 and 35 percent of the pesticides were restricted in the
exporting countries. In 2000, the sub region imported some 1.5 kilograms of
pesticides per inhabitant per year, a quantity 2.5 times greater than the world
average estimated by WHO. Exposures in the formal and informal sectors
extend to the homes and families of the pesticide workers. Although this
situation is common in developing nations, the WHO comparative risk
assessment captured none of these exposures.
The ILO and WHO data provide the most current, yet still incomplete, picture
of the overall problem of occupational health risks. Nonetheless, with just the
few occupational risk factors studied in depth by WHO a picture emerges of
the significant effect of largely preventable conditions (Ezzati and others
2004). WHO found that occupational injuries result in about 312,000 deaths
per year for the world's 2.7 billion workers; this figure contrasts to the
approximately 6,000 deaths per year caused by occupational injuries for the
150 million workers in the United States. As in the industrial world, high injury
fatality rates in the developing world are clustered in certain sectors, including
agriculture, construction, and mining. Using this metric, occupational injuries
account for more than 10 million DALYs and 8 percent of unintentional injuries
worldwide.
The second occupational factor WHO analyzed was the effect of exposure to
workplace lung carcinogens (such as asbestos, diesel exhaust, and silica) and
leukemogens (such as benzene, ionizing radiation, and ethylene oxide). WHO
concluded that occupational exposures account for about 9 percent of all
cancers of the lung, trachea, and bronchus and about 2 percent of all
leukaemias. Overall, about 102,000 deaths were attributable to these two
occupational cancers and about 1 million DALYs.
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3.
Ways by Which Occupational Disease
Spread Out.
3.1 Contact:
Healthcare workers (HCWs) are occupationally exposed to a variety of
infectious diseases during the performance of their duties. The delivery of
healthcare services requires a broad range of workers, such as physicians,
nurses, technicians, clinical laboratory workers, first responders, building
maintenance, security and administrative personnel, social workers, food
service, housekeeping, and mortuary personnel. Moreover, these workers can be
found in a variety of workplace settings, including hospitals, nursing care
facilities, outpatient clinics (e.g., medical and dental offices, and occupational
health clinics), ambulatory care centres, and emergency response settings. The
diversity among HCWs and their workplaces makes occupational exposure to
infectious diseases especially challenging. For example, not all workers in the
same healthcare facility, not all individuals with the same job title, and not all
healthcare facilities will be at equal risk of occupational exposure to infectious
agents.
The primary routes of infectious disease transmission in US healthcare settings
are contact, droplet, and airborne. Contact transmission can be sub-divided into
direct and indirect contact. Direct contact transmission involves the transfer
of infectious agents to a susceptible individual through physical contact with an
infected individual (e.g., direct skin-to-skin contact). Indirect contact
transmission occurs when infectious agents are transferred to a susceptible
individual when the individual makes physical contact with contaminated items
and surfaces (e.g., door knobs, patient-care instruments or equipment, bed rails,
examination table). Two examples of contact transmissible infectious agents
include Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycinresistant enterococcus (VRE).
Droplets containing infectious agents are generated when an infected person
coughs, sneezes, or talks, or during certain medical procedures, such as
suctioning or endotracheal intubation. Transmission occurs when droplets
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generated in this way come into direct contact with the mucosal surfaces of the
eyes, nose, or mouth of a susceptible individual. Droplets are too large to be
airborne for long periods of time, and droplet transmission does not occur
through the air over long distances. Two examples of droplet transmissible
infectious agents are the influenza virus which causes the seasonal flu
and Bordetella pertussis which causes pertussis (i.e., whooping cough).
3.2 Respiration:
Airborne transmission occurs through very small particles or droplet nuclei that
contain infectious agents and can remain suspended in air for extended periods
of time. When they are inhaled by a susceptible individual, they enter the
respiratory tract and can cause infection. Since air currents can disperse these
particles or droplet nuclei over long distances, airborne transmission does not
require face-to-face contact with an infected individual. Airborne transmission
only occurs with infectious agents that are capable of surviving and retaining
infectivity for relatively long periods of time in airborne particles or droplet
nuclei. Only a limited number of diseases are transmissible via the airborne
route. Two examples of airborne transmissible agents include Mycobacterium
tuberculosis which causes tuberculosis (TB) and the rubella virus which causes
measles.
Several OSHA standards and directives are directly applicable to protecting
workers against transmission of infectious agents. These include OSHA's Blood
borne Pathogens standard (29 CFR 1910.1030) which provides protection of
workers from exposures to blood and body fluids that may contain blood borne
infectious agents; OSHA's Personal Protective Equipment standard (29 CFR
1910.132) and Respiratory Protection standard (29 CFR 1910.134) which provide
protection for workers when exposed to contact, droplet and airborne
transmissible infectious agents; and OSHA's TB compliance directive which
protects workers against exposure to TB through enforcement of existing
applicable OSHA standards and the General Duty Clause of the OSH Act.
Occupational diseases are often thought to be uniquely and specifically related
to factors in the work environment; examples of such diseases are the
pneumoconioses. However, in addition to other factors (usually related to
lifestyle), occupational exposures also contribute to the development or
worsening of common respiratory diseases, such as chronic obstructive
pulmonary disease (COPD), asthma and lung cancer.
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it is only the consequences that can be hard to link to the cause, if the first
symptoms of the disease only appear after a few days.
Other occupational diseases may result from accidents that occurred at work,
for example:
The victim will receive compensation covering all costs. If the condition is not
covered under the system relating to occupational disease, it can be
recognised as a complication or sequella of an occupational accident. This is
the approach that has been adopted in the legislation (by dcret) for the
compensation of HIV infection contracted at the workplace.
4.
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4.2 Silicosis:
Silicosis is a form of occupational lung disease caused by inhalation
of crystalline silica dust, and is marked by inflammation and scarring in the
form of nodular lesions in the upper lobes of the lungs. It is a type
of pneumoconiosis. Silicosis is characterized by shortness of breath, cough,
fever, and cyanosis (bluish skin). It may often be misdiagnosed as pulmonary
edema (fluid in the lungs), pneumonia, or tuberculosis.
4.4 Siderosis:
Siderosis is the deposition of iron in tissue.
When used without qualification, it usually refers to an environmental disease
of the lung.
Siderosis of the lung is generally assumed to be a benign condition, not
associated with respiratory symptoms. A review of the literature suggests that
this assumption may be incorrect, and that siderosis may lead both to
symptomatic and functional changes. It is known that iron ore miners have a
raised lung cancer mortality, but this has been attributed to smoking, or
exposure to tars or radon. Mortality studies among iron workers (haematite
miners, welders, iron foundry and steel workers) show, however, that an
association exists between working with iron and death, both from lung cancer
and other respiratory causes. A number of surveys have examined respiratory
function and symptoms among welders. These indicate that welding is associated
with obstructive airways disease. The effect of the welding fume on
respiratory function and symptoms can be as great as that of smoking. Iron has
also been shown to cause fibrosis in some cases.
4.5 Byssinosis:
Byssinosis, also called "brown lung disease" or "Monday fever", is
an occupational lung disease caused by exposure to cotton dust in inadequately
ventilated working environments. Byssinosis commonly occurs in workers who are
employed in yarn and fabric manufacture industries. It is now thought that the
cotton dust directly causes the disease and some believe that the causative
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agents are endotoxins that come from the cell walls of gram
negative bacteria that grow on the cotton.
4.6 Bagassosis:
Inhalation of sugarcane dust particles in an occupational setting can cause
various lung symptoms. The severity of symptoms varies depending on the
duration of the exposure. The lung symptoms result from the body's immune
system reacting to exposure to the sugarcane dust particles.
4.7 Tabacosis:
Tobacco poisoning describes the symptoms of the toxic effects of
consuming tobacco, which can potentially be deadly, though serious or fatal
overdoses are rare. Historically, most cases of tobacco poisoning have been the
result of use of nicotine as an insecticide. More recent cases of poisoning
typically appear to be in the form of Green Tobacco Sickness or due to
accidental ingestion of tobacco or tobacco products or ingestion of nicotinecontaining plants.
The estimated lower limit of a lethal dose of nicotine has been reported as
between 500 and 1000 mg. Children may become ill following ingestion of
one cigarette; ingestion of more than this may cause a child to become severely
ill. The nicotine in the e-liquid of an electronic cigarette can be hazardous to
infants and children. In some cases children have become poisoned by topical
medicinal creams which contain nicotine.
People who harvest or cultivate tobacco may experience Green Tobacco
Sickness (GTS), a type of nicotine poisoning caused by dermal exposure to wet
tobacco leaves. This occurs most commonly in young, inexperienced tobacco
harvesters who do not consume tobacco.
5.
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CT scans
MRI
5.1.3 Effects
There are different forms of asbestos. Although all forms are considered
hazardous, different types of asbestos fibers may be associated with different
health risks. For example, the results of several studies suggest that amphibole
forms (which have longer, more durable fibers) may be more harmful than
chrysotile forms (which have curly fibers), particularly for mesothelioma risk,
because they tend to stay in the lungs longer. Asbestos cancer and other health
problems take many years to develop. Most cases of lung cancer or asbestosis in
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asbestos workers occur 15 or more years after initial exposure to asbestos. For
mesothelioma, the lag time is even longer. The time between initial asbestos
exposure and mesothelioma commonly has been 30 years or more.
Masonry and concrete work (e.g., building and road construction and
repair).
5.2.3 Effects
Use all available engineering controls such as blasting cabinets and local
exhaust ventilation. Avoid using compressed air for cleaning surfaces.
Use water sprays, wet methods for cutting, chipping, drilling, sawing,
grinding, etc.
Wash hands and face before eating, drinking or smoking away from
exposure area.
5.3 TOBACOSIS:Page | 19
5.3.3 Effects
The degree of this disease if increases above a certain level may even cause
lung cancer which can be fatal.
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5.4.3 Effects
Coal dust provides a sufficient stimulus for the macrophage to release various
products, including enzymes, cytokines, oxygen radicals, and fibroblast growth
factors, which are important in the inflammation and fibrosis of CWP.
Aggregations of carbon-laden macrophages can be visualised under a microscope
as granular, black areas. In serious cases, the lung may grossly appear black.
These aggregations can cause inflammation and fibrosis, as well as the
formation of nodular lesions within the lungs. The centres of dense lesions may
become necrotic due to ischemia, leading to large cavities within the lung.
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X-rays: Chest x-rays will show extremely minute nodules seen mostly in
the middle-third part of the lungs or the lower lungs. These nodules
disappear after exposure to the offending metal is removed.
5.5.3 Effects
It causes scarring of lung tissue (beginning around
terminal bronchioles and alveolar ducts and extending into the alveolar walls)
resulting from the inhalation of iron oxide. It may also effect the blood and can
cause Superficial siderosis.
Siderosis, in itself is not serious. It may, however, help your doctor determine
how much exposure you have had to particles and fumes on the job that can
cause other serious diseases. For example, silicosis is a disease that can lead to
disability and, sometimes, respiratory failure. People who work with the iron and
iron oxide dust that that causes siderosis also tend to work with the silica and
silicate dust that causes silicosis
5.6 BYSSINOSIS:Page | 22
5.6.3 Effects
Byssinosis can ultimately result in narrowing of the airways, lung scarring and
death from infection or respiratory failure.
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5.7.3 Effects
1. Breathlessness,
2. Cough
3. Haemoptysis,
4. Slight fever
5. Acute diffuse bronchiolitis may also occur.
workers.
Bagasse control- keep moisture content above 20% and spray bagasse
with 2% propionic acid.
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6.
CONCLUSION
All the occupational diseases are mainly that occurs as a result of work or
occupational activity. Government should take reasonable steps to make
mandatory for the Companies to stop occupational diseases. Though its not
possible to completely eradicate all these diseases completely as of now but
still it should be the entrepreneurs who should take the prevention of these
disease as their moral and social responsibility and try to make the workplace as
safe as possible as there is no way money can be over a mans life.
To conclude the project I must say that educating the workers about how to be
safe and also providing for proper treatment to the infected is very important
from the company owners point of view. Though it is really a challenging task
and might need lots of resources but the resources are well spent if they can
actually save someones life.
Occupational diseases are hazardous and keeping proper checks in the
workplace is very important, especially if it is a manufacturing or a mining
industries. Most of the occupational diseases are related to lungs which cannot
be replaced. So its important to protect the lungs. Workers should be imparted
knowledge about the safety measures as a single persons life could be linked
with various others. So saving one person from getting into the clutches of
these diseases are worth the money spent on the preventive measures.
Long-time limiting illnesses or limiting health conditions are very common among
employees at workplaces For example; they include people recovering from
cancer, people with allergies, people with musculoskeletal disorders, people
suffering from mental disorders etc. Normally their work life ability is
evaluated by medical personnel, but they need special attention in any workplace
risk assessment. These diseases cause economic costs for employers and
employees and their burden of disease can be expressed also in DALY units.
Depression is becoming a leading contributor to the burden of disease
worldwide and it is often at least partly related to work. People often feel
today's work meaningless and without any real purpose. Depression seems to
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affect women more often than men. The conclusion of an earlier WHO study
was that the highest occupational attributable fractions were attributable to
low back pain, hearing loss, chronic obstructive pulmonary disease (COPD),
asthma, unintentional injuries and lung cancer [20].
Economic costs from accidents fall mainly on the society and individual workers
in most countries. Long term limiting illnesses are responsible for a major
economic burden to individuals, companies and society. The calculation of
economic costs of accidents and occupational diseases can serve well in
awareness raising in companies and as such this may increase their motivation to
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improve safety and working conditions. In addition, the principle of linking the
accident rate in a particular company to its insurance costs could also focus the
attention and motivate companies to make improvements in occupational safety
and health.
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7. ACKNOWLEDGEMENT
I am thankful to Calcutta university and then to Umeschandra college, The
Principal T. Haque and our H.O.D & professor P.R.Das for their advice, with
their guidance and supervision I have been able to complete this project.
The project had enlightened me with the various health hazards that our work
force are facing at their work ambiance and the proper handling of situation of
such health hazards. I came to know about various preventive techniques and
proper diagnosis that are required regarding the diseases that are deal with in
this project.
My sincere thanks to my college and the University for providing me with such
a project which provided me with such important topic that affects the day to
day working of the industries. I would also like to thank my parents and friends
for their valuable support in accomplishing this project.
Date:
__________________
Ayush Agarwal
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8.
BIBLIOGRAPHY
Magazine & Journals/ Newspaper:
Indian Journal of Medical Research(IJMR)
The American Journal of Medicine
The Disease Management Association of America
British Medical Bulletin
Disease spread report analysis
Journal of Occupational Diseases
U.S. Department of Health, Education and Welfare
Occupational Diseases A Guide to their Recognition
National Institute of Occupational Health and Safety (NIOSH).
Websites:
www.cdc.gov
www.efsa.europa.eu
www.wikipedia.org
www.ima-india.org
www.mciindia.org
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