ABC of Occupational and Environmental Medicine by David Snashall, Dipti Patel

By David Snashall, Dipti Patel

This new version of Occupational and Environmental Medicine concentrates extra at the more recent different types of occupational illness together with these (like “RSI” and pesticide poisoning) the place publicity and results are obscure. there's particular emphasis on paintings, wellbeing and fitness, with hyperlinks to public healthiness, future health promoting, the worth of labor, disabled humans at paintings, the getting older crew, vocational rehabilitation, facts established perform, and extra chapters at the future health results of weather switch and of occupational healthiness and security on the subject of migration and terrorism.

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The latter principle had proved impossible to apply to large businesses, such as P&O following 26 ABC of Occupational and Environmental Medicine the Herald of Free Enterprise disaster. Smaller companies fared differently, as with the 1993 Lyme Bay kayaking tragedy in which four teenagers drowned. Peter Kite, one of the company’s directors, was sentenced to 3 years imprisonment as a result. The new Act removes the requirement to find all the blame in one person; however, this has not resulted in any great change and the Centre for Corporate Accountability, an organisation committed to monitoring activity in this area, closed because of funding difficulties in March 2009.

Services can be delivered in a number of ways, and can and should use innovative methods where these enhance occupational health. This increasingly includes the use of telemedicine for remote workers, secure online questionnaires, electronic fitness confirmation to facilitate pre-placement, occupational health assessment, and spirometry with remote over-read by a respiratory physiologist to ensure quality standards and consistent reporting. In order to make an informed decision about OH provision and how this should be delivered, an OH needs assessment should be undertaken.

A welder in a foundry uses air arc gouging, note the fume, intense light including UV, heat and several trip hazards. g. paint sprayers working with isocyanate paints). The OH service should be able to initiate preliminary investigations; however, if further referral to secondary care for formal diagnosis is needed, their GP would need to be aware of the symptoms, medical findings and results of any investigations in order to make an appropriate hospital referral. Communication between an employer and an employee’s treating doctor is usually initiated by the OH service requesting information from the doctor.

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