Hong Kong October 2829 2013 Jagdish Patel Ashish Mittal Labour Force in the country Total Population 2011 Census 121 billion Rural 830 Million Urban 380 Million Working Population 2001 Census 402 million 39 of total population ID: 775171
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Slide1
Country PresentationOCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN INDIAHong Kong, October 28-29, 2013
Jagdish Patel
Ashish Mittal
Slide2Labour Force in the country
Total Population (2011 Census): 1.21 billion (Rural – 830 Million, Urban – 380 Million)
Working Population (2001 Census): 402 million (39% of total population)
(Rural ~ 310 Million, Urban ~ 92 Million)
Male Workers – 275 million
Female workers – 127 million
Slide3Industry-wise Classification of Workers in India (in millions)
Place of ResidenceTotal workers (Main + Marginal)CultivatorsAgricultural labourersHousehold industryworkersOther workersTotal40212710716151Rural31012410311.571Urban92344.580
Source: Census of India, 2001
Slide4Statistics of Factories (2009)
Registered Factories
324,761
Working Factories
270,294
Employment
13,100,129
Safety Officers
2,642
Welfare Officers
3,096
Factory Med. Officers
6,809
Total Injuries
33,093
Fatal Injuries
1,509
Slide5Data on Burden of Occupational Diseases
GlobalIndian ProportionTotal Injuries100 million17 million (17%)Fatal Injuries0.1 million45,000 (45%)Occupational Diseases11 million1.9 million (17%)Occ. Disease Death0.7 million 0.12 million (17%)Economic Burden2-14 % of GNP for various countries186 million INR in 1997 (8 million INR in 1961)
Source: NATIONAL PROGRAMME FOR CONTROL & TREATMENT OF OCCUPATIONAL DISEASES, NIHFW Website
No information or breakup on the above categories is available
Slide6Under the Right to Information Act, ESIC gave information in 2010 that it has the reports of 1576 cases of occupational diseases,15 which occurred between 1997 and 2009. Diseases include Silicosis, Asbestosis (Total 47, Maharashtra-36, W.Bengal-10), Byssinosis, other lung diseases (70), Noise-induced hearing loss (total 471, Gujarat 39, Maharashtra 432) and few cases of mercury, lead and chromium poisoning (97 altogether), Dermatitis (7), COPD (6).Occupational asthma following exposure to soldering fumes as well as chromium. One case of liver damage due to Chromium.Indian Labour Year Book 2005 and 2006 (P.167) reports only 7 suspected cases of occupational diseases.
Data on Burden of Occupational Diseases
Slide7Labour laws
The Factory Act, 1948
Mines Act 1952, and 1957 and Mines Rules 1957.
Dock Workers (Safety, Health and Welfare) Act, 1986,
Building and other Construction Workers (Regulation and the Employment and Conditions of Service) Act, 1996,
Child labour (Prohibition and Regulation) Act 1986,
Insecticides Act, 1968
Slide8Government institutions and agencies
Ministry Of Labour And Employment
Directorate General Of Factory Advice Service & Labour Institutes (DGFASLI) / CLI / RLI
Directorate General Of Mines Safety (DGMS)
State Factories Directorates/ Chief Inspector Of Factories
State Mines Inspectorate
Labour Bureau
Various
sectoral
Labour Welfare Boards
Slide9Government institutions and agencies
Employee State Insurance Corporation (ESIC)
National Institute of Occupational Health (NIOH)
National Institute of Miner’s Health (NIMH)
National Safety Council of India (NSC)
Indian Toxicology Research Centre (ITRC)
Slide10Inter-
sectoral
Linkages in Occupational health in India
Ministry of Labour
Corresponding Departments of the respective State Governments
Ministry of Health and Family welfare
International
Organizations
Ministry of Law
Ministry of Agriculture
NGO’s
Ministry of Industries
Ministry of Environment
Workers Union
Industry
Slide11Public health, medical and laboratory services overview
In 335 Medical Colleges ~ 40,000 Graduates are being trained (2011-12) for Primary Health Care.
12000 Govt. Hospitals with 0.8 million beds with 72,000 Doctors. 0.8 million registered doctors.
General Nursing Midwives – 1.2 million, Auxiliary Nursing Midwives – 0.6 million
Health Visitors/Supervisors – 53,000
Slide12Laws related for Occupational Medicine and Medical Practitioners
Appointment of Certifying Surgeon / Inspector Medical u/s 10 of Factories Act and 11 of Mines Act.
Any Medical graduate can be appointed without OHS qualification
Inspector of Factories (Medical)/ Certifying Surgeon, can also
suo-moto
carry out medical examination of workers engaged in hazardous processes.
Slide13Laws related for Occupational Medicine and Medical Practitioners
NOTICE OF CERTAIN DISEASES (Factories and Mines Act)
If any medical practitioner attends on a person who is or has been employed in a factory, and who is, or is believed by the medical practitioner to be, suffering from any disease, specified in the Third Schedule the medical practitioner shall without delay send a report in writing to the office of the Chief Inspector.
If any medical practitioner fails to comply with the provisions of above sub-section, he shall be punishable with fine.
Similar provisions in BOCW Act. List may be different
Slide14Process of Diagnosis for Occupational Disease
Pre-employment and periodic medical examination of workers under Factories Act and Mines Act
Workers covered under ESIC Act, ESI dispensaries and Hospitals provide the diagnostic services to the covered employees. Have 4 referral centres for Occ. Diseases
, remained
non-functional.
Any qualified medical practitioner can diagnose OD
Slide15Current Curriculum – Industrial Health
Institute
Course
Duration
No.
Of Students
Eligibility
CLI, Mumbai
AFIH
3 months
50
MBBS
RLI, Kolkata
AFIH
3 months
25
Do
State Factory Inspectorate
, Goa
AFIH
3 months
25
Do
BHEL,
Trichy
AFIH
3 months
25
Do
LMRC,
Pune
AFIH
3 months
25
Do
COEH,
New Delhi
AFIH
3 months
25
Do
NIOH, Ahmedabad
AFIH
PhD
3 months
3 years
15-20
MBBS
MD
AIIHPH, Kolkata
DIH
2 years
2-3
MBBS
AFMC,
Pune
Diploma in Industrial Health
2 years
1
MBBS
AIMS, Kochi
PhD
3 years
-
MD
SRMC, Chennai
PG
Cert.
1 yrs
20
MBBS
Slide16Current Curriculum – Industrial Safety
Institute
Course
Duration
No.
Of Students
Eligibility
RLI, Mumbai
Advance Diploma
1 year fulltime
50
Recognized Degree or
Diploma in Tech. /Engineering or in
Physics or Chemistry
RLI,
kolkata
PGD
Industrial Safety
1 year fulltime
50
Do
RLI,
Chennai
Diploma Industrial
Safety
1 year fulltime
50
Research, training
education in the field of Industrial Safety
RLI, Kanpur
PGD
Industrial Safety
1 year fulltime
50
Department in
administration, or in
construction industry
ITRC,
Lucknow
Summer Training
3-6 months
-
M. Sc. Students
SRMC, Chennai
M.Sc
(Distance)
3 yrs
20
B.E/
B.Tech
/MBBS
Slide17Current Curriculum – Industrial Safety
Institute
Course
Duration
No.
Of Students
Eligibility
ISTAR,
Anand
Masters in Industrial Hygiene
2 year fulltime
15
Any Science Graduate
British
Safety Council, London
Diploma
1 month
-
Appropriate role
in Health & Safety
NITIE, Mumba1
PEDISEM
DErg
2 year
9 months
-
-
-
Annamalai
University, Chennai
Diploma in
Industrial
Hygiene
2 years (distance)
-
Any Science Graduate
Mahatma
Gandhi Labour
Institute,
Diploma in
Industrial
Safety
2 y ears
Full time
15 - 20
Any Science Graduate
Pramukhswami
Medical college
Diploma in
Industrial
Hy
giene
2 y ears
Full time
01
MBBS
Slide18Expectations from this meeting
Developing training curriculum for all relevant stakeholders.
Training for Health Workers at PHC level.
Support for more emphasis on OHS in Medical graduation.
Support for training of Practitioners in the endemic area on specific issues.
Developing Orientation training curriculum for future managers (HR, Engineers, Safety).
Slide19Chrome Nasal Perforation
Slide20Bilateral Wrist Drop (Lead)
Slide21Machine Oil Contact Dermatitis
Slide22Awareness Session of Workers
Slide23Eye Examination of workers
Slide24Thank you