Country Presentation OCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN INDIA - PowerPoint Presentation

Slide1

Country PresentationOCCUPATIONAL MEDICINE AND MEDICAL PRACTITIONERS IN INDIAHong Kong, October 28-29, 2013

Jagdish Patel

Ashish Mittal

Slide2

Labour 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

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Industry-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

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Statistics 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

Slide5

Data 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

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Under 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

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Labour 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

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Government 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

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Government 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)

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Inter-

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

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Public 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

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Laws 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.

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Laws 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

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Process 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

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Current 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

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Current 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

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Current 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

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Expectations 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).

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Chrome Nasal Perforation

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Bilateral Wrist Drop (Lead)

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Machine Oil Contact Dermatitis

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Awareness Session of Workers

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Eye Examination of workers

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Thank you