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    Medical Surveillance: Dr. I.B Adiatmaja Occupational Health - HSSE Corporate

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    Alwin Anno Sastra
    This document discusses medical surveillance and occupational health programs. It describes the components of a medical surveillance program, including health risk assessment, health surveillance, biological monitoring, and record keeping. The goals of medical surveillance are identified as identifying disease patterns, early detection of hazards, monitoring externally exposed workers, protecting susceptible workers, and identifying health service needs in compliance with regulations. Benefits mentioned include early detection methods and a basis for preventive efforts and health promotion. The document also provides examples of recommended medical tests for high risk worker groups and discusses when periodic medical exams should be conducted.

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    Medical Surveillance: Dr. I.B Adiatmaja Occupational Health - HSSE Corporate

    Uploaded by

    Alwin Anno Sastra
    346 views22 pages
    This document discusses medical surveillance and occupational health programs. It describes the components of a medical surveillance program, including health risk assessment, health surveillance, biological monitoring, and record keeping. The goals of medical surveillance are identified as identifying disease patterns, early detection of hazards, monitoring externally exposed workers, protecting susceptible workers, and identifying health service needs in compliance with regulations. Benefits mentioned include early detection methods and a basis for preventive efforts and health promotion. The document also provides examples of recommended medical tests for high risk worker groups and discusses when periodic medical exams should be conducted.

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    Medical Surveillance

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    This document discusses medical surveillance and occupational health programs. It describes the components of a medical surveillance program, including health risk assessment, health surveillance, biological monitoring, and record keeping. The goals of medical surveillance are identified as identifying disease patterns, early detection of hazards, monitoring externally exposed workers, protecting susceptible workers, and identifying health service needs in compliance with regulations. Benefits mentioned include early detection methods and a basis for preventive efforts and health promotion. The document also provides examples of recommended medical tests for high risk worker groups and discusses when periodic medical exams should be conducted.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    346 views22 pages

    Medical Surveillance: Dr. I.B Adiatmaja Occupational Health - HSSE Corporate

    Uploaded by

    Alwin Anno Sastra
    This document discusses medical surveillance and occupational health programs. It describes the components of a medical surveillance program, including health risk assessment, health surveillance, biological monitoring, and record keeping. The goals of medical surveillance are identified as identifying disease patterns, early detection of hazards, monitoring externally exposed workers, protecting susceptible workers, and identifying health service needs in compliance with regulations. Benefits mentioned include early detection methods and a basis for preventive efforts and health promotion. The document also provides examples of recommended medical tests for high risk worker groups and discusses when periodic medical exams should be conducted.

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    of 22

    MEDICAL

    SURVEILLANCE
    dr. I.B Adiatmaja
    Occupational Health HSSE Corporate

    Occupational Health Program

    Health Prevention/Protection:
    Health Risk Assessment;
    Health Surveillance;
    Instruction and Training;
    First Aid and Medical Emergency Treatment;
    Sickness Monitoring; Canteen Hygiene;
    Record Keeping
    Health Promotion:
    Assessment of Risk: Life style and Environment;
    Drug and Alcohol Policy;
    Aids and the work place;
    Information and assistance.

    Pengertian
    Surveilans = mengawasi

    Surveilans Kes. Kerja


    Pengumpulan data secara sistematik
    Analisis : frekuensi, distribusi, tren
    Interpretasi dan dikomunikasikan
    Tindakan pencegahan
    HAZARD BASED
    Page 3

    Komponen Surveilans Kes. Kerja


    Surveilans hazard kesehatan
    Pengukuran hazard - dibandingkan dengan NAB/TLV

    Surveilans efek kesehatan


    Pemeriksaan kesehatan

    Biological monitoring
    Pemeriksaan biomarker - dibandingkan dengan BEI

    Page 4

    TUJUAN
    Identifikasi pola penyakit
    Deteksi dini paparan hazard

    Memantau pekerja yang terpapar di

    luar pekerjaan
    Melindungi pekerja yang rentan
    Mematuhi peraturan
    Identifikasi kebutuhan pelayanan
    kesehatan

    Page 5

    MANFAAT
    Metode untuk deteksi dini
    Penentuan PAK/Non PAK
    Dasar untuk upaya preventif dan

    promosi kesehatan

    Page 6

    Health Risk Assessment

    Hazard Identification:
    Departmental level;
    MSDS;
    Hazard Measurement and Exposure
    Evaluation:
    Noise & Vibration; Gas, vapor, dust;
    Thermal stress; Radiation; Biological;
    Ergonomic; Psycho-social;
    Environmental and Biologic Monitoring.
    TLVs and BEIs
    Risk Control:
    Engineering; Administrative; PPE. (ALARP)

    RECOMMENDED MEDICAL TEST


    FOR HIGH RISK GROUPS
    Group/Exposure:

    Noise

    Dusts

    Heat Stress

    Solvent Vapor

    Welders
    Drivers
    Canteen Personnel
    Medical personnel

    Recommended Tests:

    Audiometry

    Spirometry, Chest X-ray

    Harvard Step Test; ECG

    Neurological, e.g. Swedish


    Q16; Renal function, LFTs,
    Spirometry, Bio-monitoring

    Urinalysis, Bio-monitoring

    Eye/ear testing, ECG (> 40)

    Feces culture, Chest X-ray

    Serology for Hep-B, LFTs,

    Chest X ray.

    RECORD KEEPING
    Data bases: Medical and

    Environmental (exposures);
    Medical check up data, Daily medical;
    Confidentiality, legibility, security;
    Paper and Electronic;
    Retention time:
    best practice: 30 years;
    Indonesian law: 3 years.

    MEDICAL SURVEILLANCE

    Pre-employment medical:
    Baseline data;
    Prevalent diseases in the community;
    Pre-placement;

    Periodic:

    Job related;

    Job Related;
    Health Promotion;

    Post Sickness;
    Termination.

    KAPAN
    OSHA : 28 pajanan
    Dianjurkan :

    Pajanan berisiko
    Belum diketahui efek kes.nya
    Banyak keluhan pekerja
    Ada individu dengan risiko tinggi
    Acton level bahan belum diketahui

    Page 11

    HIGH RISK GROUPS


    Exposure to Chemicals, eg.

    solvents, heavy metals, free silica,


    pesticides, etc.
    Exp. to Noise & Vibration;
    Exposure to Radiation;
    Exposure to extreme temperature;
    Special Groups: Food-handlers,
    Drivers, Welders, Health personnel,
    Fire brigade, etc.

    Sickness Monitoring
    Occupational Diseases:
    baseline; exposure;
    Reportable

    Morbidity statistics (onsite clinic):


    National Disease Registry;
    Monthly, Annually;
    Data analysis an inference:
    Medical check up data and clinic data;
    in/out patient data; Medical absenteeism.

    Information, Instruction and Training

    Health Policy and OH program;


    Safe work procedures;
    Chemical Safety;
    Food Safety;
    Confined space;
    Protective equipment:
    Ear, eye, skin, respiratory.
    Training plan for OH officers;
    Clear job description?
    Access to internet/e-mail.

    OH INFORMATION

    Worldwide:
    US-OSHA/NIOSH;
    ACGIH, ACOEM, AIHA;
    HSE Executive;COSHH;
    WHO/ILO
    Indonesia:
    PNKK Depnaker;
    Balai Hiperkes Depnaker;
    AHKKI, IDKI.
    Depkes: SIKER.

    PAK
    PENYAKIT AKIBAT KERJA ADALAH
    SETIAP
    PENYAKIT
    YANG
    DISEBABKAN OLEH PEKERJAAN
    ATAU LINGKUNGAN KERJA
    PERMENAKERTRAN 1/1981

    Page 16

    PENGERTIAN
    PAK : Penyakit yang diderita pekerja dalam

    hubungannya dengan kerja, baik karena faktor risiko


    kondisi tempat kerja, peralatan kerja, material yang
    dipakai, proses produksi, cara kerja, limbah perusahaan
    dan hasil produksi (Harjono)

    Kepres 22/1993 : Penyakit yang timbul karena


    hubungan kerja
    Pasal 1 : penyakit yg disebabkan oleh perkerjaan atau
    lingkungan kerja
    Pasal 4 : 31 jenis penyakit
    Kepmenaker 79/2003 : Pedoman Diagnosis dan
    Penilaian Cacat karana Kecelakaan dan Penyakit Akibat
    kerja
    Page 17

    No

    Penyakit Akibat kerja

    Penyakit
    Berhubungan
    Dengan Kerja

    Penyakit Umum di
    kalangan pekerja

    Termasuk kecelakaan
    kerja

    Bukan (?) termasuk


    kecelakaan kerja

    Bukan termasuk
    kecelakaan kerja

    Ada jaminan asuransi


    kecelakaan kerja
    (kompensasi)

    Tidak ada (?)


    jaminan asuransi
    kecelakaan kerja

    Tidak ada jaminan


    kecelakaan kerja

    Biasanya disebabkan
    oleh 1 faktor di
    pekerjaan

    disebabkan oleh
    multifaktor, tetapi
    faktor pekerjaan
    cukup dominan

    Disebabkan oleh 1
    atau multi faktor,
    tidak/sedikit
    sekali
    berhubungan
    dengan pekerjaan

    Contoh : Tuli Akibat


    Bising di tempat kerja,
    asbestosis, silikosis,
    dermatitis di tempat
    kerja, asma di tempat
    kerja

    Contoh : penyakit
    jantung koroner,
    psikosomatis.

    Contoh : Infeksi
    telinga, gondok,
    demam berdarah,
    tifus

    Page 18

    NIHL = TULI AKIBAT BISING

    Page 19

    ASBESTOSIS & MESOTELIOMA

    Page 20

    Page 21

    CTS = CARPAL TUNNEL SYNDROME

    Page 22

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