Nghiên cứu thực trạng tiếp xúc với bụi và tiếng ồn công nghiệp của công nhân cảng lancang ấn độ_Occupation Health Status of Workers Exposed to Dust and Industrial Noise in a City along Lancang River Background With the economical development of west Yunnan along lancang river, More and more industries were introduced. Workers exposed to dust and industrial noise can cause silicosis and occupational noiseinduced deafness. To find occupational contraindication and suspected occupational disease as early as possible is significantly for occupation health surveillance .Aims: To understand health status of workers exposed to dust and industrial noise in Baoshan city, supply references to industries in Lancang river areas for occupation health surveillance. Method: The total of 1203 workers with silicious dust, cement dust ,tobacco dust and noise occupational hazardous factors were randomly sampled in Baoshan city. Occupation health examination was conducted to subjects.
Trang 1Occupation Health Status of Workers Exp osed to Dust and Industrial Noise in a Cit
y along Lancang River
Duan Rufei Baoshan Center for Disease Control and Preventi
on, Yunnan, China
Trang 2Background:
With the economical development of we
st Yunnan along lancang river, More and m ore industries were introduced
Trang 3Workers exposed to dust and industrial noise can cause silicosis and occupational noise-induced deafness
Trang 4suspected occupational disease as early as possible is significantly for occupation healt
h surveillance
Trang 5Aims:
To understand health status of workers exposed to dust and industrial noise in Baos han city, supply references to industries in Lancang river areas for occupation health s urveillance
Trang 6Method:
The total of 1203 workers with silicious dust, cement dust ,tobacco dust and noise occupational hazardous factors were rando mly sampled in Baoshan city Occupation h ealth examination was conducted to subject s
Trang 7High kilo-voltage chest radiograph was used as a screening measurement for
silicosis Diagnosis of silicosis was undertaken using occupation health surveillance standard (GBZ188-2014)
Trang 8a screening measurement for hearing loss Diagnosis of hearing loss was undertaken u sing occupation health surveillance standar
d (GBZ188-2014)
Trang 9High kilo-voltage
chest radiograph
suspected silicosis 2 0.2 Suspected silicosis at
gradeⅠ
Suspected silicosis at grade Ⅱ
Pneumoconiosis
in different
industries
Cement industry 0 0.0 Non-coal industry 6 100.0 Tobacco processing 0 0.0
Trang 10Results:
( % ) Noise occupational contraindication 18 1.5
Average binaural high frequency hearing threshord 40dB ≧40dB
25dB﹤average binaural high frequency
Noise protecting earplug 612 50.9
Trang 11Variables β SE P value OR 95%CI
Working age
( 0=<1year , 1=1~5years 0.664 0.263 0.012 1.943 1.160-3.252 2=>5yaers )
Workshop
( 0=noise<85db , 1.470 0.432 0.001 4.350 1.867-10.136 1=noise>85db )
Blood pressure (0=normal , 1=high blood pressure) 0.734 0.685 0.284 2.084 0.544-7.981
Electrocardiogram (0=normal ,
1=abnormal) 0.431 0.538 0.423 1.539 1.215-3.740
Trang 12Conclusion:
1.Workers in highlighted occupational disease preve ntion area in Baoshan have a high prevalence of occ upational contraindication and hearing loss.
Trang 132.Noise was the main occupational hazardo
us factors in this area
Trang 143 Enterprises and companies should enhance protection measurement and improve the working environment, especially to protect workers from noise more than 85 dB and working more than 5 years.
Trang 154 As the core of occupational disease protection, En terprises should enhance occupational health educat ion and health promotion Especially pay attention t
o workers at earlier working year