Occupational health part 2 - Prevention and Acts

1. Dr Jazeela Mohamed Siddique
Senior Resident
Department Of Community Medicine

2. Measures for health protection of
workers
• Nutrition
• Communicable disease control
• Environmental sanitation
• Mental health
• Measures for women and children
• Health education
• Family planning

3. PREVENTION OF OCCUPATIONAL
DISEASES
1. MEDICAL MEASURES:
• Pre-placement examination
• Periodical examination
• Medical and health care services
• Notification
• Supervision of working environment
• Maintenance and analysis of records
• Health education and counselling

4. 2. ENGINEERING MEASURES
• Design of the building
• Good house-keeping
• General ventilation
• Mechanization
• Substitution of harmful material
• Dusts control
• Enclosure of harmful material
• Isolation of offensive process
• Local exhaust ventilation
• Protective devices
• Environmental monitoring
• Statistical monitoring
• Research

5. 3. LEGISLATION
THE FACTORIES ACT ,1948
• Factory using power - ≥10 workers & not using power - ≥20 workers
• Worker - contract labourer employed in manufacturing process
• No worker shall carry load likely to cause him injury
• ≥1000 workers – appoint Safety Officers
• ≥250 workers – provide canteen
• Adolescent(15 -18 years) fitness by Certifying Surgeons ; 4.5 hours per day
• Maximum 48 working hours per week (not exceed 60 hours- overtime)
• 9 hours per day with rest for atleast ½ hour after 5 hours continuous work

6. • Spread over period of work(includes rest interval) – 12 hours
• Leave with wages after 12 month continuous service
adult: 1 day for 20 day work; child: 1 day for 15 day work
• A schedule of notifiable diseases
• Enquiry in every case of fatal accident
• Safety and occupational health surveys
• Employment in hazardous processes – Site Appraisal Committee
consists of Chief Inspector and other members, not >14 members
THE FACTORIES ACT ,1948

7. • Power using factories other than seasonal factories ≥10 employed
• Medical facilities - ESI dispensaries, panel clinics, 307 diagnostic centres, ESI
hospitals
• Super-speciality care – tie-up arrangements with advanced medical institutions
• Employer contributes 3.25% &employee 0.75% of total wage bill
• Share of medical care expenditure:
State govt 1/8 & ESI Corporation 7/8 of total cost
EMPLOYEES STATE INSURANCE ACT, 1948

8. 1. MEDICAL BENEFIT
• Outpatient care
• Drugs & dressings supply
• Specialist services
• Pathological &radiological investigations
• Domiciliary services
• Antenatal, natal, postnatal services
• Immunization services
• Family planning services
• Emergency services
• Ambulance services
• Health education
• IP treatment
• Dentures, spectacles, hearing aids
• Artificial limbs
• Special appliances –walking callipers,
spinal braces

9. 2. SICKNESS BENEFIT
• Periodical cash payment to an insured person, sickness certified by an
Insurance Medical Officer.
• Benefit payable for max 91 days, daily rate 70% of daily wages
EXTENDED SICKNESS BENEFIT
• Insured persons suffering from 34 long term diseases benefit payable for
maximum period of 2 years.

10. 3. MATERNITY BENEFIT
• Benefit allowed at full wages
• Confinement-for 26 weeks
• Miscarriage-for 6 weeks
• Sickness-for 30 days
• Rate of confinement expenses Rs 5000 per confinement
4. DISABLEMENT BENEFIT
• Cash payment + free medical treatment if disablement due to employment injury
• Temporary disablement benefit is 90% of wages
• Total permanent disablement – life pension
• Partial permanent disablement – portion of life pension

11. 5. DEPENDANT’S BENEFIT
• Death of an insured person, pension at rate of 90% wages payable shared by
dependants in fixed ratio (child- upto 18 years)
6. FUNERAL EXPENSES
Not exceeding Rs 10,000 towards funeral expenses
7. REHABILITATION ALLOWANCE
Monthly payment of Rs 10, insured person & family members
continue to get medical treatment after disablement

12. THANK YOU
https://www.slideshare.net/JazeelaMohamedSiddiq