ISSUES In - University of Pittsburgh问题-匹兹堡大学.pptVIP

ISSUES INOCCUPATIONAL ANDENVIRONMENTAL MEDICINE JOSEPH J SCHWERHA MD MPH PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE DIRECTOR OF THE OCCUPATIONAL AND ENVIRONMENTAL MEDICINE RESIDENCY PROGRAM GRADUATE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF PITTSBURGH ISSUEScontinued Occupational History World Economy Genomes Epidemiology Workplace Environmental Industrial Hygiene ISSUEScontinued Safety Economics Employee Assistance Program Managed Care Toxicology Workers’ Compensation Government Regulations ISSUESContinued Disability Evaluation Hearing Loss Occupational Cancer Dermatology Reproduction Mining Solvents ISSUESContinued Pesticides Gases Sick Building Syndrome Biologic Monitoring Substance Abuse Chemicals Industry ISSUEScontinued Back Pain Radiation Metals Life Styles Occupational Stress Americans with Disabilities Act Business Community ISSUESCONTINUED Pulmonary Disease Neurotoxic Disorders Emergency Response Computerized Medical Record Shift Work * Complete occupational history is critical The world has gotten smaller The only way to stop certain diseases is through genetics The history of disease must be understood Environment – 24 hours/day, 7 days/week for life Measurement of toxic substance concentrations is important Safety everywhere Economic factors affect direct control Progress cannot be made without funding Government regulations help and hinder good working conditions Workers’ compensation is no fault What can an individual do? Look at abilities, not disabilities Occupational cancer is more important and varied Evaluations above ground and under ground are different Pesticides can affect everyone, not just workers Cause of Sick Building Syndrome are varied and many Biological monitoring has its plus and minuses Each industry has its own issues Back pain is a difficult problem with many etiologies Metal intoxication is an ongoing problem Lifestyles changed and the associated problems have also changed Occupational stress will increase i