NATIONAL OCCUPATIONAL MORBIDITY DUE TO EXPOSURE TO RESPIRATORY AND

SKIN SENSITIZERS AND BIOLOGICAL AGENTS

Dr. Adriana Todea, dr. Aurelia Ferencz

Institute of Public Health Bucureşti , Occupational Health Department

Details regarding the content and significance of the study

How Romania stands from the point of view of Europe’s activities to point out these risks?How big is the impact upon exposed?What’s the ratio of these diseases on national morbidity frame?

The evolution of occupational diseases’ incidence between 1993

and 2002

0

50

100

150

200

250

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

Inci

de

nce

fo

r 1

00

.00

0 e

xp

ose

d

Number of occupational diseases by entities - 2002

1. Occupational noise-induced hearing loss 8902. Poisoning 4413. Silicosis 4114. Bronchial asthma and allergic rhinitis 2155. Infectious and parasitic diseases 2126. Vibration induced diseases 657. Skin diseases 648. Chronic bronchitis 619. Repetitive trauma 6010.Eye diseases 2211.Azbestosis 612.Occupational neoplasms 6

Bronchial asthma and allergic rhinitisby counties

98

18

7

8

6

4

16

0 20 40 60 80 100

Olt

Bucuresti

Arges

Cluj

Dolj

Braila

Brasov

Bronchial asthma and allergic rhinitis most exposed occupations (2002)

39

15

12

12

11

0 10 20 30 40

founder

locksmith

baker

electrician

welder

Bronchial asthma and allergic rhinitis most frequent causes (2002)

98

23

20

11

8

0 20 40 60 80 100

fluorine and compounds

flour

irritant fumes and vapours

mineral oil

textile dust

Bronchial asthma and allergic rhinitis no. of new cases (1992-2002)

0

100

200

300

Skin diseasesby counties - 2002

17

12

6

6

5

3

0 5 10 15 20

Bucureşti

Bihor

Satu-Mare

Sibiu

Iaşi

Cluj

Skin diseases most exposed occupations - 2002

5

5

4

3

3

0 1 2 3 4 5

nurse

unskilled worker

biologist

locksmith

carpenter

Skin diseasesmost frequent cases - 2002

7

4

4

3

3

0 1 2 3 4 5 6 7

formaldehide

cooling agent

epoxy resins

acids, bases

antibiotics

Skin diseases no. of new cases (1992-2002)

0

100

200

Occupational diseases due to biological agents

by county - 2002

0 40 80 120 160

Bucuresti

Brasov

Iasi

Suceava

Sibiu

Calarasi

Alba

Constanta

Galati

Mehedinti

Occupational diseases due to biological agents

most exposed occupations - 2002

85

35

23

14

5

5

0 20 40 60 80 100

nurse

care taker

physician

biologist

lab worker

zootechnician

Occupational diseases due to biological agents

most frequent causes - 2002

80

68

15

15

9

6

4

4

0 10 20 30 40 50 60 70 80

Koch bacillus

hepatitic virus

staphylococcus

Streptococcus

Leptospira

Fungi

Toxoplasma gondii

Varicella

Occupational diseases due to biological agents

no. new cases (1992-2002)

0

100

200

300

Occupational health and safety of the employees exposed to dangerous substances is the main duty of occupational physician

To fulfill this goal it’s important to set as purpose:

OCCUPATIONAL DISEASES = O

This is not only occupational physician’s burden, but also for the:

employer

occupational safety engineer

each employee.