NATIONAL PREVENTION AND PROGRAMME IN TAMIL NADU

Transcription

1 NATIONAL PREVENTION AND CONTROL OF SILICOSIS PROGRAMME IN TAMIL NADU

2 Outline of the presentation What is Silicosis Classification of silicosis Silicosis prone industries Action Taken Committee Formation One day Sensitization workshop. Identification of Un Organized Sector Module Preparation Modular Training Screening/ IEC Activities Hospital/ Treatment Facilities Policy in Place Board / Fund for the Rehabilitation Insurance / Welfare Scheme Steps taken for prevention 2

3 What is Silicosis?

4 Silicosis Silicosis is one of the occupational Health Hazard called as Pneumoconiosis. Inhalation of dust containing free silica or silicon dioxide - <10 Micron inhaled by the workers are deposited in the alveoli of the lungs leading to pathological changes(decreases Elasticity, Prevents Oxygen/CO2 Exchange) resulting in Chronic Obstructive Pulmonary Diseases ( COPD)

5 Classification of Silicosis

6 Disease Classes of Silicosis 1. Simple Chronic Silicosis (Moderate Exposure) Latency >15 years 2. Accelerated Silicosis (High Exposure) Latency of 5 to 15 years 3. Acute Silicosis (Highest Exposure) Latency of weeks to 5 years 6

7 Silicosis prone Industries

8 Silicosis Prone Industries Iron and steel industry Pottery and ceramic industry Rock mining Blue metal grinding Granite industry Glass manufacturing Construction sector

9 Potential Silica Exposures Foundries Ceramics Industry Abrasive Blasting Construction Manufacturing of cleaning agents Mining Operations Use of Coal (e.g., electric power generation) Georgia Tech Safety and Health Consultation Program 9

10 BUDGET A sum of Rs. 23,83,000 was sanctioned by the Govt. of Tamil Nadu and the fund has been released through the State Health Society, Tamil Nadu for carrying out the following activities.

11 ACTIVITIES INITIATED

12 Co ordination Committee The following committees were formed for the Prevention and Control of Silicosis in Tamil Nadu. State Level Co-ordination Committee ( Annexure I ) State Level Technical Committee ( Annexure II) District Level Co-ordination Committee ( Annexure III)..\committee

13 Training Conducted One day sensitization workshop on State and District Level officials. PARTICIPANTS : All Programme officers of DPH & PM and DDHS Deans of all Medical college and Hospital Joint Director Medical and Rural Health Services of all Districts DD (TB) and DTTMO of all Districts Technical PAs to DDHS of all Districts.

14 Identification of Silicosis Prone Industries Organized sector Total No Industries Total No of workers - 13,752 Unorganized Sector Total No Industries - 2,570 Total No of workers - 97,437

15 Training Module Preparation Training Module for Medical Officer Training Module for Field Staff Above training Modules were prepared by the State Technical Committee. The Modules were finalized Module Printing under process, will be completed with in middle of August, 2014.

16 Modular Training DD TB, DTTMOs, TPA to DDHS already trained as Master trainer in the District level. Silicosis control programme is already integrated with existing Revised National Tuberculosis Control Programme DD TB will act as a technical expertise in this programme. Training to the Medical Officers and Paramedical Staff will be commenced and completed from 15 th August to 15 th September, 2014.

17 IEC Pamphlets Posters Flex Board Banners Under preparation process it will completed the end of August, 2014.

18 Screening Campaign Screening Campaign for prevention and control of silicosis is on going in all Districts in unorganized sectors based on the state level one day sensitization workshop for Health Officials. Screening will be done twice a year. During Campaign Health Education will be imparted by the Paramedical Staff. 16 Districts Conducted Silicosis Screening Campaign Total No. of workers screened Clinically they are symptom free. Minor Ailment treated Patients - 23 No referral.

19 Health Care Delivery System in Tamil Nadu DME Tertiary care DMS Secondary Care DPH Primary Care

20 Health Facilities Functions Primary Care: Conducting Screening Campaign at site. Minor Ailment Treatment at the site itself. Referral ( so far no referral ) Secondary / Tertiary Care The District Head Quarter Hospitals and Medical College Hospitals are identified as referral unit for terminally ill patients. X-ray, PFT will be available at District Head Quarter Hospitals and Medical College Hospitals. Separate Ventilators for silicosis affected patients also available in Secondary / Tertiary Care Hospitals.

21 Proposed Policy In Tamil Nadu Public Health Act,1939 a draft amendment was submitted to the Government of TamilNadu on the 5 th month of 2014 to include occupational pneumoconiosis as a new provision in the section 62 A non communicable notified Diseases, in Chapter VII, Part II.

22 Board / Fund for Rehabilitation Instead of Board various level of Committees formed. State Level Co-ordination Committee State Level Technical Committee District Level Co-ordination Committee This Committee review the Health Hazards in Silicotic Industries Workers Periodically.

23 Insurance / Welfare Schemes Un organised Sector : General Welfare Scheme Chief Minister Comprehensive Health Insurance Scheme. Dr.Muthulakshi Reddy Maternity Beneficiary Scheme for Pregnant Women ( Rs.12,000 for Two Children's ) Organised Sector : Employee s State Insurance Scheme.

24 STEPS TAKEN FOR PREVENTION Awareness Creation among workers Providing Personal Protective Equipments by the owners of the industries. Periodical Medical Examination in the Field. Clinical suspected COPD workers will be removed from the work place and he should find out alternative job. In this regard counselling will be done by the paramedical staff. Terminally ill patients will be admitted to the near by District Head Quarter Hospitals/ Medical College Hospitals.

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26 National Conference on Silicosis DIRECTORATE OF INDUSTRIAL SAFETY AND HEALTH, GOVERNMENT OF TAMILNADU

27 IDENTIFICATION OF INDUSTRIES In the state of Tamilnadu, Workers are employed in 714 factories carrying on the following five Categories of manufacturing processes that are prone to Silicosis. Glass Manufacturing Sand & shot blasting Pottery Manipulation of stone Foundries

28 Sl. No Process No. of factory No. of workers 1. Glass Manufacturing Sand & shot blasting Pottery Manipulation of stone Foundries Total

29 Sl.No District Glass Mfg No.of Factories DISTRICT WISE DISTRIBUTION OF FACTORIES No.of Workers Sand and Shot Blasting No.of Factories No.of Workers Pottery No.of Factories No.of Workers Manipulation of Stone No.of Factories No.of Workers Foundries No.of Factories No.of Workers Total Factories Total 1 Chennai Tiruvallur Kanchipuram Vellore Cuddalore Villupuram Salem Namakkal Trichy Perambalur Thanjavur Pudukkottai Dindigul Theni Madurai Sivagangai Virudhunagar Tirunelveli Tuticorin Coimbatore Tirupur Erode Krishnagiri Dharmapuri TOTAL Total Workers

30 PREVALENCE OF SILICOSIS Eight Certifying surgeons and one Chief Medical Officer under the control of Director of Industrial Safety and Health conduct Medical surveys and examination of workers employed in the above factories. During such medical examination, the analysis of work place exposure, pulmonary function test, CT scan for confirmation and biopsy (in rare cases) are carried out by the medical officers.

31 In Sri Nataraj Ceramics & Chemicals Ltd., Dalmiapuram, Tiruchirapalli District, Tamilnadu , three workers were found affected by silicosis during the Medical examination of certifying surgeon in January 2013 and the Occupational disease was confirmed by ESI Hospital, KK Nagar, Chennai, where the facilities for diagnosis and treatment is available in Tamilnadu.

32 Sl.No. Name and Full Address 1. A.Vincent, 52, G-115, SJ Colony, Dalmiapuram C.Panneer Selvam, 57, E-176, SJ Colony Dalmiapuram 3. S.Pitchai, 60 S/o.Savari Muthu, Mela Street, Alambakkam.po Lalgudi Thaluk, Trichy District Present Status He has been transferred to another safe work place in the factory and medical monitoring done by ESI utilization Dispensary, Dalmiapuram, Trichy. Retired from service and applied for ESI Compensation and in process. Died in December ESI Medical Board for occupational diseases awarded 70% permanent disablement benefit.

33 PREVENTION OF SILICOSIS During the periodical inspection, the officials of Directorate of Industrial Safety and Health, monitor the implementation of Occupational safety and health provisions of Factories Act and Tamilnadu Factories Rules applicable to silicosis prone factories. Apart from enforcement, Safety training programs are conducted by the officials and the workers are imparted with safe and healthy operating procedures at work place. The importance of selection and usage of proper personal protective equipments are also highlighted to the management and workers.

34 In order to ensure hazard free work place, the provision and maintenance of ventilation systems and exhaust arrangements are strictly monitored during inspection. The efficiency of the above equipments is also verified through the periodical examination and certification of competent persons notified under the Factories Act 1948.

35 The Director of Medical and Rural health services, Director of Public health and preventive medicine and Director of medical Education, Government of Tamilnadu, have been addressed to inform all their medical officers to intimate the diagnosis of Silicosis to the Director of Industrial Safety and Health, Chennai-14, as per section 89 (2) of the Factories Act 1948 for further follow up action by our directorate.

36 THANK YOU