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HYGIENE OF WORK

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MAIN DIVISIONS OF HYGIENE OF WORK - Physiology of work Hygiene of work with harmful physical professional factors - (noise, vibration, electromagnetic fields)- Radiation hygiene - Hygiene of work with industrial

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Слайд 1HYGIENE OF WORK
Hygiene of work – it is part

of hygiene, investigating influence of work process, professional harmful factors

on organism of working and prevention professional (occupational) diseases
HYGIENE OF WORK Hygiene of work – it is part of hygiene, investigating influence of work process,

Слайд 2MAIN DIVISIONS OF HYGIENE OF WORK
- Physiology of work


Hygiene of work with harmful physical professional factors - (noise,

vibration, electromagnetic fields)
- Radiation hygiene
- Hygiene of work with industrial poisons - industrial toxicology
- Hygiene of work in agriculture with agro-chemicals - agricultural toxicology
- Hygiene of work in conditions of dust pollution of air - prevention professional dust pathology (phneumoconiosis)

There is also division on industries (chemical, mining, metallurgical, building etc.) and in agriculture.
MAIN DIVISIONS OF HYGIENE OF WORK - Physiology of work Hygiene of work with harmful physical professional

Слайд 3PROFESSIONAL HARMFUL FACTORS AND OCCUPATIONAL DISEASES
Professional harmful factors (PHF)

– it is factors, influencing on working people and capable

to cause violations of health - occupational diseases.

Occupational diseases – it is such diseases, for which it is proved aetyologic and pathogenic role of professional harmful factors.
Doctors, learning and treating occupational diseases, named professional pathologists.
PROFESSIONAL HARMFUL FACTORS AND OCCUPATIONAL DISEASES 	Professional harmful factors (PHF) – it is factors, influencing on working

Слайд 4Classification PHF.
The Dangerous professional factor - can

cause acute violation of health (acute occupational disease) or death

of the person

The Harmful professional factor - can cause chronic violation of health - chronic occupational disease
Classification PHF. 	 The Dangerous professional factor - can cause acute violation of health (acute occupational disease)

Слайд 5Classification PHF:
1. Psycho-physiologic and physical factors of the

organization of work, the lacks of workplace and the equipment



2. Physical professional factors

3. Chemical professional factors (industrial poisons)
      
4. Biological professional factors (microbes, allergens)

5. Industrial traumatism (mechanical, thermal, electric trauma).
Classification PHF: 	1. Psycho-physiologic and physical factors of the organization of work, the lacks of workplace and

Слайд 6MAIN RULES OF DIAGNOSTIC PROFESSIONAL PATHOLOGY
ACUTE PROFESSIONAL DISEASE

   Diagnosis

must put any doctor of any medical establishment
2. He must

write Emergency notice about acute professional disease (poisoning) and send to department of hygiene of work of SES
3. Doctors of SES after receiving this notice during 24 hours must go to enterprise to investigate conditions of work (presence harmful factor at a level, more, than MPC)
MAIN RULES OF DIAGNOSTIC PROFESSIONAL PATHOLOGY ACUTE PROFESSIONAL DISEASE   Diagnosis must put any doctor of any medical

Слайд 7CHRONIC PROFESSIONAL DISEASE

1.    Diagnosis can put only doctor of

the special department of professional pathology (in Kiev, Charkov)
2.    List

of such patients this department send to SES
3.    Doctors of SES during 7 days must go to enterprise to investigate conditions of work (presence harmful factor at a level, more, than MPC)

Final diagnosis of chronic professional disease can be put only after conclusion of SES.
CHRONIC PROFESSIONAL DISEASE1.     Diagnosis can put only doctor of the special department of professional pathology (in

Слайд 8Purpose, kinds and the organization physical examinations working.
Preliminary physical

examinations - for again acting for work with harmful and

dangerous working conditions with the purpose:

а) To admit to work only those which state of health completely meets the requirements of a given trade,

b) To not admit to work the persons having deviations in health which can amplify under influence of working conditions, and also those who can be a source of infectious or parasitic illnesses.
Purpose, kinds and the organization physical examinations working. Preliminary physical examinations - for again acting for work

Слайд 9Periodic physical examinations - regular medical inspection working in harmful

or dangerous conditions. Periodicity of them is determined by the

order № 45.

Tasks of these physical examinations:
а) To reveal early attributes of occupational diseases
b) To reveal the general diseases interfering the further work
c) To appoint individual treatment and prophylactic actions.
Periodic physical examinations - regular medical inspection working in harmful or dangerous conditions. Periodicity of them is

Слайд 10Concept and classification occupational diseases.
The occupational disease (poisoning) -

disease for which it is proved connection with action professional

factors.

In the order № 45 it is given
Names of occupational diseases - 27 diagnoses (pneumoconiosis, noise, vibrating illness etc., sharp and chronic poisonings)
Concept and classification occupational diseases. 	The occupational disease (poisoning) - disease for which it is proved connection

Слайд 11Diagnostics and prevention professional pathology
The Order of Ministry of

Public Health of Ukraine № 45, which contain:

1) The list

of manufactures and trades for which preliminary and periodic physical examinations working are obligatory
2) The order of realization such surveys, structure medical commission for surveys
3) The list of medical contra-indications for reception at various kinds of manufactures
4) The list of diagnoses of occupational diseases and poisonings
Diagnostics and prevention professional pathology The Order of Ministry of Public Health of Ukraine № 45, which

Слайд 12ACTION HARMFUL PHYSICAL FACTORS ON THE PERSON
NOISE AS THE HARMFUL

FACTOR OF ENVIRONMENT
 
NOISE – it is inordinate sound

oscillations with frequency, heard by the man (20 - 20000 Hz), acting at the man in work time, rest or dream.
ACTION HARMFUL PHYSICAL FACTORS ON THE PERSON NOISE AS THE HARMFUL FACTOR OF ENVIRONMENT   	NOISE –

Слайд 13CLASSIFICATIONS NOISE
BY SOURCES OF NOISE:
Household, transport, industrial, building
 
BY

FREQUENCY:
- low-frequency - up to 400 Hz
- middle

- 400 - 1000 Hz
- high-frequency - more than 1000 Hz
 
BY DURATION IN TIME:
- stable - fluctuations level of noise no more than 5 dB
- unstable - fluctuations level of noise more than 5 dB
- impulsive - intermittent
CLASSIFICATIONS NOISE  BY SOURCES OF NOISE:Household, transport, industrial, building BY FREQUENCY:- 	 low-frequency - up to 400

Слайд 14UNITS OF MEASUREMENT OF NOISE
BAR - unit of sound

pressure (10-6 atmospheric pressure)
 
BELL - logarithmic unity between limit of

perception of sound (0 Bell) and pain limit (14 Bell):
Level of noise
BELL = lg -------------------------------------------
Limit of perception of sound
 
DeciBELL (dB) – 1/10 part of BELL (range of hearing noise 0 – 140 dB)
 
FON - unit level of sound at 1 dB at frequency 1000 Hz
 
SON - comparative unit of level of different by frequency sounds
UNITS OF MEASUREMENT OF NOISE BAR - unit of sound pressure (10-6 atmospheric pressure) BELL - logarithmic unity

Слайд 15STAGES OF NOISE ILLNESS
( Are studied at audiometry -

definition acuteness of audition)
 
1.                        NOISE (ACOUSTICAL) ADAPTATION –
 
decrease acuteness

of audition on 10 - 15 dB during 1-3 minutes – it is physiological phenomenon
 
2.                        NOISE (ACOUSTICAL) FATIGUE –
 
decrease acuteness of audition on 20 - 30 dB during hours or days after cancellation of noise
 
3.                        PROGRESSING DEAFNESS –
 
gradual complete loss of hearing because organic changes at the center of audition in CNS
STAGES OF NOISE ILLNESS ( Are studied at audiometry - definition acuteness of audition) 1.                        NOISE (ACOUSTICAL) ADAPTATION

Слайд 16PROPHYLACTIC MEASURES HARMFUL ACTION OF NOISE
1. Administrative - state

measures (laws on preservation work)
2. Architectural – planning measures
3. Hygienic

measures - preventive and current sanitary control levels of noise in cities, inhabited premises
4. Medical-preventive measures
5. Technological measures
6. Individual means of protection (headphones etc.)
PROPHYLACTIC MEASURES HARMFUL ACTION OF NOISE 1.	 Administrative - state measures (laws on preservation work)2.	 Architectural –

Слайд 17MAXIMAL PERMISSIBLE LEVELS OF NOISE FOR VARIOUS PREMISES
The note:

* - for high-frequency noise

MAXIMAL PERMISSIBLE LEVELS OF NOISE FOR VARIOUS PREMISES The note: * - for high-frequency noise

Слайд 18VIBRATION AS THE HARMFUL PROFESSIONAL FACTOR
Vibration – it is

oscillations of the elastic bodies with frequency more than 1

Hertz (1 oscillation in 1 sec.)
 
CLASSIFICATION VIBRATION:

GENERAL
LOCAL

ON FREQUENCY:
Low-frequency
Middle-frequency
High-frequency
 
ON DIRECTION:
Horizontal
Vertical
VIBRATION AS THE HARMFUL PROFESSIONAL FACTOR Vibration – it is oscillations of the elastic bodies with frequency

Слайд 19STAGES VIBRATORY ILLNESS at action common vibration
1. Small pains

and parestesia of extremities
2. Expressed parastesia, decrease sensitivity of a

skin
3. Vascular and trophic violations of dactyls, changes of CNS
4. Generalized sharp vascular violations, vessel spasms of heart and CNS
STAGES VIBRATORY ILLNESS at action common vibration 1.	 Small pains and parestesia of extremities2.	 Expressed parastesia, decrease

Слайд 20DEGREES OF VIBRATORY ILLNESS at action local vibration
1. Peripheric

angiodystonic syndrome, sensory polyneuropathia dactyls of hand
2. Expressed angiospastic syndrome

dactyls of hand
3. Expressed generalized angiospastic syndrome, dystrophic changes of bones, muscles of arms, deformation joints of dactyls of hand
DEGREES OF VIBRATORY ILLNESS at action local vibration 1.	 Peripheric angiodystonic syndrome, sensory polyneuropathia dactyls of hand2.

Слайд 21CLASSIFICATION ELECRTOMAGNETIC FIELDS (EMF)
EMF – complex of electrical (EF)

and magnetic fields (MF)
 

NATURAL EMF:
 
1) MF of the Earth - 400 Аmper / meter - depends on geographical position, season and day, solar activity ("magnetic storms")

2) EF of the Earth - 130 Volt / meter at surface of the Earth, is reduced with height
CLASSIFICATION ELECRTOMAGNETIC FIELDS (EMF) EMF – complex of electrical (EF) and magnetic fields (MF) 

Слайд 22ANTHROPOGENIC (TECHNOGENIC) EMF:
1) Electric Static Fields (ESF)
2)

Stationary Magnetic Field (SMF)
3) EMF industrial frequency - 50

Hz
4) Infrared, visual, UV, laser radiation
5) EMF radio frequencies.
ANTHROPOGENIC (TECHNOGENIC) EMF: 1) 	 Electric Static Fields (ESF)2) 	 Stationary Magnetic Field (SMF)3) 	 EMF industrial

Слайд 23CLASSIFICATION EMF RADIO FREQUENCIES
Kind

lengh of wave

sources, application

Low-frequency 1-10 kms broadcasting, radio
Middle 100м - 1 km - " -
High 1 - 100 m - " -

Ultra-High 10 cms - 1 m radio, TV, medicine

Super high frequencies
(MICROWAVE) 1 - 10 cm radiolocation, television
MICROWAVE OVEN
Hyper-high frequencies
(HHF) 1 mm - 1 cm industry
CLASSIFICATION EMF RADIO FREQUENCIES Kind 	         lengh of wave

Слайд 24BIOLOGICAL EFFECTS OF EMF
DEGREE biological effect EMP depends from:

- Frequency (than above, the more strongly effect)
- Intensity
- Exposure

time
- Character of irradiating (continuous, modulated)
- Regimen of irradiating (constant, intermittent, periodic)
BIOLOGICAL EFFECTS OF EMF DEGREE biological effect EMP depends from: - Frequency (than above, the more strongly

Слайд 25MECHANISMS ACTION EMF
1. HEAT EFFECT (at very high

radiation intensity)
 
2. NOT THERMAL EFFECT (small levels of action)

– formation oxide and non-oxide radicals and other biologically active products
MECHANISMS ACTION EMF 1. 	 HEAT EFFECT (at very high radiation intensity) 2. 	 NOT THERMAL EFFECT (small

Слайд 26CLINICAL PICTURE OF ACTION EMF:
- Asthenic syndrome
- Asthenic-vegetative syndrome


- Diencephalic syndrome
- Damage systems: cardiac, hemopoiesis, immune, endocrine

etc.
At chronic action the cumulation harmful effects EMF is possible.
CLINICAL PICTURE OF ACTION EMF: - Asthenic syndrome- Asthenic-vegetative syndrome - Diencephalic syndrome - Damage systems: cardiac,

Слайд 27THE FORMS OF PATHOLOGICAL ACTION EMF:
1) Acute and chronic

form
2) Mild, medium and serious degree
 
MICROWAVE - SYNDROME:
 
1)

Violations of CNS
 
2) Turbidy crystalline lens (cataract)
 
3) Damage hair follicules (baldness)
 
Besides: changes cardiac system, violations of blood-forming, dysfunctions of immune, endocrine systems, remote effects.
THE FORMS OF PATHOLOGICAL ACTION EMF: 1) Acute and chronic form 2) Mild, medium and serious degree MICROWAVE

Слайд 28PROPHYLACTIC OF HARMFUL ACTION EMF
For working with sources EMF,

especial MICROWAVE EMF


4 PRINCIPLES PROTECTION from electromagnetic radiation (including ionization radiation):
 
1) Protection by dose or amount (MPL)
2) Protection by distance
3) Protection by time
4) Protection by screening
PROPHYLACTIC OF HARMFUL ACTION EMF For working with sources EMF, especial MICROWAVE EMF

Слайд 29BASE DIRECTIONS PROPHYLACTIC HARMFUL ACTION EMF:
1) Administrative measures

for guarding work - cutting working time (protection by time)

2)

Architectural – planning measures - sanitary - protective zones from sources EMF, correct placement sources EMF from other objects (protection by distance)
BASE DIRECTIONS PROPHYLACTIC HARMFUL ACTION EMF: 1) 	 Administrative measures for guarding work - cutting working time

Слайд 303) Hygienic measures:
а) Preventive sanitary control -

substantiation MPL EMF (protection by dose):
 
- In industry - MPL

for a working day - 2 Watt in hour / m2
- For the population - MPL inside inhabited buildings - 0,5 kiloWatt / m,
- In territory of inhabited building - 1 kw / m,
- Outside of inhabited building - 5 kw / m,
- Near lines of electricity - 10 kw / m
 
b) current sanitary control - check keeping MPL, hygienic prescriptions etc.
3) 	 Hygienic measures:  а) Preventive sanitary control - substantiation MPL EMF (protection by dose): - In

Слайд 314) Medical-preventive measures - physical examinations working and population,

treatment-improving measures

5) Technological measures - change technology for drop

level EMF, protection by screens.
4) 	 Medical-preventive measures - physical examinations working and population, treatment-improving measures	5) 	 Technological measures - change

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