Occupational Medicine | |
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MeSH | D009787 |
Occupation | |
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Names |
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Occupation type | Specialty |
Activity sectors | Medicine |
Description | |
Education required |
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Fields of employment | Hospitals, Clinics, Government Agencies, Corporations, |
Occupational and Environmental Medicine (OEM), previously called industrial medicine, [1] [lower-alpha 1] is a board certified medical specialty under the American Board of Preventative Medicine that specializes in the prevention and treatment of work-related illnesses and injuries. [2]
OEM physicians are trained in both clinical medicine and public health. [3] They may work in a clinical capacity providing direct patient care to workers through worker's compensation programs or employee health programs and performing medical screening services for employers. [2] [3] Corporate medical directors are typically occupational medicine physicians who often have specialized training in the hazards relevant to their industry. [3] OEM physicians are employed by the US military in light of the significant and unique exposures faced by this population of workers. [3] Public health departments, the Occupational Safety and Health Administration (OSHA) and the National Institute of Occupational Safety and Health (NIOSH) commonly employ physicians specialized in occupational medicine. [4] They often advise international bodies, governmental and state agencies, organizations, and trade unions. [5] [ citation needed ]
The specialty of Occupational Medicine rose in prominence following the industrial revolution. [6] Factory workers and laborers in a broad host of emergent industries at the time were becoming profoundly ill and often dying due to work exposures which prompted formal efforts to better understand, recognize, treat and prevent occupational injury and disease. [7]
More recently occupational medicine gained visibility during the COVID-19 Pandemic as spread of the illness was intricately linked to the workplace necessitating dramatic adjustments in workplace health, safety and surveillance practices. [8]
In the United States, the American College of Preventive Medicine oversees board certification of physicians in Occupational and Environmental Medicine [9]
Occupational medicine aims to prevent diseases and promote wellness among workers. [10] Occupational health physicians must: [10]
OM can be described as:
The first textbook of occupational medicine, De Morbis Artificum Diatriba (Diseases of Workers), was written by Italian physician Bernardino Ramazzini in 1700.[ citation needed ]
Research Institute of Occupational Medicine of the Russian Academy of Sciences (Moscow)
Australasia
A blood-borne disease is a disease that can be spread through contamination by blood and other body fluids. Blood can contain pathogens of various types, chief among which are microorganisms, like bacteria and parasites, and non-living infectious agents such as viruses. Three blood-borne pathogens in particular, all viruses, are cited as of primary concern to health workers by the CDC-NIOSH: HIV, hepatitis B (HVB), & hepatitis C (HVC).
The National Institute for Occupational Safety and Health is the United States federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention (CDC) within the U.S. Department of Health and Human Services. Despite its name, it is not part of either the National Institutes of Health nor OSHA. Its current director is John Howard.
Occupational hygiene is the anticipation, recognition, evaluation, control, and confirmation (ARECC) of protection from risks associated with exposures to hazards in, or arising from, the workplace that may result in injury, illness, impairment, or affect the well-being of workers and members of the community. These hazards or stressors are typically divided into the categories biological, chemical, physical, ergonomic and psychosocial. The risk of a health effect from a given stressor is a function of the hazard multiplied by the exposure to the individual or group. For chemicals, the hazard can be understood by the dose response profile most often based on toxicological studies or models. Occupational hygienists work closely with toxicologists for understanding chemical hazards, physicists for physical hazards, and physicians and microbiologists for biological hazards. Environmental and occupational hygienists are considered experts in exposure science and exposure risk management. Depending on an individual's type of job, a hygienist will apply their exposure science expertise for the protection of workers, consumers and/or communities.
The permissible exposure limit is a legal limit in the United States for exposure of an employee to a chemical substance or physical agent such as high level noise. Permissible exposure limits were established by the Occupational Safety and Health Administration (OSHA). Most of OSHA's PELs were issued shortly after adoption of the Occupational Safety and Health (OSH) Act in 1970.
Alice Hamilton was an American physician, research scientist, and author. She was a leading expert in the field of occupational health, laid the foundation for health and safety protections, and a pioneer in the field of industrial toxicology.
An occupational hazard is a hazard experienced in the workplace. This encompasses many types of hazards, including chemical hazards, biological hazards (biohazards), psychosocial hazards, and physical hazards. In the United States, the National Institute for Occupational Safety and Health (NIOSH) conduct workplace investigations and research addressing workplace health and safety hazards resulting in guidelines. The Occupational Safety and Health Administration (OSHA) establishes enforceable standards to prevent workplace injuries and illnesses. In the EU, a similar role is taken by EU-OSHA.
A recommended exposure limit (REL) is an occupational exposure limit that has been recommended by the United States National Institute for Occupational Safety and Health. The REL is a level that NIOSH believes would be protective of worker safety and health over a working lifetime if used in combination with engineering and work practice controls, exposure and medical monitoring, posting and labeling of hazards, worker training and personal protective equipment. To formulate these recommendations, NIOSH evaluates all known and available medical, biological, engineering, chemical, trade, and other information. Although not legally enforceable limits, RELS are transmitted to the Occupational Safety and Health Administration (OSHA) or the Mine Safety and Health Administration (MSHA) of the U.S. Department of Labor for use in promulgating legal standards.
Workplace health surveillance or occupational health surveillance (U.S.) is the ongoing systematic collection, analysis, and dissemination of exposure and health data on groups of workers. The Joint ILO/WHO Committee on Occupational Health at its 12th Session in 1995 defined an occupational health surveillance system as "a system which includes a functional capacity for data collection, analysis and dissemination linked to occupational health programmes".
Linda Rosenstock is a public health specialist and administrator. She served as the director for the National Institute for Occupational Safety and Health from 1994 through 2000 and was dean of the University of California, Los Angeles School of Public Health from November 2000 to July 1, 2012.
Marcus Malvin Key was a public health administrator and practitioner who served as the first director for the National Institute for Occupational Safety and Health (NIOSH) in the U.S. government.
John Donald Millar was a physician and public health administrator who rose to prominence as the director of the National Institute for Occupational Safety and Health from 1981 through 1993.
John Jackson Howard is an American physician, professor, and public health administrator who served a 6-year term as the director of the National Institute for Occupational Safety and Health and was appointed to be a special coordinator to respond to the health effects of the September 11 attacks. In this role, Howard advocated for rescue workers, introducing a program to provide screening, medical exams, and treatment for them. In 2009, Howard was again appointed as director of NIOSH and as World Trade Center Programs coordinator for HHS. In 2011, Howard became the Administrator of the World Trade Center Health Program. In 2016, he became the first person to be appointed to a third 6-year term as NIOSH director, and was reappointed to a fourth term in 2021.
The American Osteopathic College of Occupational & Preventive Medicine (AOCOPM) is the national osteopathic medical specialty college for preventive medicine physicians, founded in 1979. AOCOPM consists of three divisions of population-based medicine: Aerospace & Hyperbaric medicine, Occupational & Environmental medicine and Public Health & General Preventive medicine. AOCOPM is an affiliate society of the American Osteopathic Association (AOA), AOCOPM is currently located in Edmond, Oklahoma.
Occupational safety and health (OSH) or occupational health and safety (OHS) is a multidisciplinary field concerned with the safety, health, and welfare of people at work. OSH is related to the fields of occupational medicine and occupational hygiene and aligns with workplace health promotion initiatives. OSH also protects all the general public who may be affected by the occupational environment.
American College of Occupational and Environmental Medicine (ACOEM) is a United States-based professional society for health care professionals in the field of occupational safety and health. ACOEM is the pre-eminent physician-led organization that champions the health of workers, safety of workplaces, and quality of environments.
Occupational heat stress is the net load to which a worker is exposed from the combined contributions of metabolic heat, environmental factors, and clothing worn, which results in an increase in heat storage in the body. Heat stress can result in heat-related illnesses, such as heat stroke, hyperthermia, heat exhaustion, heat cramps, heat rashes, and chronic kidney disease (CKD). Although heat exhaustion is less severe, heat stroke is a medical emergency and requires emergency treatment, which if not provided, can lead to death.
The New York and New Jersey Education and Research Center is one of eighteen Education and Research Centers funded by the National Institute for Occupational Safety and Health (NIOSH). The NYNJERC was established in 1978.
The American Industrial Hygiene Association (AIHA) is a 501(c)6 non-profit organization, whose mission is "Creating knowledge to protect worker health." The American Industrial Hygiene Association works to provide information and resources to Industrial Hygienists and Occupational Health professionals.
The Mount Sinai Selikoff Centers for Occupational Health are a set of occupational and environmental health clinics that focus on the prevention, diagnosis, and treatment of workplace injuries and illnesses. Significant injuries and illnesses that are treated at the clinical centers include occupational lung cancers, manganese/silica/lead exposures, and asbestos-related illness, which was the career-long research of Dr. Irving Selikoff, the centers' inaugural director. The Selikoff Centers for Occupational Health's multidisciplinary health care team includes physicians, nurse practitioners, industrial hygienists, ergonomists, social workers, and benefits specialists, who are "leaders in the prevention, diagnosis and treatment of workplace injuries and illnesses," and provide comprehensive patient-centered services in New York City and Lower Hudson Valley. The clinical centers are located within the Icahn School of Medicine at Mount Sinai under the Division of Occupational and Environmental Medicine.
The Division of Industrial Hygiene was a division of the U.S. Public Health Service (PHS) with responsibility for occupational safety and health programs. It existed from 1914 until 1971, when it became the National Institute for Occupational Safety and Health (NIOSH). It had several names during its existence, most notably the Office of Industrial Hygiene and Sanitation in its earlier years and the Division of Occupational Health during its later years.