Occupational Medicine and Epidemiology in Czech Republic 1 Prof. Daniela Pelclová MD, Ph.D. 2...

Occupational Medicine and Epidemiology in Czech Republic

1Prof. Daniela Pelclová MD, Ph.D.2Květa Švábová, MD, Ph.D.

1Assoc. Prof. M. Tuček, MD, Ph.D.1Dept. of Occup. Medicine, Charles University,

2School of Postgraduate Education, Prague, Czech Republic

EASOM Bari 2006 Occup. Medicine in Czech Republic

Teaching of Occupational Medicine in Czech Republic


Pregraduate Medical Education6 Years

• 5th year• 3 weeks of Hygiene and Epidemiology• (incl. 1 week of Occupational and

Environmental Hygiene)• State Examination


Pregraduate Medical Education6 Years

• 5th year• 1 week of Occupational Diseases• (incl. in-Patients Department)• Final text, Examination


Postgraduate Education4 years

• Specialisation in Occupational Medicine

• Duration : 4 years

• Full-time

• 2 years Internal Medicine

• 2 years Occupational Medicine


2 years Occupational Medicine - 1

• 1 year: minimum:

• 3 months Dept. of Occupational Diseases,

• 3 months Occupational Health Services,

• and 3 months at Dept. of Occupational Hygiene (State Institute of Public Health) – Occupat. Epidemiology



• 10 months additional training: dermatology, orthopaedics, allergology, travel medicine, urgent medicine, psychiatrics, rehabilitation, neurology



• 3 weeks specialised course at the School of Postgraduate Medicine – lectures about all fields of Occupat. Medicine

• Attendance of all workshops and seminars at University and Regional Occupational medicine Depts.


Specialised Occupat. Med. Courses at the School of Postgrad. Med.

Exposure-diseases associations in occupational groups – identifying, verifying, and quantifying risks in different groups of subjects in:

Construction sector

Agriculture

Health Care

Wood Industry

Glass Production


Specialised courses at the School of Postgraduate MedicineExposure-diseases associations in occupational

groups :

Foreign WorkersManagers Women Apprentices

Epidemiology of Occupational Cancer



• Dissertation work and publications in Occupational Medicine and Epidemiology


Dissertation work and publications

• Prospective – exposure measurements, follow-up of workers, markers of health damage

• Retrospective – occupational diseases in a factory, region, etc.


Examples of Dissertation Works - 1

• Working conditions and musculoskeletal findings in women in a large scale food stock

• Electromagnetic field and neuropsychological findings in radar operators

• Exposure to isocyanates, lung functions and occupational diseases in lamination textile workers in South Bohemia

• A comparison of occurrence of occupational and non-occupational asthma in West Bohemia


Examples of Dissertation Works - 2

• Health status and subjective problems in cyanide manufacture

• Cytostatic drugs and conventional cytogenetic findings in healthcare personnel

• An occurrence of occupational skin disorders in Central Bohemia

• Results of the follow-up of workers exposed to vinyl chloride monomer


Trends in Occupational Diseases in Czech Republic

• Population: 10 million

• Working population: 5 million


Conclusion

• Teaching Occupational Medicine• The basics of Occupational Medicine

and of Epidemiology during Pregraduate Education

• More advanced during Postgraduate Education

• Dissertation work/Publication is a part of the Final examination.


5750

3143

0

2 000

4 000

6 000

8 000

10 000

12 000

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

Occupational Diseases in Czech Republic in the Years 1985-2005

Reclassification


Occupational Diseases in Czech Republic in the Year 2005

23

546

3

311 249278

0

100

200

300

400

500

600

Intoxicationsand Cancer

PhysicalFactors

LungDiseases

DermalDiseases

InfectionsDiseases

Vocal cordsDiseases


Occupational Diseases according to the Group of Diseases and Age of the Subjects

0

25

50

75

100

125

150

175

till 24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60+

Physical Factors

Lung Diseases

Dermal Diseases

Infectious Diseases

Age groups


Occupational Diseases according to the Group of Diseases and Length of Exposure

0

25

50

75

100

125

150

175

200

till 4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40+

Physical Factors Lung Diseases

Dermal Diseases Infectious Diseases

Exposure in Years


Occupational Diseases in Industrial Branches in Men and Women in the Year 2005

0 50 100 150 200 250

Construction

Automobile Industry

Machinery

Metallurgy

Allimentary Industry

Agriculture

Mineral Manufacture

Coal mining

Metal Industry

Health and Social Care

Men Women


Thank you

Dept. of Occupat. Medicine, Charles University, Prague

Occupational Medicine and Epidemiology in Czech Republic 1 Prof. Daniela Pelclová MD, Ph.D. 2...

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