OCCUPATIONAL HEALTH SYSTEM

DISTRICT HEALTH

CENTER

Ministry of Health

Vietnam Health and Environment

Management Agency

- National Institute of Occupatioal and

Environmental Health.

- Department of Occupational Health – Nha

trang Pasteur Institute,

- Ho Chi Minh Hygiene and Public Health

Institute,

-Tay Nguyen Epidemiology Institute.

- National Institute of Health Inspection Provincial Health Bureau

In 63 provinces

Ministries/Branches

(Personnel and Policy Department)

Occupational Health Division –

Provincial Preventive Medicine

Center/Center for worker’s health

protection and environment

COMMUNE HEALTH CENTER Cooperatives, small and

medium enterprise Factory,

enterprise

Ministries/Branches Health Center

(Transportation, Construction, Trade

&Industry, Agriculture, Railway

Garment, Aviation,

Communication,…)

In 1982, NIOEH was founded, and under management of the Ministry of Health.

Since 1985, the NIOH has been recognized as a WHO Collaborating Centre in Occupational Health.

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Address: 57 Le Quy Don, Hai Ba Trung, Hanoi, Vietnam

Email: nioeh@hn.vnn.vn

Website: http://nioeh.org.vn

Area: 330.991 km2

Total population in 2013: 89.708 million people

Rural population: 50.834 million people

63 provinces/Cities

Social economic indicators:

GDP: USD 170.6 billions

GDP per capita: USD 1.960

Growth rate of GDP: 5.42%

Average income per person per month: USD 160

Number of enterprises in 2013: 622.977 enterprises

Number of workforce in 2013: 53.25 million people

(General Statistics Office of Vietnam 2013)

Situation of Occupational accidents in 10 years

(2003 – 2013)

Situation of compensated

occupational diseases in 2013

NATIONAL INSTITUTE OF OCCUPATIONAL AND EVIRONMENTAL HEALTH (NIOEH)

Achievements contributing to OSH National Program and WHO CC Network

NIOEH’s functions and tasks

Before After

Work improvements in handicraft villages

Different guidelines and training materials on providing BOHS to

workers working in chemical, construction , mining industries,

health care facilities, agriculture and traditional villages

Basic Occupational Health Services Taking care for Health Care Workers

Organized training courses on risk factors

in health care facilities

Health examination for HCWs

Prevention of Occupational diseases

o Development of legislative documents on OSH such as OSH

guidelines, working environment monitoring, adding ODs into the list of

compensated occupational diseases in Vietnam, etc.

o Development of health criteria for diagnosis of 29 occupational

diseases

o Development of technical regulations and national standards on

occupational hygiene and occupational diseases

o Study on new occupational diseases

o Building some models for prevention of occupational diseases (e.g.

silicosis, occupational deafness due to noise and hepatitis B) and

applying into practices by different provinces

o Organizing annually several training courses on working environment

monitoring and occupational disease diagnosis for OH staffs

o Improving capacities of occupational health staffs at different levels by

providing technical supports on working environment monitoring and

occupational diseases examination and diagnosis in different provinces

THE FORTHCOMING PLAN OF WHO CC (NIOEH)

More than 430.000 deaths by NDCs approximated 75% deaths rate :

Cardiovascular disease 40%

Cancer 14%

Chronic obstructive pulmonary disease 8%

Diabetes 3%

(Sources: WHO 2008)

TOR 1:

Develop of a guideline on establishing ODs

surveillance system for developing countries and

disseminate the results through the Global

Network of WHOcc.

TOR 2:

Develop of a model integrating provision of BOHS and

Non-communicable Diseases in the primary health care

system in Viet Nam and document and share the

experience through the Global Network of WHOcc.

TOR 3:

Develop of guidelines on risk assessment and

management of occupational hazards in mining and

disseminate the results through the Global Network

of WHOcc.

Issues and challenges

o > 600 thousand enterprises, >97% of which are

SSEs and MSEs with backward technologies =

result in risks of increased occupational

diseases and accidents.

o Importing and using new machines,

technologies and materials → new types of

occupational diseases.

Forecast - Occupational accidents and diseases (by 2015)

oOccupational accidents

> 100 thousand people

> 1,000 deaths, economic loss of 900 billion VND.

o Occupational diseases

At least 10 more types of new diseases. 30 thousand people newly contracting occupational diseases.

National target program on Prevention of ODs

o Increase annually by 5% medical units providing periodical medical

check-ups for workers, increase by 5% number of workers who are

examined to detect ODs, and increase by 3% number of units

having work environment monitored and supervised.

o 100% of workers certified with occupational diseases are provided

with health care and rehabilitation in line with laws.

Others, 1.70%,

2%

Lung diseases

73.6%

Poisoning,

4.6%

Noise-induced

hearing loss,

16.6%,

Infectious

diseases 1.2%Skin diseases

2.3%

o Estimated incident cases of occupational disease

every year: 1000 - 1500

o Cummulative OD cases in 2013: 27.878 people

o Three leading ODs: Silicosis (20.516 cases);

Occup.hearing loss (4.641 cases); Occup.

Melanosis (633 cases)

Environmental factors exceeded permissible

exposure limits (PEL)

0

5

10

15

20

25

30

35

40

45

Temprature Humidity Wind speed Light Dust Noise Vibration level Hazardous gas

Factors

% 2007

2008

2009

2010

2011

ISSUES AND CHALLENGES

(Ministry of Health 2013) (Ministry of Labour, Invalid, Social Affairs 2013)