A systematic approach to health surveillance in the workplace

Bell, J. Gordon; Bishop, Charity; Gann, Michael; Gilbert, Marylou; Howe, William; Lamb, Claire; Leighton-davies, G.; McKie, N.I.P.; Picton-Robinson, I.; Prestage, A.M.; Roythorne, C.; Turner, Melissa

doi:10.1093/occmed/45.6.305

Cited by 10 publications

(7 citation statements)

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“…Risk assessment can be used to guide health surveillance by occupational physicians [32]. Biological monitoring and fitness for work may be used in health surveillance for primary prevention.…”

Section: Semiquantitative Characterization Of Risk From Chemicalsmentioning

confidence: 99%

Risk assessment for occupational exposure to chemicals. A review of current methodology (IUPAC Technical Report)

Herber

Duffus²,

Christensen³

et al. 2001

Pure and Applied Chemistry

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Republication or reproduction of this report or its storage and/or dissemination by electronic means is permitted without theAbstract: This paper reviews the methodology available for risk assessment of exposure to substances in the workplace. Assessment starts with the identification and classification of hazard, which must be related to the dose-effect and dose-response information available for the hazards identified. Once the potential for exposure has been characterized, it should be quantified and compared with an established safe exposure level. The degree to which it exceeds that level is a measure of the risk. Even if the assessed risk is regarded as acceptable, there is the possibility that the situation will change with time, so it is important to monitor potentially harmful exposures. Factors relevant to effective monitoring are reviewed. Addresses of Internet sites where further information may be obtained are listed along with further reading.

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Section: Semiquantitative Characterization Of Risk From Chemicalsmentioning

confidence: 99%

Risk assessment for occupational exposure to chemicals. A review of current methodology (IUPAC Technical Report)

Herber

Duffus²,

Christensen³

et al. 2001

Pure and Applied Chemistry

View full text Add to dashboard Cite

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“…Their impact can and should be minimised by means of primary preventive strategies (6). Central to this 17 (38) 8 (18) 7 (16) 5 (11) 4 (9) 2 (4) 1 (2) 1 (2) 45 (100) concept is the need for timely and accurate epidemiological data on the incidence of sports injuries, to enable medical personnel to advise commanders appropriately.…”

Section: (100)mentioning

confidence: 99%

“…Their impact can and should be minimised by means of primary preventive strategies (6). Central to this …”

Section: (100)mentioning

confidence: 99%

Sports Injuries in British Troops deployed on Operation Resolute (Bosnia)

Adams

Croft²

1997

J R Army Med Corps

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“…Most occupational injuries are preventable, and an excess of such conditions suggests a breakdown in the management function (14,15). The special case of sports injuries during Operation Resolute is the subject of a separate study (16).…”

Section: Medical Repatriations Operation Resolutementioning

confidence: 99%

Medical Repatriations from Operation Resolute (Bosnia)

Croft¹,

Hopkins²

1997

J R Army Med Corps

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SUMMARY: Operation Resolute is a peace enforcement mission in Bosnia-Herzegovina, which commenced on 20 December 1995. During Weeks 1-26 of the operation a total of 405 British personnel were repatriated on medical grounds, out of a mean force size of 9,299. We analysed these repatriations by clinical category and according to final destination. In addition we carried out a focused analysis of the 87 medical repatriations which occurred during May 1996. 77.5% of all the repatriations in the first 6 months of Operation Resolute were for surgical conditions, and 22.5% were medical. Eighty two per cent of British soldiers were repatriated to UK, and 18% to Germany. The mean weekly repatriation rate during this 6-month period was 1.7 per 1,000 force strength. Orthopaedic conditions were by far the greatest single cause of repatriation. During the month of May there was a total of 87 repatriations, of which 12 were due to disease. These showed no consistent pattern. Seventy five of the May repatriations were due to injury and of these 29 % were caused by sport, 5 % by road traffic accidents, 4 % were eye injuries and one was due to burns; other occupational injuries accounted for a further 27% of the total. Twenty out of the 87 personnel repatriated in May had pre-existing medical conditions, but only 35 % of these had been reviewed by their medical officer prior to deployment. Medical officers should be more diligent in carrying out pre-deployment fitness screening. The routine medical surveillance of deployed troops should be targeted towards occupational causes of injury, since these are preventable and account for terminal manpower losses. IntroductionOperation Resolute is Britain's contribution to the NATO-commanded peace enforcement mission in Bosnia-Herzegovina, which commenced on 20 December 1995 The multinational force was known as IFOR. The operation was planned to last for one year. Britain deployed a divisional headquarters, an armoured brigade and ground logistics elements, as well as providing air and naval support to the mission.Militarily the operation has been a success, and has been imposed on a region which had been tom apart by 4 years of civil war. Although there were few battle casualties amongst British troops, there was a high level of routine sickness and of non-battle injury. 22 Field Hospital was deployed in support of the British force, but its role was mainly confined to carrying out life-saving surgery and acting as a secondary referral and diagnostic centre. Casualties who could not be treated or operated on in theatre, or who were likely to be occupying a hospital bed for more than 7 days, were repatriated to UK through 1 Aeromedical Evacuation Squadron (1 A Evac Sqn), based in Split.In the first 6 months of the operation, 405 British personnel were repatriated from Operation Resolute on medical grounds. This high figure prompted us to undertake a critical analysis of the problem.

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A systematic approach to health surveillance in the workplace

Cited by 10 publications

References 0 publications

Risk assessment for occupational exposure to chemicals. A review of current methodology (IUPAC Technical Report)

Risk assessment for occupational exposure to chemicals. A review of current methodology (IUPAC Technical Report)

Sports Injuries in British Troops deployed on Operation Resolute (Bosnia)

Medical Repatriations from Operation Resolute (Bosnia)

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