Statutory Medical Examinations and Designated Factory Doctors in Singapore

Abstract

This paper describes the system of statutory medical examinations introduced in Singapore since 1985 and the role of designated factory doctors, as well as the progress of the system, problems and issues involved. The basic objective of the system is to ensure that workers in special risk occupations are fit for such work. Factory workers exposed to any of 14 prescribed hazards must undergo specific medical examinations and tests by designated factory doctors who are trained and registered with the Labour Ministry. Abnormal work-related cases are notified to the Ministry for further investigation. Currently there are 330 designated factory doctors and each year, over 38,000 workers are examined, 88 per cent for noise exposure. The system provides opportunities for early detection of both occupational and non work-related abnormalities, individual counselling and timely preventive action. It also complements industrial hygiene monitoring activities in the evaluation of health hazards and promotes self-regulation. To enhance the effectiveness of the system, the doctors must be properly trained and some degree of supervision is needed, particularly with regard to accuracy and interpretation of laboratory results, emphasis on counselling and re-orientation and updating of knowledge.

Occupational health in Singapore

“…DFDs are registered medical practitioners who have undergone postgraduate training in occupational health. It has been reported (Phoon and Chan 1990) that over 38,000 workers annually undergo SMEs, of which about 88% are carried out for noise exposure.…”

Three-year follow-up of serial nerve conduction among lead-exposed workers

“…The 72 worlters were followed at six-month intervals, by occupational physicians as part of a compulsory medical exanlination for workers exposed to lead (5). At each examination, blood was taken for analysis.…”

Preventive Measures to Eliminate Asbestos-Related Diseases in Singapore

“…A DFD is a doctor who is trained in occupational medicine and registered with the MOM to carry out the statutory medical examinations [16]. From 1997 onwards, the frequency of periodic medical examination was reduced to every 3 years which was due to the long latency of ARD after initial exposure.…”

“…Under the Factories (Medical Examinations) Regulations enacted in 1985 [ 14 ], all workers handling asbestos or who are likely to be exposed to airborne asbestos fibers must undergo pre-employment and annual medical examinations by a Designated Factory Doctor (DFD) [ 15 ]. A DFD is a doctor who is trained in occupational medicine and registered with the MOM to carry out the statutory medical examinations [ 16 ]. From 1997 onwards, the frequency of periodic medical examination was reduced to every 3 years which was due to the long latency of ARD after initial exposure.…”