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作 者:王丽华[1] 樊哲优[1] 王朋[2] 王莉萍[1] 周雪松[1] 郑驹
机构地区:[1]上海市金山区疾病预防控制中心职业卫生与评价科,201599 [2]复旦大学附属金山医院
出 处:《职业与健康》2014年第4期436-438,共3页Occupation and Health
摘 要:目的掌握上海市金山区职业病发病规律和特征,为制定职业病预防控制措施提供依据。方法根据中国疾病预防控制系统和上海市职业卫生管理信息系统2000—2012年金山区职业病报告网络直报资料,结合社区核实调查。结果 2000—2012年,金山区共报告职业病6类18种343例,其中职业性眼病占61.22%,职业中毒占16.62%,职业性皮肤病占13.12%,尘肺占8.16%,物理因素所致职业病占0.58%,其他职业病占0.29%;病例分布在40个行业中,其中化学原料和化学制品制造业、金属制品业居前2位,分别占29.15%、9.62%;职业中毒病例57例,其中急性职业中毒占36.84%,慢性职业中毒占63.16%。造成急性职业中毒的毒物种类多,砷化氢居首位(33.33%);引起慢性职业中毒居首位的是正己烷(77.78%)。结论金山区职业病种类和数量均较多,发病呈逐年上升趋势,化学危害因素是主要的职业病危害,化学性眼部灼伤、化学性皮肤灼伤、正己烷中毒、矽肺、其他职业性急性中毒是主要的职业病,该区职业病防控工作亟待加强。[ Objective ] To understand the rules and characteristics of occupational disease incidence in Jinshan District of Shanghai City, and provide evidence for developing occupational disease control measures. [ Methods ] The investigation was based on the da- ta of occupational disease in Jinshan District from China Information System for Disease Prevention and Control and Shanghai Occu- pational Health Management Information System during 2000-2012, and community verification survey. [ Results ] From 2000 to 2012, a total of 343 cases in 18 classes of 6 categories were reported in Jinshan District, among which occupational eye disease ac- counted for 61.22%, occupational poisoning accounted for 16.62%, occupational skin disease accounted for 13.12%, pneumoco- niosis accounted for 8.16%, occupational disease caused by physical factors accounted for 0.58%, others accounted for 0.29%. The cases distributed in 40 industries, chemical materials and chemical products manufacturing, fabricated metal products industry accounted for 29.15%, 9.62% ,which ranked the top 2. There were 57 occupational poisoning cases, 36.84% of which were a- cute occupational poisoning, 63.16% were chronic poisoning. Acute occupational poisoning caused by varies of toxic, and arsine ranked first {33.33% ). Hexane occupied the first place [77.78% } of which caused the chronic poisoning. The incidence of oc- cupational disease showed an N-type rebound tendency. [ Conclusion ] The type and quantity of occupational disease is so much, and the incidence increases annually in Jianshan District. Chemical hazards are the main factors. Chemical eye bums, chemical skin bums, n-hexane poisoning, silicosis, and other acute poisoning are major occupational diseases. Occupational disease preven- tion and control needs to strengthened.
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