2015年杭州市某区职业健康监护情况分析  

Occupational health surveillance in a district of Hangzhou city in 2015

作　　者：林燕[1] 郑双来[1] 

机构地区：[1]浙江省杭州市余杭区疾病预防控制中心,浙江杭州311100

出　　处：《中国农村卫生事业管理》2016年第10期1284-1287,共4页Chinese Rural Health Service Administration

摘　　要：目的:了解杭州市余杭区2015年职业健康监护的开展情况,为行政部门制定卫生政策和职业病防治对策提供科学依据。方法:根据余杭区2015年度职业病与职业卫生信息监测系统年度报表,使用Excel录入并整理数据库,按不同规模、不同经济类型、不同行业、不同因素进行统计分析。结果:余杭区2015年度开展职业健康监护的用人单位有450家,对接触有毒有害作业的30 901人进行健康检查,占职工总数的33.89%;检出职业禁忌证113例,检出率为0.36%;检出疑似职业病25例,检出率0.08%。不同规模、不同经济类型、不同行业的实检率差异有统计学意义;不同行业、不同规模的疑似职业病检出率差异有统计学意义。结论:杭州市某区职业健康监护情况不容乐观,应提高用人单位尤其中小规模私营企业的职业病防治意识,重点关注非金属采矿业、化学原料及化学品制造业、计算机等行业的职业健康监护工作,提高企业职业健康监护覆盖率,规范开展职业健康体检工作,以尽早发现职业病和职业禁忌证,减少职业人群的健康损害。Objective To know about the implementation status of occupational health surveillance activities in Yuhang District of Hangzhou city in 2015 ,and to provide a scientific basis for decision making on public health rules and occupational disease prevention by administrative departments. Methods Based on the annual report of the health risk factors monitoring in Yuhang District of Hangzhou in 2015, Excel was used to input and sort out the database. Statistical analysis was performed according to different sizes and different types, different industries and different economic factors. Results There were 450 enterprises which carried out the occupational health surveillance. 30901 workers ex- posed to harmful factors received health examination,accounting for 33.89% of the total number of employees. 113 cases （0.36.%） of occupational contraindication were detected. 25 suspected occupational disease cases （0.08 % ） were detected. There were statistically significant differences in the real test rate among different scales, different economic types, and difference industries. There was significant difference in the detection rate of suspected occupation diseases among different industries and different scales. Conclusions The situation of occupational health care in a district of Hangzhou city is not optimistic. It is vital to improve the awareness to prevent and control occupational diseases in the employing units. Occupational health supervision should be conducted in such industries as non-metal mining industry, manufacturing of chemical raw materials and chemicals and computer industry. The supervision coverage rate should be increased and health checkups should be conducted in a standardized way so as to find occupational diseases and occupational contraindications as early as possible and diminish health cost among occupational population.

关 键 词：职业健康监护 职业病 职业禁忌证 

分 类 号：R135[医药卫生—劳动卫生]