Journal List > Hanyang Med Rev > v.30(4) > 1044058

Kim: Occupational Diseases of Health Care Workers

Abstract

Health care is a labour intensive industry and, in most countries, health care workers (HCWs) are fast growing sector of the workforce. Variety of occupational hazard, such as biological, ergonomical, chemical, physical and psychological factors, have been reported in HCWs. Major occupational infectious diseases in HCWs are blood-borne pathogens such as HIV, hepatitis B and hepatitis C, and airborne pathogens such as tuberculosis, and a wide variety of respiratory viruses. Most common occupational musculoskeletal disorder (MSD) in HCWs are low back pain and related diseases. One of the most prevalent ergonomical risk factor of low back pain is moving the patients or changing the patients' position. Important carcinogenic chemicals in HCWs are formaldehyde, ethylene oxide and anticancer drugs, which have been reported reported to be cause of occupational lymphohematopoietic cancer. Glutaraldehyde and latex glove can cause allergic asthma and contact dermatitis. Physical hazard such as ionizing radiation and noise also should be considered for HCWs's occupational health. Because, HCWs comprise a wide range of professional, technical and support personnel, the organizational factor might affect to job stress. In addition to organizational factors, the shift work and night work is serious health problem of HCWs. Theses risk factors can affect to chronic underlying disorder.

Figures and Tables

Table 1
Pathogenic Organisms of Occupational Infectious Diseases by Hazard Group
hmr-30-265-i001
Table 2
Chemicals Using Health Care Utility
hmr-30-265-i002

References

1. NIOSH. A NORA Report: State of the Sector Healthcare and Social Assistance, Identification of Research Opportunities for the Nest case of NORA. 2009. NIOSH.
2. Wugofski L. H M, H F, S U, W G, editors. Occupational accident in health care workers-Epidemiology and prevention. Occupational Health for Health Care Workers. 1995. Singapore: International Commission on Occupational Health.
3. Yassi A, Warshaw LJ. Stellman JM, editor. Occupational Health Services. ILO Encyclopaedia of Occupational Health and Safety. 1997. 97:4th ed. Geneva, Swiss: International Labour Office;97.2–97.64.
4. Lim H. Development of manual for health care workers of hospital. 2001. Incheon, Korea: Occupational Safety and Health Research Institute.
5. Jeong HK. Occupational accident of health care workers-status and measure. J Korean Med Assoc. 2000. 43:259–264.
6. Lim HS, Ahn YS. Occupational diseases among health care workers approved by korea labor welfare corporation. Korean J Occup Environ Med. 2003. 15:196–204.
7. Jagger J. Caring for Healthcare Workers: A Global Perspective. Infect Control Hosp Epidemiol. 2007. 28:1–4.
crossref
8. Waehrer G, Leigh JP, Miller TR. Costs of occupational injury and illness within the health services sector. Int J Health Serv. 2005. 35:343–359.
crossref
9. Korean Medical Association. Book of Health Statistics 2007. 2009. Accessed 10-5, 2010. at http://www.kma.org/contents/board/mboard.asp?exec=view&strBoardID=report&intSeq=3449.
10. Pruss-Ustun A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med. 2005. 48:482–490.
crossref
11. Ahn YS. Infectious diseases among healthcare workers. J Korean Med Assoc. 2010. 53:434–466.
crossref
12. HSE, Advisory committee on Dangerous pathogens. Biological agents: Managing the risks in laboratories and healthcare premises. Accessed at www.hse.gov.uk.
13. Advisory Committee on Dangerous Pathogens. the Approved List of biological agents Health and Safety Executive. 2004. Accessed 10-5, 2010. at http://www.hse.gov.uk/pubns.
14. Perry J, Jagger J. Healthcare Worker Blood Exposure Risks: Correcting Some Outdated Statistics. Adv Exp Prev. 2003. 6:28–31.
15. Sagoe-Moses C, Pearson RD, Perry J, Jagger J. Risks to health care workers in developing countries. N Engl J Med. 2001. 345:538–541.
crossref
16. Ippolito G, Puro V, Heptonstall J, Jagger J, De Carli G, Petrosillo N. Occupational human immunodeficiency virus infection in health care workers: worldwide cases through September 1997. Clin Infect Dis. 1997. 28:365–383.
crossref
17. Kim EA. Investigation on the infectious disorder in health care workers (publication NO: 2005-115-594). 2005. Incheon: Occupational Safety and Health Research Institute.
18. Occupational Safety and Health Resarch Institute (OSHRI). Development of needlestick injury surveillance system for health care personnel, OSHRI Publicaton No.2009-85-1283. 2009. Incheon: OSHRI.
19. Ahn YS, Lim HS. Occupational Infectious Diseases among Korean Health CareWorkers Who were Compensated with Industrial AccidentCompensation Insurance from 1998 to 2004. Ind Health. 2004. 46:448–454.
crossref
20. U.S. Public Health Service. Updated U.S. public health service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis. MMWR Recomm Rep. 2001. 50:1–52.
21. Jo KW, Woo JH, Hong Y, Choi CM, Oh YM, Lee SD, Kim WS, Kim DS, Kim WD, Shim TS. Incidence of tuberculosis among health care workers at a private university hospital in South Korea. Int J Tuberc Lung Dis. 2008. 12:436–440.
22. Jung SI, Lee CS, Park KH, Kim ES, Kim YJ, Kim GS, Lim DS, Moon JE, Min JJ, Bom HS, Jung MH, Chang YJ, Chae SL, Lee JH. Sero-epidemiology of hepatitis A virus infection among healthcare workers in Korean hospitals. J Hosp Infect. 2009. 72:251–257.
crossref
23. Centers for Disease Control and Prevention (CDC). Guidelines for preventing the transmission of mycobacterium tuberculosis in healthcare facilities. MMWR. 2004. 43:1–132.
24. Kim KS, Park JK, Kim DS. Status and Characteristics of Occurrence of Work-related Musculoskeletal Disorders. J Ergon Soc Korea. 2010. 29:405–422.
crossref
25. NIOSH. Health care and social assistance inputs: occupational safety and health risks, All United States, private industry, NIOSH program portfolio, 2006. 2006. Accessed 4-15, 2010. at http://www.cdc.gov/niosh/programs/hcsa/risks.html.
26. Hong Jy, Koo JW. Work-related Musculoskeletal Diseases and Occupational Injuries in Health Care Workers. J Korean Med Assoc. 2010. 53:446–453.
crossref
27. Kim EA. Investigation on the management of occupational health in health care facilities (publication NO: 2005-110-588). 2005. Incheon: Occupational Safety and Health Research Institute.
28. Workplace solutions: Preventing Work-Related Musculoskeletal Disorders in Sonography(NIOSH Publication No. 2006-148). 2010. Accessed 2010. CDC;at http://www.cdc.gov/niosh/docs/wp-solutions/2006-148/.
29. Park JK, Kim DS, Kim KS, Han YS. A new prospectives for exposure assesment of musculoskeletal disorder risk factors in non-routinized work in general industry including hospital and hotel sectors. 2008. Incheon: Occupational Health and Safety Research Institute.
30. Roh JH. Study for understanding chemical usage at health care facilities and setting its control program. 2006. Incheon: Occupational Safety&Health Research Institute.
31. NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings 2010 NIOSH. 2004. Accessed 2010. at http://www.cdc.gov/niosh/docs/2010-167/pdfs/2010-167.pdf.
32. Won JU. Health Effects of Chemicals used in hospitals among Healthcare Workers. J Korean Med Assoc. 2010. 53:474–482.
crossref
33. Glutaraldehyde - Occupational Hazards in Hospitals NIOSH. 2001. Accessed 2010. at http://www.cdc.gov/niosh/docs/2001-115/.
34. Ahn YS. Occupational Malignant Lymphohematopoietic Diseases Compensated under the Industrial Accident Compensation Insurance from 1996 to 2005. Korean J Occup Environ Med. 2007. 19:81–92.
crossref
35. Connor TH, Sessink PM, Harrison BR, et al. Surface Contamination of Chemotherapy Drug Vials and Evaluation of New Vial-Cleaning Techniques: Results of Three Studies. Am J Health Syst Pharm. 2005. 62:475–484.
crossref
36. Preventing Allergic Reactions to Natural Rubber Latex in the Workplace: NIOSH Publication No. 97-135. 1997. Accessed 2010. at http://www.cdc.gov/niosh/latexalt.html.
37. Vandenplas O, Delwiche JP, Depelchin S, Sibille Y, Weyer RV, Delaunois L. Latex gloves with a lower protein content reduce bronchial reactions in subjects with occupational asthma caused by latex. Am J Respir Crit Care Med. 1995. 151:887–891.
crossref
38. Pechter E, Davis LK, Tumpowsky C, Flattery J, Harrison R, Reinisch F, Reilly MJ, Rosenman KD, Schill DP, Valiante D, Filios M. Work-related asthma among health care workers: surveillance data from California, Massachusetts, Michigan, and New Jersey, 1993-1997. Am J Ind Med. 2005. 47:265–275.
crossref
39. Lim HS. Health Disorders Caused by Physical Factors among Health Care Workers - Focusing on Ionizing Radiation. J Korean Med Assoc. 2010. 53:483–491.
crossref
40. Berglund B, Lindvall T, Schwela DH. Guidelines for community noise. 1999. Geneva: World Health Organization.
41. Kim KN, Ok CS. Survey Analysis on ENvironmental Sanitation State within Wards in a Hospital. Kosin J Health Sci. 2000. 10:41–58.
42. Lee MH, Sakong J, Kang PS. Effects of Noise in Hospital on Patients and Employees. Yeungnam Univ J Med. 2007. 24:352–364.
crossref
43. Koh SB. The Work Related Psychosocial Factor and Disease among Health Professional. J Korean Med Assoc. 2010. 53:467–473.
crossref
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