廣東職業(yè)病防治之路

1、廣東職業(yè)病防治之路Strategy and Implementation of Occupational Disease Prevention and Control in Guangdong目錄OUTLINE1.中國職業(yè)衛(wèi)生法律體系 Regulation system on Occupational DiseasePrevention and Control in China2.廣東職業(yè)病防治經(jīng)驗(yàn) Experience of ODs Prevention and Control in Guangdong3.未來的舉措Strategy in the Future01中國職業(yè)衛(wèi)生法律體系 Reg

2、ulation system on Occupational Disease Prevention and Control inChina 1.職業(yè)病防治法頒布實(shí)施The establishment of Law on Occupational Disease Prevention in China2002年5月1日，職業(yè)病防治法正式施行Law of Peoples Republic of China on Prevention and Control of Occupational Diseases went into effect in May 1,2002預(yù)防、控制和消除職業(yè)病危害防治職

3、業(yè)病保護(hù)勞動者健康及其相關(guān)權(quán)益促進(jìn)經(jīng)濟(jì)社會發(fā)展總則Preventing, controlling,and elimination OD HazardsPreventing, controlling ODsProtecting the health and rights of workersPromoting the development of econnomicPrinciple1.職業(yè)病防治法頒布實(shí)施The establishment of Law on Occupational Disease Prevention in China職業(yè)病防治法Law of Prevention and

4、Control of Occupational Diseases (ODs）2.職業(yè)病防治法律體系發(fā)展社會保險(xiǎn)法Social Insurance Law職業(yè)病防治法Law on prevention and control of ODs部門規(guī)章Regulations標(biāo)準(zhǔn)或規(guī)范Standards or Guidelines安全生產(chǎn)法Law on Work Safety勞動法Law on LaborDevelopment of regulation system on Occupational Disease Prevention in China職業(yè)病防治法律體系Profiles of ODs

5、Prevention and Control憲法Constitution2.職業(yè)病防治法律體系發(fā)展Development of regulation system on Occupational Disease Prevention in China職業(yè)病防治法律體系Profiles of ODs Prevention and Control部門規(guī)章 Regulations標(biāo)準(zhǔn)或規(guī)范Standards or Guidelines塵肺病防治條例Regulation on Pneumoconiosis職業(yè)健康檢查管理辦法Regulation on Occupational HealthExamin

6、ation職業(yè)病診斷與鑒定管理辦法 Regulation on ODs Diagnosis and Appraisal職業(yè)衛(wèi)生Occupational Hygiene放射衛(wèi)生Radiation Hygiene接觸限值Exposure Limits診斷標(biāo)準(zhǔn) Diagnosis Standards個人接觸劑量 Individual Exposure Dose放射防護(hù)標(biāo)準(zhǔn) Radiation Protection放射疾病診斷Diagnosis Standards工業(yè)企業(yè)設(shè)計(jì)Industrial Design3.職業(yè)病目錄 List of Occupational Diseases in China1

7、957198720022013我國首次發(fā)布職業(yè)病 范圍，確定為14種 Published 14 types of Ods lists firstlyUpdated to 10 types105 lists職業(yè)病增加為9類99種 增加為10類115種 Broaden to 9 types99 lists增加為10類132種 Updated to 10 types 132 lists塵肺病 Pneumoconiosis職業(yè)性皮膚病 Occupational Skin Diseases職業(yè)性眼病 Occupational Oculopathy 4.職業(yè)性耳鼻喉口腔疾病 Occupational Ot

8、olaryngological and Oral Diseases5.職業(yè)性化學(xué)中毒 Occupational Chemical Poisoning物理因素所致職業(yè)病 Occupational Diseases caused by Physical agents職業(yè)性放射性疾病 Occupational Radioaetive Diseases職業(yè)性傳染病 Occupational Infectious Diseases職業(yè)性腫瘤 Occupational Cancer 5.其他職業(yè)病 Other Diseases關(guān)注的重點(diǎn)是塵肺病、化學(xué)中毒、噪聲聾等傳統(tǒng)職業(yè)病，人機(jī)功效學(xué)和心理因素引起的健康

9、問題 尚未納入The list aims control the major occupational diseases like Pneumoconiosis, chemical poisoning and noise induced hearing loss. Musculoskeletal disorders and Mental disorders have not been included in the list.4.職業(yè)衛(wèi)生監(jiān)督體系2018危害評價(jià)、健康監(jiān)護(hù) 機(jī)構(gòu)管理、診斷治療 Risk assessment, health surveillance, institutes an

10、d Treatment 2003中央編辦發(fā)200315號Instruction Document作業(yè)場所監(jiān)督檢查、 事故處理、危害申報(bào) Inspection on workplace, emergency response and risk report 健康檢查、診斷治療、風(fēng)險(xiǎn) 評估、健康促進(jìn) Health surveillance, ODs diagnosis and treatment, management, ODs diagnosis health risk assessment and health promotion 2010中央編辦 104號文 Instruction Docu

11、ment場所監(jiān)督檢查、事故處理、危害申報(bào)、危害評價(jià)、機(jī)構(gòu) 管理 Inspection on workplace, emergency response and risk report, hazards assessment, service institutes management Occupational Health Inspection System in China衛(wèi)生行政部門 Health administrative department 安監(jiān)部門 Work safety administrative department 統(tǒng)一負(fù)責(zé) 全國職業(yè)病防治 工作 Responsible

12、for the ODs inspection2002職業(yè)病防治法Law on Ods Prevention and Control整合職業(yè) 安全健康 監(jiān)督管理 職責(zé)Integrated the responsibility on ODs to Health administrative department02廣東職業(yè)病防治經(jīng)驗(yàn) Experience of ODs Prevention and Control in Guangdong 廣東省基本情況 Overview of Guangdong Province1.廣東省基本情況Overview of Guangdong ProvinceGua

13、ngdong Province located in south China.Its about 179,800km2.Guangdong has 21 Prefecture-level cities.Guangdong takes lead in economic reform since 1978, has been the largest province by GDP.廣東省位于中國南部面積17.98萬平方公里下轄21個地級市1978年，廣東在全國率先實(shí)行改 革開放政策,成為第一經(jīng)濟(jì)大省珠江三角洲地區(qū)成為世界知名的加 工制造出口基地The Pearl River Delta Metro

14、politan Region has become a major and the worlds manufacturing base for products suchas electronic and a range of other goods.石油化工行業(yè)、先進(jìn)制造業(yè)、高新技術(shù)制造業(yè) Petrochemical manufacture, High-tech manufature1.廣東省基本情況Overview of Guangdong Province廣東第一人口大省 人口約 1.08 億 產(chǎn)業(yè)工人2000萬 Guangdong has a populationabout 108 m

15、illionIt has the largest migrant workers from neighboring provincesThere are about 20 million labor force1.廣東省基本情況Overview of Guangdong Province2.近年新發(fā)職業(yè)病情況The Prevalence of ODs in Guangdong2003年以來，新發(fā)職業(yè)病病例隨GDP上升而上升的趨勢The new reported ODs cases kept increasing slowly with the increasing of GDP in Guan

16、gdong since 2003.Framework of ODs Prevention and Control in Guangdong3.廣東省職業(yè)病防治技術(shù)支撐框架省職業(yè)病防治院(1) Province Hospital for Occupational Disease地級市職防院或疾控中心(21)Prefecture-level city hospital foroccupational disease or centers for disease control縣區(qū)疾病控制中心（119）County-level city or town centers for disease con

17、trol建立 “區(qū)-市-省”職業(yè)病防控體系Establish “county-city-province”tenical network on ODsPrevention and ControlFramework of ODs Prevention and Control in Guangdong3.廣東省職業(yè)病防治技術(shù)支撐框架21個地級市中，14個市設(shè)立獨(dú)立職業(yè)病防治機(jī) 構(gòu),約占我國獨(dú)立職防院所數(shù)量1/3. There are 14 independent ODs prevention and control hospitals or institutes among 21 cities.I

18、ts about 1/3 of public independent ODsprevention and control institutes in China.廣東省職業(yè)病防治院Guangdong province hospital for OD廣州市職業(yè)病防治院Guangzhou hospital for OD惠州市職業(yè)病防治院Huizhou hospital for OD深圳市職業(yè)病防治院Shenzhen hospital for OD源頭 控制 Resources Control 完整職業(yè)病 防治環(huán)節(jié)Complehensive protection system on ODs工作場 所

19、監(jiān)測 Hazards monitor風(fēng)險(xiǎn) 評估 Risk Assessment 診斷 治療 DiagnosiTreatment應(yīng)急 救援 Emergency Response 科研Scientific Research教學(xué)Education服務(wù)Service廣東省職業(yè)病防治院具有 Guangdong Province Hospital for Occupational Disease Prevention and Treatment 職業(yè)健 康檢查 HealthSureillanceFramework of ODs Prevention and Control in Guangdong3.廣東

20、省職業(yè)病防治技術(shù)支撐框架4.職業(yè)衛(wèi)生服務(wù)發(fā)展可行性研究階段 Feasible study stage 職業(yè)病危害預(yù)評價(jià) Pre-assessment of occupational hazards竣工驗(yàn)收階段 Completion stage 職業(yè)病危害控制效果評價(jià) control assessment of occupational hazards正常生產(chǎn)階段 Regular production stage 職業(yè)病危害定期監(jiān)測 Regular monitor of occupational hazardsDevelopment on Occupational Health Services

21、 in Guangdong職業(yè)病防治法要求，每個企業(yè)都要進(jìn)行危害評價(jià)與監(jiān)測According to law of ODs Control, every enterprise should conduct occupational hazards assessment and monitor公立1625民營4975PrivatesectorsPublic sectors全省約有65家職業(yè)衛(wèi)生技術(shù)服務(wù)機(jī)構(gòu) 提供職業(yè)病危害因素檢測服務(wù)其中公立機(jī)構(gòu)16家私立機(jī)構(gòu)49家There are 65 certificated occupational health service institutes or

22、center inGuangdong.16 are public sectors.49 are private sectors.4.職業(yè)衛(wèi)生服務(wù)發(fā)展Development on Occupational Health Services in Guangdong職業(yè)病防治法要求，每個工人都要進(jìn)行職業(yè)健康檢查 According to law of ODs Control, workers should take occupational health surveillance.200家職業(yè)健康檢查機(jī)構(gòu) 200 occupational health check-up hospitals or c

23、linics in Guangdong.覆蓋21個地級市 Cover 21 cities.約1/2為職防或疾控機(jī)構(gòu) 2/5為公立醫(yī)療機(jī)構(gòu) 1/10為民營醫(yī)療機(jī)構(gòu) are ODs prevention and control hospitals or centers.2/5 are public generalhospitals.1/10 are private hospitals orclinics.5.政府重視，頒布規(guī)劃 Set up Government Action Plan on ODs每五年制定省級職業(yè)病防治規(guī)劃 Set up ODs prevention and control a

24、ction plan every five-year. 廣東省職業(yè)病防治規(guī)劃2017-2020Goals of New five-year action plan(2017-2020) 設(shè)區(qū)的市應(yīng)確定1 家醫(yī)療衛(wèi)生機(jī)構(gòu)承 擔(dān)轄區(qū)內(nèi)職業(yè)病診 斷工作Every city should have 1 medicalinstitute responsible for the occupational disease diagnosis.縣級原則上至少確 定1家醫(yī)療衛(wèi)生機(jī) 構(gòu)承擔(dān)轄區(qū)職業(yè)健 康檢查工作Every county level town should have 1 medical instit

25、ute responsible for theworkers occupational health surveillance.重點(diǎn)職業(yè)病監(jiān)測工 作的縣（市、區(qū)） 覆蓋率達(dá)到100% The monitor rate of counties on key occupational disease hazards should be 100%.職業(yè)病診斷機(jī)構(gòu)報(bào) 告率達(dá)到100% The reported rate of diagnosed ODs should be 100%.醫(yī)療衛(wèi)生機(jī)構(gòu)放射 工作人員個人劑量 監(jiān)測率達(dá)到90%以 上The rate of individual dose mon

26、itor on radiation exposuremedical staffs should be higher than 90%.6.根據(jù)省情，重點(diǎn)控制 Special Strategy on key ODs我國每年新發(fā)職業(yè)病以塵肺病為主（85%以上）廣東省新發(fā)職業(yè)病病譜與國家不同The leading ODs in China is pneumoconiosis (higher than 85%).The leading ODs cases in Guangdong is different from National data.Noise induce hearing loss, pn

27、eumoconiosis and chemical poisoning are the leading ODs cases in Guangdong recent years.全省 21地市 21 Cities高溫Heat Stress振動Vibration放射性因素Radiation噪聲Noise苯Benzene鉛LeadDust開展重點(diǎn)職業(yè)病監(jiān)測 Key occupational disease hazards monitor program主動監(jiān)測7種危害因素及其導(dǎo)致職業(yè)病覆蓋全省119縣區(qū)各地市增加三氯乙烯、正己烷、二氯乙烷因素監(jiān)測Active surveillance7 list o

28、f occupational disease hazard at province-levelCover 119 countiesAdd specific factors like TCE, 粉 塵Hexane, Dichloroethane accordance with Ods Characteristic at city-level6.根據(jù)省情，重點(diǎn)控制 Special Strategy on key ODs建立骨干現(xiàn)場培訓(xùn)實(shí)踐基地廣州、深圳、佛山、惠州6個三期共已招收學(xué)員共30人覆蓋21個地市Built 6 practice Bases in Guangzhou、Shenzhen 、F

29、oshan andHuizhouA total of 30 trainees included in 3 year-training programFrom 21 cities培訓(xùn)基地所在地市 Practice Bases7.人才培養(yǎng)，骨干孵化器 Training Program on Occupational Hygienists21天境外學(xué) 習(xí)交流 21DAYSABROAD TRAINING15份調(diào)查二期學(xué)員澳洲學(xué)習(xí)交流，拓寬視野Abroad Training in Australia （2nd Program）37EXPERTS LECTURE37名國內(nèi)外專家授課82 FIELDINVE

30、STIGATION82個現(xiàn)場 調(diào)查項(xiàng)目60PRACTICAL THEORY60個專項(xiàng) 理論課程報(bào) 告 15 INVESTIGATIONREPORTS44人次實(shí) 戰(zhàn)演習(xí)44 EMERGENCY EXERCISES7.人才培養(yǎng)，骨干孵化器 Training Program on Occupational Hygienists8.科研創(chuàng)新與攻關(guān) Scientific Innovative and Research物理因素職業(yè) 健康研究中心 Physical agents research Center互聯(lián)網(wǎng)+職業(yè)病防治平臺 Platform for Occupational health infor

31、matic新技術(shù)平臺 New Platform干細(xì)胞治療職 業(yè)病研究中心 Stem Cell research centerNCI 美國癌癥研究所WHO 世衛(wèi)組織ILO 世界勞工組織University of California, Berkeley 美國加州伯克利大學(xué)Griffith U., Australia 澳洲格里菲 斯大學(xué)Ministry of Health, Thailand 泰國衛(wèi)生部National occupational health andsafety research center, Canada 加拿大職業(yè)衛(wèi)生 研究中心Nagoya University 日本名古屋大

32、學(xué)The Saint-Petersburg Research Instituteof Radiation Hygiene, Russia 俄羅斯圣彼得堡放射醫(yī) 學(xué)防護(hù)所 Scientific Innovative and Research國際合作International cooperation8.科研創(chuàng)新與攻關(guān)National CDC, China國家疾控中心Beijing U.北京大學(xué)Sun Ye-sen U.中山大學(xué)Shanxi U. 山西醫(yī)科大學(xué)Hong Kong Opening U. 香港公開大學(xué)Guangdong Pharmaceutical U. 廣東藥科大學(xué)Guangdong

33、Medical Colleage 廣東醫(yī)學(xué)院CDC. Macao 澳門疾控 Scientific Innovative and Research國內(nèi)合作National cooperation8.科研創(chuàng)新與攻關(guān)9.健康教育與促進(jìn)Morethan30 exhibition items國家衛(wèi)生健康委員會疾控局局長毛群安出席揭牌儀式 Director of disease control bureau of China attent the opening ceremony Health Education and Promotion職業(yè)健康體驗(yàn)館 Experience Museum of Occu

34、pational Health創(chuàng)新教育模式 面向全社會Innovative modeTo all People全國首個4月26日揭牌6個展廳30多個科普展項(xiàng)ThefirstOHmuseum in ChinaIt opens at April, 20186 exhibition hall職業(yè)健康體驗(yàn)館Experience Museum of Occupational Health主入口 Main Entrance職業(yè)健康體驗(yàn)館Experience Museum of Occupational Health走進(jìn)職防院 History of GDHOD職業(yè)健康體驗(yàn)館Experience Museum

35、 of Occupational Health職業(yè)健康與危害防控1Occupational Hazard Prevention and Control Exhibition Hall 1職業(yè)健康體驗(yàn)館Experience Museum of Occupational Health職業(yè)健康與危害防控2Occupational Hazard Prevention and Control Exhibition Hall 2職業(yè)病防治宣傳周Publicity Week for Occupational Health職業(yè)病防治宣傳周啟動儀式 Opening ceremony for publicity

36、week on occupational diseases 職業(yè)病防治宣傳周Publicity Week for Occupational Health職業(yè)病防治技術(shù)人員舞蹈表演 Occupational health staffs danced at the open ceremony 職業(yè)病防治宣傳周Publicity Week for Occupational Health職業(yè)病防治宣傳周啟動儀式大合影 Group photo for the open ceremony 9.推動醫(yī)聯(lián)體網(wǎng)建設(shè)Development of Integrated Health Care System on O

37、ccupational Health創(chuàng)新機(jī)制，省級資源下沉，提升基層職防能力 建立職業(yè)健康監(jiān)護(hù)醫(yī)聯(lián)體網(wǎng)絡(luò) Innovative strategy, delivery Provincial experts resources to the local health care system, to improve the occupational health check-up ability. Build up occupational health check-up integrated health care system. 中山火炬開發(fā)區(qū)醫(yī)院General Hospital at Huoj

38、u economic district, Zhongshan city南海醫(yī)院General Hospital at Nanhai County,Foshan city9.推動醫(yī)聯(lián)體網(wǎng)建設(shè)Development of Integrated Health Care System on Occupational Health計(jì)劃在全省開發(fā)區(qū)推動醫(yī)聯(lián)體建設(shè) Develop the integrated health care system at the economic zones in Guangdong 03未來的舉措Strategy in the Future傳統(tǒng)職業(yè)病防治 Traditional Ods prevention and control轉(zhuǎn)變Switch慢性病 chronic di