Desired Learning Outcomes
At the end of the Lesson the student will
be able to:
1. compare Occupational Hazard from
    Occupational Risk; and
2. distinguish the different hazards in a
    workplace.
Review: Goals of Occupational Health (ILO/WHO)
     “The promotion and maintenance of the highest
     degree of physical, mental and social well-being of
               workers in all occupations by…
   PREVENTING              PROTECTING           PLACING worker in
   workers from            workers from          tasks adapted to
   getting sick,           health risks,            his ability.”
     OCCUPATIONAL HAZARDS
   “Conditions in the workplace that has the
potential to cause harm, including ill health and
 injury, damage to property, product and the
                 environment”
              HAZARD AND RISK
⚫   HAZARD                    ⚫   RISK
    - any source of           - the chance or
      potential damage,         probability that a
      harm or adverse           person will be
      health effects on         harmed or
      something or              experience an
      someone under             adverse health
      certain conditions at     effect if EXPOSED
      work.                     to a HAZARD.
             HEALTH RISK
• No Hazard = No Risk
• Hazard, but no Exposure = No Risk
     Health Risk = Hazard x Exposure
                EXPOSURE
• Contact with a Hazard is called Exposure
• Exposure is a combination of
   – Magnitude
   – Frequency
   – Duration
            OCCUPATIONAL HAZARDS
 Chemical                        Environmental
  hazards                          (Physical)
                                    Hazards
Ergonomic                           Biological
 hazards
                                     hazards
     Work
  organization
    hazards
                              Safety Hazards
            1. SAFETY HAZARDS
The most common types of workplace hazards, include
unsafe conditions that can cause injury, illness and even
death.
• Spills or cords on the floor that could cause tripping
• Working from heights on things like ladders, scaffolds
  or roofs that could cause falls
• Unguarded machinery or moving machinery parts that
  a worker could accidentally touch
• Frayed cords, missing ground pins or improper wiring
  that could cause electrocution
• Confined spaces
      2. BIOLOGICAL HAZARDS
Exposure to harm or disease from working with
animals, people or infectious plant materials.
• Blood and other body fluids
• Fungi/mold
• Bacteria and viruses
• Plants
• Insect bites
• Animal and bird droppings
(2) Biological Hazards:
     Clostridium tetani
 Mycobacterium tuberculosis
Human Immunodeficiency Virus
                             Clostridium tetani
    An anaerobic bacterium producing a potent toxin called
        tetanospasmin, a causative agent of TETANUS…
Health Effects
▪ Lockjaw
▪ Contraction of facial
  and back muscles
▪ Respiratory failure
                     Mycobacterium tuberculosis
▪ Chronic bacterial infection
▪ Caused by Mycobacterium
  tuberculosis (tubercle
  bacilli)
▪ Damages the lungs and
  other body parts
▪ Fatal if not treated
  properly
   TB Situation and the National TB
               Program
• 9th among 22 high TB-
  burdened countries
• 6th among 10 leading
  causes of mortality in
  the country
• 255,084 estimated
  incident cases in the
  country
             Human Immunodeficiency Virus
                        causes AIDS --
Acquired and not hereditary
Immune system is affected
Deficiency due to the collapse of the immune system
Syndrome referring to the group of symptoms that
  characterize a disease
Body fluids known to transmit HIV :
 ▪   Blood
 ▪   Semen
 ▪   Vaginal/Cervical Secretions
 ▪   Breast Milk
HIV enter the bloodstream thru --
▪ SEXUAL CONTACT - sex with HIV infected
    partner
▪ INFECTED BLOOD AND BLOOD PRODUCTS -
    transfusions of HIV-infected blood; puncturing of skin by
    HIV-contaminated instruments
▪   MOTHER TO CHILD – infected mother can pass HIV to
    baby (pregnancy, delivery or breastfeeding)
                    HIV is NOT transmitted by--
  hugging or kissing            sharing utensils            shaking hands
sharing pools or toilet seats                      animal bites
    3. ENVIRONMENTAL (Physical)
             HAZARDS
 -Factors within the environment that can harm
the body without necessarily touching it.
• High exposure to sunlight/ultraviolet rays
• Temperature extremes
• Constant loud noise
3) Environmental (Physical)
         Hazards:
           Noise
         Vibration
           Heat
 Inappropriate Illumination
                             Noise
Health Effects
❖ Hearing Damage
❖ Interfere with work
❖ performance
❖ Hypertension
❖ Hyperacidity
❖ Palpitations
❖ Stress-related disorders
                    Vibration (segmental)
Health Effects
❖   Pain, numbness, tingling of hands
                 Vibration (whole body)
 Health Effects
❖ Spine disorders
❖ Muscular and joint disorders
❖ Gastrointestinal disturbance
                         Extreme Temperature
 Related Disorders         Causes             Clinical Features
   to Heat Stress
Milaria rubra        Malfunction of       Itchy skin rashes
                     sweat glands
Heat Cramps          Loss of water &      Cramps in extremities
                     electrolytes
Heat Exhaustion      Physical exertion,   Dizziness, blurred vision,
                     loss of water &      cold & clammy
                     electrolytes         extremities
Heat Stroke          Failure of           Convulsions, muscle
                     temperature          itching, delirium with hot
                     control center in    & dry skin, body temp
                     brain                >410
              Inappropriate Illumination
• Usual Complaints
  ❖ Visual Fatigue
  ❖ Double Vision
  ❖ Headaches
  ❖ Painful irritation
  ❖ Lacrimation- abnormal or excessive secretion of
    tears due to local or systemic disease
  ❖ Conjunctivitis - an inflammation or swelling of the
    conjunctiva (the thin transparent layer of tissue
    that lines the inner surface of the eyelid and
    covers the white part of the eye)
         4. CHEMICAL HAZARDS
Exposures to chemical preparation in the workplace.
Some chemicals are safer than others, but even common
items can cause illness, skin irritation or breathing
problems.
• Liquid cleaning products, paints, acids, solvents
• Vapors and fumes from welding or exposure to
   solvents
• Gases like acetylene, propane, carbon monoxide and
   helium
• Flammable materials like gasoline, solvents and
   explosive chemicals
• Pesticides
(4) Chemical Hazards:
  Organic Solvents
      Asphalt
       Lead
      Cement
    Wood Dusts
  Routes of Entry into the Body
Inhalation
(major route)
Ingestion
Skin Contact
                    Organic Solvents
Sources
  ➢Paints
  ➢Varnishes
  ➢Adhesives
  ➢Preservation agents
Entry
  ➢Inhalation of vapors
  ➢Skin absorption
                             Organic Solvents
Health effects
➢ Neurotoxic : Headache, dizziness, drunken feeling,
  disorientation, confusion, progressive loss of
  consciousness
➢ Reproductive : Spontaneous abortion, Infertility
➢ Liver : Cirrhosis, Cancer
➢ Respiratory : Pulmonary Edema
➢ Kidney : Glomerulonephritis
➢ Skin Effects : Irritative effects
                Asphalt
Sources
  ➢Paving
  ➢Roofing
  ➢Concrete work
Entry
  ➢Inhalation of fumes
Health effects
  ➢Headache, Skin rash, Fatigue, Throat and
    eyes irritation, Cough and Skin Cancer
                         Lead
Occupational Sources
➢   Welders
➢   Solderers
➢   Demolition workers
➢   Painters
Entry
➢ Inhalation
➢ Ingestion
                                Lead
Health Effects
➢    Anemia
➢   High blood pressure
➢   Kidney damage (renal dysfunction)
➢   Miscarriages
➢   Brain damage
➢   Infertility
➢   Symptoms of fatigue, difficulty in
    concentration, headache
                 Blood Lead Concentration (µg/dL)
                      (Agency for Toxic Substances and Disease Registry)
                                         100 – 120            Encephalopathy;
                                                            Chronic nephropathy
                                             80                 Frank anemia
      Female reproductive effects            60               Reduced hemoglobin
       Increased urinary ALA; elevated       50             production; Neurological
 coproporphyrins and Peripheral nerve                     symptoms; Altered testicular
dysfunction (slowed nerve conduction)        40                     function
                                             30              Increased blood pressure
            Increased erythrocyte
            protoporphyrin (men)           25 – 30
                                                              Increased erythrocyte
                                           15 – 20           protoporphyrin (women)
                 ALA–D inhibition            <10
                               Cement
Occupational Sources
➢  Cement Mfg.
➢  Construction
Entry
➢  Inhalation
➢  Skin Absorption
Health Effects
➢ Skin - irritation
➢ Eyes – abrasion, irritation
➢ Eyes – irritation
➢ Respiratory Tract – irritation, small airway
  disease, pneumoconiosis
                        Wood Dusts
Occupational Sources
➢  Construction
➢  Lumber yard (Tableria)/ Saw mill
➢  Furniture Manufacturing, Sash Factory
Entry
➢  Inhalation
➢  Skin Absorption
Health Effects
➢  Irritation of nose, throat and lungs
➢  Allergic reactions in the nose, throat, and
   lungs (asthma)
         SILICA and ASBESTOS DUSTS
Occupational Sources
➢  Construction
➢  Cement Manufacturing
➢  Demolition of old Asbestos roof
Entry
➢  Inhalation
➢  Skin Absorption
Health Effects
➢ Pneumoconiosis
➢ lung cancer
Scarring of lung from silica or asbestos
   SILICOSIS             ASBESTOSIS
Prolonged and chronic
 exposure to asbestos
 fibers or silica dust
 increases the risk of
 developing lung cancer
Tobacco smoke
 increases the risk
                          Lung cancer
 5. ERGONOMIC (Physical) HAZARDS
Occur when the type of work, body positions and working
conditions put strain on your body. Long-term exposure
can result in serious long-term illnesses.
• Workstations or chairs that are not properly adjusted
• Frequent lifting
• Poor posture
• Awkward, repetitive movements
• Frequent use of force (push, pull, reach)
• Vibration
(4) Ergonomic Hazards
                    Ergonomics
“The science of fitting jobs to the people who
               work in them”
                     The                The
                    Tool             Workstation
  The Environment      Operator            The
                                          Organization
                      The Task
                     (Job Content/
                         Context)
Goal: Reduce musculoskeletal disorders
 (MSDs) in workers when jobs involve…
 1.   Awkward postures
 2.   Forceful exertions
 3.   Repetitive movement
           1. AWKWARD POSTURES
Twisting
           Kneeling/Squatting
2. FORCEFUL EXERTIONS
               3. MOVEMENTS
Repetitive
  o same motion
    pattern
  o short cycle time
Extreme range of
  motion
   o Twisting
   o bending
                       Health Effects
o Musculoskeletal Disorders
o Carpal tunnel syndrome - is
  a common condition that
  causes pain, numbness, and
  tingling in the hand and
  arm.
o Neck-shoulder pain
o Low back pain
  6. WORK ORGANIZATION HAZARDS
Associated with things like general housekeeping,
employee workload, lack of control and/or respect
and burnout. These stressors can go unnoticed in
the short-term but have long-term effects.
• Overall working conditions (including restrooms)
• Intensity/pace
• Workplace violence
• Sexual harassment
  Examples of Hazards in Construction Industry
  OCCUPATIONS                      HAZARDS
Carpenters           Wood dust, heavy loads, repetitive
                     motion
Electricians         Heavy metals in solder fumes,
                     asbestos dust, awkward posture
Painters             Solvents, paint additives, toxic metals
                     in pigments
Demolition workers   Asbestos, noise, lead, dust
Tile setters         Solvents from adhesives, awkward
                     postures
Pipefitters, plumbers Lead fumes and particles, asbestos
     OCCUPATIONS                  HAZARDS
Masons                 Cement, awkward posture,
                       heavy loads
Drillers               Noise, vibration, dust
Truck and equipment    Noise, vibration, engine
operators              exhaust
Highway and street     Asphalt emissions, heat,
construction workers   engine exhaust
Welders, solderers     Welding emissions, metal
                       fumes, lead