Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
73-05
Series of 2005
Guidelines for the Implementation of
Policy and Program on Tuberculosis (TB)
Prevention and
Control in the Workplace
The Healthy
A Diseased
TUBERCULOSIS
What is
TB?
152 x 255
Tuberculosis (TB)
- short for tuberculosis / Tubercle Bacillus
Scrofula (swollen neck glands)
Pott's disease of the spine
Miliary TB (x-ray lesions look like millet seeds)
Tabes mesenterica (TB of the abdomen)
Lupus vulgaris (the common wolf - TB of the
skin)
Prosector's wart, also a kind of TB of the skin,
transmitted by contact with contaminated
cadavers to anatomists, pathologists,
veterinarians, surgeons, butchers, etc.
Tuberculosis (TB)
- is a potentially fatal contagious disease
- an infection with the bacterium Mycobacterium
tuberculosis,
-
Tuberculosis in Philippines
247,740: Estimated incidence (all new cases) (2006)
287: Estimated incidence (all newcases per 100,000
population) (2006)
129: Estimated incidence (new sputum smear positive
[ss+] per 100,000 population) (2006)
100%: DOTS population coverage (2006)
77%: DOTS detection rate (new ss+)(2006)
89%: DOTS treatment success (new ss+) (2005)
Hemoptys
TB Symptoms
TB Symptoms
Occasionally some patients may
have no symptoms. Depending
on the site of the body being
affected, other symptoms may
also occur.
Elderly people
Homeless people
Jailed people in 3rd world
countries
People incorrectly treated
for TB in the past
People with:
- diabetes
mellitus
- malnutrition
- malignant disease
- chronic kidney disease
- alcoholism
- silicosis (dse. Of the lungs)
- impaired immunity due to certain drugs
(e.g., steroids, anti-cancer drugs)
Probability of transmission
depends upon:
Number of infectious droplets
expelled by the carrier;
Effectiveness of ventilation;
Duration of exposure;
Level of immunity in the
uninfected person
-TB
a Comprehensive and
Unified Policy for the TB Control
in the Philippines
Signed
by President GMA on
March 21, 2003
Workplace Issues on TB
Transmission
Components of a TB
workplace prevention
and control policy and
program
I. Preventive strategies
Program on TB Advocacy, Education
and Training must be carried out (TB
Awareness Program)
Awareness program shall deal with
the nature, frequency, and
transmission, treatment with the
DOTS, control and management of
TB in the workplace.
What is DOTS?
A comprehensive strategy
endorsed by the World Health
Organization (WHO) and
International Union Against
Tuberculosis and Lung Disease
(IUATLD) to detect and cure TB
Patients
Political will
Microscopy-based
diagnosis
Free and
uninterrupted drug
supply
Direct supervision of
treatment
Recording and
monitoring system
Improving
workplace
condition
-
Control of
contamination
Adequate and
appropriate ventilation
Adequate sanitary
facilities for workers
Appropriate worker
density (1 worker /11.5
m3)
Capability Building
TB awareness raising and training
TB Case Finding
TB Case Holding
Reporting and Recording of cases
Implementation of DOTS
STRENGTHENING
the
IMMUNE SYSTEM
against
TB INFECTION
STRENGTHENING
the
IMMUNE SYSTEM
against
TB INFECTION
Wakeful Rest
Slee
Causes
causes BLINDNESS
SETTING-UP A DATABASE
1. Non-discrimination:
Workers who have or had TB shall not be
discriminated against
a. Support for adequate diagnosis and treatment
b. Ensure continuing employment for as long as
they are certified by the companys accredited
health provider as medically fit
c. Restoration to work as soon as their illness is
controlled
2. Work Accommodation
- Based on agreements between the
management and workers
Measures to accommodate and
support workers through
flexible leave arrangements
rescheduling of working times
arrangements for return to work
3. Restoration to Work
- The worker may be allowed to return to
EFFECTIVITY
All concerned shall comply
with all the provisions of this
Department Order within 30
days from its publication in a
newspaper of general
circulation.
Sleep
a period of complete
unconsciousness of the individual and
a function of the nervous system
exclusively:
it
shuts
down
consciousness.
Snoring
Breathing Pauses during sleep
Problems with sleeping at night
Difficulty staying awake during
the day
Unexplained decrease in Daytime
Performance
How much
SLEEP is
enough?
0 2 months old 10 to 18
hours including naps
3 to 5 years old 11 to 13
hours including naps
5 to 12 years old
9 to 11 hours
5 to 12 years old
9 to
8 to 9 hours
at least 7 to 9
hours
9 11 PM (evening)
time for eliminating unnecessary/toxic chemicals
(DETOXIFICATION) from the antibody system (lymphnodes.)
this time duration should be
spent by RELAXING
or LISTENING to music
9 11 PM
If during this time a housewife is still in an unrelaxed state such as
WASHING the DISHES or MONITORING CHILDREN doing their
homework,
this will have a
11 PM 1 AM
is the DETOXIFICATION process
in the liver, and ideally should be
done in a deep sleep state.
1 3 AM
DETOXIFICATION process
in the GALL, also ideally
done in a deep sleep state.
3 5 am
DETOXIFICATION process in the LUNGS.
there will be severe cough for cough sufferers during this time.
Since the detoxification process had reached the respiratory tract, there is no
need to take cough medicine so as not to interfere with toxin removal
process.
5 7 AM
DETOXIFICATION process in the
COLON, you should empty your
bowel.
7 9 AM
absorption of nutrient in the small
intestine, you should be having
breakfast at this time
Breakfast should be earlier, before 6:30 AM, for those who are sick.
Breakfast before 7:30 AM is very beneficial to those wanting to stay fit
Those who always skip breakfast, they should change their habits, & better
to eat breakfast late until 9 10AM than no meal at all
Whats
your
POISON?
Hydrogen Cyanide
Phenol
DDT (Insecticide)
Toluene
(Industrial solvent)
* Toluidine
Arsenic
* Dibenzacridine
(Floor Cleaner)
* Urethane
Acetone
(Paint stripper)
* Naphthylamine
* Polonium - 210
Butane
(Lighter fuel)
Dimethylnitrosamine
Carbon Monoxide
Napthalene
(Poisonous gas in
car exhausts)
(Mothballs)
Methanol
* Cadmium
(used in car
batteries)
* Benzopyrene
* Vinyl Chloride
The Healthy
A Diseased
Preventive Strategies
Members of the Health and Safety Committee
Penalty / Sanction to violators on
Non discrimination of TB Patient employees
Penalty / Sanctions on Smoking and Drinking
Preventive Strategies
Medical Management
Recording, Reporting and Setting up a database
Social Policy (no discrimination/
work accommodation)
Roles and Responsibilities of workers and
employers with TB or at risk for TB
Implementation and monitoring