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ABC of Occupational and Environmental Medicine by David Snashall, Dipti Patel

By David Snashall, Dipti Patel

This ABC covers all of the significant components of occupational and environmental medication which the non-specialist probably want to find out about. It updates the cloth in ABC of labor comparable problems and lots of the chapters were rewritten and extended. New details is supplied on a number of environmental matters but the booklet keeps its sensible method, giving counsel at the prognosis and daily administration of the most occupational issues.

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Weight limits Lifting techniques The technique for lifting is important. Simple ergonomic principles will protect the back against excessive strains. A poor posture increases the risk of injury. Examples include stooping and twisting while weight bearing, carrying loads in an asymmetric fashion, moving loads excessive distances, and excessive pushing and pulling. Repeated or prolonged physical effort may carry additional risk. Many episodes of back pain develop after sudden or unanticipated movements such as a stumble on the stairs or an unexpected twist.

In general, one year’s continuous employment is required before a complaint for unfair dismissal can be brought. Some types of unfair dismissal, notably certain grounds relating to discrimination or health and safety, require no such qualifying period—this might be the case if an employee were dismissed because he or she raised the issue of hazardous working conditions. How diseases become prescribed Thirty-nine conditions are listed in four categories; those caused by: A Physical agents (for example, occupational deafness) B Biological agents (for example, viral hepatitis) C Chemical agents (for example, angiosarcoma of the liver) D Those of a miscellaneous nature (for example, occupational dermatitis) The list is similar to those diseases reportable under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 The Industrial Injuries Advisory Council advises on the addition of new prescribed diseases.

Breach of the HSWA is subject to criminal sanctions. Prosecutions (most are undertaken by the HSE in the Magistrates’ and Crown Courts) will generally result in a fine. Manslaughter. After a fatal accident, the HSE will defer to the police. The Crown Prosecution Service may then bring a case for manslaughter. However, prosecution is rarely successful. The difficulty is that a “company” is not an individual and therefore not capable of a crime of this nature. Manslaughter An unsuccessful case A total of 188 people died when the Herald of Free Enterprise capsized at Zeebrugge in 1987.

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