Professional Documents
Culture Documents
examination
Margaret K. Semakula
Content
Definition of Occupational Medical Examination
(ME)
Legal Framework for ME
Importance of ME
Types of ME
Process of ME
Definition
Medical examination is a procedure or test
carried out by a qualified Medical
Practitioner that seeks information about a
persons state of fitness in terms of physical
or mental health, to perform duties of a
given job.
Importance of ME
1. To identify prospective medical conditions that
are incompatible with the suggested occupation.
- e.g Respiratory conditions (Allergic rhinitis,
Sinusitis, Asthma, Chronic Obstructive Airway
disease, Bronchitis, Emphysema) Vs Tobacco
curing, Coffee processing, Mining Gold, Copper,
Tin, Limestone, Packaging Cement etc.
- E.g Mental illness or Hydrophobia, Height phobia
and Water rafting, Sky diving, Parachuting etc
Importance IV
2. To identify underlying medical conditions that
may be cause accidents at occupation.
- e.g Eye sight problems (Short sightedness &
driving,
- E.g Epilespsy & work at fires, water, driving e.t.c
- Mental disorders
- Physical disability & Climbing heights in
construction works
Importance III
3. To evaluate overall fitness and physical ability of
the prospective employee to perform the job
applied for.
4. To design programs for mitigating health problem
e.g fitness sessions (Physical exercise)/ controlling
conditions by regular treatment
- Degenerative disorders e.g spondylosis & heavy
weight lifting
- Chronic conditions e.g diabetes, HIV, Lung cancer
Importance IV
5. For surveillance of toxic waste products. Eg In 2006
alone, dumping of ~500 tons of petro-chemical
wastes in 15 sites in Abidjan, Cote dvoire, West
Africa, led to deaths of 8 people, & 90,000 more
seeking medical help. All was attributable to the
petro-chemical wastes (WHR, 2007).
1986 Chenorbyl disaster was the worst radionuclear accident in history in Soviet Union with
evacuation & resettlement of 336,000 people from
Soviet Union, Some Nordic countries, Eastern &
western Europe & parts of eastern North America.
Pre-employment ME
Importance of Pre-employment ME
1. Baseline data on employees health
2. Creates job security
3. Creates a sense of job responsibility to the
employer
4. Enhances self confidence to the employee
5. Precursor for high productivity since a healthy
work force is recruited.
6. Mandatory by law.
Routine/ Periodic ME
Is a follow up of pre-employment examination.
Is done every after a specified period e.g (every
six months) depending on; the type of
occupational exposure, age of employees and
legal requirements.
Occupational exposures may include; Lasers,
carcinogens, infectious agents, radioactive
agents etc.
Importance of Periodic ME
Importance of Mandatory ME
1. Creates information on use of protective wear/
devices/equipment.
2. Documentation of any new occupational hazard
discovered.
3. Screen out persons with un-anticipated exposure & use
of information for better monitoring methods.
4. Compensation of employees
Process of ME
Final report is sent to the employer (Fit / Un-fit)
with reasons for the conclusion.
Reasons for this are based on the Medical
History, Examination, and Investigations.
REFERENCES
Labour Laws of The Republic of Uganda, 2000.
The Employment Act, Cap 219, pgs 4,697
4,724.
Davidsons, 2001. Principles and Practice of
Medicine, 17th Edition.
WHR, 2007. World Health Report , 2007. Towards
a safer future.
MUK MPH 8104 (2006), Introduction to
Occupational Health, Course Materials.