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Basic occupational health services (BOHS) in community primary care: the MSF (Dhaka) model.

Abstract The Médecins Sans Frontiérs (MSF) established basic occupational health services to diagnose and treat work-related diseases among tannery, metal, plastics and garment workers and families in one of the more polluted areas of the world populated by 600 000 people. In spite of project limitations, an analysis of the 6-month data showed that of the original cohort of 5000, 3200 (64%) came for at least 1 consultation. Among them, 468 (14.6%) were diagnosed with suspected work-related diseases as per defined protocols. Follow-up consultation was performed for 1447 cases of occupational diseases and work-related injuries. The MSF experience begs the need for replication of such services in densely populated urban areas in developing nations like Bangladesh and India, where no specialty occupational health clinics exist in primary care but are desperately needed and where occupational health clinics on factory premises are exclusive to industry workers and are not accessible to communities.
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Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28320759
OWN - NLM
STAT- MEDLINE
DA  - 20170321
DCOM- 20170512
LR  - 20170512
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 20
TI  - Basic occupational health services (BOHS) in community primary care: the MSF
      (Dhaka) model.
LID - bcr2016218293 [pii]
LID - 10.1136/bcr-2016-218293 [doi]
AB  - The Medecins Sans Frontiers (MSF) established basic occupational health services 
      to diagnose and treat work-related diseases among tannery, metal, plastics and
      garment workers and families in one of the more polluted areas of the world
      populated by 600 000 people. In spite of project limitations, an analysis of the 
      6-month data showed that of the original cohort of 5000, 3200 (64%) came for at
      least 1 consultation. Among them, 468 (14.6%) were diagnosed with suspected
      work-related diseases as per defined protocols. Follow-up consultation was
      performed for 1447 cases of occupational diseases and work-related injuries. The 
      MSF experience begs the need for replication of such services in densely
      populated urban areas in developing nations like Bangladesh and India, where no
      specialty occupational health clinics exist in primary care but are desperately
      needed and where occupational health clinics on factory premises are exclusive to
      industry workers and are not accessible to communities.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Muralidhar, Venkiteswaran
AU  - Muralidhar V
AD  - Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai,
      India.
AD  - Artsen zonder Grenzen, Amsterdam, North Holland, The Netherlands.
FAU - Ahasan, Md Faizul
AU  - Ahasan MF
AD  - Artsen zonder Grenzen, Amsterdam, North Holland, The Netherlands.
FAU - Khan, Ahad Mahmud
AU  - Khan AM
AD  - Artsen zonder Grenzen, Amsterdam, North Holland, The Netherlands.
FAU - Alam, Mohammad Shariful
AU  - Alam MS
AD  - Artsen zonder Grenzen, Amsterdam, North Holland, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20170320
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Ambulatory Care/*statistics & numerical data
MH  - Bangladesh/epidemiology
MH  - Humans
MH  - India/epidemiology
MH  - Occupational Diseases/diagnosis/*therapy
MH  - Occupational Health Services/*organization & administration
MH  - Primary Health Care/statistics & numerical data
MH  - Risk Factors
MH  - Urban Population
EDAT- 2017/03/23 06:00
MHDA- 2017/05/13 06:00
CRDT- 2017/03/22 06:00
AID - bcr-2016-218293 [pii]
AID - 10.1136/bcr-2016-218293 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 20;2017. pii: bcr2016218293. doi: 10.1136/bcr-2016-218293.

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