[Occupational accidents, occupational diseases (social security - general regulations)].
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This study concerns perforating eye injuries caused by occupational accidents in the years 1970--1977. These injuries represented 40% of all perforations treated during this period at Helsinki University Eye Hospital. The results were compared with the previous series from this hospital for the years 1950--1951 and 1930--1939. Of the patients 92% were males, a slight percentage decrease from the fifties. The youngest age group, 16--25 years, was also the largest (30%). Earlier the next age group, 26--35 years, was largest. The proportion of workers in building construction with eye injuries increased remarkably to 26.6%. Metal workers made up another large group affected by eye perforations (24.5%). Agricultural work lost its importance as the cause of perforations as compared with the previous decades. The commonest cause of eye accidents was still hammering. Flying objects, especially metal splinters, were important causes now as well as in the previous series. Prognosis was much better in the present series than earlier: 60% of patients achieved vision of 0.5 or better, as compared with 40% in the fifties and 20% in the thirties.
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A report on 105 cases of ocular trauma hospitalized in St. Joseph's Hospital in Reykjavik during a 12-year period is presented. Of these patients 94 were males and 11 females. Thirty-nine patients were children, and only six patients were older than 50 years. Most common were occupational accidents (43 cases) and of these 29 were connected to industry. Other main causes were traffic accidents, sport and dangerous play by children. Of the total 105 cases, 70 had perforation of the bulb. All but nine underwent some kind of operation, and enucleation was performed in 10 patients. Nearly two thirds of the patients were hospitalized within six hours of the accident and 84% within 24 h.
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A study of 1,182 Illinois veterinarians revealed that 833 had experienced an accident, and of these 833, 42.7% also had experienced a zoonosis. Brucellosis and animal bites were especially prevalent zoonoses. This percentage differed significantly (P less than 0.01) from the 32.4% of 349 accident-free veterinarians who had experienced zoonoses. The prevalence of zoonoses was even higher (50%) among veterinarians with a history of 3 or more accidents. The prevalence of 16 nonzoonotic health conditions was similar in veterinarians who had experienced an accident and in the total veterinary population, demonstrating a degree of specificity to the accident-zoonosis association. Of the subjects studied, 5.7% had experienced 16.5% of the events, accidents or zoonoses. The subgroup that had experienced 5 or more events and the subgroup that experienced no events differed in many characteristics from the total veterinary population. The biological importance of the characteristics of these veterinarians remains to be determined. The hypothesis was advanced that zoonoses can be considered occupational accidents in veterinarians and that certain veterinarians are zoonosis prone. If true, this hypothesis also might apply to certain communicable diseases in the general human population.
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Immigrant workers in the United Kingdom account for 7.8% of the working population. Their health problems fall into three groups--imported diseases, occupational accidents, and acquired diseases. In the latter group, tuberculosis is still a major problem. A retrospective study tracing notifiable cases of tuberculosis to points of entry at Heathrow Airport indicates that the majority of immigrants acquire the disease after entry. The occupational health services have a great role to play in detecting the new cases very early and in providing appropriate screening and follow-up. Proper co-ordination between occupational and community health services will give the best results and lead to a rapid decline of the disease.
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