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Chronic Respiratory Diseases
Location: WHOChronic Respiratory Diseases > Implementation Strategy

Implementation of the WHO Strategy for Prevention and Control of Chronic Respiratory Diseases

Risk Factors to be considered in Policy Development for CRD Risk Factors

Policy Development for CRD Risk Factors (2)

Whole population

Groups at high risk

Individuals

2. Occupational Health

Globally agents known to induce respiratory diseases must be identified along with information about the concentrations and the duration of exposure required to produce ill health effects. Complete avoidance of these agents via replacement with more suitable substances would be the strategy of first choice. When this is not feasible, a strategy of reduction of exposure and follow-up of exposed workers is employed. Those at risk of developing CRDs related to occupational health hazards are those who work in settings where agents are known to induce respiratory diseases and their family members. Those who may be at particular risk in some instances include those with low lung function and people with rhinitis, or other atopic diseases. Important exposure related diseases include:
  • Pneumoconiosis in coal miners
  • Allergic and non allergic occupational lung disease in grain mill workers
  • Asbestosis in shipyard workers
  • Byssinosis in cotton workers
  • Silicosis in hard rock miners
  • Allergic alveolitis in farmers
Early detection of occupational pulmonary diseases is vital. Once the diagnosis is established, complete avoidance of the relevant exposure is the ideal prevention. Reduction of exposure through substitution and adequate occupational hygiene measures could be an alternative approach.
Redeployment to less harmful processes of those injured by their work, and adequate compensation are important.


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