Abstract
Çok tehlikeli sektör kategorisinde yer alan gemi söküm tesislerinde çalışan işçiler birçok tehlike ve mesleki risk faktörleri ile karşı karşıya kalmaktadır. Söküm işleri sırasında ortaya çıkan asbest, ağır metaller, organik kimyasallara maruz kalım durumunda işçilerde akciğer, böbrek, karaciğer gibi hayati organların ciddi hasar görmesi söz konusudur. Bu yüzden gemi söküm tesislerinde önleme ve koruma başta olmakla hastalık ortaya çıktıktan sonra mesleksel tanı değerlendirme sürecini yönetebilmek için iş sağlığı ve güvenliği uygulamaları, endüstriyel hijyen analizleri, risk değerlendirmeleri, periyodik muayeneler son derece önemlidir. Dikkat çekmek istediğimiz vaka bir gemi söküm tesisinde işe başlamasının dördüncü ayında böbrek yetmezliği saptanan ve renal nakil yapıldıktan sonra böbrek yetmezliğinin yaptığı işten kaynaklanıp kaynaklanmadığının araştırılması için başvuran genç bir hastanın öyküsüdür. Bu olgu ile meslek hastalıklarının tanı sürecinde nedensellik ilişkisi kurmanın zorluklarına ve endüstriyel hijyenin önemine vurgu yapmak istedik.
References
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- Tanha M, Michelson G, Chowdhury M, Castka P. Shipbreaking in Bangladesh: Organizational responses, ethics, and varieties of employee safety. J Safety Res. 2022;80:14-26.
- Deshpande PC, Tilwankar AK, Asolekar SR. A novel approach to estimating potential maximum heavy metal exposure to ship recycling yard workers in Alang, India. Science of the Total Environment 2012;438:304–11.
- Koh DH, Lee SW, Ye BJ, Kim JI. Grouping schemes of welding fume exposure in shipyard welders. J Occup Environ Hyg. 2018;15(5):413-21.
- Ierardi AM, Urban A, Marsh GM. A quantitative weight of evidence assessment of Hill's guidelines for causal inference for cosmetic talc as a cause of mesothelioma. Toxicol Appl Pharmacol. 2021;417:115461.
The Importance of Occupational Hygiene and the Difficulties of Establishing a Causal Relationship in the Example of a Shipbreaking Worker
Abstract
Those who work in ship breaking, which is in the category of very dangerous sector, are faced with many dangers and occupational risk factors. In case of exposure to asbestos, heavy metals and organic chemicals formed during dismantling, serious damage occurs to vital organs such as lungs, kidneys and liver. For this reason, occupational health and safety practices, occupational hygiene analyzes, risk assessments and periodic examinations are extremely important in order to be able to manage the occupational diagnosis and evaluation process after the emergence of the disease, especially prevention and protection in shipbreaking facilities. The case we would like to draw attention to is the story of a young patient who was diagnosed with renal failure in the fourth month of his employment in a shipbreaking facility. After a kidney transplant, he applied to investigate whether his illness was caused by his job. With this case, we wanted to emphasize the difficulties of establishing a causation in the diagnosis process of occupational diseases and the importance of industrial hygiene.
References
- Kakar A, Hayat MT, Abbasi AM, Pervez A, Mahmood Q, Farooq U, et al. Risk assessment of heavy metals in selected marine fish species of Gadani Shipbreaking Area and Pakistan. Animals (Basel). 2020;10(10):1738.
- Hernandez GT, Rodriguez RA. Renal Toxicology. In: Ladou J, Harrison RJ. Current Diagnosis and Treatment, Occupational and Environmental Medicine. 5th edition. San Francisco: Mc Graw Hill Education, Lange; 2014:26: p 415-23.
- Alagüney ME, Yıldız AN. Meslek Hastalıkları Temel Kavramlar. İç: Yıldız AN, Sandal A, ed. İş Sağlığı ve Güvenliği Meslek Hastalıkları. Ankara: Hacettepe Üniversitesi Yayınları; 2020:46:p781-805. Avaible at: https://library.hacettepe.edu.tr/hubooks/index.php?fn=read&key=g4b2d5 Accessed May 15, 2023
- Olgun P, Mete Kılıç M, Yücel K, Güler S, Demiral Y: İş Hijyeni. İç: Yıldız AN, Sandal A, ed. İş Sağlığı ve Güvenliği Meslek Hastalıkları. Ankara: Hacettepe Üniversitesi Yayınları; 2020:12:p273-288. Avaible at: https://library.hacettepe.edu.tr/hubooks/index.php?fn=read&key=g4b2d5 Accessed May 15, 2023
- Tanha M, Michelson G, Chowdhury M, Castka P. Shipbreaking in Bangladesh: Organizational responses, ethics, and varieties of employee safety. J Safety Res. 2022;80:14-26.
- Deshpande PC, Tilwankar AK, Asolekar SR. A novel approach to estimating potential maximum heavy metal exposure to ship recycling yard workers in Alang, India. Science of the Total Environment 2012;438:304–11.
- Koh DH, Lee SW, Ye BJ, Kim JI. Grouping schemes of welding fume exposure in shipyard welders. J Occup Environ Hyg. 2018;15(5):413-21.
- Ierardi AM, Urban A, Marsh GM. A quantitative weight of evidence assessment of Hill's guidelines for causal inference for cosmetic talc as a cause of mesothelioma. Toxicol Appl Pharmacol. 2021;417:115461.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Review |
| Authors | |
| Publication Date | September 7, 2023 |
| Published in Issue | Year 2023 Volume: 32 Issue: 3 |
