[Commentary] Keep away from occupational disease hazards, afterwards relief and pre-management are indispensable

  While lowering the diagnosis threshold and simplifying the diagnostic criteria, it provides more convenient after-event relief for workers suffering from occupational diseases. At the same time, the new method strengthens the regulations on occupational health management, and brings the pre-management of occupational diseases to a new level, forming post-event relief and pre-management. Unicom's system.

  According to the “Workers’ Daily” report on February 23, the National Health Commission recently announced the latest “Administrative Measures for Occupational Disease Diagnosis and Appraisal”, which clarified that workers can conduct diagnosis in occupational disease diagnosis institutions in the place of the employer, the place of their household registration, or the place of habitual residence. Occupational disease diagnosis.

When the materials are complete, the occupational disease diagnosis agency shall make a diagnosis conclusion within 30 days from the date of receipt of the materials.

If there is no evidence to deny the inevitable connection between occupational disease hazards and the patient’s clinical manifestations, it should be diagnosed as an occupational disease.

  The "Administrative Measures for the Diagnosis and Appraisal of Occupational Diseases" is one of the important supporting regulations of the "Occupational Disease Prevention and Control Law".

The "Administrative Measures for the Diagnosis and Appraisal of Occupational Diseases" before this revision was promulgated by the former Ministry of Health on February 19, 2013.

Since the implementation of the original measures, it has played an important role in regulating the development of occupational disease diagnosis and identification, clarifying supervision and management responsibilities, and safeguarding the legitimate rights and interests of workers suffering from occupational diseases.

At the same time, some problems have gradually been exposed. For example, the diagnosis requirements for sick workers are relatively high, and some workers are difficult to meet; the inevitable correlation standard in the evidence chain is relatively strict, and it is difficult for workers to accurately provide clear and conclusive evidence; The identification time is relatively long, and the benefits of sick workers enjoy a vacant period.

In line with the requirements of workers in the new era that the threshold for the diagnosis of occupational diseases has been lowered, conditions have been relaxed, and workers’ obligations have been reduced, the newly revised measures have been more obvious in terms of occupational disease identification and confirmation, and occupational disease treatment protection. Breakthrough and progress.

  For example, if there is no evidence to deny the inevitable connection between occupational disease hazards and the patient’s clinical manifestations, it should be diagnosed as an occupational disease, which weakens the standard of evidence inevitability and eases the difficulty for workers to produce evidence; workers only need to provide the information they have, which is insufficient and impossible. The part provided is provided by the employer. If the main body of the employer is unclear or does not exist, the local health authority shall conduct investigation and confirmation, which lowers the threshold for diagnosis.

For another example, the time for workers to apply for occupational disease appraisal is not only greatly shortened, but also has a clear time limit, and the appraisal cost has been further meticulously and fairly distributed. These all enable workers to enjoy occupational disease treatment in a timely manner and unblocked channels for obtaining post-event relief. Provides a solid institutional guarantee.

  More prominently, while lowering the diagnosis threshold and simplifying the diagnostic criteria, providing more convenient after-relief for workers suffering from occupational diseases, the new measures strengthen the regulations on occupational health management and bring the pre-management of occupational diseases to a new level. Form a system of post-event relief and pre-management connectivity.

Among them, prevention of occupational disease hazards, control of the environment in which occupational diseases are formed, and scientific occupational health management are important contents of the pre-management of occupational diseases.

  From the perspective of prevention of occupational hazard factors, occupational hazard risk factors are often ubiquitous. Improving workers' self-protection awareness is an important part of prevention.

For this reason, it is very important to spread knowledge about the prevention of occupational diseases to workers, combine workers' self-protection with the prior prevention and control of employers, and effectively build an occupational disease prevention system.

  From the perspective of environmental control of occupational diseases, the root cause of workers suffering from occupational diseases lies in the unsafe working environment, and the unsafe working environment is closely related to the mismatch of production conditions and the non-compliance of the hygienic environment.

On the one hand, relevant parties must make dynamic adjustments to production and health standards and formulate new standards in accordance with the requirements of new technologies and new occupations; on the other hand, relevant departments must continue to strengthen the compulsory compliance of existing production safety and health standards, and supervise and force them. Employers control the formation and existence of occupational disease hazards.

  From the perspective of occupational health management, relevant departments should urge employers to prevent occupational disease hazards and monitor and early warning of environmental control of occupational disease formation, as far as possible to eliminate occupational disease hazards in the bud, and at the same time, strengthen the The treatment and rehabilitation of workers with occupational diseases will form a scientific and orderly occupational health management system.

  Occupational disease is one of the major occupational risks that workers cannot avoid and control when engaging in professional activities. It has a great bearing on workers' health and quality of life. Many countries include it in the scope of work-related injury insurance.

Attach importance to and strengthen the control and management of occupational diseases. Workers, employers, relevant departments, and all sectors of society should form a joint effort to make relevant systems more complete, preventive measures more effective, control methods more precise, and health management more scientific.