2016年太原市重点职业病监测与职业健康风险分析

Key occupational disease monitoring and occupational health risk evaluation,Taiyuan city,2016

目的了解太原市重点职业病监测与职业病防治特点,探讨太原市重点职业病防治问题与需求,为重点职业病防治政策制定和监督管理方向提供科学依据。方法按照《2016年太原市重点职业病监测与职业健康风险评估工作实施方案》,以辖区内存在重点职业病危害因素的所有企事业单位和个体经济组织为监测对象,收集职业病与职业卫生信息监测网报系统资料,安监局提供的《职业病危害项目申报表》,人社部门提供的工伤保险待遇落实情况,采用Excel数据透视表功能对取得数据进行汇总、分析。结果 2016年太原市存在重点职业病危害的企业451个,占95.75%,风险分类为严重的占33.26%,接触人数47 198人,占总人数的77.62%;接触人数最多的重点职业病危害因素为煤尘(28 804人),其次为噪声(21 972人);接触人数最多的行业是采矿业(30 455人),其次为制造业(25 699人);煤尘和噪声工种超标率分别为11.63%、18.10%;工种超标率最高的是电力、热力、燃气及水的生产供应业(超标率16.30%),其次为采矿业(超标率15.76%);职业健康检查率67.15%,检出职业禁忌证40人,疑似职业病44人;职业病诊断97例,其中煤工尘肺70例,矽肺15例,噪声聋6例,布鲁氏菌病4例,电焊工尘肺1例,水泥尘肺1例;职业病鉴定不符合率66.67%;落实职业病人工伤待遇10人。结论重点职业病危害主要存在于风险分类严重的采矿业、电力热力燃气及水的生产供应业、制造业。

Objective To understand the monitoring of key occupational diseases and the characteristics in 2016,and the problems and demands in Taiyuan city,so as to provide scientific basis for the prevention policy and supervision. Methods The information collected according to the ＂executive plan on key occupational disease monitoring and occupational health risk assessment in Taiyuan city in 2016＂.Monitoring objects were enterprises,public institutions and private enterprises with key occupational hazard factors in Taiyuan city.Data were collected from occupational health network reporting system,occupational disease hazard program report forms from safety supervision and control office,implementing situation of insurance treatment from social insurance office and statistically analyzed by using excel pivot table. ResultsThere were 451 enterprises with major occupational hazards factors,accounting for 95.75%in Taiyuan city in 2016.Risk classification severe enterprises were 33.26%.There were 47 198 employees exposed to major occupational hazards factors,accounting for 77.62%.The population of workers affected by coal dust seemed to be the largest,accounting for 28804 workers,followed by the noise accounting for 21 972 workers.There were 30 455 workers in mining industry and 25699 workers in manufacturing industry exposed to major occupational hazard factors.The over standard rate of coal dust and noise was 11.63% and 18.10% respectively.The over standard rate of electric power,thermodynamic,gas and water industry was 16.30%,and mining industry was 15.76%.The rate of occupational physical examination was 67.15%,and found professional contraindication and suspected occupational diseases were 40 and 44 respectively.A total of 97 cases of occupational diseases were reported,including 70 cases of coal workers pneumoconiosis,15 cases of silicosis,6 cases of noise deafness,4 cases of brucellosis,1 case of welder pneumoconiosis and 1 case of cement lung.The unqualified rate of occupational disease identification was 66.67%.There were 10 workers implemented industrial insurance treatment. Conclusion The key occupational hazard factors are distributed mainly in mining industry,electric power,thermodynamic,gas and water industry and manufacturing industry.