特殊建康珍斷의 成果로 본 勤勞者 建康을 위한 새로운 接近策(Ⅰ) = New Approach to Protect Workers against Ocuupational Diseases through Experience of Proceeding the Industrial Health Administration Program of HOHA in Taegu Area(Ⅰ)

국문 초록 (Abstract)

職業病 豫防을 위한 産業保健管理體系의 啓發을 위하여 大邱市와 隣近地方에 산재한 各 産業場을 대상으로 1976년부터 1983년까지 8년간 勤勞基準法과 産業安全保健法에 따른 特殊健康診斷의 結果와 이에 實際參與한 經驗을 토대로 많은 단점을 보완할 수 있는 方案을 생각하여 보았다.
첫째 학교보건기록부를 대학이나 직장으로 자동 송부하게 한다면 한 근로자의 건강문제를 보다 쉽게 이해할 뿐 아니라 적재적소에 배치할 수 있으며 현제도의 학교와 직장간 또는 직장과 직장간의 건강관리부의 단절을 막을 수 있을 것이다.
둘째 일반 및 특수 건강진단의 비용을 의료보험조합에서 지불케한다면 100%의 근로자를 수진케할 수 있으며 기업주부담을 경감해 줄 수 있을 것이다.
셋째, 산업안전보건법상 건강관리자는 산업보건에 관한 지식을 충분히 습득한 자격자로하고 보건 및 안전담당자도 또한 자격자로 하여금 전담시켜야 하겠다.
넷째, 산업보건 전문기관은 산업보건전문가로 하여금 운영케해야 할 것이다.

다국어 초록 (Multilingual Abstract)

I considered that the program of the Korean Oceupational Health Association(KOHA) for promoting of proceeding periodic physical screening examination to the workers exposing to hazadous materials was consciously very delayed by employers with some complaints, such as too much expenditure for the health protection projects-Annual routine physical examination for workers exposed to hazardouses and or not to, insurance for accidents, counterpart of medical insurance, and allotments for frequent various education for health and safety-workers, also include of some indemnities. and as wasting time for the periodic examinations. This proceeding for by labor's law was begun from 1964 when KOHA was firstly organized. In Taegu area, from 1966 when organized the branch of KOHA, annual periodic routine physical examination was begun in this area. Specially, physical examination for workers exposed to harmful materials was begun from 1976 when I was engaged as director of The Branch of KOHA and The Kyungpook Institute of Industrial Health of KOHA. I experienced as director for the a period of eight years to 1983. Medical insurance was begun from 1978 for the governmental workers but from 1977, for industrial workers. The insurance for accidents, from 1964. The Governmental policies shifted toward social security from 1976 when begun fourth five year-plan for national economic development.
For the protection of industrial worker's health, there are too much problems as if Dr. Kim and Kang(1979) described aleady in their report in English. Most of all workers, employers and employees were not educated to the cautions for handling of the harmful materials in spite of it was attached on the factory wall or side of the containers. The periodic annual screening physical examinations were inevitably proceeded by enforcing of supervisors in The Labor Office, particularly for special exam. And physical examination and or aptitude test for applicants into the companies were always neglected except some big companies.
Then I consider that a new network for control of worker's health as figure two was established by myself. For the new net work, the law of school health and the law of industrial health and safety must be enoughly combinded by in procedures though it should not make a new constitution of the law for. It is available to recorded to reform the laws as well as possible.
If the health charts recorded in each various levels of school were automatically transferred by any regulation to the their working companies. It may be pretended or substituted to do the entering physical exam. into the companies and there are not necessary to ask their past history of illness, of course easy for aptitude test in physically.
It may also valuable for health economics preventing occupational diseases that have to be more expended for in the future.
So-called, industrial physicians engaged in present time have not ability or a little for accurate integration of the results recorded from periodic examination physically and or environmentally, and of complaints from clients and patients by occupation except of some bodies.
The experts for industrial health care to supervise and to serve in industries have to be trained with diploma course for about a year in a public health schools.