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heifetz 11.15.11

heifetz 11.15.11 - Is Work Hazardous to Your Health Ruth...

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Is Work Hazardous to Your Health? Ruth Heifetz, M.D., M.P.H. Family & Preventive Medicine USP 144 November 15, 2011
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EHC builds grassroots campaigns to confront the unjust  consequences of toxic pollution, discriminatory land use,  and unsustainable energy policies . Through leader development, organizing and advocacy, we  improve the health of children, families, neighborhoods and the  natural environment  in the San Diego/Tijuana region
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QUESTIONS OUTCOME: Identifying Occupational /Environmental HEALTH PROBLEMS HOST: Who is at risk? Who to protect- HEALTHY WORKER EFFECT AGENT: Identifying the suspect agent (s) Exposure history--OCCUPATIONAL HISTORY PREVENTION AND CONTROL: When and how to intervene? Who to protect? PRECAUTIONARY PRINCIPLE: How safe is safe?
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BASIC CONCEPTS FOR TODAY!! Healthy worker effect Index of suspicion/Sentinel events Cohort studies ( historical/retrospective/non-concurrent ) Latency Studying survivors Prevention and Control (when to act?) Precautionary Principle Taking preventive action in the face of uncertainty Shifting the burden of proof to the proponents of the activity or product Exploring alternatives to possibly harmful activities/products Increasing public participation in decision making
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IS THIS A NEW PROBLEM? HIPPOCRATES- On Airs, Waters and Places 400 B.C.
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