Interpretation of Classification and Catalogue of Occupational Diseases

First, why should we adjust the classification and catalog of occupational diseases?

In 1957, China first issued the "Regulations on Trial Implementation of Occupational Disease Range and Treatment Measures for Occupational Diseases," and identified 14 occupational diseases. In 1987, it was adjusted to 9 categories and 99 species. In 2002, in coordination with the implementation of the Occupational Disease Prevention Law, the former Ministry of Health and the former Ministry of Labor and Social Security issued the "Clinical Catalogue of Occupational Diseases," adding occupational diseases to 115 types of ll0.

In recent years, with the rapid development of China's economy and the widespread application of new technologies, materials, and new technologies, as well as the continuous emergence of new occupations, types of work, and labor methods, the occupational hazards that workers encounter in occupational activities are more diverse. complex. Many localities, departments, and laborers have reflected that the current Catalogue of Occupational Diseases lasted for more than 10 years and could not fully reflect the current status of occupational diseases. It is necessary to make appropriate adjustments. On December 31, 2011, at the 24th meeting of the Standing Committee of the 11th National People's Congress, the "Decision on Amending (The Occupational Disease Prevention Law of the People's Republic of China)" was considered and adopted, which stipulated that "the classification and catalogue of occupational diseases shall be The health administrative department of the State Council shall work together with the State Council’s production safety supervision and administration department, labor security, and deficient government departments to formulate, adjust, and issue. The trade union organization supervises the prevention and treatment of occupational diseases according to law, and safeguards the lawful rights and interests of laborers." According to the relevant provisions of the Occupational Disease Prevention Law, in order to effectively protect the health of workers and their related rights, the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the State Administration of Safety Supervision and the All-China Federation of Trade Unions jointly conducted the “Classification and Catalogue of Occupational Diseases”. Adjustment.

Second, why this adjustment will be "Occupational Disease List" to "Occupational disease classification and directory"?

In 2002, the former Ministry of Health combined with the former Ministry of Labor and Social Security issued the "Career's Disease List", which increased occupational diseases to 10 classes and 115 species. Compared with the classification of occupational diseases in 1987, it increased by 1 class, that is, diseases caused by physical factors in occupational release diseases. The classification proposes that they are individually divided into categories. The "Classification and Catalogue of Occupational Diseases" adjustment still classifies occupational diseases into l classes, but adjustments have been made to the classification of the three categories. In order to maintain consistency with the classification and catalogue of occupational diseases in the Occupational Prevention Act, the original Catalogue of Occupational Diseases was revised to the Classification and Catalogue of Occupational Diseases.

Third, how is the Classification and Catalogue of Occupational Diseases adjusted?

According to the Occupational Disease Prevention Act, in January 2012, the National Shale Health Commission, together with the Ministry of Human Resources and Social Security, the State Administration of National Security Supervision and the All-China Federation of Trade Unions, initiated the adjustment of the Classification and Catalogue of Occupational Diseases, and set up a leading group for adjustment work. The working group and technical group have clearly defined the working mechanism, adjustment principles, and principles for selection of occupational diseases. Based on questionnaire surveys, status analysis and the collection of international organizations and other country practices, the Technical Group convened three expert meetings and put forward the basic framework and the list of occupational diseases to be added. On this basis, the working group held three working group meetings and an expanded expert meeting to extensively listen to the opinions of related departments and experts. On December 7, 2012, the "Classification and Catalogue of Occupational Diseases (Draft)" was formed. After being reviewed and approved by the leading group's plenary meeting, on January 14, 2013, opinions were solicited from various localities, relevant departments and the public. On March 22, 2013, the working group convened the fourth meeting to study and discuss the opinions expressed by various localities, relevant departments and the society, and conducted in-depth investigations and studies of the enterprise, fully communicated and negotiated, and finally reached a consensus and jointly issued the “Classification and Catalogue of Occupational Diseases”. 》

What is the principle of adjustment of the Classification and Catalogue of Occupational Diseases?

The adjustment of Occupational Disease Classification and Catalogue follows the following principles:

1. Adhere to the people-oriented, to safeguard the health of workers and related rights and interests for the purpose.

2. Combining with the practice of prevention and treatment of occupational diseases in our country, highlight key occupational diseases.

3. The current level of economic and social development in China and the ability to withstand industrial injury insurance to adapt.

4 Maintain the continuity and operability of the Directory.

5. Establish a dynamic adjustment of the "Catalogue" working mechanism.

6 Open, transparent, and fully listen to opinions from all sides.

What are the principles for the selection of occupational diseases?

Occupational disease refers to the diseases caused by the exposure of workers of employers, such as enterprises, institutions and individual economic organizations, due to exposure to dust, radioactive substances, and other toxic and harmful factors. The selection of occupational diseases follows the following principles:

1. There is a clear cause-effect relationship or dose-response relationship.

2 There are a number of exposed people.

3 There is a reliable medical advice method.

4. Through defining conditions, professional and non-professional groups can be clearly defined.

5 The patient is an occupational population, ie there is specificity.

What adjustments have been made to occupational diseases?

According to the principle of adjustment of the Occupational Diseases Classification and Catalogue and the principle of selection of occupational diseases, the revised Classification and Catalogue of Occupational Diseases has been adjusted from the original 115 occupational diseases to 13 open standards. Among them, 18 new ones were added and two open terms were integrated. In addition, there are 16 kinds of duties. The name of the disease has been adjusted.

What adjustments have been made to the classification of occupational diseases?

After adjustment, the occupational diseases were still divided into 10 categories, of which the category names of the 3 categories were adjusted. The first is to merge the respiratory diseases in the former “pneumoconiosis” and “other occupational diseases” into “professional pneumoconiosis and other respiratory diseases”; the second mention of “professional poisoning” is modified to “professional chemical poisoning”; It is to change the "occupational diseases caused by biological factors" to "professional infectious diseases."

What adjustments have been made to occupational pneumoconiosis and other respiratory diseases?

In occupational pneumoconiosis, the "pneumoconiosis" was revised to "pneumoconiosis." Among occupational respiratory diseases, one is to increase chronic obstructive pulmonary disease caused by irritant chemicals, metal and its compounds dust and lung deposition (tin, iron, strontium, barium and its compounds) and hard metal lung disease; It is to change "allergic alveolitis" to "allergic obstructive inflammation."

9. What adjustments have been made to occupational skin diseases, eye diseases and ENT diseases?

In the classification of occupational dermatoses, one is to increase one occupational disease: white spot; the second is to modify "photosensitive dermatitis" to "photoinduced contact dermatitis." The classification of occupational eye diseases was not adjusted. In the classification of occupational ENT diseases, an occupational disease was added: knocking.

X. What adjustments have been made to occupational chemical poisoning?

In the classification of occupational chemical poisoning, the first is the increase of five occupational diseases: indium and its compound poisoning, bromopropane poisoning, methyl iodide poisoning, chloroacetate poisoning and ethylene oxide poisoning; the second is to change "uranism" to "uranium". And its compounds poisoning, "industrial fluorosis" was modified to "fluorine and its inorganic compounds poisoning", "organophosphorus pesticide poisoning" was modified to "organic phosphorus poisoning", and "carbamate pesticide poisoning" was revised to "Carbamate poisoning", revised "pyrethroid pesticide poisoning" to "pyrethroid poisoning"; third, "according to the diagnostic criteria of occupational acute chemical poisoning (, ~)" can be diagnosed "Other Occupational Acute Poisoning" and "According to the Diagnostic Criteria for Occupational Toxic Liver Disease, Occupational Poisoning and Idiopathic Tear Disorders" Occupational Harmful Factors Other chemical poisonings that have a direct causal link between exposure."

11. What adjustments have been made to occupational diseases caused by physical factors and occupational radioactive land mu?

Classification of Occupational Diseases Caused by Physical Factors, Two Occupational Diseases are Added: Another is "laser-induced eye (cornea, lens, retina) injury" and "frost injury." Classification of Occupational Radioactive Diseases, Expanding the Range of Radioactive Tumors, Including "Mining of Lungs Caused by Miner's Sorghum Exposure" into Radiological Tumors.

12. What adjustments have been made to occupational infectious diseases?

In the classification of occupational infectious diseases, the first is to increase two types of occupational diseases: “AIDS (because of the health care personnel and the People’s Police) and “Lyme disease”; and second, “Bruschtosis” is changed to “Brucella”. .

AIDS is afflicted with medical and health personnel and the People's Police: refers to the blood or body fluids of HIV-infected persons or patients, or biological specimens that contain HIV, or wastes, in the course of occupational activities or executive duties of medical and health personnel and the People's Police. Medical equipment that has contaminated the skin or mucous membranes, or contaminated with HIV-infected blood or body fluids, or other sharp instruments that irritate skin infections.

Lyme disease is a kind of natural epidemic disease caused by Borrelia burgdorferi, mainly through bites. It occurs in forest areas and has a wide incidence. Long-term workers in forest areas have a higher probability of infection and morbidity after biting.

XIII. What adjustments have been made to occupational cancer?

In the classification of occupational tumours, there are three kinds of occupational diseases: first, "iron-zeolite-induced lung cancer, pleural mesothelioma," "coal tar, coal tar pitch, and petroleum pitch-induced skin cancer." "B-naphthylamine "Bladder cancer"; second is to modify "chloromethyl ether-induced lung cancer" to "chloromethyl ether, bischloromethyl ether-induced lung cancer" and to modify "arsenic-induced lung cancer" to "arsenic and its compound-induced lung cancer, skin "Carcinogenesis," "Coke furnace workers lung cancer" was modified to "coking furnace emissions caused by lung cancer," the "chromate manufacturing workers lung cancer" was modified to "six chromium compounds caused by lung cancer."

What adjustments have been made to other occupational diseases?

Among other occupational diseases, the first is to change the "collaborative bursitis in coal mine workers" to "bursitis (limited to underground workers)" and the second is to increase "femoral vein thrombosis syndrome, femoral artery occlusion or lymphovascular occlusive disease (limited to Scraping operators)."

Prior to the adjustment of the Classification and Catalogue of Occupational Diseases, the occupational population of bursitis was defined as underground coal mine workers, which are now modified as underground workers and expanded the scope of occupational groups.

Manual scraping operations are common in machine tool production, precision machining and maintenance, and have a certain number of exposed people. Due to long-term stress of scraping operations, some workers have symptoms of femoral vein thrombosis, femoral artery occlusion or lymphatic obstruction. To this end, the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the National Bureau of Safety Supervision, the National Federation of Trade Unions and other departments organized relevant experts of the China Center for Disease Control and Prevention, and conducted in-depth business research. After repeated research and demonstration, they unanimously agreed to localize the scraping operations. The femoral vein thrombosis syndrome, femoral artery occlusive disease, or lymphovascular occlusive disease are included in the Occupational Disease Classification and Catalogue.

15. What are the main groups of people involved in the adjustment of the Classification and Catalogue of Occupational Diseases?

The "Classification and Catalogue of Occupational Diseases" has been adjusted to the production of line workers. Workers in the carbon, metallurgy, non-ferrous metals, chemical, forestry, building materials, and mechanical processing industries, as well as low-temperature operating personnel, medical and health personnel, and the people's police.

XVI. According to the "Administrative Measures for the Diagnosis and Identification of Occupational Diseases" and the "Occupational Diseases Classification and Catalogue," what are the treatment benefits for occupational patients?

Workers are diagnosed with occupational diseases and receive corresponding treatment in accordance with the provisions of the Occupational Disease Prevention Law and the Regulations on Work-related Injury Insurance. Where the employer participates in the work-related injury insurance, the work-related injury insurance fund and the employing unit shall pay corresponding treatment. If the employee does not participate in the work-related injury insurance, the treatment shall be paid by the employer.

An occupational disease patient whose employer does not have or cannot confirm labor relations may apply to the local people's government for assistance in medical assistance and life.

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