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Epidemiological Approach to Planning and Development of Occupational Health Services at a National Level

*Office of Occupational Health. World Health Organization Geneva, Switzerland
Division of Occupational Health. Ministry of Health Bangkok. Thailand
In developing the national occupational health programme in Thailand it was necessary to obtain information on workers' health to enable proper planning and implementation of the programme. A stratified sample of different types of small (up to 50 workers) and medium-sized factories (51150 workers) located in one geographical area was selected. In all, 98 plants were surveyed and a total of 1449 workers were examined. The prevalence of diseases, many of which were work-related, was higher in the small than in the medium-sized plants. Additional information confirmed the need for controlling the multitude of health problems of these under-served workers. The Ministry of Health used this data in training primary health care workers in the small workplaces, controlling the health problems discovered, developing laboratories and drafting legislation.
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