existing status of silicosis and implementation of nhrc ...recommendations on preventive, remedial,...
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Labour & Employment Department
Health & Family Welfare Department
Existing Status of Silicosis and Implementation of NHRC Recommendations on Preventive, Remedial, Rehabilitative and
Compensation Aspects of silicosis in the State of
25th July, 2014
www.gujhealth.gov.in
25th July, 2014
D. C. ChaudhariDirector
Industrial Safety & Health
Labour & Employment Department
Health & Family Welfare Department
Existing Status of Silicosis and Implementation of NHRC Recommendations on Preventive, Remedial, Rehabilitative and
Compensation Aspects of silicosis in the State of Gujarat
July, 2014
Health & Family Welfare Dept, Govt of Gujarat
July, 2014
Dr. Prakash VaghelaDeputy Director
Rural Health
Point (i): Efforts by GoG to Identify the Industries prone to silicosis
Sr.
No
Type of Industry No of Registered Factories
1 Glass Manufacturing
2 Manipulation of Stone or
No. of Silicosis dust generating factgories
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2 Manipulation of Stone or
Any other Material
Containing Free Silica.
3 Manufacture of pottery
4 Operations in foundry
5 Agate Factories
(In the vicinity of residential
area)
(working
Total
Point (i): Efforts by GoG to Identify the Industries prone to silicosis
No of Registered Factories
Total Workers
Exposed Workers
15 5411 322
40 600 200
factgories and the workers under risk
Health & Family Welfare Dept, Govt of Gujarat
40 600 200
56 2146 208
2338 77686 15536
13
(working - 3)
13 13
(wet process)
2462 85836 16279
Operations / Processes having potentials to cause silicosis
No. Type of Industry Operation/Process Location of Free Silica Exposure
1 Stone crushing
quartz grinding
1.
2.
3.
4.
5.
Crushing/Breaking of Lumps in Jaw crusher.
Material Handling in Belt Conveyer
Screening in Magnetic separator
Handling in Bucket elevator for charging.
Bag filling
Waste filling
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5.
6.
Waste filling
2 Mfg. of Glass 1.
2.
3.
4.
Mixing Process
Material Handling in Conveyer System
Charging of Sand
Sand Storage & Handling
3 Mfg. of
Refractory Bricks
1.
2.
3.
4.
Grinding
Mixing
Loading-unloading of Ball Mill
Handling (Belt conveyers)
Operations / Processes having potentials to cause silicosis
Contd…
Operation/Process Location of Free Silica Exposure
Crushing/Breaking of Lumps in Jaw crusher.
Material Handling in Belt Conveyer
Screening in Magnetic separator-to separate Iron Contents
Handling in Bucket elevator for charging.
Health & Family Welfare Dept, Govt of Gujarat
Material Handling in Conveyer System
Charging of Sand
Sand Storage & Handling
unloading of Ball Mill
Handling (Belt conveyers)
Operations / Processes having potentials to cause silicosis contd……
4 Potteries & Ceramics 1.
2.
3.
4.
5.
6.
7.
Grinding
Pulverizing
Fine crushing in
Handling
Finishing of raw product
Glazing
Ball milling
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7.
8.
Ball milling
Loading
5 Foundry Metal casting
Investment Die casting
1.
2.
3.
4.
5.
6.
Sand preparation / mixing
Removal of
Shot blasting
Fettling
Tumbling
Preparation of Investment casting
Operations / Processes having potentials to cause silicosis contd……
Grinding
Pulverizing
Fine crushing in Decentigrator
Handling
Finishing of raw product
Glazing
Ball milling
Health & Family Welfare Dept, Govt of Gujarat
Ball milling
Loading-unloading of Ball mill
Sand preparation / mixing
Removal of mould from casting
Shot blasting
Fettling
Tumbling
Preparation of Investment casting mould.
Schedules of Gujarat Factories Rules, 1963 under Rule 102 concerning silica dust
1 Schedule – 4 Glass Manufacturing
2 Schedule – 8 Cleaning, smoothing,any part ofmetal shotblast of compressedRegulations)
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Regulations)
3 Schedule – 18 ManipulationContaining Free
4 Schedule – 25 Manufacture
5 Schedule – 26 Operations in
Schedules of Gujarat Factories Rules, 1963 under Rule 102 concerning silica dust
Contd…
Glass Manufacturing
smoothing, roughening or removing ofthe surface of articles, by a jet of sand,or grit or other abrasive propelled by acompressed air or steam. (Blasting
Regulations)
Health & Family Welfare Dept, Govt of Gujarat
Regulations)
Manipulation of Stone or Any other MaterialFree Silica.
Manufacture of pottery
in foundries.
Point (ii): Survey regarding the prevalence of silicosis only in agate industries in Khambhat
• Government of Gujarat has givenproject of asbestosis, byssinosisNIOH, Ahmedabad.
• Accordingly NIOH, Ahmedabad hasand recommended:
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and recommended:
• Improvement of education level
• Larger sample size required for
• Worker must wear a comfortable
• Use of wet grinding
• Regular lung examination
• Availability of alternate employment
Point (ii): Survey regarding the prevalence of silicosis only in agate industries in Khambhat
given Rs. 30 lakh for this surveyand silicosis on 03/10/2008 to
has carried out survey for silicosis
Health & Family Welfare Dept, Govt of Gujarat
level among workers
for investigation
comfortable protective mask
employment
Cases reported and deaths due to silicosis
Sr. No. Year No. of Victims of Silicosis Reported
1 2005
2 2007
3 2008
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3 2008
4 2010
5 2011
6 2012
7 2013
Total
silicosis in registered factoriesContd…
No. of Victims of Silicosis Reported
No. of Deaths due to Silicosis
9 3
2 1
12 6
Health & Family Welfare Dept, Govt of Gujarat
12 6
4 2
4 0
13 3
1 1
45 16
Deaths due to silicosis in (unorganized) Agate industries at
Sr. No. Year
1 2006
2 2007
3 2008
4 2009
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4 2009
5 2010
6 2011
7 2012
8 2013
9 2014
Total
Deaths due to silicosis in (unorganized) Agate industries at Dist Khambhat
Contd..
No. of Deaths due to Silicosis
3
9
16
17
Health & Family Welfare Dept, Govt of Gujarat
17
11
8
9
7
1
81
Deaths due to silicosis in (unorganized) Agate industries at
NHRC case Year
351
2006
2007
2008
2009
2010
13652009
2010
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13652010
511 2010
7392010
2011
592
2011
2012
2013
285
2011
2012
2013
2014
Total
Deaths due to silicosis in (unorganized) Agate industries at Dist Khambhat (NHRC cases)
Contd..
No. of cases of silicosis death
3
9
16
16
1
1
2
Health & Family Welfare Dept, Govt of Gujarat
2
5
3
4
1
5
5
3
4
2
1 (date of death 5/1/14)
81
Point (iii): Hospitals / Treatment Centers for diagnosis and treatment of silicosis
• PHCs, CHCs, Sub-district hospital & General Hospitals are providing diagnostic and treatment services to workers who are working in Silicosis prone industries at free of cost & if required expenditure are done from Rogi Kalyan Samittee(RKS)
• Silicosis Units are established in the districts where silicosis prone industries exists
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industries exists
• X-ray chest & pulmonary Function Test facilities are provided at these units free of costs.
• All silicosis suspects are examined & counselledregarding prevention of silicosis and non progression of the disease at the time of examination.
Point (iii): Hospitals / Treatment Centers for diagnosis and treatment of silicosis
district hospital & General Hospitals are providing diagnostic and treatment services to workers who are working in Silicosis
& if required expenditure are done from
Silicosis Units are established in the districts where silicosis prone
Health & Family Welfare Dept, Govt of Gujarat
ray chest & pulmonary Function Test facilities are provided at these
counselled by Medical Officer regarding prevention of silicosis and non progression of the disease at
Contd…
• X-Ray Chest
• Pulmonary Function Test
Silicosis Unit at Godhra: Following Facilities are available for Diagnosis of
Silicosis
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• Pulmonary Function Test(Spiro meter (Pulmonary Function Test
machine).
• Sputum Microscopy.
Silicosis suspect are examined, separate suspect register were maintain &
Health Check up Card are Issued to Workers.
Contd…
Following Facilities are available for Diagnosis of
Silicosis
Health & Family Welfare Dept, Govt of Gujarat
Silicosis suspect are examined, separate suspect register were maintain &
Health Check up Card are Issued to Workers.
Point (iv): Compensation paid to the victims of silicosis by the State Government
• State Government has not paidvictims of silicosis but the detailsthe provisions of ESIC Act and WC
• 8 victims are paid compensation
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• 8 victims are paid compensation
• Claims of 33 victims are pending
• 4 victims are falling under WC Act
• One victim has filed claimCommissioner, Godhra
Point (iv): Compensation paid to the victims of silicosis by the State Government
paid any compensation to thedetails of the compensation under
WC Act are as under:
by ESIC
Health & Family Welfare Dept, Govt of Gujarat
by ESIC
with ESIC
Act
for compensation before WC
Compensation by ESIC
Sr. No. Name of Employee
1 Late. Shri Kallu B. Bhagora Rs. 24,030/
2 Late Shri Dharu Sadiya Rs.
3 Shri Kanu Baldev Rajput Rs. 33,819/
4 Late Shri Tansing Jetha 50%
referred to ESI H.Q.
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referred to ESI H.Q.
5 Late Shri Mansing Jetha 10%
referred to ESI H.Q.
6 Shri Javahar S. Chauhan Rs. 1,50,000/
7 Shri Natvarlal K. Ravaiyaa Rs. 70,000/
8 Shri Laxman Visamber Sahani Rs.1530/
9 Cases of 33 employees Pending with ESIC
10 Total 4 employees Eligible under WC Act
Compensation by ESIC
Contd..
Payment
Rs. 24,030/- by ESIC
46,676/- by ESIC
Rs. 33,819/- by ESIC
50% awarded by Special Medical Board. Case
referred to ESI H.Q.
Health & Family Welfare Dept, Govt of Gujarat
referred to ESI H.Q.
10% awarded by Special Medical Board. Case
referred to ESI H.Q.
Rs. 1,50,000/- pay + Rs.1000/- p.m. by ESIC
Rs. 70,000/- pay + Rs.1200/- p.m. by ESIC
Rs.1530/- p.m. by ESIC
Pending with ESIC
Eligible under WC Act
Point (v): Steps taken / Policy for prevention of Silicosis
Rigorous Inspections
� By Inspectors
� All the factories having potential to causetime to time by local inspector and directionscontrol dust or to prevent silicosis effectively
� There already a system exists for regularcrushing factories by the officers of Labour
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crushing factories by the officers of Labour
� A circular with checklist was issued on dateprone factories by Director Industrial Safety
� Industrial Hygiene Laboratory
� A team of officers of IHL consisting of MedicalSurgeon and Laboratory Technician is frequentlymonitoring studies in factories involving free
Point (v): Steps taken / Policy for prevention of Silicosis
Rigorous Inspections
cause silicosis have been inspected fromdirections are issued to the managements to
effectively in such factories
regular and surprise inspection in quartzLabour & Employment Department.
Health & Family Welfare Dept, Govt of Gujarat
Labour & Employment Department.
date 03/09/2007 for inspecting silicosisSafety & Health.
Medical Inspector of Factories, Certifyingfrequently conducting inspections and airfree silica.
Contd..
Notification u/s 85 of the Factories Act 1948
�The Government of Gujarat has issued85 of the Factories Act 1948 toFactories Act 1948 to all classesoperations under Section-87 of theout which includes operations having
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out which includes operations having
Prohibition of Sand Blasting
� Sand or any other substance
introduce as an abrasive into any
be use for blasting (Sub Rule 2 of
Contd..
Notification u/s 85 of the Factories Act 1948
issued notification under Section-to apply all the provisions of the
of places and wherein dangerousthe Factories Act 1948 are carried
having potential to cause silicosis.
Health & Family Welfare Dept, Govt of Gujarat
having potential to cause silicosis.
Prohibition of Sand Blasting
containing free silica not to be
any blasting apparatus and shall not
of Schedule VIII of Rule 102)
Point (vi): Steps taken for payment of compensation to the persons working in unorganized sector
• The Government has framed a scheme
of kin of deceased Agate worker
vide resolution dated 4/1/2014.
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• A Scheme of Rs. 5 Crore to
occupational disease to construction
Point (vi): Steps taken for payment of compensation to the persons working in unorganized sector
scheme to pay Rs.1 lac to the next
worker working in unorganized sector
Health & Family Welfare Dept, Govt of Gujarat
provide Medical Assistance for
construction Workers in the year 2014-15.
Point (vii): Rehabilitation of workers affected by silicosis
•Patients seeking care at PHCs, CHCs, Sub
General Hospitals or captured through surveys are provided
diagnostic and treatment services at
•All silicosis suspects are examined &
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•All silicosis suspects are examined &
Officer regarding prevention of silicosis and non progression of
the disease at the time of examination.
Point (vii): Rehabilitation of workers affected by silicosis
Patients seeking care at PHCs, CHCs, Sub-district hospital &
General Hospitals or captured through surveys are provided
diagnostic and treatment services at free of cost.
All silicosis suspects are examined & counselled by Medical
Health & Family Welfare Dept, Govt of Gujarat
All silicosis suspects are examined & counselled by Medical
Officer regarding prevention of silicosis and non progression of
the disease at the time of examination.
Point (viii): Steps taken to prevent Silicosis
Engineering Control Measures
• Thermax dust collecting systemfactory.
• Dust collected beneath the dustand then it is disposed for land filling
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and then it is disposed for land filling
• Proper ventilation
• Effective exhaust system
• Substitution
• Wet process
• Cyclone separator with filter bag
Point (viii): Steps taken to prevent Silicosis
Engineering Control Measures
installed at every quartz crushing
dust collector is made wet with waterfilling.
Health & Family Welfare Dept, Govt of Gujarat
filling.
Contd..
• Use of PPEs is ensured
• Pre employment and periodical medical
• No worker is employed in the crushing
• Working environment monitoring
Administrative Control Measures
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• Working environment monitoring
• Safety Committee is constituted
• Affected worker is placed at a safer
Precautionary Measures
• Booklet regarding “Silicosis andprepared in Gujarati and distributed
• Dust masks given to all workers.
Contd..
medical examination of workers
crushing area
monitoring is carried out
Administrative Control Measures
Health & Family Welfare Dept, Govt of Gujarat
monitoring is carried out
in every factory
safer workplace
Precautionary Measures
and its preventive measures”distributed to workers.
Contd..
• Dust control devices have been installedat the work place in stone crushingBalasinor.
Dust Control Devices
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• In Godhara district there are 25 andcrushing factories. All of them haveEither they have installed ThermaxThermax make dust collecting system
• All registered working agate factoriesgrinding of agates.
Contd..
installed to reduce the dust generationcrushing factories situated in Godhara and
Dust Control Devices
Health & Family Welfare Dept, Govt of Gujarat
and in Kheda District there are 15 quartzhave installed dust collecting system.
Thermax dust collecting system or similar tosystem.
factories are using wet process for the
Prevention and Elimination of silicosis
• Silica dust collecting system - Closedconveyor belt, disintegrator, elevatorwork environment.
• Use of waste disposal method suggested
Contd..
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• Use of dust masks
• Cautionary notice about silicosis is displayed
• Pre employment medical examinationexamination at every six months by FMO
• Regular awareness programmes
• Regular meeting of silicosis monitoring
Prevention and Elimination of silicosis
Closed covers are installed on jaw crusher,elevator to prevent silica dust exposure in
suggested by GPCB
Contd..
Health & Family Welfare Dept, Govt of Gujarat
displayed
examination of new worker and periodicalFMO and Certifying Surgeon
monitoring committee in presence of D.M.
Contd..
Silicosis cell unit at Civil Hospital, Godhra
every Wednesday for medical checkup
A system exists for regular and surprise
factories by the officers of L & E D with
A circular with checklist issued for inspecting
DISH.
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DISH.
• One more circular was issued for
quarterly basis.
• Work place monitoring is carried out
No. 37 as per GFR, 1963 by third party
Contd..
Godhra & Nadiad are running OPD on
surprise inspection in quartz crushing
with the officers of District Magistrate.
inspecting silicosis prone factories by
Health & Family Welfare Dept, Govt of Gujarat
sending records to D.C. office on
out and record is maintained in Form
party approved by GPCB.
Contd..
• Personal protective equipment like
provided to all worker by factory owner
• A booklet in regional language issued
silicosis.
• District Magistrate is reviewing the
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• District Magistrate is reviewing the
records of workers working in silicosis
Contd..
like dust mask, hand gloves etc. are
owner.
issued to workers for prevention of
the details of inspection and medical
Health & Family Welfare Dept, Govt of Gujarat
the details of inspection and medical
silicosis prone factories.
Operating with dust collecting system
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Operating with dust collecting system
Health & Family Welfare Dept, Govt of Gujarat
System for Jaw Crusher with Hoper and Ramp(Automatic Feeding)
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System for Jaw Crusher with Hoper and Ramp(Automatic Feeding)
Health & Family Welfare Dept, Govt of Gujarat
Enclosure of Jaw Crusher
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Enclosure of Jaw Crusher
Health & Family Welfare Dept, Govt of Gujarat
Isolation of Bagging Unit
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Isolation of Bagging Unit
Health & Family Welfare Dept, Govt of Gujarat
Dust collecting system for Conveyers
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Dust collecting system for Conveyers
Health & Family Welfare Dept, Govt of Gujarat
Bucket elevator with enclosure and ducting
line (New Method)
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Disintegrator connected to mess separator and mess
separator connected to air jet bag filter system
Health & Family Welfare Dept, Govt of Gujarat
Point (ix): Awareness Programmes
NGOs are involved in monitoring andprograms for the benefit of silica exposed
Sr.
No.
Name of NGOs
1 Rural Development Society, Panelav 26/12/2009
2 PTRTC, Vadodara
3 PTRTC, Vadodara
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3 PTRTC, Vadodara
4 PTRTC, Vadodara 20/01/2010
5 SHE Association, Bharuch 16/11/2010
6 SHE Association, Bharuch 11/12/2010
7 Rural Development Society, Panelav
8 Aashra, Godhra 19/11/2011
9 Aashra, Godhra 14/11/2012
10 Rural Development Society, Panelav
Point (ix): Awareness Programmes
and implementation of the Awarenessexposed workers. Details are as under
Date Place No of
participant
26/12/2009 Godhara 79
7-8/1/2010 Khambhat 57
29/1/2010 Balasinor 33
Health & Family Welfare Dept, Govt of Gujarat
29/1/2010 Balasinor 33
20/01/2010 Balasionr 48
16/11/2010 Zaghadiya 60
11/12/2010 Zaghadiya 36
29/9/2011 Panelav 35
19/11/2011 Godhra 32
14/11/2012 Godhra 39
5/12/2013 Godhra 39
Publicity Campaigns
Contd…
Sr. No Year No. of program
1 2000
2 2004
3 2005
4 2006
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4 2006
5 2007
6 2008
7 2009
8 2010
9 2011
10 2012
11 2013
12 Till June 2014
Total
Publicity Campaigns
Contd…
No. of program No. of Participants
2 77
1 25
2 65
3 182
Health & Family Welfare Dept, Govt of Gujarat
3 182
5 171
2 115
2 129
5 170
2 67
1 39
6 84
5 74
36 1198
Contd..
Awareness Programmes for Doctors
• State level training workshop (TOT) on diagnosis & management of
Silicosis for CDHOs, CDMOs, Physicians superintendents of CHCs,
Certified surgeons, DTOs, BHOs & NGO Representatives with the help of
NIOH Faculties was conducted in 2010
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NIOH Faculties was conducted in 2010
• Training of “ILO Classification of Pneumoconiosis” is given to
Radiologists of concerned Government Medical college by Health Dept.
with the help of NIOH Ahmedabad
• Health department issues health cards to all workers screened for
silicosis. This card can be used during migration as well.
Contd..
Awareness Programmes for Doctors
State level training workshop (TOT) on diagnosis & management of
Silicosis for CDHOs, CDMOs, Physicians superintendents of CHCs,
Certified surgeons, DTOs, BHOs & NGO Representatives with the help of
2010. (56 Participants were trained)
Health & Family Welfare Dept, Govt of Gujarat
2010. (56 Participants were trained)
Training of “ILO Classification of Pneumoconiosis” is given to 19
Radiologists of concerned Government Medical college by Health Dept.
with the help of NIOH Ahmedabad in 2008 & 2011.
Health department issues health cards to all workers screened for
silicosis. This card can be used during migration as well.
Contd..
MEDICAL EXAMINATION OF WORKERS BY DEPARTMENTAL DOCTORS (Certifying surgeons)
Sr. No Year No of Factories
1 2004 149
2 2005 130
3 2006 111
4 2007 36
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4 2007 36
5 2008 35
6 2009 32
7 2010 39
8 2011 384
9 2012 412
10 2013 643
11 2014 135
Total 2106
Contd..
MEDICAL EXAMINATION OF WORKERS BY DEPARTMENTAL DOCTORS (Certifying surgeons)
No of Factories No of Workers Examined
149 1008
130 840
111 450
36 226
Health & Family Welfare Dept, Govt of Gujarat
36 226
35 249
32 185
39 272
384 3755
412 5083
643 6907
135 1669
2106 20644
Rally Sakarpura Village
Ta. Khambhat
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Rally Sakarpura Village
Ta. Khambhat
Health & Family Welfare Dept, Govt of Gujarat
Awareness and Health Education
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Awareness and Health Education
Health & Family Welfare Dept, Govt of Gujarat
Awareness and Health Education (Contd.)
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Awareness and Health Education (Contd.)
Health & Family Welfare Dept, Govt of Gujarat
Brochures for Silicosis
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Brochures for Silicosis
Health & Family Welfare Dept, Govt of Gujarat
Silicosis suspect
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Silicosis suspect –Register
Health & Family Welfare Dept, Govt of Gujarat
Health CardHealth CardHealth CardHealth Card
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Health CardHealth CardHealth CardHealth Card
Health & Family Welfare Dept, Govt of Gujarat
Medical officer of Concern PHCs is examining
the workers at Work place.
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Medical officer of Concern PHCs is examining
the workers at Work place.
Health & Family Welfare Dept, Govt of Gujarat
Pulmonary function test carried out at
District Hospital & CHC
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Pulmonary function test carried out at
District Hospital & CHC
Health & Family Welfare Dept, Govt of Gujarat
Point (x): Use of Latest Technology
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Point (x): Use of Latest Technology
Airjet dust collecting system
(Thermax)(New Engineering
Health & Family Welfare Dept, Govt of Gujarat
(New Engineering Control Method)
Contd..
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Contd..
Health & Family Welfare Dept, Govt of Gujarat
Contd..
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Contd..
Health & Family Welfare Dept, Govt of Gujarat
Contd..
Dust Collection system
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Contd..
Dust Collection system
Health & Family Welfare Dept, Govt of Gujarat
Contd..
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De-Dusting Unit
Contd..
Health & Family Welfare Dept, Govt of Gujarat
Dusting Unit
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De-Dusting Unit
Health & Family Welfare Dept, Govt of Gujarat
Dusting Unit