A. Historical Perspective The Department of Occupational and Environmental Medicine (OEM) was established in 1960. It was founded in response to the industrial renaissance at this era that resulted in increased number of employees at the industrial sector and hence increased responsibility for providing specialized healthcare to these worker. The department was first established as a unit branching from the Department of Internal Medicine. In 1964, the department became the first and, till now, the only independent OEM department in Egypt. The department depended first on its outpatient clinic but, later on, an inpatient department (1990) and several attached units were established. B. Sub-Departments, Units and Provided Services 1. Inpatient Department: This department lies at Maniel Kebly Hospital. The department is directly guided by the OEM department faculty staff members who supervise the work of 5 residents, assigned house officers (interns), 6 Nurses and 5 service workers. The department has a 15 inpatient bed capacity and provide several services including:
2. Outpatient Clinic: On a bi-weekly basis, the OEM staff members attend the clinic to provide management of cases of occupational diseases referred
from several workplaces. The clinic also manages cases with environmental
diseases resultant from environmental pollution with lead, copper,
manganese, cadmium, carbon monoxide ....... etc. 3. Faculty Staff Department:
- Training courses for physicians in the field of OEM: these aim at raising the awareness of medical staff dealing with workers at different industries on adequate preventive measures, early detection and management of occupational diseases. - Training courses for workers: These aim at raising the awareness of interested professionals on different hazardous exposures that they may encounter at their workplaces and methods of prevention and personal protection. - Specialized training courses in occupational health and safety provided by internationally-authorized OEM staff trainers.
- Organizing Field visit to industrial facilities and workplaces for preliminary evaluation and risk assessment for different occupational exposures. - Providing occupational medical services including pre-employment, periodic and other regulatory medical examinations. - Analysis of heavy metals (e.g. lead, zinc, copper, nickel, chromium, cadmium, Aluminum, etc) in biological fluids (e.g. blood, urine, saliva, etc.) using the Atomic Absorption Spectrophotometr. - Collection and analysis of environmental samples (air - water - soil) using the Atomic Absorption Spectrophotometr. 4. Units of special nature related to the department There are several units of special nature that have emerged from the department. These include:
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The unit was established in 1990 to provide the following services:
- Regular (spirometry) and advanced ventilatory functions tests, - Airway resistance (Raw), Conductance (Gaw), Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) tests. - Bronchoprovocation test, - Gas (CO) diffusion capacity test, - Cardio-Pulmonary Exercise (CPX) Stress Test, - Measurement of arterial blood gases.
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