Joint circular No. 29/TT-LB 1991 on adding some occupational diseases đã được thay thế bởi Circular 15/2016/TT-BYT regulations occupational diseases covered by social insurance và được áp dụng kể từ ngày 01/07/2016.
Nội dung toàn văn Joint circular No. 29/TT-LB 1991 on adding some occupational diseases
THE MINISTRY OF LABOR, INVALIDS AND SOCIAL AFFAIRS – THE MINISTRY OF HEALTH – THE VIETNAM GENERAL CONFEDERATION OF LABOUR | SOCIALIST REPUBLIC OF VIET NAM |
No. 29/TT-LB | Hanoi, December 25, 1991 |
JOINT CIRCULAR
OF THE MINISTRY OF HEALTH, THE MINISTRY OF LABOR, INVALIDS AND SOCIAL AFFAIRS, THE VIETNAM GENERAL CONFEDERATION OF LABOR NO. 29/TT-LB DATED DECEMBER 25, 1991, ADDING SOME OCCUPATIONAL DISEASES
Pursuant to result of research subject on occupational diseases under program on science research at state level 58A and subject at Ministerial level on labor protection and actual situation in Vietnam, the Ministry of Health, the Ministry of Labor, Invalids and Social Affairs, the Vietnam General Confederation of Labor provide for supplementation of the following 8 occupational diseases to the Joint Circular No. 08/TT-LB dated May 19, 1976.
1. Skin ulcers, ulcers in septum of nose, dermatitis, contact eczema
2. Melasma
3. Occupational vibration syndrome
4. Byssinosis
5. Occupational tuberculosis
6. Occupational virus Hepatitis
7. Disease caused by occupational leptospira
8. Trinitrotoluene.
Jobs which laborers getting diseases, syndromes of disease may do, the ensured time, rate of the working capability loss of each disease under the Annex enclosed to this Circular.
This Circular takes effect on the day of its promulgation.
Any problems arising in the course of implementation should be promptly reported to the Ministry of Health, the Ministry of Labor - Invalids and Social Affairs and the Vietnam General Confederation of Labor for study and settlement.
Bui Ngoc Thanh (Signed) | Nguyen Van Dan (Signed) | Nguyen An Luong (Signed) |
ANNEX
LIST OF OCCUPATIONAL DISEASES WHICH ARE SUPPLEMENTED TO INSURANCE
1. Skin ulcers, ulcers in septum of nose, dermatitis, contact eczema:
Jobs may cause disease:
Manufacturing accumulator, metallurgy, producing candles, wax, dyes, detergents, explosive charge, fireworks, matches, glue, cement, pottery, chromium salts, pigments, enamel, glassware, zinc plate, rubber, refractory bricks, soap, aluminum alloy, construction worker, electroplating, chromium…
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
- Skin and mucosa ulcers: |
|
|
+ Ulcers in septum of nose | 2 months | 5-20% |
+ Skin ulcers | 3 months | 5-20% |
- Contact dermatitis, contact eczema diagnosed to define by testing skin and relapse nature of disease when re-contact |
| Medically treat and change the profession |
(+) The ensured time means time of arising morbidity after stop contact.
2. Melasma:
Jobs may cause disease:
When contact with: kerosene, mazut, lubricating oil, gasoline, benzene pharaphin, coking, coal tar, acridin, anthracene asphalt, bitumen creosat, hydrocabua steam, silver, lead, radiation of ionizing sulfur compounds, phenols, oil shale black coal, sandstone, rubber production…
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
Areata melasma | 2 years | 10 - 30% |
Spreaded melasma | 2 years | 11 - 40% |
3. Occupational vibration syndrome:
Hurt of knuckle bones and vasomotor confusion due to use of vibration handheld devices.
Jobs may cause disease:
- Manipulation with compressed-vapor handheld devices such as hammer, file, riveter, chisel demolition mold, casting, rock-drill machine….
- Using machines running by explosive engine of handheld type such as saws, lawn mowers.
- Contact with other objects causing vibration through hand such as drilling-petroleum winch, sharpen metal objects by fixing them on a rotating grind-stone…
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
- Hurt of elbow joints and wrist joints | 1 year | 11-30% |
- Necrosis of semicircular bone | 1 year | 11-30% |
- Navicular bone osteoarthritis | 1 year | 11-30% |
- Occupational Raynaud’s disease Vasomotor nerve confusion in fingers, enclosed with the feeling confusion | 30 days | 21-40% |
The diagnosis of disease is based on:
- Occupational contact elements.
- X-ray image, hurts of elbow joints and wrist joints, necrosis of carpal. - Forensic Medicine test is positive.
4. Byssinosis:
Jobs may cause disease:
Laborers are in contact with cotton dust during tearing cotton, brushing, doing fiber, pick up fiber in hands, weaving fiber, fabric, harvesting cotton, separating seed to take cotton…for thorn bush and jute: the same jobs.
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
- Clinical syndromes of disease on second day: |
|
|
+ C2 form (+) | 6 months | 21-40% |
+ C3 form (+) | 1 year | 31-60% |
The diagnosis of disease must base on respiratory function, with F2 and F3 forms |
|
|
For irreversible form, to breathe nebulizer, bronchodilator, the maximum volume of breathing out per second, not turning back normally. |
|
|
(+) C2 Clinical form: shortness of breath and chest tightness in the first working day and other days in week.
C3 clinical form: like as C2 form but have change of regular respiratory function.
F2 form: change respiratory function, chronic disease, from mild to moderate.
F3 form: change respiratory function, chronic disease, from moderate to severe.
5. Occupational tuberculosis:
Jobs may cause disease:
Jobs must be in contact with animals getting tuberculosis or carrying tuberculosis bacteria.
- Jobs in slaughterhouses, butcher shops.
- Manipulations to process blood, bone, horn and skin of cattle.
- Veterinary work.
- Jobs must be in contact with tuberculosis patients.
- Jobs in bacteria laboratory of tuberculosis hospitals. Jobs of collecting specimens: sputum, blood, feces, contact with waste or outfits and appliances contaminated disease…
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
- Skin tuberculosis | 6 months | 21-40% |
- Ganglion tuberculosis | 6 months | 21-40% |
- Synovium tuberculosis | 1 year | 21-40% |
- Knuckle-bone tuberculosis | 1 year | 31-60% |
- Pleural tuberculosis | 6 months | 31-60% |
- pulmonary tuberculosis | 6 months | 31-60% |
The diagnosis of disease must base on clinical examination, X-ray, testing microorganisms, pathologist surgery … depend on forms of disease.
6. Occupational virus Hepatitis:
Jobs may cause disease:
In occupational contact with Hepatitis patients due to virus (VGVR, blood specimens, and polluted items …
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
- Hepatitis caused by Viruses A and B |
|
|
The diagnosis of disease must base on clinical examination, testing SGPT enzyme, HBsAg immunoassay | 6 months | 11-40% |
- Cirrhosis after testing VGVR | 6 months | 31-100% |
7. Disease caused by occupational leptospira Jobs may cause disease:
- Jobs in mines, trenches, caves, sewers.
- Jobs in slaughter-houses, especially persons slaughtering animals…
- Jobs in plants producing the canned meat and fish, or processing milk and cheese.
- Jobs must be in contact with animals such as: Breeding, veterinary.
- Jobs in plants producing beer, alcohol.
- Jobs in butcher shops, fish shops.
- Jobs in marshy areas, streams, fields, ponds and lakes.
- Forestry jobs: digging ditches, canals, and irrigation.
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
Forms of fever causing by leptospira. The diagnosis of disease must combine with testing specific serum to define leptospira causing disease in general. | 21 days | 11-30% |
8. Trinitrotoluene:
Jobs may cause disease:
Boiling, pulling, picking, stuffing TNT into grenade, preserving package of TNT, TNTA products, drilling, pressing, hooking grenade, TNT resin, crushing, sifting TNT, boiling, filtering dirty TNT to get pure TNT, disconnecting bullets, grenades, mines to get TNT, fasting TNT loaf, firing for test of grenades, mines, use TNT in destroying rock, exploring mine, building road... and other jobs in contact with TNT.
Syndromes of disease | The ensured time | The rate of the working capability loss |
1 | 2 | 3 |
+ Hurt of blood and agency generating blood (erythrocyte with quantity of less than 3 million, hemoglobin of less than 10g) | 1 year | 21-60% |
+ Pancreatic insufficiency | 5 years | 61-100% |
+ Hurt of liver |
|
|
- Chronic hepatitis in the existing form | 2 years | 31-60% |
- Chronic hepatitis in the attack form | 2 years | 31-80% |
- Cirrhosis | 5 years | 61-100% |
+ Cataracts of one side + Cataracts of two sides | 5 years | Depend on visual acuity (considered as eye diseases) |
+ Hurt of gastrointestinal mucosa | 5 years |
|
- Ulcerative stomach - duodenal ulcers | 2 years | 21-60% |
- Chronic ulcerative colitis | 2 years | 21-60% |
+ Cardiasthenia | 1 year | 21-60% |
The diagnosis of disease must base on contact element, clinical examination, doing blood formula, defining quantity of Hb, MetHb, Heinz lysosome, taking a photo of stomach by X-ray, and defining quantity of transaminaza enzyme…
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