社区初级保健中的基本职业健康服务（BOHS）：无国界医生组织（达卡）模式。
Basic occupational health services (BOHS) in community primary care: the MSF (Dhaka) model.
作者信息
Muralidhar Venkiteswaran, Ahasan Md Faizul, Khan Ahad Mahmud, Alam Mohammad Shariful
机构信息
Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, India.
Artsen zonder Grenzen, Amsterdam, North Holland, The Netherlands.
出版信息
BMJ Case Rep. 2017 Mar 20;2017:bcr2016218293. doi: 10.1136/bcr-2016-218293.
The Médecins Sans Frontiérs (MSF) established basic occupational health services to diagnose and treat work-related diseases among tannery, metal, plastics and garment workers and families in one of the more polluted areas of the world populated by 600 000 people. In spite of project limitations, an analysis of the 6-month data showed that of the original cohort of 5000, 3200 (64%) came for at least 1 consultation. Among them, 468 (14.6%) were diagnosed with suspected work-related diseases as per defined protocols. Follow-up consultation was performed for 1447 cases of occupational diseases and work-related injuries. The MSF experience begs the need for replication of such services in densely populated urban areas in developing nations like Bangladesh and India, where no specialty occupational health clinics exist in primary care but are desperately needed and where occupational health clinics on factory premises are exclusive to industry workers and are not accessible to communities.
无国界医生组织（MSF）在世界上污染较为严重、有60万人口的一个地区，为制革、金属、塑料和服装工人及其家属建立了基本职业健康服务，用于诊断和治疗与工作相关的疾病。尽管项目存在局限性，但对6个月数据的分析显示，在最初的5000人队列中，有3200人（64%）至少前来咨询过一次。其中，根据既定方案，有468人（14.6%）被诊断患有疑似与工作相关的疾病。对1447例职业病和与工作相关的损伤进行了随访咨询。无国界医生组织的经验表明，在孟加拉国和印度等发展中国家人口密集的城市地区，迫切需要推广此类服务，因为在这些地区的初级保健中没有专门的职业健康诊所，但却急需这类诊所，而且工厂厂区内的职业健康诊所只为产业工人服务，社区无法使用。
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