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Asbestosis: Past voices from the Mumbai factory floor

机译:石棉沉没症:孟买工厂现场的过去声音

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Background:Asbestos′s production, processing, and consumption is on very high scale in India and it is increasing, and so do the related diseases. Asbestosis is such a disease which causes progressive respiratory disability.Aim:To find out perceptions and thinking about this disease and its risk among the patients which will help in constructing an effective community-based prevention and rehabilitation program.Materials and Methods:It was a community-based, qualitative study using a semi-structured interview schedule with 17 asbestosis patients from Mumbai, disgnosed by specialist with pulmonary function test and X-rays as per International Labour Organisation′s recommandations.Results:The risk percived by the patients is very less and attitude toward the illness is bengine as there is no clear understanding about the causation. The prolong latent period appears to be the main cause. It suggests a need of very strong program for prevention of asbestosis with the incorporation of worker awareness and eduaction for safety. The socio-economical status and educational levels of the workers make this floating population more vulnarable for manipulation by the corporates.Conclusion:Apart from the radical step of ban on asbestos, there is a need of community-based sustainable, affordable, and accessible rehabilitation program with a component of palliative care which will consider the different needs of this marginalized group. The need for such a program is intense as the number of asbestisis patients will keep on increasing till 30 to 40 years of asbestos ban.
机译:背景:印度石棉的生产,加工和消费规模非常大,并且正在增加,相关疾病也在增加。石棉病是一种导致进行性呼吸障碍的疾病。目的:了解患者对这种疾病及其风险的认识和思考,这将有助于构建有效的社区预防和康复计划。一项基于社区的定性研究,使用半结构化访谈计划,对17名来自孟买的石棉沉着病患者进行了调查,但根据国际劳工组织的建议,这些患者被肺功能检查专家和X射线检查所忽略。结果:患者的风险非常高更少,对疾病的态度是病因,因为对因果关系尚无明确的了解。延长潜伏期似乎是主要原因。这表明需要结合工人意识和安全教育进行非常强有力的预防石棉沉滞症的计划。工人的社会经济地位和受教育程度使这一流动人口更容易受到公司的操纵。结论:除了禁止石棉的激进步骤外,还需要以社区为基础的可持续,负担得起的,无障碍的康复服务。该计划包括姑息治疗,该计划将考虑这个边缘化人群的不同需求。直到30到40年的石棉禁令,石棉病患者的人数将不断增加,因此对此类计划的需求非常强烈。

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