OCCUPATIONAL HISTORY JOSEPH J. SCHWERHA MD MPH PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE DIRECTOR OF THE OCCUPATIONAL AND ENVIRONMENTAL MEDICINE RESIDENCY PROGRAM GRADUATE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF PITTSBURGH
OCCUPATIONAL HISTORYCONTINUED • What kind of work do you do? • How long? • What exposures are involved? • What personal protective equipment do you use? • List all other jobs in chronologic order? • Military exposures?
OCCUPATIONAL HISTORYCONTINUED • Symptoms or illness related to work? • Timing of symptoms? • Other workers have symptoms? • Non occupational exposures-Smoking,Alcohol,Geographic history,Family exposure,Hobbies or Crafts? • Type of industry or employment?
OCCUPATIONAL HISTORYCONTINUED • Is there a part of your job that affects your health? • Do coworkers have similar problems or complaints? • Ventilation at work? • Preemployment examination? • Days missed from work and reason?
OCCUPATIONAL HISTORYCONTINUED • Has a workers’ compensation been filed on your behalf? • Special health or safety issues at work? • Secondary etc. jobs? • Past history-noise, chemicals, heat, vibration, asbestos, radiation, toxic agents, etc?
OCCUPATIONAL HISTORYCONTINUED • Occupational periodic health examinations? • Environmental health history-neighborhood factories, waste sites, toxic spills, air pollution, spouse or partners jobs, hobbies, recreational activities, house heating and insulation, insecticides, firearms, seat belts, cleaning agents, etc.-all past and present? • Material safety data sheets?
OCCUPATIONAL HISTORYCONTINUED • Moved because of a health problem? • Where do you eat, smoke, take breaks on the job? • Wash hands? • Animals in or around the workplace? • How many hours a week do you work? • How many years have you worked at what jobs?