|
|
|
| Evaluation on the standard implementation of “General guideline for diagnosis of occupational radiation diseases” in Henan Province |
| ZHAO Fengling1, GUO Wei1, HE Ling2, LIU Yulong3 |
1. Henan Iinstitute of Occupational Medicine, Zhengzhou 450052 China;
2. Sichuan Center For Disease Control and Prevention;
3. The Second Affiliated Hospital of Soochow University |
|
|
|
|
Abstract Objective To investigate the application of the “General guideline for diagnosis of occupational radiation diseases”.Methods According to tracking evaluation of the standard, questionnaire survey was carried out among the units and individuals such as diagnostic institution, radiation disease diagnostic doctors, radiological health supervisors and radiation workers.Results Only one institution was established in Henan Province for diagnosing occupational radiation diseases. 85.7% of radiation disease diagnosis physicians knew the standard well, and they did not participate the training of the standard. 28.6% of the radiation disease diagnostic physicians considered that some parts of the standard was feasible, such as diagnostic basis and dose assessment principle in chapter 3 , treatment principle in chapter 4. And some modifications was proposed. The awareness rate in radiological health supervisors was 60.0%, while the training rate was 35.0%. The application of the standard "General guideline for the diagnosis of occupational radioation diseases" was insufficient. The recognition accuracy of deterministic effect of ionizing radiation was 60.2%, and that of stochastic effect was 31.2%.Conclusion The competent department of health standards should strengthen the publicity and implementation training of the new standards and expand the application scope of the standards. Henan province needs to strengthen the construction of radioactive disease diagnosis institutions to achieve the coverage of diagnostic institutions.
|
|
Received: 25 November 2019
|
|
|
|
|
|
[1] 中华人民共和国国家卫生和计划生育委员会. GBZ 112—2017职业性放射性疾病诊断总则[S]. 北京: 中国标准出版社, 2017.
[2] 中华人民共和国国家卫生和计划生育委员会. GBZ 95—2014职业性放射性白内障的诊断[S]. 北京: 中国标准出版社, 2014.
[3] 中华人民共和国卫生部. GBZ 97—2009放射性肿瘤病因判断标准[S]. 北京: 人民卫生出版社, 2009.
[4] 中华人民共和国国家卫生和计划生育委员会. GBZ 97—2017职业性放射性肿瘤判断规范[S]. 北京: 中国标准出版社, 2017.
[5] 中华人民共和国卫生部. GBZ 101—2011放射性甲状腺疾病诊断标准[S]. 北京: 中国标准出版社, 2011.
[6] 中华人民共和国国家卫生和计划生育委员会. GBZ 106—2016职业性放射性皮肤损伤诊断[S]. 北京: 中国标准出版社, 2016.
[7] 中华人民共和国卫生部. GBZ 219—2009放射性皮肤癌诊断标准[S]. 北京: 中国标准出版社, 2009.
[8] 国家卫生计生委, 人力资源社会保障部, 安全监管总局, 全国总工会. 国卫疾控发〔2013〕48号《职业病分类和目录》[Z].2013.
[9] 国家卫生和计划生育委员会. 2017中国卫生和计划生育统计年鉴[M]. 北京: 中国协和医科大学出版社, 2017.
|
|
|
|
