1Institute of Public Health, Tirana, Albania.
The political and economic changes after the 1990s brought about a number of changes in the economy, as well as in the health services provided to employees. Over the last 3 decades, occupational health legislation has undergone substantial changes in alignment with that of the European Union. The economy has taken another turn by exposing the employee to a variety of risk factors with health consequences. Unlike the economy of the ’90s, a number of enterprises have been set up with potential health risks for their employees, but also with the emergence of occupational diseases and accidents at workplace.
Our actual assessments show that there is a disconnection between public health structures with the State Health Inspectorate, the occupational physician and the family physician. Currently these sectors work independently and there is a lack of coherent information to perform a present risk assessment at the workplace and the employee’s health.
The first case presented is a mechanical industry of 200 employees with different risk factors, but with predominance of noise in the workplace, with 8% hearing loss.
The second case presented is newly created manufactory with young employers with an average age of 35 years, 95% of them female, have been evaluated and issued a certified document as “capable for work” without any assessment of workplace risk factors.
In this situation we recognize the need to organize a network of public health structures that assess and analyze health risk factors related to the workplace, the roles of the occupational and family physician, achieving partnerships agreement between these services and with the support of the State Work Inspectorate structures.
Keywords: accident workplace, employees, occupational diseases.