Occupational health services for shift and night workers.
Shiftwork. Mini-symposium. Nice FRA, 1993.
It is important for an occupational health service to plan health supervision and measures for shift and night workers considering the biorhythmic and psychosocial desynchronisation, as well as the frequent prevalence of combined effects of adverse environmental and working conditions.
The measures taken should be preventive to reduce the expected health risks rather than being rehabilitative.
Both a medical surveillance and a counselling service are recommended before and during engagement in shift and night work.
Sleep, digestive, metabolic and cardiovascular troubles should be noted and followed up.
Medical counselling is especially necessary in the first months of shift and night work exposure and then after long-term exposure.
The postulate for timed surveillance and intervention is supported by data of our epidemiologic investigations.
The importance of the single health measures is underlined by direct reference to the relevant literature.
Recommendations that should be applied in all countries and enterprises are in accordance with the ILO Night Work Convention 1990a and include :
(1) appropriate occupational health services provided for night and shift workers, including counselling ;
(2) first aid facilities during all shift hours ;
(3) the option of transfer to day work when certified unfit for night work for reasons of health ;
and (4) measures for women on night shifts, in particular special maternity protection (transfer to day work, social s...
Mots-clés Pascal : Travail posté, Travail nocturne, Condition travail, Stress, Santé, Médecine travail, Service santé, Recommandation, Promotion santé, Article synthèse, Adulte, Homme
Mots-clés Pascal anglais : Shift work, Night work, Working condition, Stress, Health, Occupational medicine, Health service, Recommendation, Health promotion, Review, Adult, Human
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