The Determinants of the Occupational Diseases in Al-Nasiriyah Province at 2018

Background: The occupational diseases are the major epidemic problem in the field of public health in developing countries (WHO(.It is do not arise haphazardly among the workers, but happens only when an appropriate accumulation of determinants or risk factors. The Aims of the study were to assess the general workers› health. and to explore the determinants) risk factors and causes(of the occupational disease within selected fields of work in Al-Nasiriyah province at 2018. Method and material: An analytical cross-sectional study was conducted in Al Nasiriyah thermal electrical plant, cable plant and oil refinery in the Al Nasiriyah -province at 2018. A multistage cluster sampling method was conducted to recruit )369(workers. The data gathered by survey questionnaire and processed by statistical analysis. Result: The extent of occupational exposure was about 89.7% with exposed to the non-exposed ratio) 8.7:1 (. About 31.8 % of the workers exposed to the respiratory hazards (thinner, PVF, PVC, Ammonia and acoustic agents). About exposed cases with RADS (41cases) had about )0.000(P. value. The Noise exposure had 71.5 % )264(. of the workers The exposed cases with NIHL (23 cases) had about )0.015(. P. value. An odds ratio of the occupationally exposed to the non-exposed worker was equal to 19.1. Binary Logistic Regression was done to adjust the confounder factors for systematically classified occupational diseases which augments the significance of the association for occupational exposure, age and work duration. Recommendations: Introducing the speciality of the occupational physician in primary health care with preparing for the establishment of the Thi-Qar occupational medical centre to promote the optimal occupational medical care.