||Rehabilitation of tuberculosis patients in industry.
||INDIAN J OCCUPATIONAL HEALTH 1961, 4, 27-28 & 45-50.
The real economic loss to industry, from the prevalence
of TB, is greater than the estimated cost of Rs. 200 crores and
90-100 crore man-days (1961). This is because some tuberculous workers
get examined in an advanced stage, implying many unsatisfactory
work days, and, some workers resume work before they are fit implying
shorter hours worked. With some exceptions, the majority of the
patients can receive ambulatory treatment. The author quotes several
studies confirming that the regulation of physical activity was
an important factor in management of the patient during illness
and convalescence. The functional respiratory tests were important
as a preliminary rehabilitation measure and as a control of the
progress of such rehabilitation. There must be graduated movements
and varied exercises in rehabilitation, with the kind of exercise
being dependent on the clinical form, the phase of the disease,
age, gender and occupation of the patient.
According to Carr (1959), TB patients were classified
as 1) Curables, 2) Incurables. Those included in the former group
are: a) Retired people, and b) Those able to return to their former
occupation; Those included in the latter group are: b) Those with
no former occupation, and d) Those unable to return to their former
occupation because of the risk of relapse or impairment of respiratory
function. The kinds of rehabilitation activities for patients in
these different categories are described. The two main types of
rehabilitation facilities are: 1) Village settlement, 2) Modified
existing site (by combining favorable medical factors, early case-finding
and intensive follow-up, with favorable social circumstances, adaptable
employment). The set-up in the Philips industries in Holland is
described to illustrate that the adoption of the second type of
facility resulted in marked lowering of TB mortality.
|KEYWORDS: REHABILITATION; INDIA.