The draft regulations on occupational diseases eligible for social insurance benefits have adjusted some diseases to align with current regulations. The Ministry of Health has also requested relevant units to propose additional new and specific diseases.
The Ministry of Health is drafting a circular regulating occupational diseases eligible for social insurance benefits, with 35 proposed occupational diseases to be included in this list.
Specifically: Occupational silicosis; occupational asbestosis; occupational cotton dust pneumoconiosis; occupational talc pneumoconiosis; occupational coal dust pneumoconiosis; occupational chronic bronchitis; occupational asthma; occupational lead poisoning; occupational benzene and homologue poisoning; occupational mercury poisoning; occupational manganese poisoning; occupational trinitrotoluene poisoning; occupational arsenic poisoning; occupational pesticide poisoning; occupational nicotine poisoning; occupational carbon monoxide poisoning; occupational cadmium poisoning; occupational noise-induced hearing loss; occupational decompression sickness; occupational vibration-induced disease; occupational localized vibration-induced disease; occupational radiation sickness; occupational cataracts; occupational oil spots; occupational skin discoloration; occupational contact dermatitis due to chromium; occupational skin disease due to prolonged exposure to wet and cold environments; Occupational skin diseases caused by contact with natural rubber and rubber additive chemicals.
In addition, there are occupational leptospira infection; occupational hepatitis B; occupational tuberculosis; HIV infection due to occupational accidents; occupational hepatitis C; occupational mesothelioma; and occupational COVID-19.
This new draft circular does not change the number of occupational diseases but does change the names of some diseases. For example, occupational contact dermatitis has been renamed occupational contact dermatitis caused by chromium.
The draft also states that workers diagnosed with an occupational disease should limit their exposure to the harmful factors causing that disease and follow the treatment protocol of the Ministry of Health.
For occupational poisoning cases, timely detoxification and rehabilitation are necessary; along with nursing care, functional recovery, and assessment of the degree of disability to qualify for insurance benefits as prescribed.
Other occupational diseases include occupational hearing loss due to noise, localized or generalized vibration, and occupational cancer; cancers resulting from occupational diseases that cannot be treated effectively require immediate referral for assessment.
The Ministry of Health also requested that institutes under the preventive health system and medical and pharmaceutical universities proactively research and propose new and specific diseases in their respective fields and professions for the Ministry of Health to consider adding to the list of occupational diseases eligible for social insurance benefits.
The latest occupational disease to be added to this list by the Ministry of Health is COVID-19, which was added in February 2023.
The Ministry of Health has observed that many organizations and individuals employing workers still do not fully comply with legal regulations on occupational safety and hygiene, worker health care, and occupational disease prevention.
Numerous serious accidents have occurred, resulting in loss of life and property, leaving severe and long-lasting consequences for workers and the social security system.
Previously, the Prime Minister issued Decision No. 659 approving the Program for the Care and Improvement of Workers' Health and the Prevention and Control of Occupational Diseases for the period 2020-2030. The goal is that by 2025, 50% of workers in workplaces at risk of occupational diseases will receive early detection of occupational diseases, and this figure will reach 100% by 2030.
According to the Law on Occupational Safety and Health, workers participating in occupational accident and occupational disease insurance are entitled to occupational disease benefits when they meet the following conditions: suffering from an occupational disease included in the list of occupational diseases issued by the Minister of Health and experiencing a reduction in working capacity of 5% or more due to the occupational disease.
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