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Disability from occupational diseases in Greece.

Georgios N Kourouklis1

  • 1Diagnostic Centre of Occupational Medicine, Social Security Institute (IKA), Athens, Greece. giorgoskour@in.gr

Occupational Medicine (Oxford, England)
|August 12, 2009
PubMed
Summary

The Greek Social Security Institute

Area of Science:

  • Occupational health
  • Public health surveillance
  • Medical informatics

Background:

  • Occupational diseases (ODs) are significantly under-reported in Greece.
  • OD Medical Committees of the Greek Social Security Institute (Idryma Kinonikon Asfaliseon-IKA) are the primary data source for ODs.
  • Existing systems may hinder accurate OD reporting and recognition.

Purpose of the Study:

  • To analyze the outcomes of OD Medical Committees' assessments for OD Disablement Benefit (ODDB) claims.
  • To evaluate the effectiveness of the ODDB claims process over a five-year period.
  • To identify potential systemic issues affecting OD recognition and reporting.

Main Methods:

  • A retrospective analysis of 299 ODDB claims submitted to IKA between 2003 and 2007.

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  • Claims were systematically reviewed on a monthly basis.
  • Data on diagnoses, recognition rates, and pension rates were extracted.

    • Main Results:

    • 171 OD cases were recognized (61% recognition rate), with 125 qualifying for ODDB (42% pension rate).
    • Allergic contact dermatitis was the most common diagnosis (40%), followed by lead toxicity (12%) and asthma (11%).
    • Lead toxicity cases exhibited the highest mean disability percentage (59%).

    Conclusions:

    • The study highlights significant flaws in Greece's OD recognition system, evidenced by a low number of ODDB claims.
    • Delays in updating the OD list, lack of unified reporting systems, and insufficient occupational physicians contribute to under-reporting.
    • Improvements are needed to enhance OD detection and compensation processes.