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12th April 2012




             WORK SPACE WELLNESS
                        TO
            WORLD OF WELLNESS
                - Dr Gowthaman Krishnamoorthy




4/12/2012                                       1
ERGONOMICS
• The term "ergonomics" is derived from two Greek words: "ergon,"
  meaning work, and "nomoi," meaning natural laws. Ergonomists study
  human capabilities in relationship to work demands.

• ERGONOMICS is essentially about "fitting work to people". It's the process
  of designing or arranging workplaces, products and systems so that they
  fit the people who use them.

• This includes design of the home, design of public access buildings and
  public spaces, and design and operation of transport systems.




4/12/2012                                                                   2
EMPLOYEE ERGONOMICS
 Ergonomics (or human factors) is the scientific discipline concerned with the
    understanding of interactions among humans and other elements of a system, and
    the profession that applies theory, principles, data and methods to design in order
    to optimize human well-being and overall system performance.
 In recent years, ergonomists have attempted to define postures which minimize
    unnecessary static work and reduce the forces acting on the body.
All of us could significantly reduce our risk of injury if we could adhere to the following
ergonomic principles:
 All work activities should permit the worker to adopt several different, but equally
    healthy and safe postures. Where muscular force has to be exerted it should be
    done by the largest appropriate muscle groups available.

4/12/2012                                                                                 3
OFFICE ERGONOMICS




4/12/2012                       4
ERGONOMICS
                              the task
                           (job content &
                              context)


                the                                 the
            organization                            tool




                 the                           the
            environment                     workstation




4/12/2012                                                  5
ERGONOMICS
• Goal
  – to reduce work-related musculoskeletal
    disorders (MSDs) developed by workers

• MSDs are injuries and illnesses that affect
  muscles, nerves, tendons, ligaments, joints or
  spinal discs.


4/12/2012                                          6
ERGONOMICS
   Common Symptoms of MSDs

      • Painful joints
      • Pain, tingling, numbness in hands, wrists, forearms,
        shoulders, knees and feet
      • Shooting or stubbing pains
      • Swelling or inflammation




4/12/2012                                                      7
ERGONOMICS
   Common Symptoms of MSDs

      • Fingers or toes turning white
      • Back or neck pain
      • Stiffness




4/12/2012                               8
ERGONOMICS FOR ALL




4/12/2012                        9
Occupational Hazards


                           PHYSICAL
                           HAZARD


            ERGONOMIC HAZARD           CHEMICAL
                                        HAZARD


                          BIOLOGICAL
                            HAZARD



4/12/2012                                         10
OCCUPATIONAL HEALTH
                  ( ILO/WHO )
 Promote and maintain the highest degree of physical, mental
  & social well-being of workers of all occupations

 Prevent workers from departures due to health caused by
  their working conditions

 Protect workers in their working environment from hazards
  and risks usually causing adverse health effects

 Place & maintain a worker in an occupational environment
  adapted to his/her physiological ability


4/12/2012                                                     11
HAZARD AND RISK

   HAZARD                        RISK
     - any source of                - the chance or
       potential damage,              probability that a
       harm or adverse                person will be
       health effects on              harmed or
       something or                   experience an
       someone under                  adverse health effect
       certain conditions at          if exposed to a
       work.                          hazard.

4/12/2012                                                     12
Genetic           Multiplicity of
                            factors            exposure
              Lifestyle
                                                            Duration of
    Age                                                      exposure

                                     WORK-         Workplace
               Workers’
                                                   Factors         Physical
             Susceptibility         RELATED                       properties
  Race                              DISEASE
                                                           Magnitude of
            Gender                                          exposure
                          Medical              Timing of
                          history              exposure


4/12/2012                                                                 13
Radiation Risk
                 Electromagnetic Spectrum
                  Source                                             Frequency in hertz (Hz)
X-rays, about
1 billion                                                                             22
billion Hz
                                                           Gamma rays              10
                                                                                      20
can penetrate                                                                      10
the body and damage                               X-rays                              18
internal organs and tissues                                                        10
by damaging important                                                                 16
molecules like DNA.
                                                   Ultraviolet radiation           10
                                                                                      14
This is called “ionization.”                               Visible light           10
                                                                                      12
 Microwaves, several billion Hz,                     Infrared radiation            10
                                                                                      10
 can have “thermal” or hearing                                                     10
 effects on body tissues                                   Microwaves                 8
Power frequency EMFs 50 or                                                         10
                                                      Radio waves                     6
60 Hz carry very little energy,                                                    10
have no ionizing effects          800 - 900 MHz                                       4
and usually no thermal            15 - 30 Hz &
                                  50 - 90 Hz
                                                     Very low frequency (VLF)      10
                                                         3,000 - 30,000 Hz            2
effects. They can, however,
                                                     Extremely low frequency       10
cause very weak electric                                                           60 Hz
                                                        (ELF) 3 - 3,000 Hz
currents to flow in the body.                          Direct current                 0

   4/12/2012                                                                                   14
RADIATION

            Types           Sources       Health Effects
 Ionizing           X-rays            Cancer, congenital
                    Gamma rays        defects, death


 Non-ionizing       Ultraviolet       skin redness, premature
                                      skin ageing, and skin
                                      cancer
                    Infrared          corneal and conjunctival
                                      burns, retinal injury,
                                      cataract
                    Laser             Skin and eye problem
4/12/2012                                                  15
BIOLOGICAL HAZARDS

       VIRUSES              FUNGI




    BACTERIA                PARASITES




4/12/2012                               16
Selected Infectious Diseases and
                 Occupations
             Agent / Disease                     Occupation
     Colds, influenza, scarlet fever,   May be contracted anywhere
     diphtheria, smallpox
     Tuberculosis                       Silica workers, people exposed
                                        to heat and organic dusts, and
                                        medical personnel
     Anthrax                            Animal handlers and handlers
                                        of carcasses, skins, hides, or
                                        hair of infected animals,
                                        including wool carpet
                                        processors and handlers.


4/12/2012                                                                17
Selected Infectious Diseases and
                 Occupations

            Agent / Disease                  Occupation

  Ringworm (in horses, cattle,     Pet shop salesmen, stockmen,
  deer, pigs, cats, dogs, birds)   breeders of cats and dogs, and
                                   other animal handlers


  Tetanus                          Farmers (spores in soil) or
                                   anyone in contact with manure.




4/12/2012                                                           18
STRESS

   The harmful physical and emotional responses that
   occurs when the requirements of the job do not
   match the capabilities, resources or needs of the
   worker.




4/12/2012                                              19
STRESS: Effects




4/12/2012                     20
STRESS
       Manifestations of Stress
     PSYCHOLOGICAL           PHYSIOLOGICAL              BEHAVIORAL
    Fatigue              Heart rate           Drug use
    Anxiety              Blood pressure       Alcohol intake
    Tension              Indigestion          Heavy smoking
    Irritability
                                                Impulsive emotional
    Depression
                                                   behavior
    Boredom
                                                Poor work & family
    Inability to
     concentrate                                 relationship
    Low esteem                                 Social isolation
                                                Family abandonment
                                                Sleep problems


    4/12/2012                                                          21
Ayurveda and Health
• Ayurveda brings about the balance between our Physical & Mental
  aspects and helps us to remain naturally beautiful. Herbs of
  tremendous medicinal values are found abundantly in nature.

•    Ayurveda uses these herbs individually and in special blends to
    treat every kind of Physical & Psychological Problems.

• As the Stress builds up, we move towards the Lack of Confidence
  and a feeling of Inferiority becomes a part of our Life. Lest the
  Thorn / The Cause/ The Toxins/ Stress is removed only then the
  normal healing mechanism of the body is initiated or else it effects
  the other organs of the body & thus Uncurable Diseases are
  produced.



4/12/2012                                                                22
Yoga & Health
• Many of the popular techniques found to reduce stress
  derive from yoga:
• controlled breathing
• meditation
• physical movement
• mental imagery
• stretching
• Yoga, which derives its name from the word, “yoke”—to
  bring together—does just that, bringing together the mind,
  body and spirit. But whether you use yoga for spiritual
  transformation or for stress management and physical well-
  being, the benefits are numerous.

4/12/2012                                                  23
YOGA
• Yoga for Stress management
• ! Breathing technique help relax and learn the various types
  of Pranayama.
• ! Can be done either lying down or sitting posture to ensure
  rhythmic breathing in and out.
• ! AUM chanting is soothing.
• ! Practice joint relaxing exercises and instant
• whole body relaxation techniques with deep breathing .
• A) Shavasan                 B) Makarasan
• C) Bhujangasan              D) Shalabhasan
• E) Suptavajrasan            F) Vakrasan
• G) Pranayama                H) Meditation are use full

4/12/2012                                                   24
DEMO
•    If you are wearing tight, uncomfortable footwear
    remove them before starting the stretches. You may
    also wish to loosen your tie and belt.
•   Here are a few exercises you could try for a start:
•   Neck Roll
•   Close your eyes.
•   Let your chin drop down to your chest.
•   Begin the circular motion of your neck slowly, by
    moving the right ear to the right shoulder, taking
    the head backwards and then bringing the left ear
    to the left shoulder.
•   Keep your shoulders loose and relax.
•   Rotate your neck 3-5 times and then switch
    directions.

4/12/2012                                                 25
DEMO
• Seated Forward Bend
• Push your chair away from your desk.
• Remaining seated, keep your feet flat on
  the floor.
• Take your arms behind the lower back,
  keep your back straight and interlace
  your fingers behind your back.
• Bending forward from the waist, bring
  your interlaced hands over your back.
• Rest your chest on your thighs and relax
  your neck.




4/12/2012                                    26
DEMO

• Cow Stretch
• Keep your feet on the floor.
• Bring both hands on your
  knees.
• While inhaling, stretch your
  back backwards and look
  towards the ceiling.
• While exhaling, stretch your
  back forward and drop your
  head forward.
• Repeat this exercise for 3-5
  breaths.
4/12/2012                        27
DEMO
• Eagle Arms
• Stretch your arms straight in front of
  your body and parallel to the floor.
  Palms facing the ceiling.
• Cross your right arm over the left
  (bend your arm slightly at the elbow if
  needed). Bring both palms together.
• Lift both elbows. The shoulders slide
  down your back.
• Repeat this exercise with the left arm
  over the right.
4/12/2012                                   28
DEMO
• Seated Spinal Twist
• Sit sideways in your chair.
• Place your feet flat on the floor.
• Holding the back of the chair
  with both hands, twist your
  waist to the right towards the
  back of the chair.
• Turn to the other side. Repeat
  this exercise a few more times.

4/12/2012                              29
DEMO
• Temple Rub
• Keep your elbows on your desk and place your
  hands on your temples.
• With small circular motions gently rub your
  temples first clockwise and then anti-
  clockwise.
• Do this for 10 – 15 long deep breaths.


4/12/2012                                    30
THANK YOU
      • “I still need more healthy rest in order to work at
       my best. My health is the main capital I have and I
                       want to administer it intelligently.”
                                 • ---Ernest Hemmingway
                       • Nobel Prize winner for literature




4/12/2012                                                 31

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Employee Wellness Guide on Ergonomics and Occupational Hazards

  • 1. 12th April 2012 WORK SPACE WELLNESS TO WORLD OF WELLNESS - Dr Gowthaman Krishnamoorthy 4/12/2012 1
  • 2. ERGONOMICS • The term "ergonomics" is derived from two Greek words: "ergon," meaning work, and "nomoi," meaning natural laws. Ergonomists study human capabilities in relationship to work demands. • ERGONOMICS is essentially about "fitting work to people". It's the process of designing or arranging workplaces, products and systems so that they fit the people who use them. • This includes design of the home, design of public access buildings and public spaces, and design and operation of transport systems. 4/12/2012 2
  • 3. EMPLOYEE ERGONOMICS  Ergonomics (or human factors) is the scientific discipline concerned with the understanding of interactions among humans and other elements of a system, and the profession that applies theory, principles, data and methods to design in order to optimize human well-being and overall system performance.  In recent years, ergonomists have attempted to define postures which minimize unnecessary static work and reduce the forces acting on the body. All of us could significantly reduce our risk of injury if we could adhere to the following ergonomic principles:  All work activities should permit the worker to adopt several different, but equally healthy and safe postures. Where muscular force has to be exerted it should be done by the largest appropriate muscle groups available. 4/12/2012 3
  • 5. ERGONOMICS the task (job content & context) the the organization tool the the environment workstation 4/12/2012 5
  • 6. ERGONOMICS • Goal – to reduce work-related musculoskeletal disorders (MSDs) developed by workers • MSDs are injuries and illnesses that affect muscles, nerves, tendons, ligaments, joints or spinal discs. 4/12/2012 6
  • 7. ERGONOMICS Common Symptoms of MSDs • Painful joints • Pain, tingling, numbness in hands, wrists, forearms, shoulders, knees and feet • Shooting or stubbing pains • Swelling or inflammation 4/12/2012 7
  • 8. ERGONOMICS Common Symptoms of MSDs • Fingers or toes turning white • Back or neck pain • Stiffness 4/12/2012 8
  • 10. Occupational Hazards PHYSICAL HAZARD ERGONOMIC HAZARD CHEMICAL HAZARD BIOLOGICAL HAZARD 4/12/2012 10
  • 11. OCCUPATIONAL HEALTH ( ILO/WHO )  Promote and maintain the highest degree of physical, mental & social well-being of workers of all occupations  Prevent workers from departures due to health caused by their working conditions  Protect workers in their working environment from hazards and risks usually causing adverse health effects  Place & maintain a worker in an occupational environment adapted to his/her physiological ability 4/12/2012 11
  • 12. HAZARD AND RISK  HAZARD  RISK - any source of - the chance or potential damage, probability that a harm or adverse person will be health effects on harmed or something or experience an someone under adverse health effect certain conditions at if exposed to a work. hazard. 4/12/2012 12
  • 13. Genetic Multiplicity of factors exposure Lifestyle Duration of Age exposure WORK- Workplace Workers’ Factors Physical Susceptibility RELATED properties Race DISEASE Magnitude of Gender exposure Medical Timing of history exposure 4/12/2012 13
  • 14. Radiation Risk Electromagnetic Spectrum Source Frequency in hertz (Hz) X-rays, about 1 billion 22 billion Hz Gamma rays 10 20 can penetrate 10 the body and damage X-rays 18 internal organs and tissues 10 by damaging important 16 molecules like DNA. Ultraviolet radiation 10 14 This is called “ionization.” Visible light 10 12 Microwaves, several billion Hz, Infrared radiation 10 10 can have “thermal” or hearing 10 effects on body tissues Microwaves 8 Power frequency EMFs 50 or 10 Radio waves 6 60 Hz carry very little energy, 10 have no ionizing effects 800 - 900 MHz 4 and usually no thermal 15 - 30 Hz & 50 - 90 Hz Very low frequency (VLF) 10 3,000 - 30,000 Hz 2 effects. They can, however, Extremely low frequency 10 cause very weak electric 60 Hz (ELF) 3 - 3,000 Hz currents to flow in the body. Direct current 0 4/12/2012 14
  • 15. RADIATION Types Sources Health Effects Ionizing X-rays Cancer, congenital Gamma rays defects, death Non-ionizing Ultraviolet skin redness, premature skin ageing, and skin cancer Infrared corneal and conjunctival burns, retinal injury, cataract Laser Skin and eye problem 4/12/2012 15
  • 16. BIOLOGICAL HAZARDS VIRUSES FUNGI BACTERIA PARASITES 4/12/2012 16
  • 17. Selected Infectious Diseases and Occupations Agent / Disease Occupation Colds, influenza, scarlet fever, May be contracted anywhere diphtheria, smallpox Tuberculosis Silica workers, people exposed to heat and organic dusts, and medical personnel Anthrax Animal handlers and handlers of carcasses, skins, hides, or hair of infected animals, including wool carpet processors and handlers. 4/12/2012 17
  • 18. Selected Infectious Diseases and Occupations Agent / Disease Occupation Ringworm (in horses, cattle, Pet shop salesmen, stockmen, deer, pigs, cats, dogs, birds) breeders of cats and dogs, and other animal handlers Tetanus Farmers (spores in soil) or anyone in contact with manure. 4/12/2012 18
  • 19. STRESS The harmful physical and emotional responses that occurs when the requirements of the job do not match the capabilities, resources or needs of the worker. 4/12/2012 19
  • 21. STRESS Manifestations of Stress PSYCHOLOGICAL PHYSIOLOGICAL BEHAVIORAL  Fatigue  Heart rate  Drug use  Anxiety  Blood pressure  Alcohol intake  Tension  Indigestion  Heavy smoking  Irritability  Impulsive emotional  Depression behavior  Boredom  Poor work & family  Inability to concentrate relationship  Low esteem  Social isolation  Family abandonment  Sleep problems 4/12/2012 21
  • 22. Ayurveda and Health • Ayurveda brings about the balance between our Physical & Mental aspects and helps us to remain naturally beautiful. Herbs of tremendous medicinal values are found abundantly in nature. • Ayurveda uses these herbs individually and in special blends to treat every kind of Physical & Psychological Problems. • As the Stress builds up, we move towards the Lack of Confidence and a feeling of Inferiority becomes a part of our Life. Lest the Thorn / The Cause/ The Toxins/ Stress is removed only then the normal healing mechanism of the body is initiated or else it effects the other organs of the body & thus Uncurable Diseases are produced. 4/12/2012 22
  • 23. Yoga & Health • Many of the popular techniques found to reduce stress derive from yoga: • controlled breathing • meditation • physical movement • mental imagery • stretching • Yoga, which derives its name from the word, “yoke”—to bring together—does just that, bringing together the mind, body and spirit. But whether you use yoga for spiritual transformation or for stress management and physical well- being, the benefits are numerous. 4/12/2012 23
  • 24. YOGA • Yoga for Stress management • ! Breathing technique help relax and learn the various types of Pranayama. • ! Can be done either lying down or sitting posture to ensure rhythmic breathing in and out. • ! AUM chanting is soothing. • ! Practice joint relaxing exercises and instant • whole body relaxation techniques with deep breathing . • A) Shavasan B) Makarasan • C) Bhujangasan D) Shalabhasan • E) Suptavajrasan F) Vakrasan • G) Pranayama H) Meditation are use full 4/12/2012 24
  • 25. DEMO • If you are wearing tight, uncomfortable footwear remove them before starting the stretches. You may also wish to loosen your tie and belt. • Here are a few exercises you could try for a start: • Neck Roll • Close your eyes. • Let your chin drop down to your chest. • Begin the circular motion of your neck slowly, by moving the right ear to the right shoulder, taking the head backwards and then bringing the left ear to the left shoulder. • Keep your shoulders loose and relax. • Rotate your neck 3-5 times and then switch directions. 4/12/2012 25
  • 26. DEMO • Seated Forward Bend • Push your chair away from your desk. • Remaining seated, keep your feet flat on the floor. • Take your arms behind the lower back, keep your back straight and interlace your fingers behind your back. • Bending forward from the waist, bring your interlaced hands over your back. • Rest your chest on your thighs and relax your neck. 4/12/2012 26
  • 27. DEMO • Cow Stretch • Keep your feet on the floor. • Bring both hands on your knees. • While inhaling, stretch your back backwards and look towards the ceiling. • While exhaling, stretch your back forward and drop your head forward. • Repeat this exercise for 3-5 breaths. 4/12/2012 27
  • 28. DEMO • Eagle Arms • Stretch your arms straight in front of your body and parallel to the floor. Palms facing the ceiling. • Cross your right arm over the left (bend your arm slightly at the elbow if needed). Bring both palms together. • Lift both elbows. The shoulders slide down your back. • Repeat this exercise with the left arm over the right. 4/12/2012 28
  • 29. DEMO • Seated Spinal Twist • Sit sideways in your chair. • Place your feet flat on the floor. • Holding the back of the chair with both hands, twist your waist to the right towards the back of the chair. • Turn to the other side. Repeat this exercise a few more times. 4/12/2012 29
  • 30. DEMO • Temple Rub • Keep your elbows on your desk and place your hands on your temples. • With small circular motions gently rub your temples first clockwise and then anti- clockwise. • Do this for 10 – 15 long deep breaths. 4/12/2012 30
  • 31. THANK YOU • “I still need more healthy rest in order to work at my best. My health is the main capital I have and I want to administer it intelligently.” • ---Ernest Hemmingway • Nobel Prize winner for literature 4/12/2012 31