Medicine of labor (Occupational medicine)

List of activities, reviews and analysis performed at the Institute of Public Health of the Republic of Macedonia, and related to the provision of comprehensive preventive health care workers:

  1. preventive medical examinations of workers (sitematic periodic examinations) with complete content specified in the Decree on the type, manner and scope of the medical examinations of employees (Of. Gazette no.60 / 2013).
  2. determination of metals in the working environment and biological material (blood, serum, urine) of the occupationally exposed persons:
    1. aluminum,
    2. arsenic,
    3. selenium,
    4. alive,
    5. cadmium,
    6. manganese,
    7. nickel,
    8. lead,
    9. chrome,
    10. zinc,
    11. copper,
    12. cobalt,
    13. magnesium .
  3. determination of organic compounds in the working environment and biological material (blood, serum, urine) of the occupationally exposed persons:
    1. aliphatic and alicyclic hydrocarbons,
    2. cyclic hydrocarbons,
    3. amino and nitro compounds of cyclic hydrocarbons,
    4. halogenated derivatives of aliphatic and cyclic hydrocarbons,
    5. alcohols, esters, ethers, aldehydes and ketones,
    6. pesticides,
    7. chlorinated vinyl monomer,
    8. some artificial resins
  4. determining the specific biomarkers of exposure and / or diseases in contact with biological agents:
    1. exposure to hepatitis B and / or C
    2. exposure to HIV virus
    3. specific biomarkers contact:
      1. anthrax,
      2. amoebiasis,
      3. brucellosis,
      4. leptospirosis,
      5. Legionnaires’ disease,
      6. Lyme disease,
      7. arbovirus infections – viral hemorrhagic fever,
      8. tetanus,
      9. toxoplasmosis,
      10. TB,
      11. histoplasmosis,
      12. Q-fever,
      13. pandemic flu.
    4. standard biochemical and other examinations
      1. blood glucose,
      2. HBA1,
      3. cholesterol,
      4. HDL cholesterol,
      5. LDL cholesterol,
      6. triglycerides,
      7. total protein,
      8. albumin,
      9. a and b microglobulin,
      10. immunoglobulins,
      11. lipoproteins,
      12. apolipoproteins,
      13. urea,
      14. creatinine,
      15. bilirubin (total and direct),
      16. acid phosphatase,
      17. alkaline phosphatase,
      18. alpha amylase,
      19. CK,
      20. gamma GT (GGT),
      21. GOT,
      22. lipase,
      23. pancreas amylase,
      24. calcium,
      25. magnesium,
      26. phosphorus,
      27. anti streptolysin,
      28. complement C3 and C4,
      29. CRP,
      30. ferritin,
      31. transferrin,
      32. rheumatism factor,
      33. rheumatic markers of inflammation,
        1. PSA and FPSA
      34. hormones (TSH, T3 and T4),
      35. tumor markers,
        1. CEA
        2. CEA – 19,9 GIMA, 125 OMMA, 15.3 BRAMA
      36. urine (glucose, protein, bilirubin, urobilinogen, sediment)
    1. measuring the intensity of radiation in the working environment,
    2. determining the absorbed dose of ionizing radiation in occupationally exposed workers (private / personal dosimetry – TLD).