Enfermedades Producidas Por Radiaciones Ultravioleta

7/25/2019 Enfermedades Producidas Por Radiaciones Ultravioleta

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ENFERMEDADES PRODUCIDAS POR RADIACIONES ULTRAVIOLETA (CONJUNTIVITIS)

OSCAR PUENTESANA MARIA BAQUEROCARMEN CIELO LINARES JIMENEZ

NOMBRE - SINNIMOS

Pingcula (1!"#$P%&'igi (1!"#$

CODIFICACIN INTERNACIONAL

")!* T'a+%'n+ ,& la cnun%i.a (/a Cla+i0icacin In%&'nacinal ,& En0&'2&,a,&+$

AGENTE ETIOLGICO Y DESCRIPCIN

El &+3&c%' c23'&n,i, &n%'& la 24+ la'ga lngi%u, ,& n,a ,& l+ 'a5+ 6 5 la+ lngi%u,&+ ,& n,a 24+c'%a+ ,&l &+3&c%' .i+i7l& +& cnc& c2 la '&gin ul%'a.il&%a la cual &+ un %i3 ,& 'a,iacin n ini8an%&&n &l &+3&c%' &l&c%'2agn%ic 9u& c23'&n,& &l 'ang ,& lngi%u, ,& n,a c23'&n,i, &n%'& l+ 1:: n2

(9u& c''&+3n,& a la &n&'g;a ,& un 0%n ,& a3' El &+3&c%' ,& lngi%u,,& n,a c'%a ,& la '&gin U= +& %2a c2 &l l;2i%& &n%'& &l &+3&c%' ,& la 'a,iacin ini8an%& (lngi%u, ,&n,a ? 1:: n2$ 5 &l &+3&c%' ,& la 'a,iacin n ini8an%&> @ica '&gin +& a ,i.i,i, a'7i%'a'ia2&n%& &n %'&+8na+ a +a7&' * (1!"#$

A RU= 3'

Cn la ,&3l&cin ,& la ca3a ,& 8n ,& la &+%'a%+0&'a la 37lacin 5 &l 2&,i a27i&n%& &+%a'4n & Una 3&'+na +in&


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La 'a,iacin U= 3u&,& '&0l&a'+& %a27in 3' la +u3&'0ici& %&''&+%'& &+% ,&3&n,& ,&l %i3 ,& +u3&'0ici&* &l3a+% 5 la %i&''a +la2&n%& '&0l&an &l 1G al G ,& la U= &l agua '&0l&a &n%'& &l "G 5 &l 1"G ,& la 'a,iacinU= la a'&na 5 &l cnc'&% '&0l&an &n%'& &l )G 5 &l 1DG ,& la 'a,iacin U= la ni&.& '&0l&a a+%a &l DDG ,& la'a,iacin U= ($>

O%'a+ 0u&n%&+ ,& 'a,iacin ul%'a.il&%a +n la+ a'%i0icial&+ c'&a,a+ 3' &l 27'& c2 la+ 0u&n%&+ lu2in+a+

incan,&+c&n%&+ 0lu'&+c&n%&+ 5 ,& ,&+ca'ga 3&'acin&+ ,& +l,a,u'a la+ an%'ca+ ,& 3la+2a 5 l+l4+&'&+> ("$ La 2a5';a ,& la+ 0u&n%&+ a'%i0icial&+ ,& U= &

Cuan, una c''i&n%& &lc%'ica 3a+a a %'a.+ ,& un ga+ .a3' +& 3u&,& 3',uci' 'a,iacin> El %i3 ,&lngi%u, ,& n,a ,& la 'a,iacin &2i%i,a ,&3&n,& ,&l %i3 ,& ga+ .a3' 3'&+&n%& &n la ,&+ca'ga 5 a3a'&c&c2 l;n&a+ ,& &2i+in &+3&c%'al> El anc ,& la+ l;n&a+ 5 la can%i,a, ,& 'a,iacin ,&3&n,&n ,& la 3'&+in ,&la ,&+ca'ga> E+%a ,&+ca'ga &lc%'ica ga+&+a &+ la 7a+& ,& 3&'acin ,& 2uca+ l423a'a+ 9u& &2i%&n'a,iacin U= ("$>

El 3'c&+ ,& %'an+icin &l&c%'nica &+3&c;0ica ,& la &2i+in &+%i2ula,a &+ la 7a+& ,& 3&'acin ,&l l4+&'>@&3&n,& ,& la a7ili,a, ,&l 2&,i 'a,ian%& 3a'a 3',uci' in.&'+in &n la 37lacin 3' &&23la3'.&can, la cn,icin &n 9u& a5 2a+ 4%2+ 2lcula+ &n ni.&l&+ al%+ ,& & Una .&8 cu''& la in.&'+in &n la 37lacin +& g&n&'a una a.alanca ,& 0%n&+ 3' &2i+in&+%i2ula,a> Inicial2&n%& &+%+ 0%n&+ &+%i2ulan %'+ 4%2+ & En &lca+ ,& la+ l423a'a+ alg&na+ ,& %ung+%&n ,& al%a %&23&'a%u'a +& &2i%&n can%i,a,&+ +igni0ica%i.a+ ,& U=B("$>

La+ 0u&n%&+ ,& U= c'&a,a+ 3' &l 27'& +& ag'u3an ,& la +igui&n%& 0'2a (1"$*

u&n%&+ Incan,&+c&n%&+ @&+ca'ga+ ,& a+ @&+ca'ga+ Elc%'ica+ L423a'a+ lu'&+c&n%&+ L4+&'>

UENTES INCAN@ESCENTES

L423a'a+ ,& %ung+%&n* la &2i+in ,& U= ,& +%a+ l423a'a+ &+ 2;ni2a 5 ,&+3'&cia7l& &n cuan% a&0&c%+ +7'& la +alu,> La &2i+in 3ic &+%4 &n la '&gin ,& l+ 'a5+ in0'a''+>

@ESCARAS @E AS

L423a'a+ ,& 2&'cu'i* -L423a'a+ g&'2ici,a+ +n ,& 7aa 3'&+in 5 &2i%&n U= ,& !">) n2> E+%a++& u%ili8an cn 3'3+i%+ g&'2ici,a+ 5 ,&+in0&c%an%&+> E2i%&n can%i,a,&+ i23'%an%&+ ,& U= ,& !">) n2> S&u%ili8an %a27in &n &+%u,i+ c'2a%g'40ic+ 5 &n la i,&n%i0icacin 5 au%&n%icacin ,& ,cu2&n%+> La cu7i&'%a,& cua'8 ,& alguna+ ,& &+%a+ l423a'a+ &2i%& U= ,& 1D n2> -L423a'a+ 0lu'&+c&n%&+- +n ,& 7aa 3'&+ina %'a.+ ,& .a3'&+ ,& 2&'cu'i 5 %' ga+ c2 &l a'gn> La lu8 +& 3',uc& 3' la &n.l%u'a ,& 0+0' &n &l


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in%&'i' ,&l .i,'i 9u& g&n&'a &2i+in&+ &n un 'ang a23li ,&l &+3&c%' 5 9u& inclu5&n lu8 .i+i7l& U=B 5U=A>

L423a'a+ ,& lu8 0lu'&+c&n%&- M&,ian%& ,&+ca'ga+ &n%'& ,+ &l&c%',+ a %'a.+ ,& una 2&8cla ,&.a3' ,& 2&'cu'i 5 un ga+ c2 &l a'gn> La &2i+in ,& 2&'cu'i ,& !#) n2 +& a23lia a lngi%u,&+ ,&n,a 2a5'&+ a %'a.+ ,& una cu7i&'%a in%&'na ,& 0+0'> El 'ang ,&l 0+0' 3&'2i%& &+cg&' l423a'a+ ,&

cl'&+ &+3&cial&+ 5 c&'can al 7lanc> La &2i+in ,& U=B 5 U=A &+ & La+ ,& 0%%&'a3ia &2i%&n lu8 .i+i7l& (#::-#): n2$> La+ l423a'a+ ,&al%a 3'&+in c23'&n,&n la+ ,& 2&'cu'i 5 2&'cu'i cn 2&%al&+ 4li,+ +in g&n&'acin ,& a'c>

L423a'a+ ,& 2&'cu'i cn 2&%al&+ 4li,+* a23lia2&n%& u%ili8a,a+ 3a'a ilu2inacin &n la in,u+%'iac2&'ci &n la+ call&+ 0%ilu2inacin &n li%g'a0;a i23'&n%a 5 0%g'a0;a> La cu7i&'%a & La &0icacia lu2in+a ,& &+%a+ &+ 2a5' 9u& la+ an%&'i'&+> La 2a5';a ,& &+%a+

l423a'a+ &2i%& U=A ("!:-##: n2$>

L423a'a+ ,& 6&nn* +& u%ili8an cuan, +& '&9ui&'& una l423a'a ,& al%a i''a,iacin c2 &n la0%g'a0;a 5 +i2ula,'&+ ,& 'a,iacin +la'> El &+3&c%' ,& &2i+in &+ cn%inu ,&+,& la U= a+%a la IR> S&&2i%&n g'an,&+ can%i,a,&+ ,& U=C U=B 5 U=A 3' l 9u& '&3'&+&n%an al% 'i&+g 3a'a la '&%ina +i n +ncn%'la,a+>

L423a'a+ ,& i,'g&n 5 @&u%&'i>

Tu7+ ,& la+>

@ESCARAS ELCTRICAS

Sl,a,u'a ,& a'c* la &2i+in ,& U= &+ 2uc 2a5' 9u& la+ an%&'i'&+> La &2i+in &+3&c%'al .a';a+&gHn &l &l&c%', u%ili8a, 5 l+ 2&%al&+ 9u& +& cl9u&n &l 3la+2a 9u& +& c'&& 5 &l ga+ 9u& +& u+&> Sn3%&n%&+ &2i+'&+ ,& U=R 5 aun a 2u5 c'%a+ &

A,&24+ ,& U=R &2i%&n 'a,iacin in0'a''a 5 .i+i7l& 9u& +n 3&lig'+a+ 3a'a la '&%ina> Sl,a,u'a ,& ga+* la+ lla2a+ ,& El ,i+3a' 3a+a a %'a.+ ,&l 2&,i l4+&' .a'ia+ .&c&+ 5 &lnH2&' ,& 0%n&+ &2i%i,+ au2&n%a ca,a .&8>- L4+&' ,& c'%&- L4+&' ,& %incin- L4+&' ,& ga+

CRITERIOS OCUPACIONALES

OICIOS =INCULA@OS


4/17

T'a7a+ al ai'& li7'& (&n & (1!"#)$

P&+ca,'&+ (")$ @&3'%i+%a+ ("$ Ja',in&'+ (")$

Ag'icul%'&+ ("$ l'icul%'&+ ("$ ana,&'+ ("$

T'a7a+ &n In%&'i'&+> (1!"#$

Sl,a,'&+ P&'+nal ,& li%g'a0;a & i23'&n%a+ P&'+nal 2,ic 5 3a'a2,ic P&'+nal &n 3'c&++ ,& +&ca, 5 %'a%a2i&n% ,& ali2&n%+ %g'a0+ El&c%'ici+%a+

ACTIVIDADES ECONMICAS

Ag'icul%u'a (#$

l'icul%u'a (#$

ana,&';a (#$

M&,icina (1"$

O,n%lg;a (1"$

Sl,a,u'a &lc%'ica ,& a'c 5 ,& ga+* la 3'i2&'a &2i%& can%i,a,&+ i23'%an%&+ ,& U= ,&3&n,i&n, ,&la c''i&n%& ,& a'c &l ga+ 5 l+ 2&%al&+ a +l,a'> P' &+% n &+ 'a' 9u& l+ +l,a,'&+ alguna .&8 &n la.i,a 3'&+&n%&n un ,& a'c 0la+ ,&l +l,a,' (0%9u&'a%i%i+$ 5 &'i%&2a ,& la 3i&l> La i'''a,iancia &0&c%i.a a:>" 2% ,& un a'c ,& +l,a,u'a 9u& 3&'& a 1: A &+ %al 9u& &l %i&23 24 L+ %u7+ ,& ,&+ca'ga ,& 2&'cu'i ,& 7aa 3'&+in +n 2u5 u%ili8a,+ 5 '&ci7&n &l n27'& ,&l423a'a+ 7ac%&'ici,a+ g&'2ici,a+ ,& U=C> S& u%ili8a &+%a 'a,iacin 3a'a ,&+in0&c%a' 3i+cina+ agua 3%a7l&5 &n la in,u+%'ia c+2%ica ("$>

%3'c&++* 2uc+ 3'c&++ in,u+%'ial&+ u%ili8an un c23n&n%& 0%9ui2ic g&n&'al2&n%& +&n&c&+i%a una l423a'a ,& al% 3,&' 9u& &2i%& U= &n can%i,a, i23'%an%&> El 3'inci3al u+ inclu5& &l cu'a, ,&cu7i&'%a+ 3'%&c%'a+ 5 %in%a+ 3a'a %a7l&'+ ,& ci'cui%+ i23'&++> En &l +&ca, ,& %in%a+ ,&c'acin ,&2&%al&+ 5 &n la in,u+%'ia &l&c%'nica ("$>

El&c%'nica>

In.&+%igacin ci&n%;0ica* &n 0%7ilg;a 0%9u;2ica 5 7ilgia 2l&cula'>

C2&'ci* l423a'a+ +la'&+ 3a'a 7'nc&a, ,&%&ccin ,& 3',uc%+ cn%a2ina,+ cn %cnica+ ,&lu8 0lu'&+c&n%& %'a23a+ ,& in+&c%+ 9u& +n a%'a;,+ 3' l423a'a+ ,& lu8 0lu'&+c&n%& U=A l423a'a+ ,& lu8n&g'a U=A &n la+ ,i+c%&ca+ 5 au%&n%icacin ,& ,cu2&n%+> (1"#$

M&,icina 5 O,n%lg;a* ,iagn+%ic ,& in0&ccin&+ ,& &'i,a+ 3' ng+ 5 7ac%&'ia+ 2&,ian%& l423a'a+ ,&2a,&'a 9u& &2i%&n can%i,a,&+ 2;ni2a+ ,& U=A 3'inci3al2&n%& +i&n, incua+ 3a'a la +alu,> %%&'a3ia U=3a'a %'a%a2i&n% ,& la 3+'ia+i+ acn 3i%i'ia+i+ '+ac&a u'%ica'ia &c8&2a 5 u'%ica'ia> En ,n%lg;a +&clca 3a'a ca'i&+ 5 0i+u'a+ una '&+ina 9u& &+ 0ia,a 5 &n,u'&ci,a cn U=A a 2;ni2a i''a,iancia 3' ":+&gun,+ ("#$>


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CRITERIOS HIGINICO EPIDEMIOLGICOS

TIPO @E E6POSICIN

La 'a,iacin U= in,uc& &0&c%+ 7ilgic+ 9u& ,&3&n,&n ,& la lngi%u, ,& n,a ,& la 'a,iacin> Pa'a

,&%&'2ina' &l 3&lig' ,& la 2i+2a +& ,&7& %&n&' in0'2acin ,& la &2i+in &+3&c%'al> E+% cn+i+%& &n la2&,icin ,& la i''a,iancia &+3&c%'al ( 2-! n2-1 $ ,&l c4lcul ,& la &2i+in ,& la 0u&n%&> La i''a,iancia %%al( 2-! $ +& 7%i&n& +u2an, %,a+ la+ lngi%u,&+ ,& n,a 9u& +& &2i%&n> El 'i&+g 7ilgic i''a,iancia3&lig'+a 3n,&'a,a ( 2-! &0&c%i.a $ +& ,&%&'2ina 2ul%i3lican, la i''a,iancia &+3&c%'al a ca,a lngi%u, ,&n,a 3' &l 0ac%' 7ilgic ,& 'i&+g 3n,&'a, (&l cual cuan%i0ica la '&la%i.a &0icacia ,& ca,a lngi%u, ,&n,a 3a'a 3',uci' &l &0&c%$ 5 +u2an, %,a+ la+ lngi%u,&+ ,& n,a> @ic+ 0ac%'&+ +& 7%i&n&n ,&l&+3&c%' ,& accin ("$>

La 2a5';a ,& la U= inci,&n%& &n &l &+ a7+'7i,a 3' la 3&l;cula lac'i2al la c'n&a 5 &l c'i+%alin> Elc'i+%alin 5 la 3a'%& an%&'i' ,&l 3u&,&n &+%a' & El :G ,& U= "!: n2 5 &l D:G U= "D: n2 +& %'an+2i%&n a %'a.+ ,& la c'n&a> El u2' acu+%'an+2i%& &l /:G ,& U= #:: n2> El c'i+%alin u2an a7+'7& 3'inci3al2&n%& U= &n%'& "#:-"D: n2 5 &n2&n' g'a, "1:-"!: n2> El c'i+%alin cn%i&n& un 0il%' 9u& a7+'7& U=A 9u& 3'%&g& la '&%ina (-7&%a ,& "-i,' a5 una '&lacin ,&0ini%i.a cn la &,a, la 2a5';a ,& la+ 3&'+na+2a5'&+ ,& ): a+ %i&n&n 3ingcula+ 5 %,+ l+ 2a5'&+ ,& D: a+ 3'&+&n%an &+%a 3a%lg;a> El %'au2a'&3&%i, ,& la cnun%i.a &3i7ul7a' in%'a3al3&7'al ,&7i, al ci&''& ,& l+ 34'3a,+ +& cn+i,&'a un 0ac%'cau+al> Pa'&c& 9u& un 0ac%' aun 24+ i23'%an%& &+ la & El3'&,2ini ,& la 3ingcula na+al +& a%'i7u5& a la '&0l& A27+ cu''&n &n %'a7aa,'&+al ai'& li7'& 3&'+na+ 9u& .i.&n c&'ca al &cua,'> O%'+ 0ac%'&+ c2 la '&+&9u&,a, 3',uci,a 3' &l %'au2a,&l .i&n% 5 &l 3l. la 9u&'a%3a%;a cli24%ica %a27in &+%4n '&lacina,+ cn 3ingcula ()$> E Ta5l' &% al> (1/D/$ &n &+%u,i ,& l+ 3&+ca,'&+ ,&la Ba;a ,& C&+a3&a& &ncn%' una ,7il a+ciacin &n%'& la 3ingcula 5 la & El'i&+g '&la%i. 0u& ,& 1># in0&'i' al ,& la 9u&'a%3a%;a cli24%ica 5 &l 3%&'igi> Ka'ai 5 'iguci (1/D#$ n&ncn%'a'n a+ciacin &n%'& &+%a 3a%lg;a 5 l+ +l,a,'&+> E

A3a'%& ,& la in.a+in c'n&al la ca'ac%&';+%ica 24+ lla2a%i.a ,&l 3%&'igi &+ la 3'li0&'acin ,& %&i, 0i7'+&Muc+ ,& &+%+ alla8g+ +ugi&'&n 9u& &l 3%&'igi &+ una 9u&2a,u'a 9u& +& 3',uc& ,u'an%& .a'i+ a+

3' la a7+'cin acu2ula%i.a ,& 'a,iacin ul%'a.il&%a & in0'a''a ,&l +l>

La ,i+%'i7ucin g&g'40ica 5 la lcali8acin ana%2ica &n la '&gin in%'a3al3&7'al ,&l 3%&'igi i23lica ala27i&n%&> T,+ l+ 0ac%'&+ ,& 'i&+g ci%a,+ an%&'i'2&n%& +&alan la lu8 +la' c2 &l 0ac%' cau+al> Lacnun%i.a 5 la c'n&a a7+'7&n la 2a5';a ,& la 'a,iacin U= & IR ,&l +l 3u,i&n, ,aa' &l %&i, &3i7ul7a'>

Aun9u& la 'a,iacin IR & La 7an,a ,& l+!/: a "!: &+ la ,i'&c%a2&n%& '&lacina,a> Pic l& ,a 2a5' i23'%ancia al &0&c% %'2ic ,& la 'a,iacin IR 5la '&+3u&+%a %i+ula' cn+&cu&n%&> ilg&'+ ,ic& 9u& la U=R ,&+na%u'ali8a la+ 3'%&ina+ ,& la c'n&a3',uci&n, una '&accin an%;g&n-an%icu&'3 9u& &+%i2ula la 3'li0&'acin 0i7'.a+cula'> Ba''a9u&' 3'3n&


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9u& la &l&.acin ,&l li27 3',uci,a 3' la 3ingcula 3',uc& una ,i+cn%inui,a, ,& la 3&l;cula lac'i2al 9u&ll&.a a la 0'2acin ,& 2ic'ulc&'a+ ,&l &3i%&li 9u& a%'a&n la in.a+in 0i7'.a+cula' ()/$>

La 3'&.al&ncia ,&l 3%&'igi &+ 2a5' &n la+ 8na+ 24+ c&'cana+ al Ecua,'* A'u7a lcali8a,a a 1!W la%i%u,%i&n& una 3'&.al&ncia ,& !!>G Pu&'% Ric u7ica, a 1DW %i&n& una 3'&.al&ncia ,&l 1DG l+ &+%a,+ ,& EU&n%'& !DW-"W %i&n&n 3'&.al&ncia+ &n%'& &l G-1G 3' &nci2a ,&l 3a'al&l #: la 3'&.al&ncia ,& 3%&'igi &+

in+igni0ican%& 2&n' al !G> Cn '&lacin al +&La 3'&.al&ncia &+ 2a5' &n ca23&+in+ 5 &n 3&'+na+ 9u& n u%ili8an ga0a+> En l+ .i&+ la 3'&.al&ncia &+2a5' +in &27a'g &l 3ic ,& inci,&ncia &+%4 &n &l g'u3 ,& l+ !:-#: a+ ,& &,a,> Cu'i+a2&n%& &+%a,i+c'&3ancia &n%'& 3'&.al&ncia & inci,&ncia '&+3&c% a la &,a, n cu''& cn la 3ingcula cn+i,&'a,a c23'&cu'+'a ,&l 3%&'igi> Tan% la inci,&ncia c2 3'&.al&ncia ,& la 3ingcula au2&n%an cn la &,a,> O%'a,i0&'&ncia &+ 9u& la 3ingcula +& 3'&+&n%a 3' igual &n 27'&+ 5 2u&'&+> A+; 2i+2 +& 3u&,& 3'&+&n%a' &n'&gin&+ ,n,& 'a'a .&8 +& 3'&+&n%a &l 3%&'igi ()/$>

Tal7' (1/#D$ +ugi'i 3' 3'i2&'a .&8 a+ciacin &n%'& 3%&'igi 5 la &@a''&ll X Bac'ac (1/"$ &ncn%'a'n '&lacin &n%'& &l 'a,i ,&l 3%&'igi 5 la& @a%+ ,&l Cana,4 in,ican 9u& &l 3%&'igi &+ 0'&cu&n%& &n'&gin&+ 4'%ica+ 5 +u74'%ica+> Ka'ai X 'iguci (1/D#$ &ncn%'a'n 2a5' 'i&+g ,& 3%&'igi &n l+ +l,a,'&+9u& ll&.a7an 2a5' %i&23 %'a7aan, &n &+%& 0ici 2&,icin in,i'&c%a ,& & B%(1/D$ &n &+%u,i ,& ca++ 5 cn%'l&+ ,& 3%&'igi &n Si,n&5 n &ncn%' ,i0&'&ncia &n cuan% a la & E+%u,i+ &n a+&''a,&'+ &n Nu&.a @&li Tailan,ia 5 TaiYan 2+%'a'n un 2a5''i&+g ,& 3'&+&n%a' 3%&'igi>

La na%u'al&8a ,& la a+ciacin &n%'& la 'a,iacin +la' 5 &l 3%&'igi 5 la C@K &+ ,i0&'&n%& a la ,& la ca%a'a%ac'%ical 5 la ,&g&n&'acin 2acula' +&nil (1:$*

-Ca%a'a%a c'%ical* U=B-AM@* 'a,iacin .i+i7l&- P%&'igi 5 C@K* U= lu8 .i+i7l& lu8 a8ul

(!/: - ):: n2$

E+%a ,i0&'&ncia &n cuan% al 0ac%' &%ilgic 3u&,& ac&' 3&n+a' 9u& la 0i+i3a%lg;a ,& &+%a+ &n%i,a,&+ &+,i0&'&n%& aun9u& la 0i+i3a%lg;a ,& ninguna ,& &lla+ &+%4 7i&n &+%a7l&ci,a(1:$>

TIEMPO @E E6POSICIN PARA EECTOS SUBAU@OS AU@OS CRNICOS

E

Cnc&n%'acin a27i&n%al &+%i2acin 'a8na7l&2&n%& .ali,a>

N &+%4 ,&+c'i%a>

CRITERIOS CLNICOS

ANTECE@ENTES


7/17

Si%i ,& '&+i,&ncia &,a, +& O%'+ 2&,ica2&n%+ 9u& 3u&,&n 3',uci' 0%+&n+i7ili,a,i23'%an%& 5 +7'& l+ cual&+ +& ,&7& 3'&+%a' &+3&cial a%&ncin +n* A,'ia2icina ini7i,'&+ ,& la 4ci,'&,uc%a+a al3u'inl g'i+&0ul.ina 0&n%ia8ina+ ,&'i.a,+ ,&l 3'0i'in +ul0na2i,a+ i3glic&2ian%&+ 'al&+cl'9uina algun+ an%icnc&3%i.+ 'al&+ 3+'al&n+ '&%ini,&+ %&%'aciclina 2inciclina ,

Pingcula*

E+ una ,&g&n&'acin ,& la cnun%i.a 9u& +& 3'&+&n%a c2 un 4'&a ,& &ng'+a2i&n% cnun%i.al &n la 0i+u'a3al3&7'al a,5ac&n%& al li27 ,& %i3 'i8n%al %'iangula' u .al l&.an%a,a ,& cl' g'i+ a2a'ill> Ca+i+i&23'& cu''& &n la cnun%i.a na+al 5 24+ %&23'ana2&n%& 9u& &n la cnun%i.a %&23'al> El %&i, &l&.a,&+ 24+ 3ac 9u& la cnun%i.a n'2al 5 a3a'&c& c2 +i un l;3i, u7i&'a in0il%'a, l+ %&i,+ +u7&3i%&lial&+7+cu'&ci&n, l+ .a++> La 3ingcula 3u&,& %'a+3a+a' &l li27 3&' cuan, alcan8a la c'n&a +& cn.i&'%&3' ,&0inicin &n un P%&'igi (")$>

L+ ca27i+ 3a%lgic+ +n +i2ila'&+ a l+ ,& la &la+%+i+ ac%;nica ,& la 3i&l a+cia,a a la &Mi&n%'a+ 9u& la 3ingcula +& &&n&'al2&n%& &+ a+in%24%ica +i&n, 24+ un 3'7l&2a &+%%ic c2 3' &&23l &n ac%'&+ 3'&+&n%a,'&+>Oca+inal2&n%& +& i''i%an 5 &n'&c&n> S& 3u&,& ,&+a''lla' una 8na 7lanca 4+3&'a c2 una l&uc3la9uia(3ing&li%i+$ 9u& +& %'a%a cn un cicl c'% ,& c'%ici,&+ %3ic 2&,ian%& '&+&ccin> En g&n&'al n '&9ui&'&%'a%a2i&n%>

Ra'a .&8 la+ 3ingcula+ +& cn0un,&n cn %'a+ l&+in&+> S& ,i0&'&ncia ,& la+ n&3la+ia+ &3i%&lial&+ 3' +ulcali8acin &3i%&lial &n .&8 ,& la lcali8acin +u7&3i%&lial ,& la 3ingcula> Pingcula+ ca0+ +& 3u&,&n .&'&n &l Sin,'2& ,& auc&'>


8/17

La a3a'i&ncia 3a%lgica ,& la 3ingcula 0u& ,&+c'i%a 3' uc+ &n 1D/1 c2 una ialini8acin ,& %&i,cn&c%i. +u7&3i%&lial au2&n% ,& la+ 0i7'a+ 7a+0ila+ &l4+%ica+ 9u& 3a'&c&n +&' &l '&+ul%a, ,& la,&g&n&'acin ,&l cl4g&n in,uci,a 3' la lu8 U=> Un &+%u,i 2ic'+c3ic '&ci&n%& +ugi&'& 9u& la+ 0i7'a+ +n'&+ul%a, ,&l ,a ,& l+ 0i7'7la+%+ 9u& 3',uc&n 0i7'a+ &l4+%ica+ an'2al&+ ()$>

P%&'igi*

A3a'&c& c2 una 7an,a ca'n+a %'iangula' ,& %&i, 0i7'.a+cula' cn una 7a+& anca &n la +u3&'0ici&&3i7ul7a' na+al %&23'al 5 un 43&< +in 3un%a &n la c'n&a &l cual n &+ & Alguna+ .&c&+ & La a3licacin ,&0lu'&+c&ina 2u&+%'a &l 3un%&a, +7'& la +u3&'0ici& &3i%&lial ,&l cu&'3 5 ca+inal2&n%& &n la c'n&ain2&,ia%a2&n%& &n 0'&n%& ,& la ca7&8a> &n,i,u'a+ ,& la c'n&a 3u&,&n cu''i' aun9u& +n 'a'a+ &n ca27ila+ 2anca+ +&ca+ c&n%'al&+ n l +n>

La 2a5';a ,& la+ .&c&+ cuan, &l 3aci&n%& cn+ul%a &l 3%&'igi +& a ,&+a''lla, c23l&%a2&n%&>U+ual2&n%& la i+%'ia '&.&la 9u& &l %&i, c'&ci '43i,a2&n%& &n un 3&';, n 2a5' a ! " 2&+&+> Enalgun+ ca++ &l 3aci&n%& a7'4 n%a, 9u& an%&+ ,&l c'&ci2i&n% '43i, la l&+in &'a un 3&9u& 2n%;cul3'&+&n%& ,u'an%& .a'i+ 2&+&+ a+>

Ra'a .&8 la &.lucin c23l&%a ,& la l&+in 3u&,& %&+%i0ica'+&> En &+%+ ca++ la l&+in inicial n +& ,i+%ingu&,& la 3ingcula la 9u& +H7i%a2&n%& a%'a& .a++ ,&l %&i, cnun%i.al> El 2n%;cul +& &+%i'a 5 %2a la 0'2a,& un '&l ,& a'&na> En la+ +&2ana+ 2&+&+ +igui&n%&+ cn%inHan a3a'&ci&n, nu&.+ .a++ 3'2in&n%&+&n la cnun%i.a .&cina al 2n%;cul 2i&n%'a+ 9u& &n &l la, c'n&al .a'ia+ 'a2a+ .a+cula'&+ ,&lga,a+ +&3'5&c%an acia l+ .a++ &n'lla,+ ,&l li27> Cn la a3a'i&ncia ,& 3li&gu&+ +u3&'i'&+ & in0&'i'&+ &l cu&'3,&l 3%&'igi +& ,&0in&> La l&+in +& cn.i&'%& &n un .&',a,&' 3%&'igi cuan, &l 2n%;cul a2a'ill a'a laca7&8a +& inclina acia &l li27 c'n&al> E+%a inclinacin &+ anuncia,a 3' la a3a'icin ,& un g''+u7&3i%&lial &n 0'2a ,& al ,&n%' ,& la c'n&a>

En cn%'a+%& a la '43i,a 0'2acin ,&l 3%&'igi &l c'&ci2i&n% a %'a.+ ,& la c'n&a &+ l&n% 5 u+ual2&n%&'&9ui&'& ,& .a'i+ a+ 3a'a alcan8a' &l 7',& 3u3ila'> Muca+ .&c&+ a5 un c&+& 7'u+c ,&l c'&ci2i&n%>E+%a inac%i.acin +& ca'ac%&'i8a 3' la au+&ncia ,& cng&+%in &3i+,ica ,&+a3a'&c& &l 3un%&a, +7'& &lcu&'3 a la %incin cn 0lu'&+c&ina 5 +& &ncg& &l g'' cn 0'2a ,& al> La l&+in 3u&,& 3&'2an&c&'&+%acina'ia 3' 2uc+ a+> E.&n%ual2&n%& 3u&,& in.lucina'> La ca7&8a +& a,&lga8a ,&an, una Hlc&'a9u& +& 2&8cla i23&'c&3%i7l&2&n%& cn la c'n&a a,5ac&n%& 5 &l cu&'3 +& 2a'ci%a c2 un .&l ,&2&27'ana a%'a.&+a,a 3' 3c+ .a++ ,&lga,+>

El c'&ci2i&n% ac%i. ,&l 3%&'igi cu''& %;3ica2&n%& &n &l g'u3 ,& &,a, &n%'& l+ !:-": a+ 3&';, ,&2a5' inci,&ncia> La 2a5';a ,& 3%&'igi+ & P%&'igica'n+ "> P%&'igi ,& c'&ci2i&n% l&n% #> P%&'igi &+%acina'i > P%&'igi a%'0ic>

El


9/17


10/17

E+%+ .al'&+ ,&7&n u%ili8a'+& c2 gu;a+ &n &l cn%'l ,& la &: 2Vc2! 3' 3&';,+ 2a5'&+ a 1:" (a3':1!1: #:: #: :>:)!1 "!: "! :>:/!!: !: ! :>1!:!! !:: !: :>1:!": 1: 1 :>1/:!" 1": 1" :>!#:!#: 1:: 1: :>"::!# D" D>" :>":!: ): ) :>#":!#[ : :>::! D >D :>!:!: # #> :>:! ") ">) :>D1:!): ": ">: 1>:::!) "1 ">1 :>/:!D:[ "# "># :>DD:!D "/ ">/ :>)):!/: #) #>) :>#:

Lngi%u, ,& n,a 3 (n2$ TL= TL= E0&c%i.i,a, ,&l E+3&c%' (JV2! $ ( JVc2! $ R&la%i.Sl!/ > :>#:!/)[ > :>#:

":: 1:: 1: :>"::":"[ !: ! :>1!:": :: : :>::":D 1!:: 1!: :>:!"1: !::: !:: :>:1"1"[ ::: :: :>::"1 1>: < 1:# 1>: < 1:" :>::""1 1>" < 1:# 1>" < 1:" :>::!#"1) 1> < 1:# 1> < 1:" :>::!:"1D 1>/ < 1:# 1>/ < 1:" :>::1


11/17

"1/ !> < 1:# !> < 1:" :>::1!"!: !>/ < 1:# !>/ < 1:" :>::1:"!! #> < 1:# #> < 1:" :>:::)"!" > < 1:# > < 1:" :>:::#"! >: < 1:# >: < 1:" :>::::"!D >D < 1:# >D < 1:" :>:::##

"": )>" < 1:# )>" < 1:" :>:::#1""" D>1 < 1:# D>1 < 1:" :>:::")"" D>D < 1:# D>D < 1:" :>:::"#"#: 1>1 < 1: 1>1 < 1:# :>:::!D"# 1>" < 1: 1>" < 1:# :>:::!#": 1> < 1: 1> < 1:# :>:::!:" 1>/ < 1: 1>/ < 1:# :>:::1": !>" < 1: !>" < 1:# :>:::1""[ !>) < 1: !>) < 1:# :>:::11"): ">! < 1: ">! < 1:# :>::::/"") ">/ < 1: ">/ < 1:# :>::::))"D: #>) < 1: #>) < 1:# :>::::#"D >) < 1: >) < 1:# :>::::""/: >D < 1: >D < 1:# :>::::##"/ D>" < 1: D>" < 1:# :>::::"

#:: 1>: < 1: 1>: < 1: :>::::":3 La lngi%u, ,& n,a &+cgi,a &+ '&3'&+&n%a%i.a %'+ .al'&+ ,&7&n +&' in%&'3la,+ a lngi%u,&+ ,& n,ain%&'2&,ia+

[ L;n&a+ ,& &2i+in ,& un &+3&c%' ,& ,&+ca'ga ,& 2&'cu'i (11$

"> Pa'a ,&%&'2ina' la i''a,iancia &0&c%i.a ,& una 0u&n%& ,& 7an,a anca +& 3n,&'a cn%'a &l 3ic ,& la cu'.a,& &0&c%i.i,a, ,&l &+3&c%' (!):n2$ la +igui&n%& 0'2ula ,&7& +&' u%ili8a,a*

E&00 \ El ] Sl ] l

@n,&* E&00 \ I''a,iancia &0&c%i.a '&la%i.a a una 0u&n%& 2nc'2a%ica a !): n2 &n Vc2! (JV+Vc2 !$El \ I''a,iancia &+3&c%'al &n Vc2!Vn2Sl \ E0&c%i.i,a, &+3&c%'al '&la%i.a (+in uni,a,$ l \ Anc ,& 7an,a &n n2

#> Pa'a la 2a5';a ,& la+ 0u&n%&+ ,& lu8 7lanca 5 %,+ l+ a'c+ a7i&'%+ la 3n,&'acin ,& la i''a,iancia&+3&c%'al &n%'& !:: 5 "1 n2 ,&7&';a +&' +u0ici&n%& 3a'a ,&%&'2ina' la i''a,iancia &0&c%i.a> Sla2&n%& 0u&n%&+&+3&ciali8a,a+ U= ,i+&a,a+ 3a'a &2i%i' U=-A '&9u&'i';an n'2al2&n%& 3n,&'a' &l &+3&c%' ,&+,& "1 a #::n2>

> El %i&23 ,& &


12/17

# 'a+ :>!! 'a+ :>#1 'a :>D": 2inu%+ 1>)1 2inu%+ ">"1: 2inu%+

2inu%+ 1:1 2inu% :": +&gun,+ 1::1: +&gun,+ "::1 +&gun, "::::> +&gun,+ ::::>1 +&gun, "::::

PARA PER^O@OS CORTOS - STEL TECO - CEILIN

El %i&23 ,& &


13/17

La 3ingcula g&n&'al2&n%& &+ a+in%24%ica +i&n, 24+ un 3'7l&2a &+%%ic c2 3' &&23l &n ac%'&+ 53'&+&n%a,'&+> Oca+inal2&n%& +& i''i%an 5 &n'&c&n> S& 3u&,& ,&+a''lla' una 8na 7lanca 4+3&'a c2una l&uc3la9uia (3ing&li%i+$ 9u& +& %'a%a cn un cicl c'% ,& c'%ici,&+ %3ic 2&,ian%& '&+&ccin> Eng&n&'al n '&9ui&'& %'a%a2i&n%>

Ra'a .&8 la+ 3ingcula+ +& cn0un,&n cn %'a+ l&+in&+> S& ,i0&'&ncia ,& la+ n&3la+ia+ &3i%&lial&+ 3' +ulcali8acin &3i%&lial &n .&8 ,& la lcali8acin +u7&3i%&lial ,& la 3ingcula> Pingcula+ ca0+ +& 3u&,&n .&'&n &l Sin,'2& ,& auc&'

@a%+ ,& la7'a%'i

N &

La 3ingcula g&n&'al2&n%& &+ a+in%24%ica +i&n, 24+ un 3'7l&2a &+%%ic c2 3' &&23l &n ac%'&+3'&+&n%a,'&+> Oca+inal2&n%& +& i''i%an 5 &n'&c&n> S& 3u&,& ,&+a''lla' una 8na 7lanca 4+3&'a c2una l&uc3la9uia (3ing&li%i+$ 9u& +& %'a%a cn un cicl c'% ,& c'%ici,&+ %3ic 2&,ian%& '&+&ccin> En

g&n&'al n '&9ui&'& %'a%a2i&n%>

El 3%&'igi %&n,';a 2&n' in%&'+ +i n 0u&'a 3' +u %&n,&ncia a '&cu''i' a 3&+a' ,& .a'ia+ %&'a3ia+ ,&+%ina,a+ a&.i%a' &+%& 0&n2&n> @& la+ 3'i2&'a+ %cnica+ u%ili8a,a+ c2 la +i23l& a.ul+in a %&ni, 5 %i&n& una al%a'&ci,i.a (!"-)G$> E+%& 3'7l&2a ll&. al ,&+a''ll ,& nu&.a+ %cnica+ 3a'a &l %'a%a2i&n% ,&l 3%&'igi>

La %'an+3+icin ,& la ca7&8a ,&l 3%&'igi a una nu&.a 3+icin al&a,a ,& la c'n&a ll&.a a una a%'0ia ,& lal&+in> Muca+ .a'ian%&+ ,& &+%a %cnica an +i, ,&+c'i%a+>

ACCIONES CLAVES DE PROMOCIN Y PREVENCIN

Ca,a un ,& n+%'+ &+%4 & Alguna+ 0u&n%&+ ,& U= &2i%&n can%i,a,&+cn+i,&'a7l&+ ,& 'a,iacin .i+i7l& ca+ &n &l 9u& +& 3',uc& un '&0l& ,& a.&'+in 3' l 9u& la 3+i7ili,a,,& una +7'&&Cuan, una 0u&n%& &+%4 ,&7i,a2&n%& &nc&''a,a 3&' +& '&9ui&'& ac&'ca'+& 3' &&23l 3a'a 2an%&ni2i&n%


14/17

&l +i%i ,n,& +& &ncu&n%'a ,&7& cn%a' cn ,i+3+i%i.+ ,& +&gu'i,a, ,& %al 2, 9u& +i +& ll&ga a a7'i'&+%an, 3'&n,i,a &l ,i+3+i%i. in2&,ia%a2&n%& a3aga'4 &l +Yi%c ,& &nc&n,i, ,& la l423a'a 5 n 3,'43'&n,&'+& nu&.a2&n%& a+%a 9u& &l ,i+3+i%i. +& clca &n +u luga'> Muca+ ,& &+%a+ 0u&n%&+ +n u%ili8a,a+3a'a una .a'i&,a, ,& ac%i.i,a,&+ ,& +&ca, 5 cu'a, &n la in,u+%'ia ,& la i23'&n%a &+3&cial2&n%&>

CONTROL A@MINISTRATI=O

Sn a9u&lla+ n'2a+ 9u& li2i%an &l acc&+ a la 0u&n%& 5 7'in,an in0'2acin ,i'igi,a a 9u& la+ 3&'+na+ +&cn+ci&n%ic&n ,&l 'i&+g 3%&ncial a+cia, cn &lla> El acc&+ al 4'&a ,n,& +& &2i%& U= ,&7& &+%a''&+%'ingi, al 3&'+nal 9u& ,i'&c%a2&n%& %'a7aa cn &lla> E+%a+ 3&'+na+ ,&7&n cnc&' l+ 'i&+g+ ,& &+%a+0u&n%&+> @&7& a7&' +&ali8acin 9u& 3'&.&nga & in,i9u& la 3'&+&ncia ,& &9ui3+ &n&'gi8a,+> El u+ua'i ,&una 0u&n%& &2i+'a ,& U= ,&7& 2an%&n&'+& l 24+ al&a, 3+i7l& ,& la 2i+2a> A 2a5' ,i+%ancia lai''a,iancia ,i+2inu5& &l cua,'a, ,& la ,i+%ancia> A c'%a ,i+%ancia &l ca27i ,& la i''a,iancia &+ lin&al'&+3&c% a la ,i+%ancia> Nunca +& ,&7&n +u3&'a' l+ l;2i%&+ 3&'2i+i7l&+ ,& & E+3&cial cui,a, +&,&7& %&n&' cn 3&'+na+ 9u& %2an 2&,icacin 0%+&n+i7ili8an%& c2 ,i0&nili,an%ina cl'3'2a8ina0&n%ia8ina+ 3&'+na+ &CONTROL AL TRABAJA@OR

P'%&ccin 3&'+nal>

La 3'%&ccin 24+ &0&c%i.a cn%'a la 'a,iacin U= &+ cu7'i' la+ 8na+ & Laca'a +& ,&7& 3'%&g&' cn un &+cu, 9u& %a27in 3'%&g&'4 l+ +> L+ 7'a8+ ,&7&n 3'%&g&'+& cn '3acn una 7aa %'an+2i+in ,& U=B> S& ,&7& u+a' guan%&+ &n la+ 2an+> a0a+ 9u& a7+'7&n U= ,&7&nu%ili8a'+& cuan, & L+ +l,a,'&+ ,&7&n 3'%&g&'+& cn un ca+c cn0il%'+ 9u& a7+'7&n la 'a,iacin> Alguna+ l423a'a+ ,& al%a 3'&+in %i&n&n 3&lig' ,& & El 'i&+g ,& %'a7aa,'&+ &n & & P'%&c%'&+ +la'&+ ,&7&n a3lica'+&&n la 3i&l &

L+ ni.&l&+ ,& 8n g&n&'a,+ 3' &+%a+ 0u&n%&+ 'a,ian%&+ 3u&,& ,i+2inui'+& cn una a,&cua,a .&n%ilacin&n &l 4'&a ,n,& &+%a &+%4 lcali8a,a> u&n%&+ 9u& &2i%&n can%i,a,&+ ,& U=B c2 la+ l423a'a+ ,& al%a3'&+in (,& 2&'cu'i 5

Nu%'icin

E+ i23'%an%& 2an%&n&' una ing&+%a a,&cua,a ,& a9u&lla+ +u+%ancia+ 9u& +n an%i

O%'+ ag&n%&+ 3'%&c%'&+ 3a'&c&n inclui' al glu%a%in 5 &l g'u3 ,& l+ +ul0i,'il+ 0+0'ila,+ 9u& a%'a.i&+anla 7a''&'a +angu;n&a cula' 5 '&ali8an &l 2i+2 &0&c% 3'%&c%' ,&l %il glu%a%in &n,g&n> S& a 7+&'.a,3'%&ccin &n u2an+ 9u& '&ci7&n ,ia'ia2&n%& +u3l&2&n% ,& 7&%a ca'%&n+ ("$>

P'%&ccin cula'

En la in,u+%'ia &


15/17

inclu5&n ca+c+ ,& +l,a,u'a (9u& a,&24+ 3'%&g&n cn%'a la lu8 .i+i7l& & in0'a''a 5 3'%&g&n la ca'a$&+cu,+ 0acial&+ ga0a+ 5 l&n%&+ 9u& a7+'7&n la lu8 U=> Pa'a & L+ +l,a,'&+ ,&7&n u+a' 'u%ina'ia2&n%& una 3'%&ccin a3'3ia,a 3a'a la ca'a 5 +> Pa'a0u&n%&+ 2&n+ in%&n+a+ ,& 'a,iacin U= &n &l +i%i ,& %'a7a +& ,&7&n u+a' ga0a+ 7i&n au+%a,a+ cn 2a'c+a3'3ia,+ 5 +& ,&7& cn+i,&'a' la 3'%&ccin 0acial a,icinal> Pa'a %'a7aa,'&+ ,& & La %'an+2i+in ,& U=a %'a.+ ,& l+ l&n%&+ .a';a cn+i,&'a7l&2&n%& 3' l 9u& l+ cn+u2i,'&+ ,&7&n +lici%a' in0'2acin ac&'ca ,& la 3'%&ccin 9u& &+%+ 0'&c&n 3a'a +&l&ccina' l+ a,&cua,+> S& a 3'3u&+% &+%a7l&c&' un0ac%' ,& 3'%&ccin 3a'a l+ l&n%&+ a+; c2 &l 9u& u%ili8an l+ 3'%&c%'&+ +la'&+ (")/$>

L+ + &+%4n n'2al2&n%& 3'%&gi,+ ,& la U=R 3' una +&'i& ,& 0ac%'&+ 5 +l '&ci7&n una 3&9u&a

0'accin ,& la 'a,iacin a27i&n%al 7a ci'cun+%ancia+ n'2al&+> La alin&acin n'2al ,& l+ + '&,uc&+igni0ica%i.a2&n%& la 'a,iacin 3'.&ni&n%& ,& %, &l ci&l> La+ c&a+ la na'i8 5 la+ 2&illa+ %a27in 3'%&g&ncn%'a &+%& %i3 ,& & L+ 34'3a,+ au2&n%an &l '&0l& ,&l 3a'3a,& an%& la lu8 +la'> La%&'al2&n%&l+ + &+%4n alg ,&+3'%&gi,+ aun9u& la %'an+2i+in ,& U=R 3' '&0l& E+%+ +n 2&,i+ 04cil&+ ,& i23l&2&n%a' 04cil2&n%&,i+3ni7l&+ +in &0&c%+ +&cun,a'i+ 5 24+ &cn2ic+ 9u& cual9ui&' %'a%a2i&n% 2,ic 9ui'H'gic>R&ci&n%&2&n%& +& cn+igu&n %a27in l+ l&n%&+ ,& cn%ac% 9u& a7+'7&n U=R>

T2a,+ &n cnun% l+ 0ac%'&+ an%&'i'&+ 3u&,&n '&,uci' la & Algun+ au%'&+ '&0i&'&n 9u& &l 7l9u&+u0ici&n%& ,& lu8 .i+i7l& +in un 7l9u& cnc2i%an%& ,& U=R 3u&,& 3',uci' ,ila%acin 3u3ila' 5 una 2a5',+i+ ,& U=R a la+ &+%'uc%u'a+ in%&'na+ ,&l > La ca3aci,a, ,& l+ l&n%&+ 3a'a 0il%'a' la U=R &+ una 0uncin,& l+ c'20'+ (2lcula+ 9u& a7+'7&n U=R$ &n.u&l%a+ &n un 2a%&'ial 3l4+%ic> E+%+ 3u&,&n %&n&' n&0&c% +7'& &l cl' %n +cu' ,& l+ l&n%&+> P' l %an% &l cl' %n +cu' ,& l+ l&n%&+ n in,ica 9u&&+%+ a7+'7an la U=R> Aun l&n%&+ cla'+ 3u&,&n %&n&' ca'ac%&';+%ica+ a7+'7&n%&+ i23'%an%&+> El cl',&7& &+cg&'+& +&gHn la 3'&0&'&ncia 3&'+nal 5 '&9u&'i2i&n%+ .i+ual&+ ,&l in,i.i,u> L&n%&+ g'i+&+ nal%&'an la 3&'c&3cin ,& cl' na%u'al 3&' a 2&,i,a 9u& +& +cu'&c& ,i+2inu5& &l cn%'a+%&> Pa'a 2uca+3&'+na+ l+ l&n%&+ a27a' 5 ca0+ 3',uc&n un a27i&n%& 24+ cn0'%a7l& +in al%&'a' l+ cl'&+ na%u'al&+ &n0'2a +igni0ica%i.a> El .&',& 3',uc& &l 2a5' g'a, ,& ,i+%'+in ,& l+ cl'&+ a 3u&,& ca+inal2&n%&,i+2inui' la a7ili,a, 3a'a '&cnc&' la+ +&al&+ ,& %'40ic> El a2a'ill 5 '+a, a7+'7&n 3ca can%i,a, ,&lu8 .i+i7l& 5 3u&,&n %&n&' una 7u&na a7+'cin ,& U=R +i&23'& 9u& +& 0a7'i9u&n cn &l 2a%&'ial a3'3ia,>

La lu8 a8ul &+ '&0'ac%a,a 5 ,i+3&'+a 24+ 9u& %'a+ lngi%u,&+ ,& n,a .i+i7l&+ ,&n%' ,&l > Algun+%'a7aa,'&+ &n &

M&,ian%& un &+%u,i ,& cn+u2i,'&+ +& &.alua'n 24+ ,& !:: %i3+ ,& ga0a+ cu5 3'&ci &+%a7a &n%'& l+US@ _) 5 US@ _1/> S& c23'a'n %,a+ 3a'a cn0'n%a'la+ cn l+ +%an,a'&+ ANSI> La 2a5';a ,& &lla+alcan8a'n &l +%an,a' aun9u& n 0u&'an 3'2cina,a+ cn &+%& 0in> T,+ l+ l&n%&+ 3l4+%ic+ 5 la 2a5';a,& l+ ,& .i,'i a7+'7i&'n 3' l 2&n+ &l /:G ,& la U=A &


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a+%a &l //G ,& la U=A> La cnclu+in 0u& 9u& la 3'%&ccin a,&cua,a 3a'a U=R +& &ncu&n%'a &n %,+ l+3'&ci+ ,& ga0a+>L+ l&n%&+ 0%2%'ic+ 9u& +& +cu'&c&n cuan, &n%'an &n cn%ac% cn U= +n &+3&cial&+> A%&nHan 24+ ,&l/G ,& la U=B 3&' 3&'2i%&n la %'an+2i+in ,& a+%a &l #:G ,& la U=A ("):-"D: n2$> A3&na+ alcan8an &l+%an,a' ANSI> En +u &+%a, ,& 2a5' +cu'i,a, a !WC '&,uc&n la %'an+2i+in ,& U=A &n un G>

E+ i23'%an%& an%a' 9u& la %'an+2i+in +la n &+ &l Hnic 0ac%' 9u& ,&%&'2ina la & L+ 3aci&n%&+,&7&n u+a' l&n%&+ au+%a,+ 9u& cu7'an &l '&,&,' ,&l clca'l&+ &+cu,+ la%&'al&+ a la+ ga0a+c''i&n%&+> Una 7an,a &l4+%ica 3&'2i%& 9u& +& 2an%&ngan &n la 3+icin a,&cua,a> La 0'2a ,& la+ ga0a+,&7& au+%a'+& a la ca'a ,& la 3&'+na 3a'a 3&'2i%i' un 2a5' au+%&>

Cali,a, &n la a7'icacin ,& la+ a0a+ ,& +l*

E+ i23'%an%& &.alua' 9u& &+%+ +&an ,& 7u&na cali,a, 5 3',u8can la 2&n' ,i+%'+in ,& l+ 7&%+> L+24+ &cn2ic+ %i&n&n una %cnica ina,&cua,a 9u& 3u&,& ,i+%'+ina' la+ i24g&n&+ ,aa'+& 04cil2&n%&

'23&'+& 04cil2&n%& &%c> El c23'a,' ,&7& 3'7a'l+ 7+&'.an, un 7&% lin&al 5 2.i&n, la ca7&8aacia a''i7a 5 a7a 5 acia l+ la,+ 7u+can, 9u& n cu''a ninguna ,i+%'+in> A+; 2i+2 ,&7& 0ia'+& &n la0l& S& 0a7'ican l&n%&+ &+3&cial&+ 3a'a ,&3'%&+ ,&i23ac% 3a'a ac%i.i,a,&+ &n 9u& 7&%+ 2.il&+ 3u&,&n &+%'&lla'+& cn%'a l+ l&n%&+ (,& +&gu'i,a,$ cn &l0in ,& 3'%&g&' &l ,& 3+i7l&+ %'au2a+ cuan, +& u+an a3'3ia,a2&n%&>El u+ ,& l&n%&+ c'20'+ 9u& a7+'7&n U=B 3u&,&n 3'&.&ni' &+%a 3a%lg;a &n ani2al&+ ,& la7'a%'i(")$>

ACCIONES HACIA OTROS TRABAJADORES EXPUESTOS

S& ,&7&n %&n&' la+ 2i+2a+ 3'&caucin&+ 9u& ACCIONES CLA=ES @E PROMOCIN PRE=ENCINBIBLIORA^A

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17/17

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