中新网1月22日电 据卫生部网站消息，卫生部等四部门日前联合对《职业病目录》进行调整，制定《职业病分类和目录(征求意见稿)》，卫生部就《职业病分类和目录》有关问题答问时表示，调整后的《职业病分类和目录》对3类职业病的分类名称作了调整，将原尘肺改为职业性尘肺病及其他呼吸系统疾病。答问全文如下：

Beijing on January 22 (xinhua) -- according to the ministry of health news website,The ministry of health has four departments jointly to[Occupational disease directory]adjusted,make[Occupational disease classification and catalogue(draft)],The ministry of health will[Occupational disease classification and catalogue]The problem that talk,After the adjustment[Occupational disease classification and catalogue]For 3 kind of occupational disease classification name changed,The pneumoconiosis to occupational pneumoconiosis and other respiratory diseases.Quiz the following is the text:

　　

关于《职业病分类和目录》调整的答问 about[Occupational disease classification and catalogue]Adjustment quiz

　　

一、为什么要调整《职业病目录》？ a/Why do you want to adjust[Occupational disease directory]?

　　根据2001年公布的《职业病防治法》，2002年4月，卫生部和原劳动保障部联合印发了《关于印发＜职业病目录＞的通知》(卫法监发〔2002〕108号)。《职业病目录》对保障劳动者健康权益、预防控制职业病起到了积极作用。

According to the published in 2001[The prevention and control of occupational diseases],In April 2002,The ministry of health and the ministry of labor and social security jointly issued by the[On printing and distributing the occupational disease catalogue > notice](Who JianFa method [2002] no. 108).[Occupational disease directory]To guarantee laborers' health rights/Prevention and control of occupational disease which has played a positive role.

　　2011年12月31日，第十一届全国人大常委会第二十四次会议审议通过了《会关于修改〈职业病防治法〉的决定》。为贯彻落实新修订的《职业病防治法》，切实保障劳动者健康权益，适应我国职业病防治工作形势和特点，卫生部、安全监管总局、人力资源社会保障部和全国总工会研究决定对2002年公布的《职业病目录》进行调整。为与《职业病防治法》表述一致，调整后的名称拟定为《职业病分类和目录》。

On December 31, 2011,The standing committee of the 11th National People's Congress adopted the 24th meeting[Will on revising the prevention and control of occupational diseases > decision].In order to thoroughly implement the newly revised[The prevention and control of occupational diseases],Protect laborers' health rights,To adapt to the prevention and control of occupational diseases in our country situation and characteristics,The ministry of health/Safety supervision bureau/Human resources and social security, the all-china federation of trade unions decided to study published in 2002[Occupational disease directory]adjusted.for[The prevention and control of occupational diseases]Expression in,After adjusting for the name of the protocol[Occupational disease classification and catalogue].

　　

二、请简单介绍一下《职业病分类和目录》调整工作开展情况。 two/Please give us a brief introduction[Occupational disease classification and catalogue]Adjustment of the carrying case.

　　根据《职业病防治法》的规定，职业病的分类和目录由国务院卫生行政部门会同国务院安全生产监督监管部门、劳动保障行政部门制定、调整并公布。

According to the[The prevention and control of occupational diseases]regulations,The classification and catalogue by the health administrative department under the state council together with the department of safety supervision and regulation/Formulated by the administrative department of labor and social security/Adjustment and published.

　　为了充分发挥工会组织依法对职业病防治工作进行监督、维护劳动者合法权益的作用，经商全国总工会，2012年1月，卫生部、安全监管总局、人力资源社会保障部和全国总工会正式启动《职业病分类和目录》调整工作。四部门专门成立了《职业病分类和目录》调整工作领导小组，还邀请国资委参加有关工作。领导小组下设工作组和技术组，建立了工作机制。

In order to give full play to the trade union organizations according to law on the prevention and control of occupational diseases supervision/Maintain the legal rights and interests of labourers role,In business, the all-china federation of trade unions,In January 2012,The ministry of health/Safety supervision bureau/Human resources and social security, the all-china federation of trade unions official start[Occupational disease classification and catalogue]adjustment.Specially set up to four departments[Occupational disease classification and catalogue]Adjust work leading group,Sasac also invited to participate in the related work.Leading group under the working group and technology group,Establish a working mechanism.

　　根据修订后的《职业病防治法》立法精神，首先明确本次《职业病分类和目录》调整原则和职业病遴选原则；开展了《职业病分类和目录》调整问卷调查、我国职业病发病情况现状分析并广泛参考世界卫生组织、国际劳工组织和20多个国家、地区的职业病名单；组织职业卫生、职业医学、临床医学、卫生毒理、劳动保护、社会保障、法学等相关专业专家进行深入论证并广泛征求相关部门的意见和建设后，提出了拟新增或删除的职业病名单及依据。经《职业病分类和目录》调整工作领导小组全体会议审议，形成了《职业病分类和目录(征求意见稿)》。

According to the revised[The prevention and control of occupational diseases]Legislative spirit,The first clear[Occupational disease classification and catalogue]Adjustment principle and occupational disease to select principle;Carried out[Occupational disease classification and catalogue]Adjustment questionnaire survey/Our country occupational disease incidence present condition analysis and extensive reference the world health organization/The international labor organization and more than twenty countries/The occupational disease in the list;Organization occupational health/Occupational medicine/Clinical medicine/Health toxicology/Labor protection/Social security/Law and other related professional experts thorough reasoning and solicit the opinions of the relevant departments after and construction,Puts forward the quasi add or delete the list and basis.the[Occupational disease classification and catalogue]Adjust work leading group plenary meeting review,formed[Occupational disease classification and catalogue(draft)].

　　

三、《职业病分类和目录》调整的原则是什么？ three/[Occupational disease classification and catalogue]What are the principles of the adjustment?

　　1.坚持以人为本，以维护劳动者健康及其相关权益为宗旨。

1. Adhere to the people-oriented,In order to maintain the health and the rights of laborers for the purpose.

　　2.结合我国职业病防治工作的实际，突出重点。

2. Combined with the practical work of occupational disease prevention,Highlight the key.

　　3.适应我国现阶段经济社会发展水平和工伤保险承受能力。

3. Adapt to the present economic and social development level and the capacity of inductrial injury insurance.

　　4.保持目录的连续性和可操作性。

4. Keep directory continuity and operability.

　　5.建立目录动态调整的工作机制。

5. Build directory dynamic adjustment mechanism.

　　6.按照公开、透明的原则，充分听取各地、有关部门和社会的意见。

6. According to the public/The principle of transparency,Fully listen to all/The relevant departments and social opinion.

　　

四、职业病的遴选原则是什么？ four/The selection principle is???????

　　1.有明确的因果关系或剂量反应关系。

1. Have a clear causal relationship or dose-response relationship.

　　2.对疾病有可靠的医学认定方法。

2. The disease has a reliable medicine that method.

　　3.能够明确界定职业人群和非职业人群。

3. Able to clearly define professional people and amateurism crowd.

　　4.该病患者大多数为职业人群，即存在特异性。

4. The disease most patients for professional people,Namely there are specific.

　　5.有一定数量的暴露人群和患病人群。

5. Have a certain amount of exposure population and sick people.

　　

五、《职业病分类和目录》是如何分类的？这次分类方面作了哪些调整？ five/[Occupational disease classification and catalogue]Is how to classify?The classification of the adjustment of what?

　　《职业病分类和目录》沿用现行《职业病目录》的分类方法，仍然将职业病分为10大类，分别是：职业性尘肺病及其他呼吸系统疾病、职业性皮肤病、职业性眼病、职业性耳鼻喉口腔疾病、职业性化学中毒、物理因素所致职业病、职业性放射性疾病、职业性传染病、职业性肿瘤、其他职业病。与现行《职业病目录》相比，对3类职业病的分类名称作了调整。一是考虑尘肺病在我国职业病防治工作中的地位和保持呼吸系统疾病的完整性，将原尘肺改为职业性尘肺病及其他呼吸系统疾病；二是考虑分类体系的一致性，将原职业中毒修改为职业性化学中毒；三是将原生物因素所致职业病修改为职业性传染病。

[Occupational disease classification and catalogue]Continue to use the current[Occupational disease directory]Classification method,Still will be occupational disease is divided into ten categories,were:Occupational pneumoconiosis and other respiratory diseases/Occupational dermatology/Occupational eye disease/Occupational ent of oral diseases/Occupational chemical poisoning/Physical factors caused by occupational disease/Occupational radiation sickness/Occupational infection/Occupational tumor/Other occupational disease.And current[Occupational disease directory]Compared with,For 3 kind of occupational disease classification name changed.One is to consider pneumoconiosis in our country the status of occupational disease prevention work and maintain the integrity of the respiratory system disease,The pneumoconiosis to occupational pneumoconiosis and other respiratory diseases;The second is to consider the consistency of the classification system,The occupational poisoning modification for occupational chemical poisoning;The third is the biological factors of occupational disease caused by modified as occupational infection.

　　

六、调整后《职业病分类和目录》包括多少种职业病？本次调整的具体病种有哪些？ six/adjusted[Occupational disease classification and catalogue]Including many kinds of occupational disease?This adjustment is in a specific disease of what?

　　根据《职业病分类和目录》调整的原则和职业病的遴选原则，调整后的《职业病分类和目录》包括130种职业病(含4项开放性条款)。其中新增职业病17种，删除职业病1种，对2项开放性条款进行了整合，另外对16种职业病名称进行了调整。具体调整内容如下：

According to the[Occupational disease classification and catalogue]Adjustment principle and the principle of selection,After the adjustment[Occupational disease classification and catalogue]Including 130 kind of occupational disease(Contains four open terms).The new 17 kinds of occupational disease,Delete one kind of occupational disease,Two terms to open the integration,In addition, the 16 kinds of occupational disease name has been adjusted.Specific adjustment content as follows:

　　1.职业性尘肺病及其他呼吸系统疾病分类中，一是增加3种职业病，分别是：刺激性化学物所致慢性阻塞性肺疾病、金属及其化合物粉尘肺沉着病(锡、铁、锑、钡及其化合物)和硬金属肺病(如钨、钛、钴等)；二是将尘肺修改为尘肺病。

1. Occupational pneumoconiosis and other respiratory disease classification,One is to increase the three kind of occupational disease,were:Irritating chemicals caused by chronic obstructive pulmonary disease/Metal and its compound dust lung AD cool-headed disease(tin/iron/antimony/Barium and compound)And hard metal lung disease(Such as tungsten/titanium/Cobalt,);The other is amended as pneumoconiosis pneumoconiosis.

　　2.职业性皮肤病分类中，一是增加1种职业病：白斑；二是将光敏性皮炎修改为光接触性皮炎。

2. Occupational skin disease classification,One is to increase 1 kind of occupational disease:White spot;The second is the photosensitive dermatitis modification for light contact dermatitis.

　　3.职业性耳鼻喉口腔疾病分类中，增加1种职业病：爆震聋。

3. Occupational ent of oral diseases classification,Add 1 kind of occupational disease:Knock deaf.

　　4.职业性化学中毒分类中，一是增加5种职业病：分别是氯乙烯中毒、环氧乙烷中毒、铟及其化合物中毒、碘甲烷中毒和溴丙烷中毒；二是将氨基甲酸酯类农药中毒、拟除虫菊酯类农药中毒、有机磷农药中毒、铀中毒和工业性氟病分别修改为氨基甲酸酯类中毒、拟除虫菊酯类中毒、有机磷中毒、铀及其化合物中毒和氟及其无机化合物中毒；三是将“根据《职业性急性化学物中毒诊断标准(总则)》可以诊断的其他职业性急性中毒”和“根据《职业性中毒性肝病诊断标准》可以诊断的职业性中毒性肝病”两个开放性条款进行整合，修改为“上述条目中未提及的化学因素所致中毒，所发生的中毒与接触的职业有害因素之间存在直接因果联系，根据相关职业病诊断标准可以诊断的其他职业中毒”；四是删除1种职业病：杀虫脒中毒(杀虫脒已经禁止生产使用)。

4. Occupational chemical poisoning classification,One is to increase the 5 kinds of occupational disease:Respectively is vinyl chloride poisoning/Epoxy ethane poisoning/Indium and compound poisoning/Methyl iodide poisoning and bromine propane gas poisoning;The second is the carbamate pesticide poisoning/Pyrethroid pesticide residues can poisoning/Organophosphorus pesticide poisoning/Uranium poisoning and industrial fluorosis modified respectively for carbamate poisoning/Quasi pyrethroid poisoning/Organophosphorus poisoning/Uranium and its compound poisoning and fluorine and inorganic compounds poisoning;Three is to"According to the[Occupational acute chemical poisoning diagnosis standard(general)]Can other diagnosis of management of occupational acute poisoning"and"According to the[Occupational toxic liver disease diagnosis standard]Can the diagnosis of occupational toxic liver disease"Two open terms for integration,Modification for"The above items not mentioned in the chemical factors caused by poisoning,What happened with contact poisoning occupational harmful factors between the direct causal connection,According to relevant occupational disease diagnosis standard can diagnosis of other occupational poisoning";The fourth is to delete 1 kind of occupational disease:Chlordimeform poisoning(Chlordimeform has banned the production use).

　　5.物理因素所致职业病分类中，增加2种职业病：分别是冻伤和激光所致眼(角膜、晶状体和视网膜)灼伤。

5. Caused by physical factors of occupational disease classification,Increase 2 kind of occupational disease:Were frostbite and laser caused by eye(corneal/Lens and retina)burn.

　　6.职业性放射性疾病分类中，扩大放射性肿瘤范围，将矿工高氡暴露所致肺癌列入放射性肿瘤范围。

6. Occupational radiation disease classification,Expand the scope of radioactive tumor,The miners high radon exposure caused by lung cancer on radioactive tumor range.

　　7.职业性传染病分类中，增加1种职业病：医护人员因职业暴露感染艾滋病。

7. Occupational infectious disease classification,Add 1 kind of occupational disease:Medical staff due to occupational exposure to HIV infection.

　　8.职业性肿瘤分类中，一是增加4种职业病：分别是β-萘胺所致膀胱癌，煤焦油、煤焦油沥青、石油沥青所致皮肤癌，毛沸石所致肺癌、胸膜间皮瘤，双氯甲醚所致肺癌；二是将石棉所致肺癌、间皮瘤修改为石棉所致肺癌、胸膜间皮瘤；将砷所致肺癌修改为砷及其化合物所致肺癌、皮肤癌；将焦炉工人肺癌和铬酸盐制造业工人肺癌分别修改为六价铬化合物所致肺癌和焦炉逸散物所致肺癌。

8. Occupational tumor classification,One is to increase the four kind of occupational disease:Respectively is beta naphthylamine caused by carcinoma of urinary bladder,Coal tar/Coal tar pitch/Petroleum asphalt caused by skin cancer,Erionite caused by lung cancer/Pleural mesothelioma,Double chlorine methyl ether caused by lung cancer;The second is the asbestos caused by lung cancer/Mesothelioma is amended as asbestos caused by lung cancer/Pleural mesothelioma;Will the arsenic caused by lung cancer modification for arsenic and its compound caused by lung cancer/Skin cancer;The coke oven workers lung and chromate manufacturing workers lung cancer were modified to hexavalent chromium compound caused by lung cancer and coke oven escape scattered content caused by lung cancer.

　　9.其他职业病分类中，将煤矿井下工人滑囊炎修改为井下作业所致的肘、膝滑囊炎。

9. Other occupational disease classification,The coal mine underground workers bursitis modification for downhole operation caused by the elbow/Knee bursitis.