Statutory medical examinations and designated factory doctors in Singapore.

This paper describes the system of statutory medical examinations introduced in Singapore since 1985 and the role of designated factory doctors, as well as the progress of the system, problems and issues involved. The basic objective of the system is to ensure that workers in special risk occupations are fit for such work. Factory workers exposed to any of 14 prescribed hazards must undergo specific medical examinations and tests by designated factory doctors who are trained and registered with the Labour Ministry. Abnormal work-related cases are notified to the Ministry for further investigation. Currently there are 330 designated factory doctors and each year, over 38,000 workers are examined, 88 per cent for noise exposure. The system provides opportunities for early detection of both occupational and non work-related abnormalities, individual counselling and timely preventive action. It also complements industrial hygiene monitoring activities in the evaluation of health hazards and promotes self-regulation. To enhance the effectiveness of the system, the doctors must be properly trained and some degree of supervision is needed, particularly with regard to accuracy and interpretation of laboratory results, emphasis on counselling and re-orientation and updating of knowledge.