In the zinc, lead and silver ore mine of Maarmorilik, Greenland 1,061 episodes of illness in the first year of employment were studied in 421 persons. Despite the fact that about 80% of the employees were of Scandinavian origin, the patterns of illness were considerably different from the health problems in primary health care units in Denmark. Urogenital problems were the only group of illnesses representing overweight of multiple contact episodes. All other groups of diagnoses were dominated by episodes of single contact. Dental problems, traumatic and urogenital episodes appeared more frequently compared to Danish primary health care units. The lower frequency of traumatic episodes in women reflected their employment in service jobs only. Despite a health examination before employment the total amount of episodes of illness corresponded to that of primary health care units in Denmark, and the age specific contact rate for males was higher than in other morbidity studies from Greenland. Possible explanations were: sick leave required documentation of the doctor, the workload was heavy and prolonged, the spare time possibilities were few, the buildings were inadequate, the employees were isolated from their families for months and the consumption of alcohol was considerable. Because the doctor was the only person with health education in the mining village, knowledge about dental treatment and considerable experience in traumatology and diagnosis of venereal disease were necessary.
The paper is concerned with an organizational, structural and functional model of the diagnostic center (DC) in the train, developed by the authors. The DC in the train is a new form of mobile specialized polyclinical aid to the population living in the area of railway stations. The purpose of the model is to draw nearer high-qualified counselling and diagnostic services and prophylactic aid to railway workers. The DC in the train was tried and introduced into western Siberia railway practice. The results of DC in the train establishment are described as is the efficacy of the automated system of early diagnosis of chronic noninfectious diseases, employed under DC conditions.
In order to evaluate the function of a department of occupational medicine regarding consumer satisfaction, a mailed questionnaire was sent to 605 patients examined at the Department of Occupational Medicine, Aalborg Sygehus, during the period 01.10.1988-31.12.1989. A similar questionnaire was sent to the persons referring the patients to the department. Seventy-three percent of the patients and 76% of the persons referring patients participated in the investigation. Of the patients 44% had their expectations fulfilled, of the persons referring 78%. Half of the patients and 69% of the persons referring found the advice given relevant in relation to the health problem. Satisfaction among patients was related to whether the patients expected to start a compensation case or suffered from a chronic disease for which treatment was difficult. There was a difference between the expectations of the patients and persons referring the patients examination.