Lipid Profile

 

High blood cholesterol is one of the major risk factors for heart disease.

Lipid profile consists of Total cholesterol, LDL, HDL and triglycerides.

The USPSTF strongly recommends screening men aged 35 and older for lipid disorders. And women over 45. The preferred screening tests for dyslipidemia are measuring serum lipid (total cholesterol, high-density and low-density lipoprotein cholesterol) levels in non-fasting or fasting samples. Abnormal screening results should be confirmed by a repeated sample on a separate occasion, and the average of both results should be used for risk assessment (USPSTF 2014).

 

International standards

a- Offshore, Not a routine test; The petroleum doctor should assess general risk factors such as cholesterol count, (Norwegian Directorate of Health 2012)

  -  Offshore, further investigations may be required to clarify cardiac risk status but are not a routine.

 (UK Offshore Oil and Gas 2008)

- Offshore, A required routine test. Blood testing to include typical chemical profile (blood sugar, electrolytes, t. cholesterol, HDL chol, LDL chol, trig., GGT, ALT, AST) and CBC with differential. (GoM BP 2012)

b- Firefighters; it is a required test; Total cholesterol, HDL, LDL, clinically useful lipid ratios (e.g., percent LDL), and triglycerides (NFPA 2012)

- Firefighters; Lipid studies is considered as an optional test.( AFAC 2006)

c- Divers, Further investigations may be required to clarify cardiac risk status but are not a routine.

(HSE UK, MA1, 2011)

d- Hazardous Occupations, The test is not routinely required.

(Hong Kong 2004)

-    OSHA Standard; Hazardous Waste Operations and Emergency Responses (HAZWOPER); the test is not routinely required.

      (OSHA, 2009)

e- Commercial driving; lipid profile is not a routine test (UK DVLA 2014). It should be performed if clinically indicated (Austroads 2012).

Recommendation: for all safety critical positions, firefighters, divers...

References

  1. Kronick, R. (2014). The Guide to Clinical Preventive Services. USPSTF. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/cpsguide.pdf
  2. Guidelines - health requirements for persons working on installations offshore. Norwegian Directorate of Health 2012.
  3. Medical Aspects of Fitness for Work Offshore ( 2008 The United Kingdom Offshore Oil and Gas)
  4. GoM Medical Aspects of Fitness for Offshore Work Safety Work Practice (BP 2012)
  5. NFPA 1582, Chapter 6 Medical Evaluations of Candidates - 2012
  6. Australasian Fire Authorities Council (AFAC) Medical Guidelines for Firefighters, 2006
  7. HSE UK, The medical examination and assessment of divers (MA1) 2011, http://www.hse.gov.uk/Diving/ma1.pdf
  8. Doctors’ Guide to Medical Examinations for Workers engaged in Hazardous Occupations in Industrial Undertakings - Occupational Safety and Health – 2004, Hong Kong.
  9. Screening and Surveillance: A Guide to OSHA Standards, 2009 https://www.osha.gov/Publications/osha3162.pdf
  10. At a glance Guide to the current Medical Standards of Fitness to Drive'. Drivers Medical Group, DVLA, UK, May 2014
  11. Austroads (2012) ASSESSING FITNESS TO DRIVE, for commercial and private vehicle drivers, ISBN: 978-1-921991-86-8

 

 

 

 

Parent Category: Fitness for Work