{"id":67,"date":"2019-09-10T14:04:14","date_gmt":"2019-09-10T12:04:14","guid":{"rendered":"https:\/\/www.siliceysalud.es\/?page_id=67"},"modified":"2021-01-19T07:14:05","modified_gmt":"2021-01-19T06:14:05","slug":"deteccion-y-tratamiento","status":"publish","type":"page","link":"https:\/\/www.siliceysalud.es\/index.php\/el-polvo-y-la-scr\/efectos-para-la-salud\/deteccion-y-tratamiento\/","title":{"rendered":"Detecci\u00f3n y tratamiento"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Tras la identificaci\u00f3n, por parte del empresario y con la ayuda del t\u00e9cnico de prevenci\u00f3n de riesgos laborales, del riesgo de exposici\u00f3n de los trabajadores a polvo de s\u00edlice cristalina respirable, se debe de realizar:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Evaluaci\u00f3n de la salud inicial.<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Vigilancia de la salud a intervalos peri\u00f3dicos.<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Vigilancia de la salud tras una ausencia prolongada por motivos de salud<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Vigilancia de la salud postocupacional.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif;\"><span style=\"font-size: 18.6667px;\">Par<span style=\"font-family: helvetica, arial, sans-serif;\">a la detecci\u00f3n de enfermedades relacionadas con la exposici\u00f3n a polvo de s\u00edlice existe <span style=\"font-size: 14pt;\">el <\/span><\/span><\/span><a href=\"https:\/\/www.mscbs.gob.es\/ciudadanos\/saludAmbLaboral\/docs\/silicosis.pdf\"><span style=\"font-size: 14pt;\"><strong>Protocolo de vigilancia sanitaria espec\u00edfica. Silicosis <\/strong><\/span><\/a><\/span><span style=\"background-color: rgba(255, 255, 255, 0); color: var(--body_typography-color); font-family: helvetica, arial, sans-serif; font-size: 14pt; font-style: var(--body_typography-font-style,normal); font-weight: var(--body_typography-font-weight); letter-spacing: var(--body_typography-letter-spacing);\">del Ministerio de Sanidad, Consumo y Bienestar Social (2020).<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-tabs fusion-tabs-1 classic nav-is-justified horizontal-tabs icon-position-left mobile-mode-accordion\" style=\"--awb-title-border-radius-top-left:0px;--awb-title-border-radius-top-right:0px;--awb-title-border-radius-bottom-right:0px;--awb-title-border-radius-bottom-left:0px;--awb-inactive-color:#d7d6d6;--awb-background-color:#ffffff;--awb-border-color:#ebeaea;--awb-active-border-color:#9d9c9c;\"><div class=\"nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li class=\"active\" role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-fe64a03f2eee4c0ba8f\" aria-selected=\"true\" tabindex=\"0\" id=\"fusion-tab-fe64a03f2eee4c0ba8f\" href=\"#tab-fe64a03f2eee4c0ba8f\"><h4 class=\"fusion-tab-heading\"><i class=\"fontawesome-icon fa-egg fas\" aria-hidden=\"true\" style=\"font-size:13px;\"><\/i>EVALUACI\u00d3N INICIAL<\/h4><\/a><\/li><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-752e886b841ed27fd04\" aria-selected=\"false\" tabindex=\"-1\" id=\"fusion-tab-752e886b841ed27fd04\" href=\"#tab-752e886b841ed27fd04\"><h4 class=\"fusion-tab-heading\"><i class=\"fontawesome-icon fa-egg fas\" aria-hidden=\"true\" style=\"font-size:13px;\"><\/i>A INTERVALOS PERI\u00d3DICOS<\/h4><\/a><\/li><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-9080240e16a0f4f66c0\" aria-selected=\"false\" tabindex=\"-1\" id=\"fusion-tab-9080240e16a0f4f66c0\" href=\"#tab-9080240e16a0f4f66c0\"><h4 class=\"fusion-tab-heading\"><i class=\"fontawesome-icon fa-egg fas\" aria-hidden=\"true\" style=\"font-size:13px;\"><\/i>POSTOCUPACIONAL<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-content\"><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li class=\"active\" role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-fe64a03f2eee4c0ba8f\" aria-selected=\"true\" tabindex=\"0\" id=\"mobile-fusion-tab-fe64a03f2eee4c0ba8f\" href=\"#tab-fe64a03f2eee4c0ba8f\"><h4 class=\"fusion-tab-heading\"><i class=\"fontawesome-icon fa-egg fas\" aria-hidden=\"true\" style=\"font-size:13px;\"><\/i>EVALUACI\u00d3N INICIAL<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix in active\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-fe64a03f2eee4c0ba8f\" id=\"tab-fe64a03f2eee4c0ba8f\">\n<ul>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Control del estado de salud inicial, previo a la exposici\u00f3n, y como m\u00e1ximos en los primeros 3 meses.<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Se efectuar\u00e1 despu\u00e9s de la incorporaci\u00f3n al trabajo o despu\u00e9s de la asignaci\u00f3n de tareas espec\u00edficas con riesgo derivado de la exposici\u00f3n a s\u00edlice.<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">En el examen inicial se realizar\u00e1n los estudios incluidos en el <span style=\"font-family: helvetica, arial, sans-serif;\"><a href=\"https:\/\/www.mscbs.gob.es\/ciudadanos\/saludAmbLaboral\/docs\/silicosis.pdf\"><span style=\"font-size: 14pt;\"><strong>Protocolo de vigilancia sanitaria espec\u00edfica. Silicosis<\/strong><\/span><\/a><\/span><a href=\"http:\/\/www.mscbs.gob.es\/va\/biblioPublic\/publicaciones.do?metodo=detallePublicacion&amp;publicacion=7374\"><strong>.<\/strong><\/a><\/span><\/li>\n<\/ul>\n<\/div><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-752e886b841ed27fd04\" aria-selected=\"false\" tabindex=\"-1\" id=\"mobile-fusion-tab-752e886b841ed27fd04\" href=\"#tab-752e886b841ed27fd04\"><h4 class=\"fusion-tab-heading\"><i class=\"fontawesome-icon fa-egg fas\" aria-hidden=\"true\" style=\"font-size:13px;\"><\/i>A INTERVALOS PERI\u00d3DICOS<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-752e886b841ed27fd04\" id=\"tab-752e886b841ed27fd04\">\n<p><span style=\"font-size: 14pt;\"><span style=\"font-family: helvetica, arial, sans-serif;\">Con car\u00e1cter general los ex\u00e1menes de salud se realizar\u00e1n anualmente con el contenido del <a href=\"https:\/\/www.mscbs.gob.es\/ciudadanos\/saludAmbLaboral\/docs\/silicosis.pdf\"><strong>Protocolo de vigilancia sanitaria espec\u00edfica. Silicosis<\/strong><\/a><\/span>, <span style=\"font-family: helvetica, arial, sans-serif;\">excepto en lo correspondiente a la exploraci\u00f3n radiol\u00f3gica, que se realizar\u00e1 en los siguientes supuestos y con la periodicidad, que viene establecida en funci\u00f3n de los a\u00f1os de exposici\u00f3n (antig\u00fcedad) y de los niveles de exposici\u00f3n a cada agente cancer\u00edgeno o mutag\u00e9nico en su caso, que a continuaci\u00f3n se se\u00f1alan: <div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:14px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#ffffff;--awb-title-color:#333333;--awb-content-color:#747474;--awb-icon-box-color:#333333;--awb-toggle-hover-accent-color:#6caae4;--awb-title-font-family:Arial, Helvetica, sans-serif;--awb-title-font-weight:400;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-content-font-family:Arial, Helvetica, sans-serif;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-67-1\"><div class=\"fusion-panel panel-default panel-a8bec33036ed65498 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_a8bec33036ed65498\"><a aria-expanded=\"false\" aria-controls=\"a8bec33036ed65498\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-67-1\" data-target=\"#a8bec33036ed65498\" href=\"#a8bec33036ed65498\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Trabajadores de empresas sujetas al Reglamento General de Normas B\u00e1sicas de Seguridad Minera<\/span><\/a><\/h4><\/div><div id=\"a8bec33036ed65498\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_a8bec33036ed65498\"><div class=\"panel-body toggle-content fusion-clearfix\"><\/span><\/span><\/p>\n<p><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">En funci\u00f3n del contenido de s\u00edlice de la materia prima o situaci\u00f3n concreta:<\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-2205\" src=\"https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun.jpg\" alt=\"\" width=\"800\" height=\"407\" srcset=\"https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-200x102.jpg 200w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-300x153.jpg 300w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-400x203.jpg 400w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-600x305.jpg 600w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-768x391.jpg 768w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-800x407.jpg 800w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun-1024x521.jpg 1024w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/periodicidad_segun.jpg 1032w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><span style=\"font-family: helvetica, arial, sans-serif;\">Fuente: Protocolo de vigilancia de la salud espec\u00edfico. Silicosis. Ministerio de Sanidad (2020).<\/span><\/p>\n<p><span style=\"font-size: 14pt;\"><span style=\"font-family: helvetica, arial, sans-serif;\"><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-e12a2b3bad9d4521a fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e12a2b3bad9d4521a\"><a aria-expanded=\"false\" aria-controls=\"e12a2b3bad9d4521a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-67-1\" data-target=\"#e12a2b3bad9d4521a\" href=\"#e12a2b3bad9d4521a\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Trabajadores de empresas NO sujetos al Reglamento General de Normas B\u00e1sicas de Seguridad Minera<\/span><\/a><\/h4><\/div><div id=\"e12a2b3bad9d4521a\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e12a2b3bad9d4521a\"><div class=\"panel-body toggle-content fusion-clearfix\"><\/span><\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-3013\" src=\"https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS.png\" alt=\"\" width=\"4635\" height=\"1385\" srcset=\"https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-200x60.png 200w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-300x90.png 300w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-400x120.png 400w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-600x179.png 600w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-768x229.png 768w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-800x239.png 800w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-1024x306.png 1024w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-1200x359.png 1200w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS-1536x459.png 1536w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2021\/01\/VS.png 4635w\" sizes=\"(max-width: 4635px) 100vw, 4635px\" \/><\/p>\n<p><span style=\"font-family: helvetica, arial, sans-serif; font-size: 12pt;\">Fuente: Protocolo de vigilancia de la salud espec\u00edfica. Silicosis (2020).<\/span><\/p>\n<p><span style=\"font-size: 14pt;\"><span style=\"font-family: helvetica, arial, sans-serif;\"><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ec05f9fdd62830c3b fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ec05f9fdd62830c3b\"><a aria-expanded=\"false\" aria-controls=\"ec05f9fdd62830c3b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-67-1\" data-target=\"#ec05f9fdd62830c3b\" href=\"#ec05f9fdd62830c3b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Otros casos<\/span><\/a><\/h4><\/div><div id=\"ec05f9fdd62830c3b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ec05f9fdd62830c3b\"><div class=\"panel-body toggle-content fusion-clearfix\"><\/span><\/span><\/p>\n<p><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">En los siguientes casos, el seguimiento peri\u00f3dico ser\u00e1 anual:<\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-2214\" src=\"https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa.jpg\" alt=\"\" width=\"520\" height=\"238\" srcset=\"https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa-200x91.jpg 200w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa-300x137.jpg 300w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa-400x183.jpg 400w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa-600x274.jpg 600w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa-768x351.jpg 768w, https:\/\/www.siliceysalud.es\/wp-content\/uploads\/2019\/10\/seguimiento_aa.jpg 787w\" sizes=\"(max-width: 520px) 100vw, 520px\" \/><\/p>\n<p><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Cuando el m\u00e9dico del Trabajo, en atenci\u00f3n a las circunstancias concretas de la exposici\u00f3n o de la salud del trabajador lo considere conveniente, los estudios radiol\u00f3gicos podr\u00e1n realizarse con una frecuencia superior a lo establecido en el presente protocolo.<\/span><\/p>\n<p><strong><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Tras una ausencia prolongada por motivos de salud.<\/span><\/strong><br \/>\n<span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Tiene la finalidad de descubrir los eventuales or\u00edgenes profesionales de la <\/span><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">ausencia y recomendar una acci\u00f3n apropiada para proteger a los trabajadores.<\/span><\/p>\n<p><span style=\"font-size: 14pt;\"><span style=\"font-family: helvetica, arial, sans-serif;\"><\/div><\/div><\/div><\/div><\/div><\/span><\/span><\/p>\n<\/div><div class=\"nav fusion-mobile-tab-nav\"><ul class=\"nav-tabs nav-justified\" role=\"tablist\" aria-orientation=\"horizontal\"><li  role=\"presentation\"><a class=\"tab-link\" data-toggle=\"tab\" role=\"tab\" aria-controls=\"tab-9080240e16a0f4f66c0\" aria-selected=\"false\" tabindex=\"-1\" id=\"mobile-fusion-tab-9080240e16a0f4f66c0\" href=\"#tab-9080240e16a0f4f66c0\"><h4 class=\"fusion-tab-heading\"><i class=\"fontawesome-icon fa-egg fas\" aria-hidden=\"true\" style=\"font-size:13px;\"><\/i>POSTOCUPACIONAL<\/h4><\/a><\/li><\/ul><\/div><div class=\"tab-pane fade fusion-clearfix\" role=\"tabpanel\" tabindex=\"0\" aria-labelledby=\"fusion-tab-9080240e16a0f4f66c0\" id=\"tab-9080240e16a0f4f66c0\">\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">La silicosis puede aparecer o evolucionar una vez cesada la exposici\u00f3n, por lo que se recomienda continuar los controles m\u00e9dicos:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Por parte de la empresa mientras el trabajador contin\u00fae en ella y no se <\/span><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">desvincule de la misma (por cese de la relaci\u00f3n contractual con la <\/span><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">empresa o por jubilaci\u00f3n).<\/span><\/li>\n<li><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">En servicios especializados de neumolog\u00eda del Sistema Nacional de <\/span><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Salud cuando se haya producido tal desvinculaci\u00f3n. (Ministerio de Sanidad, Consumo y Bienestar Social, 2001)<\/span><\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">En este caso, se informar\u00e1 a cada trabajador que cause baja en la empresa sobre la necesidad de seguir una vigilancia de salud espec\u00edfica por parte del sistema p\u00fablico de salud que corresponda, m\u00e1s all\u00e1 de la finalizaci\u00f3n de la relaci\u00f3n laboral.<\/span><\/p>\n<p style=\"padding-left: 40px;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Se recomienda acompa\u00f1ar dicha informaci\u00f3n, de una carta dirigida a su m\u00e9dico de atenci\u00f3n primaria, indicando que se remite al trabajador para dicho control y seguimiento en su caso, y se guardar\u00e1 una copia de dichos documentos en la historia cl\u00ednica del trabajador.<\/span><\/p>\n<p style=\"padding-left: 40px;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Adem\u00e1s, puede ser necesario incluir informaci\u00f3n adicional en funci\u00f3n de los protocolos que, en su caso, establezcan las CCAA.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Adem\u00e1s de la vigilancia individual, se recomienda una <strong>vigilancia colectiva<\/strong> de la salud, que tiene como finalidad analizar las relaciones existentes entre el estado de salud del conjunto de trabajadores y sus condiciones de trabajo.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\">Los resultados de la vigilancia de la salud colectiva complementar\u00e1n la evaluaci\u00f3n higi\u00e9nica y deber\u00e1n ser tenidos en cuenta por el servicio de prevenci\u00f3n para gestionar adecuadamente la prevenci\u00f3n de riesgos laborales.<\/span><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 2.39808%; text-align: right;\"><span style=\"font-family: helvetica, arial, sans-serif; font-size: 14pt;\"><i class=\"fb-icon-element-1 fb-icon-element fontawesome-icon fa-angle-double-right fas circle-yes fusion-text-flow\" style=\"--awb-circlecolor:#00098b;--awb-circlecolor-hover:#00098b;--awb-circlebordercolor:#6caae4;--awb-circlebordercolor-hover:#6caae4;--awb-circlebordersize:1px;--awb-font-size:17.6px;--awb-width:35.2px;--awb-height:35.2px;--awb-line-height:33.2px;--awb-margin-right:10px;\"><\/i><\/span><\/td>\n<td style=\"width: 97.6019%;\"><span style=\"font-size: 12pt;\"><a href=\"https:\/\/www.siliceysalud.es\/index.php\/el-polvo-y-la-scr\/efectos-para-la-salud\/eliminacion-natural\/\"><strong><span style=\"font-family: helvetica, arial, sans-serif;\">Sigue leyendo sobre eliminaci\u00f3n natural<\/span><\/strong><\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":32,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-67","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/pages\/67","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/comments?post=67"}],"version-history":[{"count":44,"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/pages\/67\/revisions"}],"predecessor-version":[{"id":3014,"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/pages\/67\/revisions\/3014"}],"up":[{"embeddable":true,"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/pages\/32"}],"wp:attachment":[{"href":"https:\/\/www.siliceysalud.es\/index.php\/wp-json\/wp\/v2\/media?parent=67"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}