從外籍勞工健康檢查結果探討肝炎相關議題

From the results of foreign workers health examination to discuss the hepatitis related issue

葉慶輝(Ching-Hui Yeh) ； 郭泰宏(Thai-Hung Kuo) ； 葉淑娟(Shu-Chuan Yeh) ； 李忠政(Chung-Cheng Lee)

《中華職業醫學雜誌》 9卷3期 (2002/07) Pp. 155-168

https://doi.org/10.30027/CJOM.200207.0001

摘要

我國經濟受到國民所得增加、產業結構轉型、及工作值觀念轉變等因素之影響，致使就業市場勞動供需改變。為解決此種問題，政府同意開放菲律賓、泰國、印尼、越南等國家勞工入境，至今國內已核淮380,632名外籍勞工，而在國內人數有304,605名，這些外籍勞工族群主要來自東南亞，其健康及衛生習慣與國人不完全相同。經由外籍勞工定期健康檢查報告分析，主要的異常項目為寄生蟲感染，Ｂ型肝炎異常比例並不高。另外東南亞國家也是肝炎流行的地區，鑑於當前國家外籍勞工定期健康檢查，只針對入境者採取Ｂ肝檢查，並未對相關的肝炎提出篩檢。本研究隨機收集了1163位外籍勞工，其中449位為初入境，714位為半年複檢的外勞，除了其應做的檢查項目（如附表1），對這1163位另檢測SGPT肝功能指數，發現這1163位中，初入境449位其Ｂ型肝炎檢測皆正常(其餘714位為半年複檢的外勞，不需檢測肝炎之相關檢驗項目)，但SGPT肝功能異常大於2倍者有24位(2.06%)，肝功能指數異常大於正常值者有89位（7.65%），共有113位SGPT(9.71%)肝功能檢測異常，這其中隱藏的意義，是否會造成國家公共衛生的衝擊，例如A.C型肝炎流行擴散，值得深入分析研究，甚至於當前國家衛生管理政策是否應做必要及適度的修正。

關鍵字

外籍勞工 ； 健康檢查 ； 肝功能異常

並列摘要

Due to the effect of multiple factors including of GDP increase, the industry structure transformation, and the concept change of the job value in our national economy, the labor demand is unbalance and deficient in the worker market. In order to solve the problem, our government agreed to introduce the foreign workers from Philippine, Thailand, Indonesia and so on. Today, about 380632 foreign workers were permitted working in our country& about 304605 foreign workers were lived in our country. These foreign workers major came from south Asia, and they have different sanitary and health habitual from our national people. By the analysis of regular foreign worker’s health examination reports, the major abnormal item was parasite infection but the hepatitis B infection rate was rare.
Except the parasite infection, the hepatitis infection is also popular in the south Asia countries. The sanitary policy of foreign worker’s health examination in our country only check the hepatitis B to the first entrance foreign workers and don’t screen any other relative infective hepatitis. In this research, the focus is to analysis the cases of abnormal liver function index (SGPT) under random sample screen.
In this research, we collect 1163 cases by random, there are 449 cases belong to first entrance group, they must receive the hepatitis B examinations, and the results were normal. But in these 1163 cases, the liver function index (SGPT) abnormal ratio was about 2.06% above the double value of upper normal limit, and about 7.65% abnormal ratio above the upper normal limit. From the random liver function index (SGPT) check up, the total abnormal ratio was about 9.71%. (The total abnormal cases were 113 between the 1163 cases)
It is worth to further research about the underlying impact on our national public health. For example, the underlying causes of liver function impairment were hepatitis A or C, if the assumption is right, the disease expansion would cause the large impact on our public health, and the policy modification is necessary.

並列關鍵字

Foreign worker ； Health examination ； Liver function impairment