Overview
The main task of NZIS in general is according to § 70 paragraph 1 of Act No. 372/2011 Coll. i.a. "to provide timely data on the health status of the population in order to obtain information on the scope and quality of health services, for the management and creation of health policy". The NRNP monitors the development of the incidence and structure of occupational diseases, or risk of occupational diseases. The purpose of obtaining the required data is to obtain information on occupational diseases as a basis for the creation of national health policy, for analyzes of problems in the field of occupational health protection, for scientific research, for education in the field and for international comparison.
The National Register of Occupational Diseases NRNP is a continuous continuation of long-term statistical monitoring, carried out since 1973 through reports. Since its establishment in 1991, the register has been maintained by the Occupational Medicine Center of the State Health Institute in Prague as the Central Register of Occupational Diseases. Act No. 156/2004 Coll. was included under the name "National Register of Occupational Diseases" among the health registers that make up the National Health Information System (NZIS), now enshrined in Act No. 372/2011 Coll. , about health services. The administrator of the NRNP is the Institute of Health Information and Statistics of the Czech Republic, the processor is the Center for Occupational Hygiene and Occupational Medicine of the State Health Institute in Prague.
Register data are used by the ÚZIS, the Ministry of Health, the Ministry of Labor and Social Affairs, the SZÚ, the Czech Statistical Office. The published data are also used by specialists in the field of occupational medicine and occupational hygiene, KHS, doctors of the assessment service and others for the purpose of statistical and economic analyses.
After the Czech Republic joined the European Union in 2004, NRNP was connected to the statistical system of the Statistical Office of the European Union (EUROSTAT). As part of international cooperation, information on occupational diseases and the risk of occupational diseases reported in the Czech Republic is transmitted annually to Eurostat to the European Occupational Diseases Statistics (EODS) system, then to the World Health Organization (WHO), to the European Health for all (HFA) system and to International Labor Organization (ILO).
Statistical unit of inquiry: On the basis of Ministry of Health Decree No. 373/2016 Coll. every recognized occupational disease or threat of occupational disease according to the valid List of occupational diseases, arising in connection with the performance of work for an employer based in the Czech Republic, is subject to reporting. A case of an occupational disease or a risk of occupational disease is subject to reporting after the medical opinion on the recognition of the disease, issued by an authorized health service provider, has taken legal effect.
The report is also subject to the decision of the authorized center for occupational diseases on the termination of the occupational disease or the threat of the occupational disease. In this case, the date from which the person no longer suffers from NzP or the threat of NzP is reported to the current case in the NRNP records.
Circle of intelligence units: The obligation to report is according to the annex to Decree No. 373/2016 Coll. every provider who recognized an occupational disease according to § 66 of Act No. 373/2011 Coll. , on specific health services as amended. On the basis of this legal regulation, providers in the field of occupational medicine who have been granted permission to recognize occupational diseases by the Ministry of Health, so-called occupational disease centers, submit reports to the register. Their list and territorial management are available in continuously updated form on the website of the Ministry of Health of the Czech Republic .
The guarantors of reporting to the NRNP are the relevant centers for occupational diseases. An essential part of the report is also the data from the hygiene assessment, which is provided by the relevant regional hygiene station, in the listed special cases SÚJB, MV or MO, hereinafter referred to as KHS. § 62, paragraph 3 of Act No. 373/2011 Coll .
The report and de-registration are submitted to the administrator and processor of the NRNP only electronically, no later than the tenth day of the calendar month following the month in which the medical opinion took legal effect.
Laws:
- Act No. 372/2011 Coll. , on health services and conditions of their provision (Law on Health Services) with effect from 1 April 2012, as amended
- Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons in connection with the processing of personal data and on the free movement of such data and on the repeal of Directive 95/46/EC (General Data Protection Regulation) - GDPR
- Act No. 110/2019 Coll. , on the processing of personal data
- Act No. 205/2015 Coll. , amending Act No. 262/2006 Coll. , the Labor Code, as amended, repeals Act No. 266/2006 Coll. , on employee accident insurance, and repeal or amend certain other laws
- Act No. 258/2000 Coll. , on the protection of public health and on the amendment of some related laws, as amended
Government Regulation:
- Government Regulation No. 290/1995 Coll. , establishing the list of occupational diseases as amended ( Government Regulation No. 114/2011 Coll. and No. 168/2014 Coll. )
- Government Regulation No. 361/2007 Coll. , which establishes the conditions for the health protection of employees at work, as amended
- Government Regulation No. 272/2011 Coll. , on health protection against the adverse effects of noise and vibrations, as amended
- Government Regulation No. 291/2015 Coll. , on health protection against non-ionizing radiation
Decrees of the Ministry of Health:
- Implementing Decrees to Act No. 372/2011 Coll. , on health services and the conditions of their provision
- Act No. 373/2011 Coll. , on specific health services (entered into force on April 1, 2012) - as amended, (Chapter IV, Part 3)
- Decree No. 373/2016 Coll. , on the transfer of data to the National Health Information System with effect from 1 January 2017
- Decree No. 104/2012 Coll. , on establishing more detailed requirements for the procedure for assessing and recognizing occupational diseases and the range of persons to whom a medical report on occupational diseases is given, the conditions under which the disease can no longer be recognized as an occupational disease, and the requirements of the medical report (decree on the assessment of occupational diseases by profession)
- Decree No. 432/2003 Coll. , which establishes the conditions for classifying work into categories, the limit values of indicators of biological exposure tests, the conditions for sampling biological material for conducting biological exposure tests and the requirements for reporting work with asbestos and biological agents
Methodological measures:
- Methodological measures of the Journal of the Ministry of Health No. 10/2003, to determine at least a moderate degree of severity of isolated carpal tunnel syndrome
- Methodological measures of the Journal of the Ministry of Health No. 11/2011, to determine the medium degree of severity of damage to the ulnar nerve in the elbow area using electrophysiological criteria
- Methodological guidance of the Ministry of Health Bulletin No. 9/2011, to ensure a uniform procedure for verifying the conditions of the occurrence of the disease for the purposes of assessing occupational diseases
European legislation:
- Council Directive No. 89/391/EEC of 12 June 1989 on the introduction of measures to improve the safety and health protection of employees at work, as amended, and subsequent "subsidiary" directives
- European Parliament Resolution No. 2016/C 093/24 of 12 September 2013 on a European strategy for safety and health at work (2013/2685(RSP))
- Regulation No. 1338/2008 of the European Parliament and of the Council of 16 December 2008 on Community statistics in the field of public health and occupational health and safety
- Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons in connection with the processing of personal data and on the free movement of such data and on the repeal of Directive 95/46/EC (General Data Protection Regulation)
- The statistics of occupational diseases are governed by Commission recommendation 2003/670/EC – Occupational diseases. The visualization tool https://visualisation.osha.europa.eu is used to present the outputs for the area of health and safety at work
Other legal and methodological documents:
- Authorization of SZÚ to process NRNP data on the basis of a contract with ÚZIS CR
- Data standard of the Ministry of Health
- International Statistical Classification of Diseases and Associated Health Problems
- Notice of the Czech Statistical Office of June 16, 2010 on the introduction of the Occupational Classification (CZ-ISCO) as amended
- Notice of the Czech Statistical Office of September 18, 2007 on the introduction of the Classification of Economic Activities (CZ-NACE), as amended
- NZIS methodology – National Register of Occupational Diseases, complete data collection methodology
Demographics
Dataset
Contact
Palackého náměstí 4, PO BOX 60, 128 01 Prague 2
E-mail: uzis@uzis.cz