The draft on occupational diseases covered by social insurance has adjusted a number of diseases according to current regulations. The Ministry of Health also requested relevant units to propose additional new and specific diseases.
The Ministry of Health is drafting a circular regulating occupational diseases covered by social insurance with 35 proposed occupational diseases included in this list.

Specifically: Occupational silicosis; occupational asbestosis; occupational cotton pneumoconiosis; occupational talc pneumoconiosis; occupational coal pneumoconiosis; occupational chronic bronchitis; occupational asthma; occupational lead poisoning; occupational poisoning by benzene and homologues; occupational mercury poisoning; occupational manganese poisoning; occupational trinitrotoluene poisoning; occupational arsenic poisoning; occupational pesticide poisoning; occupational nicotine poisoning; occupational carbon monoxide poisoning; occupational cadmium poisoning; occupational deafness due to noise; occupational decompression sickness; occupational diseases due to whole-body vibration; occupational diseases due to local vibration; occupational radiation sickness; occupational cataracts; occupational oil spots; occupational skin pigmentation; occupational contact dermatitis due to chromium; occupational skin diseases due to prolonged exposure to wet and cold environments; Occupational skin disease due to exposure to natural rubber and rubber additives.
In addition, there are occupational leptospirosis; occupational hepatitis B; occupational tuberculosis; HIV infection due to occupational accidents; occupational hepatitis C; occupational mesothelioma and occupational COVID-19.
This new draft circular does not change the number of occupational diseases but changes the names of some diseases. For example, occupational contact dermatitis is added to occupational contact dermatitis due to chromium.
The draft also clearly states that workers diagnosed with occupational diseases need to limit exposure to harmful factors that cause the occupational disease; and receive treatment according to the Ministry of Health's regimen.
For occupational poisoning diseases, detoxification must be done promptly; nursing, rehabilitation and assessment of the level of reduced working capacity must be performed to enjoy insurance benefits according to regulations.

Some other occupational diseases such as occupational deafness caused by noise, local or whole body vibration and occupational cancer; cancer caused by occupational diseases that cannot be treated stably need to be transferred for immediate examination and assessment.
The Ministry of Health also requested that institutes of the preventive medicine system, medical and pharmaceutical universities proactively research and propose new and specific diseases in various fields and occupations for the Ministry of Health to consider adding to the list of occupational diseases covered by social insurance.
The latest occupational disease added to this list by the Ministry of Health is COVID-19, added in February 2023.
The Ministry of Health has shown that many organizations and individuals employing laborers do not fully comply with the provisions of the law on occupational safety and hygiene, employee health care and occupational disease prevention.
Many serious accidents have occurred, causing loss of life and property, leaving serious, long-term consequences for workers and the social security system.
Previously, the Prime Minister issued Decision No. 659 approving the Program for caring for and improving workers' health, preventing and combating occupational diseases for the period 2020-2030. The goal is that by 2025, 50% of workers at workplaces at risk of occupational diseases will be examined for early detection of occupational diseases and 100% by 2030.
According to the Law on Labor Safety and Hygiene, employees participating in occupational accident and disease insurance are entitled to occupational disease benefits when meeting the following conditions: Having an occupational disease on the list of occupational diseases issued by the Minister of Health and having a reduction in working capacity of 5% or more due to an occupational disease.
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