Objectives: Occupational Health should aim at the promotion and maintenance of the highest degree physical, mental and social well-being of workers in all occupations; the prevention among workers conditions; the protection of workers in their employment from risks resulting from factors adverse to health; the placing and maintenance of the workers in an occupational environment adopted to his physiological and psychological equipment, and, to summarize, the adaptation of work to man and of each man to his job. In view of the current health status of class IV workers working in hospitals was reviewed, exposure to occupational health hazards, hospital waste management and accordingly to plan and suggest preventive measures and for betterment of their working conditions was studied under this research. Methods: This study was carried out in charitable rural hospital in India for class IV workers in the year 2009. The workers were reviewed for general health parameters viz. physical examination, nutritional status, knowledge, attitude, practice of workers towards his work along with detail investigations like X-rays’, blood, urine and sputum examinations. Results: During this study 72 workers were screened. This study included 28 (38%) males and 44 (62%) female workers. The 45% of workers were between the age group of 31 – 35 years and about 25% of workers were of younger age group of 21 – 25 yrs. There are more than 35 (approx. 48% of total workers) of workers chew tobacco and are alcohol addicts. The consumption of tobacco products and alcohol in male workers is more. Overall about 25% of the total workers have mild anemia, 33% have moderate anemia, and 15.30% suffer from severe type of anemia. When female workers were focused, it was observed that more than 20% of total female workers were suffering from severe type of anemia and 34% with moderate type of anemia. Significant number of the workers is having complaints of fall of heavy object (47%), Needle Stick injuries (62.50%), and facing Abuse of assault by patients or their relatives (10%) and blood contact (37.50%). Cases of needle stick injuries are quite high accounting for more than 60% which needs attention. Conclusions: The class IV workers are addicted to tobacco chewing and alcohol. Many of them suffer from anemia, hypertension, back ache acidity, skin diseases, fall of heavy objects, needle stick injuries. Significant number of workers is using personnel protective equipments (PPE) and is immunized.

Keywords: Class IV Workers; Occupational Health; Anemia; Needle Stick Injuries; Hypertension; Tobacco; Alcohol; Skin Diseases; Bio-Medical Waste Management; Hospital Acquired Infections; Personnel Protective Equipments; Immunization.