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MINISTRY
OF HEALTH OF VIETNAM
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THE
SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom – Happiness
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No.
60/2025/TT-BYT
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Hanoi,
December 31, 2025
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CIRCULAR
ON OCCUPATIONAL DISEASES COVERED BY SOCIAL INSURANCE, AND
GUIDELINES FOR DIAGNOSIS AND ASSESSMENT OF LABOR CAPACITY REDUCTION DUE TO
OCCUPATIONAL DISEASES
Pursuant to the Law on
Occupational Safety and Hygiene No. 84/2015/QH13;
Pursuant to the Law on Social Insurance
No. 41/2024/QH15;
Pursuant to Decree No.
58/2020/ND-CP dated May 27, 2010 of the Government on rates of compulsory
insurance contributions to the occupational accident and disease benefit fund;
Pursuant to Decree No.
88/2020/ND-CP dated July 28, 2010 of the Government elaborating some Articles
of the Law on Occupational Safety and Health on compulsory insurance for
occupational accidents and occupational diseases;
Pursuant to Decree No.
42/2025/ND-CP dated February 27, 2025 of the Government on functions, tasks,
powers and organizational structure of the Ministry of Health of Vietnam;
At the request of the Director
General of the Vietnam Administration of Disease Prevention;
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Article 1.
Scope
This Circular regulates the list of
occupational diseases covered by social insurance, and guidelines for diagnosis
and assessment of labor capacity reduction due to occupational diseases.
Article 2.
Definitions
For the purposes of this Circular,
the terms below shall be construed as follows:
1. Minimum exposure limit
is the lowest level of exposure to a harmful factor during work that can
cause occupational disease.
2. Minimum exposure time is
the shortest time of exposure to a harmful factor during work that can cause
occupational disease.
3. Latency period is
the time interval from when the employee stops being exposed to the harmful
factor to the point when the disease related to that factor may still develop.
4. Minimum incubation
period is the shortest time from the start of exposure to the onset of the
disease during which exposure is unlikely to cause the disease.
Article 3. The
list of occupational diseases covered by social insurance, and guidelines for
diagnosis and assessment of labor capacity reduction due to occupational
diseases
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2. Occupational asbestosis and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix II attached hereto.
3. Occupational byssinosis and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix III attached hereto.
4. Occupational talc and guidelines
for diagnosis and assessment of labor capacity reduction prescribed in Appendix
IV attached hereto.
5. Occupational coal worker’s
pneumoconiosis and guidelines for diagnosis and assessment of labor capacity
reduction prescribed in Appendix V attached hereto.
6. Occupational chronic bronchitis
and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix VI attached hereto.
7. Occupational asthma and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix VII attached hereto.
8. Occupational lead poisoning and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix VIII attached hereto.
9. Occupational intoxication of
benzene and benzene homologues and guidelines for diagnosis and assessment of
labor capacity reduction prescribed in Appendix VIII attached hereto.
10. Occupational mercurialism and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix X attached hereto.
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12. Occupational 2, 4, 6 -
Trinitrotoluene poisoning and guidelines for diagnosis and assessment of labor
capacity reduction prescribed in Appendix XII attached hereto.
13. Occupational Arsenic poisoning
and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix XIII attached hereto.
14. Occupational intoxication of
pesticide chemicals (organophosphorus and carbamate group) and guidelines for
diagnosis and assessment of labor capacity reduction prescribed in Appendix XIV
attached hereto.
15. Occupational nicotine poisoning
and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix XV attached hereto.
16. Occupational carbon monoxide
poisoning and guidelines for diagnosis and assessment of labor capacity
reduction prescribed in Appendix XVI attached hereto.
17. Occupational cadmium poisoning
and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix XVII attached hereto.
18. Noise-induced hearing loss and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XVIII attached hereto.
19. Occupational decompression
sickness and guidelines for diagnosis and assessment of labor capacity
reduction prescribed in Appendix XIX attached hereto.
20. Occupational whole-body
vibration and guidelines for diagnosis and assessment of labor capacity
reduction prescribed in Appendix XX attached hereto.
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22. Occupational radiation toxicity
and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix XXII attached hereto.
23. Occupational cataract and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXIII attached hereto.
24. Occupational black acne disease
and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix XXIV attached hereto.
25. Occupational melasma and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXV attached hereto.
26. Occupational chromium contact
dermatitis and guidelines for diagnosis and assessment of labor capacity
reduction prescribed in Appendix XXVI attached hereto.
27. Occupational skin diseases and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXVII attached hereto.
28. Occupational skin diseases due
to exposure to natural rubber and rubber additive chemicals and guidelines for
diagnosis and assessment of labor capacity reduction prescribed in Appendix
XXVIII attached hereto.
29. Occupational Leptospirosis and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXIX attached hereto.
30. Occupational hepatitis B and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXX attached hereto.
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32. HIV infection due to
occupational accidents and guidelines for diagnosis and assessment of labor
capacity reduction prescribed in Appendix XXXII attached hereto.
33. Occupational hepatitis C and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXXIII attached hereto.
34. Occupational mesotholioma
cancer and guidelines for diagnosis and assessment of labor capacity reduction
prescribed in Appendix XXXIV attached hereto.
35. Occupational COVID - 19 and
guidelines for diagnosis and assessment of labor capacity reduction prescribed
in Appendix XXXV attached hereto.
Article 4.
Principles of occupational diseases diagnosis, treatment, and prevention for
workers
1. A worker diagnosed with an
occupational disease is required to:
a) Limit his/her exposure to
harmful factors causing the occupational disease;
b) Receive treatment according to
guidelines issued by the Ministry of Health. For occupational intoxication,
instant detoxification is required;
c) Be referred by the employer for
medical assessment to assess the labor capacity reduction to receive social
insurance benefits, as well as treatment, nursing care, and subsidies on work
capacity restoration in accordance with the law.
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3. Diagnosis of occupational
intoxication made during the latency period is not required toxicity testing if
other criteria satisfy the minimum exposure limits corresponding to each
occupational intoxication.
Article 5.
Criteria for determining occupational diseases to be added to the list of
occupational diseases covered by social insurance
Determination of occupational
diseases to be added to the list of occupational diseases covered by social
insurance shall be based on one of the following criteria:
1. Be able to identify the link
between exposure to harmful factors during work and a specific disease. Some
diseases may appear only years after the first exposure, and workers may have
retired or transferred to other jobs.
2. The disease occurs more
frequently in groups of workers exposed to harmful factors compared to those
not exposed.
3. Diseases occurring in workers
due to exposure to harmful factors during work but not yet being studied in
Vietnam, which are internationally recognized as occupational diseases covered
by social insurance, shall be added to the list.
Article 6.
Regulations on medical consultation for diagnosis of occupational diseases
1. Medical consultations shall be
conducted for cases diagnosed with pneumoconiosis, occupational local vibration
or occupational whole-body vibration, or other cases beyond the professional
capacity of the medical establishments. The consultation council is established
by the head of the medical establishment. Where necessary, the President of the
Council shall request experts in the relevant field requiring medical
consultation.
2. Conclusions of the medical
consultation shall be completed and recorded in the occupational disease
medical consultation minutes using the form prescribed in Appendix XXXVII
attached hereto.
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Article 7.
Responsibility for implementation
1. Responsibilities of Vietnam
Administration of Disease Prevention:
a) Take charge and cooperate with relevant
agencies in organizing the implementation, preliminary review, and final review
of the implementation of this Circular nationwide;
b) Take charge and cooperate with
relevant agencies in proposing amendments, or formulating new regulations and
providing guidance on the implementation of the following regulations:
- List of occupational diseases
covered by social insurance.
- Guidance on diagnosis of
occupational diseases.
- Guidelines for medical assessment
of labor capacity reduction caused by occupational diseases.
c) Inspect, monitor, and propose
competent authorities to impose penalties for violations as regulated by laws.
2. Responsibilities of Department
of Medical Service Administration:
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3. Responsibilities of specialized
agencies delegated by People’s Committees of provinces and centrally affiliated
cities:
a) Take charge in organizing the
implementation, preliminary review, and final review of implementation of this
Circular within their management;
b) Propose new diseases in various
fields and occupations for the Ministry of Health to consider and add them to
the List of occupational diseases covered by social insurance benefits based on
the criteria specified in Article 5 hereof;
c) Inspect, impose penalties and
resolve difficulties in implementing this Circular in accordance with the law.
4. Preventive healthcare-related
Academies, Universities of Medicine, Pharmacy shall proactively conduct
research and propose new, specific diseases in their respective fields and
occupations for the Ministry of Health (Health Environmental Management
Department) to review, consolidate, and propose additions to the list of
occupational diseases covered by social insurance based on the criteria set
forth in Article 5 hereof.
5. Health agencies of ministries,
central authorities shall
a) Propose new and specific
diseases in various fields and occupations for the Ministry of Health to
consider and add them to the List of occupational diseases covered by social
insurance benefits based on the criteria specified in Article 5 hereof;
b) Provide guidance for medical
establishments in their sector to comply with applicable laws on health
examinations for detecting occupational diseases; regularly inspect and impose
strict penalties on organizations and individuals committing violations against
laws on occupational disease.
6. Labor facilities, occupational
disease diagnosis and treatment facilities, and relevant agencies,
organizations, and individuals may propose new diseases in various fields and
occupations for the Ministry of Health (Vietnam Administration of Disease
Prevention) to consider and add them to the List of occupational diseases
covered by social insurance benefits based on the criteria specified in Article
5 hereof;
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If the reference documents in this
Circular are replaced, amended, the newer documents shall apply.
Article 9.
Effect
1. This Circular comes into force
from February 15, 2026
2. The following legislative
documents shall cease to be effective from the effective date of this Circular:
a) Circular No. 15/2016/TT-BYT
dated May 15, 2016, issued by the Minister of Health, on occupational diseases
covered by social insurance;
b) Circular No. 02/2023/TT-BYT
dated February 9, 2023, issued by the Minister of Health amending Circular No.
15/2016/TT-BYT.
During the implementation process,
agencies, organizations and individuals must promptly report any difficulties
or problems that arise to the Ministry of Health (Vietnam Administration of
Disease Prevention) for review and resolution./.
PP.
MINISTER
DEPUTY MINISTER
Nguyen Thi Lien Huong
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