bluuebunny/crossref_metadata_2025 huggingface dataset:
P-363 ASSESSING GLYPHOSATE AND AMPA EXPOSURE AMONG FARMERS USING A HUMAN BIOMONITORING STRATEGY
Authors: Berni Imane , Menouni Aziza , Creta Matteo , Abousai Said , Chetouani Hala , Chbihi Kaoutar , Godderis Lode , Duca Radu , Jaafari Samir
Published: July 2024

Introduction

There are extensive data on the toxicity of glyphosate (GLY) based herbicides (GBH), however the interpretation of some data (e.g. carcinogenic effect) are subject to controversy. For the appropriate health risk assessment more data on exposure levels in farmers and their family are needed. The aims of the present study were to estimate the exposure to GLY and its major metabolite aminomethylphosphonic acid (AMPA) in farmers that lived in intensively farmed area in Morocco.

Methods

The levels were used as proxies for exposure of these target population to herbicides. Urine was collected from 104 farmers and information from sociodemographic characteristics and occupational expo-sure was collected from questionnaires administrated to farmers and spouses. Urinary glyphosate and AMPA were extracted using solid phase extraction (SPE) and analyzed by liquid chromatography-tandem mass spectrometry (LC-MS/MS).

Results and discussion

The detection frequency (DFs) was 67% for glyphosate and 62% for AMPA among farmers, with the mean concentration of 1.22 μg L−1 and 0.85 μg L−1 respectively. Multiple regression analysis showed that smoking status, applying glyphosate in the last 7 days, and glove use are the most important contribution to urinary levels of glyphosate and AMPA among farmers.

Conclusion

This study provides further evidence on factors associated with glyphosate and AMPA exposure, especially in developing countries.
P-367 NMR-BASED METABOLOMICS: NOVEL APPLICATION IN EXPOSOMICS
Authors: Spagnoli Mariangela , Tranfo Giovanna , Giampaoli Ottavia , Sciubba Fabio , De Rosa Michele , Patriarca Adriano
Published: July 2024

Introduction

Metabolomics studies the end products of biological processes ocurring in living systems, based on the quantification of low molecular weight molecules in a specific biofluid to evaluate the changes in metabolism due to endogenous and/or exogenous stimuli. Nuclear magnetic resonance (NMR) has proven to be a very valuable analytical platform for its ability to quali-quantitatively characterize complex mixtures with minimal pretreatment and can be applied in the field of occupational medicine.

Methods

Urine samples of exposed workers and healthy non-exposed volunteers were collected from different biolmonitoring campaigns and analyzed by nuclear magnetic resonance (NMR) spectroscopy with mono and bidimensional experiments

Results

About 40 metabolites, including amino acids, organic acids, aromatic compounds and alcohols, were identified and quantified. It was also possible to identify and quantify both metabolites and dose biomarkers such as mandelic and phenilglyossilc acids in case of styrene exposure.

Discussion

By comparing the urinary metabolites of exposed and non-exposed it is possible to observe quantitative differences validated by univariate and multivariate statistical analysis. These differences may be attributable to metabolic alterations at a subclinical level and therefore provide indications on potential variations to be followed over time to predict the onset of occupational disease.

Conclusion

The application of NMR metabolomic approach in occupational medicine evidence a characteristic metabolic profile by identyfing early biomarkers of effect and their involvement in the metabolic pathway.
O-207 A MULTIDISCIPLINARY APPROACH TO MONITORING EMPLOYEES WITH NON-COMMUNICABLE DISEASES (NCDS) AT A ZAMBIAN MINE SITE - ENHANCING WORKER HEALTH AND WELL-BEING
Authors: Visage Christine , Miyanda Gloria
Published: July 2024

Introduction

Non-Communicable Diseases(NCDs) present a significant health challenge among the working population in Zambia, contributing to elevated morbidity and mortality. The COVID-19 pandemic brought to light the heightened vulnerability of employees with NCDs, prompting an intensified focus on proactive monitoring and effective management. Inadequately addressed NCDs extend to increased employee absenteeism, impacting individual well-being and workplace productivity.

Objective

This presentation illustrates the implementation of a multidisciplinary approach to identify and manage employees with NCDs, aiming to enhance control and reduce absenteeism. The team comprises of Occupational Health, Primary Health Care (including a dedicated NCD clinic with expedited patient care), First Aid Stations, Public Health, and Wellness Teams (Exercise Specialists, dedicated exercise groups, a Nutritionist, and Counselling Services.)

Methods and Results

This presentation provides insights into the roles of each member of the team, the challenges encountered during establishment, and highlights positive outcomes within the first year. Additionally, we analyse hospital and emergency room admissions data for clients with uncontrolled NCDs and absenteeism data from Occupational Health related to NCDs. We also discuss the positive impact of monthly NCD-stakeholder meetings in identifying high-risk cases and ensuring ongoing fitness for duty.

Discussion and Conclusion

Short-term results indicate reduced hospital admissions, and decreased absenteeism among previously identified cases. Positive feedback from clients underscores the effectiveness of this multidisciplinary approach to managing NCDs among mine site employees. Further research is needed to assess the long-term impact and sustainability. The approach holds promise not only for Zambia but also for similar contexts, wherein the intersection of health, work, and well-being is of paramount significance.
O-208 TRANSLATIONAL TRAINING IN OHS
Authors: Mittal Ashish
Published: July 2024

Introduction

Occupational health and safety in most of the small & medium enterprises end up as paper compliance of legal requirements. E.g. generic annual medical examination of workers is usually not based on the workplace hazard assessment and exposure to the respective workers. The idea behind the translational training is to improve the workers’ health, safety and wellbeing by enhancing transfer and adoption of science of OHS risks and outcomes in simplistic and sustainable participation of workers and organization.

Materials and Methods

A secondary literature review was combined with thirty shop floor training of workers, supervisors and managers in various small and medium enterprises.

Results

The hard to reach, resource crunched 63 million small and medium enterprises, employing more than 110 million workers across the country shy away from deploying OHS practices, thereby compromising health, safety and wellbeing of workers. The science of OHS is not understood by most of the stakeholders and perceived as a financial, logistic and behavioral burden to comply with.

Discussion and conclusion

With translational training, focusing on 5 why and 1 how, workers and other stakeholders understand and own their roles to recognize, reduce/ control the workplace risks, enhance their own physical, psychologic requires much research and data on appropriateness, adoption, practice and sustainability of such trainings.
O-209 ENHANCING OCCUPATIONAL HEALTH SERVICES THROUGH IN-HOUSE PHYSIOTHERAPY SERVICES: A CASE STUDY FROM A ZAMBIAN MINE SITE
Authors: Visage Christine
Published: July 2024

Background

Occupational Health Doctors in Zambia have long faced challenges related to limited rehabilitation resources, impacting employee well-being and return-to-work outcomes. This presentation explores the transformative impact of integrating in-house rehabilitative physiotherapy services into our Occupational Health team, as witnessed from the viewpoint of Occupational Health Doctors. Initially intended to address chronic lower back pain cases and enhance return-to-work outcomes for injury on duty cases, our in-house physiotherapist’s role evolved significantly during the COVID-19 pandemic when the emphasis shifted and he also assisted with respiratory and physical deconditioning rehabilitation.

Methods

Our team of Occupational Health Doctors collaborates closely with our Occupational Health Physiotherapy team, managing a diverse range of cases, including vertigo, cardio-respiratory issues, musculoskeletal disorders, and peripheral neuropathy. We provide insights into the methods employed, including Functional Capacity Evaluations, Pain Management Programs, Work Conditioning, and Work Hardening, as well as the pivotal role these services play in our practice.

Results

We present a compelling case study, demonstrating how our collaborative approach between Occupational Health Doctors and the Physiotherapy team has facilitated effective cardio-respiratory rehabilitation and the phased return-to-work plan for an employee with Tuberculous Pericarditis, Pleural effusion, gout, and hypertension. Our presentation sheds light on the outcomes observed by Occupational Health Doctors.

Discussion and Conclusion

The integration of in-house rehabilitative services has revolutionized our approach to assessing fitness-for-duty in Zambia. This collaborative model empowers employees on their journey to optimal well-being, and it holds particular promise for regions with limited rehabilitative resources, offering transformative changes in employee health.
P-374 EPIDEMIOLOGICAL STUDY OF NOISE-INDUCED HEARING DISORDERS AMONG MINING WORKERS IN GUINEA, 2018-2022
Authors: Tchicaya Aimé Francois
Published: July 2024

Introduction

The noisy nature of machines, tools, and work processes characterizes mining activities, creating an environment conducive to the development of hearing injuries.

Method

A cross-sectional descriptive study of hearing injuries among mine workers was conducted over a 3-month data collection period. We collected data through a questionnaire and processed using Epidata and Excel 16.

Results and discussion

The sample consisted of 345 employees out of 384, with a participation rate of 89.84%; 98.6% were male. The mean age was 45.94±8 years, ranging from 24 to 59 years, with heavy equipment operators accounting for 25.5% of the sample. Work hours exceeded 8 hours for 11.60% of employees. Sound intensity ranged from 69 dB (A) to 111 dB (A), with a 26 dB(A) gap beyond the standard at one station. The use of hearing protection was irregular among 86.10% of employees. The prevalence of hearing disorders was 75.10%, with deafness accounting for 30.70% of cases, including 2.31% severe and 6.67% moderate cases; 3.48% of hearing losses met recognition criteria, while we recognized none as occupational injuries.

Conclusion

Preventive measures are necessary to reduce the risk of occupational deafness. Keywords: Noise-exposure-hearing disorders-mining.
O-214 OCCUPATIONAL EXPOSURE TO HAZARDOUS CHEMICALS DURING PREGNANCY IN A PATHOLOGY LABORATORY CASE OF A PREGNANT TECHNICIAN EXPOSED TO TOLUENE
Authors: Norredine Doha , Wifaq Kamal , Tahri Loubna , Darid Fadwa , Jbara Meriem , El Kholti Abdeljalil
Published: July 2024

Introduction

The profession of pathology laboratory technician exposes various risks, notably chemical. Occupational exposure to hazardous chemicals during pregnancy can lead to foetotoxicity. The aim is to evaluate the work ability of a pregnant pathology laboratory technician.

Methods

To answer this request, an analysis of the state of health, a study of the workstation and exposure to hazardous chemicals and an evaluation of the physical load were carried out.

Results

A 37-year-old laboratory technician assigned to the anatomopathology laboratory’s sample reception room, treated for rheumatoid arthritis from 2020, 5 months pregnant and exposed to formaldehyde, ethanol, toluene and paraffin.

Discussion

According to the classification, labeling and packaging of substances and mixtures, toluene is classified as toxic for reproduction, Category 2, H361. Occupational exposure to toluene may lead to an increased incidence of spontaneous abortion, preterm birth, central nervous system anomalies and neural tube closure defects, cognitive and behavioral problems associated with developmental delays, including mental retardation, language impairment, and hyperactivity, hydranencephaly and other congenital malformations. These effects appear to depend upon the level of occupational exposure. Workstation modification was recommended with avoidance of exposure to foetotoxic substances.

Conclusion

Further evaluation of the potential toxicity of hazardous chemicals exposure is merited. Studies designed to clarify exposure effects, dose levels, and timing of exposure will be most valuable
O-224 DIFFICULTIES IN MAINTAINING EMPLOYMENT FOR WORKERS WITH BIPOLAR DISORDER: A STUDY ABOUT TEN CASES
Authors: Soltani Sara , El Kholti Rim , El Kholti Abdeljalil
Published: July 2024

Introduction

Bipolar disorder (BD) is a mental health condition that causes extreme mood swings. This disorder has been ranked as one of the 10 leading medical causes of disability. Difficulties in maintaining in employment are related to individual characteristics and/or work environment. The aim of this study is to assess the professional disintegration factors as well as keeping at work measures in people with BD.

Materials and methods

This is a descriptive cross-sectional survey concerning medical expertise of ten cases of workers with BD at Ibn Rochd University Hospital Center, during the period between April 2021 and August 2023.

Results

The population was presented by nine female and one male; six nurses, two residents and two administrators. The average age was 36 years (23-53), the average seniority was 13 years (1.5-29). Three patients had BD type II and three patients had comorbidities. Five patients were on long-term sick leave for psychotic characteristics, two patients benefited from an adaptation of the workstation and three patients had mutated to another structure.

Discussion

Professional functioning in patients with BD may concern by the type of bipolar spectrum, the existence of cognitive impairment, number/severity of symptoms, advanced age, level of education and comorbidity. Regularity of schedules, absence of night work and suited work were mentioned as having a positive impact on job retention.

Conclusion

Keeping people with BD at work is challenging. Management of these patients must address both clinical features and work environment to prevent unemployment.
O-227 WOLFF-PARKINSON-WHITE SYNDROME AND OCCUPATIONAL EXPOSURE TO ANAESTHETIC GASES: A CASE STUDY
Authors: Soltani Sara , El Kholti Rim , El Kholti Abdeljalil
Published: July 2024

Introduction

Wolff-Parkinson-White (WPW) syndrome is a ventricular pre-excitation due to congenital atrioventricular accessory conduction pathways. The risk of sudden death is around 0.3% per year in symptomatic patients and 0.1% per year in asymptomatic patients. Occupational exposures interfering with myocardial excitability call for extreme caution when deciding on fitness for work of these patients. The aim of this study is to discuss how occupational exposure to anaesthetic gases can increase the occurrence of tachyarrhythmia episodes in workers with WPW syndrome.

Materials and methods

Descriptive and analytic case study of a nurse assigned to the surgical emergency department of Ibn Rochd University Hospital, followed up for WPW syndrome, who complained of the occurrence of paroxysmal tachyarrhythmia after exposure to anesthetic gases in the workplace.

Results

The case involves a 39-year-old nurse, working in the operating room for 20 years. The average heart rate during the work cycle (2h 13) was 116 bpm (maximum of 138 bpm). The anaesthetic gas used was Sevoflurane, the other commonly used gases being Halothane and Isoflurane.

Discussion

The effects of occupational exposure to anaesthetic gases on the incidence of tachyarrhythmias in workers with WPW syndrome are unknown. The suitability of Sevoflurane as an anaesthetic agent for patients with WPW undergoing ablative procedures has been approved. However, several halogenated anaesthetics have been described as peripheral vasodilators or as having a myocardial depressant effect on patients.

Conclusion

The risk of sudden death in workers with WPW requires professional reclassification as a precautionary measure, considering occupational exposure conditions.
O-233 COVID-19 PANDEMIC, OCCUPATIONAL SAFETY AND HEALTH (OSH) AND IMPACT ON BUSINESS SUSTAINABILITY IN ACCOUNTING AND CONSULTING FIRM
Authors: Benbrahim Anissa , Mekouar Faiçal , Bennouna Ali , El Kholti Rim , El Kholti Abdeljalil
Published: July 2024

Introduction

The COVID-19 pandemic has had an unprecedented impact on global workplaces, reshaping how businesses operate and highlighting the critical importance of OHS for the sustainability of businesses. What’s happened in Fidaroc Grant Thornton (FGT)?

Methods

Assessing the impact of the COVID-19 pandemic on workplaces requires a systematic approach and the use of various materials and methods like Data Collection Forms, Questionnaires and Surveys, Data Analysis, Benchmarking, Workplace Policies and Guidelines.

Results

The action plan contained: Health and Safety Measures: Enhanced sanitation measures, mandatory mask-wearing, temperature checks, and social distancing became the new norms in workplaces. Remote Work and Flexibility to maintain business continuity by relevant planning. Mental health became a central concern in OHS. Travel restrictions led to a surge in virtual meetings. Redefining Workspaces. Employee Training and Education. Assessment and Risk Management. Campaign vaccine. New OHS regulations and guidelines specific to COVID-19.

Discussion

COVID-19 pandemic has brought OSH to the forefront of business concerns. Implementing effective OHS measures has become not only a legal and ethical obligation but also a key factor in ensuring the sustainability and resilience of businesses in the face of unexpected challenges. Businesses that prioritize the health and safety of their employees are better positioned to adapt, recover, and thrive in the post-pandemic world.

Conclusion

While the COVID-19 pandemic brought challenges, it also provided opportunities for businesses to reassess their practices. The integration of OHS and sustainability considerations by FGT has enabled its activity to be more resilient and better prepared for future challenges.
O-234 OCCUPATIONAL SAFETY AND HEALTH (OSH) TO ACCOUNTING AND AUDITOR’S PROFESSION (AAP) AND ITS IMPACT ON ENVIRONMENTAL, SOCIAL, GOVERNANCE (ESG) CRITERIA
Authors: Mekouar Faiçal , Agoumi Fadel , El Kholti Rim , El Kholti Abdeljalil
Published: July 2024

Introduction

OEC Morocco wants to offer a robust organization of OSH to its members in the aim to bring several benefits to AAP, while also positively impacting ESG considerations.

Materials and Methods

Action plan is tailored to create a safer and healthier work environment to ensure compliance with Moroccan’s OSH regulations and international labor standards.

Results

Here’s how OSH and ESG aspects can be interconnected: employee well-being, talent attraction and retention, positive reputation, governance and ethics, social responsibility, long-term sustainability. By prioritizing OSH, businesses improve employee health and well-being, productivity, and overall organizational efficiency. It’s also contributing positively to an organization’s ESG profile and sustainable business practices.

Discussion

Incorporating OSH actions in AAP not only improves workplace conditions but also aligns with ESG considerations. Robust OSH practices are indicative of strong governance, creating a more sustainable and responsible business environment, demonstrating a commitment to a key social consideration, demonstrating transparent reporting on OSH performance metrics can enhance accountability and credibility of AAP both for its employees and for its customers, which are important elements of the ESG framework.

Conclusion

A well-organized approach to OSH within AAP can lead to enhanced employee well-being, positive ESG outcomes, and a reputation for ethical and responsible practices. By integrating health, safety, and ESG considerations, AAP can create a safe and health workplace and a sustainable and ethical business environment.
O-238 PERSONALITY TRAITS AND WORKPLACE WELL-BEING AMONG SPECIALIST DOCTORS: A STUDY OF 88 CASES
Authors: Youabd Saadia , Wifaq Kamal , Tahri Loubna , Omali Asmaa , El Kholti Abdeljalil
Published: July 2024

Introduction

The five major personality traits are crucial in how individuals approach their work, especially in the medical sector. This study examines how these traits influence workplace well-being indicators, including work capacity, psychological distress, sleep problems, and suicidal thoughts.

Materials and Methods

Survey conducted through an online self-questionnaire using “Google Forms,” based on validated psychological tests. The target population consisted of resident doctors and recently graduated specialists affiliated with Ibn Rochd University Hospital in Casablanca.

Results

88 doctors participated (15%). The most predominant personality trait was agreeableness (42.04%), followed by conscientiousness (31.81%), neuroticism (17.04%), openness (9.09%), and no extraversion trait. Doctors specializing in psychiatry-child psychiatry, occupational medicine, and oncology-radiation therapy, who exhibited an agreeable personality trait, seemed to experience better workplace well-being, with satisfactory work capacity (40.54%), absence of psychological distress (62.16%), few or no sleep problems (54.05%), and no suicidal thoughts (83.78%). Conversely, doctors primarily specializing in cardiology and radiology, displaying a neuroticism personality trait, appeared to have lower workplace well-being, with slightly to significantly reduced work capacity (60%), frequent psychological distress (93.33%), moderate sleep problems (46.67%), and the presence of suicidal thoughts (53.33%).

Discussion

Limited research results suggest that doctors with a high level of neuroticism and low conscientiousness tend to have lower professional well-being. Conversely, high extraversion and agreeableness are often associated with better well-being.

Conclusion

The study underscores the importance of considering doctors’ personality traits to improve their working conditions. It sheds light on an essential aspect of physicians’ occupational health and paves the way for future research and interventions.
O-239 VALUE OF SPIROMETRY IN THE DIAGNOSIS OF OCCUPATIONAL ASTHMA: A CASE STUDY OF A PHARMACY ASSISTANT
Authors: Jbara Meriem , Wifaq Kamal , Tahri Loubna , Darid Fadwa , El Kholti Abdeljalil
Published: July 2024

Introduction

The preparation of cytotoxic drugs leads to the risk of chemical contamination of the operator through contact or inhalation. The aim of this study was to assess the impact of cytotoxic exposure on the lung function of a pharmacy assistant.

Materials and methods

In response to the request of a medical expertise established at the Occupational Health Department of Ibn Rochd University Hospital in Casablanca, a real-time workstation study was carried out where three spirometry tests were done: during exposure, after one and two weeks from exposure.Also, a bibliographical study of the toxicity of the cytotoxic drugs was handled.

Results

The pharmacy assistant was treated for allergic rhinitis and severe anosmia since 2019, complicated by shortness of breath. The preparation room is equipped with two cytotoxic safety workstations and an isolator, which are functional with appropriate ventilation. Spirometry tests perfomed haven’t revealed any abnormalities, apart from a restrictive disorder.

Discussion

No link was established between exposure to cytotoxics and the assistant’s condition, therefore, we recommended no arrangements but regular monitoring of her state of health and compliance with safe handling rules. Spirometry is a valid test to confirm work exposures’ impact on lung function: In symptomatic workers exposed to the suspected causative agent, a negative result almost rules out the diagnosis of work-related asthma.

Conclusion

Health risks associated with the handling manipulation of cytotoxic drugs are a major occupational health concern. All personnel must be trained and qualified in the safe, aseptic handling of these products.
O-242 OPPORTUNITIES FOR RETURNING TO WORK IN CASES OF SEVERE MENTAL DISORDERS: A CASE OF CHRONIC DELUSIONAL DISORDER
Authors: Benjdiya Malak , Tahri Loubna , Wifaq Kamal , Mazroui Imane , Es-Saadi Kawtar , El Kholti Abdeljalil
Published: July 2024

Introduction

Mental health disorders significantly contribute to occupational disability. This public health issue has detrimental effects on patients’ functioning in their workplace. The objective of this study is to assess the modalities of returning to work in psychotic conditions.

Methods

This is a case study conducted on the medical records of a patient with chronic delusional disorder. She worked as a pharmacist at Ibn Rochd University Hospital in Casablanca since 2001.

Results

The patient, suffering from a severe mental disorder complicated by hallucinations and delusional ideas, has been on sick leave since August 2018. She has been hospitalized three times in a psychiatric facility, received treatment without success, and consequently, was unable to return to work. An interview conducted in July upon her return to work revealed a patient with slowed speech, a melancholic mood, no motivation to work, and no interest in carrying out everyday activities.

Discussion

Globally, mental illness can affect various aspects of life, including work, resulting in reduced work performance. Several studies have demonstrated the close relationship between mental illness and decreased productivity, even leading to occupational disability. Despite the incomplete remission, the decision to return has been granted to our patient in order to allow her for a gradual reintegration into the work environment.

Conclusion

The occupational physician is faced with a dilemma when determining work suitability in such situations, given the patient’s chronic mental disorder, treatment failure, and the risk of deterioration, resulting in a low likelihood of returning to work.
O-245 SLEEPING AND ALERTNESS DISORDERS AMONG HOTEL STAFF
Authors: Kouar Jamila , Manar Nadia , Bouri Hicham El , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

The aim was to evaluate sleeping and alertness disorders among hotel staff in Agadir, Casablanca and Marrakesh.

Methods

This cross-sectional study involved 943 agents with at least one year of seniority. The survey was based on a questionnaire with three sections: - socio-economic and occupational characteristics, - health statute and lifestyle, - sleeping and alertness disorders (Epworth scale > 10).

Results

74.9% were men, 62.6% lived with a partner and 61.8% had dependents. 36.2% worked in administration and reception, 29.2% in catering, 28.5% in services and 6.2% in maintenance. 44.4% worked night shifts. Harmful habits were more frequent among night workers (NWs) than day workers (DWs). Regular sports activities were practiced by 13.5% (17% for DWs and 9.1% for NWs). Self-reported chronic diseases were more frequent among NWs than DWs. The prevalence of a daily sleep duration of less than 7 hours was 61.6% in NWs versus 42.7% for DWs. Insomnia (47% versus 39,3 %) and daytime sleepiness (43,2% versus 29,4%) were more frequent in NWs than in DWs. Factors contributing to sleep disorders included fatigue and occupational stress.

Conclusion

the profession of hotelier is emotionally demanding because the staff must deal cope with the demands of a difficult clientele. Frequent sleeping and alertness disorders result from the daily accumulation of chronic stressors leading to sleep disorders. Hotel staff were at a high risk of chronic stress with sleeping disorders. Health promotion and education initiatives should be carried out by occupational health professionals to make workers aware of the dangers of occupational stress factors.
P-377 WORKPLACE VIOLENCE AMONG HEALTHCARE WORKERS: A CROSS-SECTIONAL STUDY
Authors: Wifaq Kamal , Tahri Loubna , Najah Sara , El Kholti Abdeljalil
Published: July 2024

Introduction

Workplace violence is an underreported problem, and there are few studies on workplace external violence (WEV) in healthcare workers. The aim objective of this study is to estimate prevalence of the WEV among healthcare workers and to characterize it.

Methods

Cross-sectional study among healthcare staff in Berrechid Hospital Center in Morocco, using anonymous self-reported questionnaire inspired of instruments from ILO/WHO/ICN/PSI Joint Programme on Workplace Violence in the Health Sector.

Results

The study involved 100 healthcare workers. WEV Prevalence was about 91%, including 59% of nurses, 94.6% of male staff and 88.8 % of female personnel. 68% was verbal abuse and 32% physical violence. The most reached categories were paramedical staff (59%) and the most affected services were Emergencies (97%). The circumstances were related to organizational factors as long wait times. The potential aggressor is mostly a patient’s companion. Serious psychological consequences were expressed as insecurity (70%), irritability (56%), 34% thought of changing the service. Only 12% were declared as work-related accidents.

Discussion

The results of our study are consistent with those of the scientific literature which reports a predominance of WEV among female staff, nurses and in emergency departments. Likewise, organizational factors as long wait times are possible risk factors for workplace violence. Decreased productivity and overall feelings are also noted in several studies.

Conclusion

The recommendations issued following this study were of needing workplace violence prevention policy at national and local level, elaborating legal and regulatory requirements and recognition of psychological consequences as recovered occupational diseases.
P-385 RECOMMENDATION FOR THE IMPLEMENTATION OF NATIONAL PUBLIC HEALTH PROGRAMS IN THE PROFESSIONAL ENVIRONMENT
Authors: Bensaoud Zakaryaa , Ghailan Tarik , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Objectives

recommendation for the implementation of national public health programs (NPHPs)in the professional environment, particularly those of interest to adults.

Methods

Occupational health (ILO/WHO) shall promote and maintain the highest degree of physical, mental and social well-being of workers in all occupations. The 95th session of the ILO issued a recommendation to coordinate national occupational health programs with the NPHPs. Furthermore, to consolidate its achievements, the Ministry of Health has dedicated pillar 2 of the 2025 health plan to strengthening its PNSP. In this sense, raising awareness among the 10.7 million people (HCP, 2022) in employment will be decisive.

Results

there are 34 NPHPs, 17 of which seem very relevant to us for being implemented in the workplace.

- NPHPs concerning the prevention and control of non-communicable diseases: diabetes, hypertension, oral health, addictive disorders and mental health.

- NPHPs concerning the prevention and control of communicable diseases: tuberculosis, blindness, hepatitis, hydatid cyst, AIDS, meningitis, influenza, rabies and food hygiene

- Programs managed by the population department: vaccination, family planning, nutrition.

Discussion and conclusion

a safe and healthy working environment has been the fifth principle and fundamental right at work since 2022 (ILO). The involvement of occupational physicians in the NPHPs will enhance their activities and will be an asset for the NPHPs. The draft framework law relating to the national occupational health and safety policy must be re-examined to include a clause dealing with NPHPs.
P-390 EVALUATION OF VIBRATORY AMBIENCES OF THE WHOLE-BODY SYSTEM IN A CONTAINER SHIP DRIVER WITHIN A PORT TERMINAL
Authors: Lotfi Mohamed , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

Vibrations are associated with numerus hazards for the health of workers, particularly those relating to musculoskeletal disorders (MSDs). The objective of our study is to identify and measure whole-body system vibrations encountered when driving container ships as well as to evaluate their possible harmful effects on health.

Method

This is a metrological study for the measurement of whole-body system vibrations in a male container ship driver in a port terminal carried out in 2018 using two sensors, one for the seat and another for the floor, both connected to an analyzer.

Results

The duration of the measurement was 01h05min during which the driver had moved 30 centenarians over small distances. The effective weighted accelerations obtained over the entire activity recorded were for the three axes X (anteroposterior): 0.28 m/s², Y (lateral): 0.29 m/s², Z (vertical) seat: 0.30 m/s² and Z (vertical) of the floor: 0.25 m/s. The weighted equivalent acceleration was Aeq: 0.41 m/s². The daily exposure value was Aeq(8): 0.37 m/s².

Discussion and conclusion

The exposure values found remain lower than the values triggering preventive action, however adequate occupational health care could detect harmful effects on health from these vibrations even before the thresholds eligible for initiating preventive actions are exceeded.
P-398 INSURANCE AGAINST OCCUPATIONAL RISKS IN MOROCCAN LEGISLATION
Authors: Hatim Bachir , El kholti Rim , Soltani Sara , El kholti Abdeljalil
Published: July 2024

Introduction

The protection of employees against professional risks is fundamental in the employment relationship. The Law No. 18-12 enacted on December 29, 2014, governs compensation for work-related accidents and extends its provisions to cover occupational illnesses, constitutes a reference in Moroccan legislation. The objective of this study is to evaluate the relevance of Law 18.12 in ensuring worker protection, focusing on insurance and compensation procedures.

Materials and methods

Analysis of the provisions of Law 18.12, regarding workers’ compensation for work accidents and occupational illnesses.

Results

Taking out insurance against work accidents is enforced, however insurance against occupational diseases remains an optional measure. Compensation for both work accidents and occupational illnesses is provided through private insurance entities.

Discussion

Law 18.12 signifies significant progress in safeguarding Moroccan laborers. However, to align with current workplace demands and Morocco’s industrial advancements, revisions are imperative. Streamlining declaration and compensation procedures, enforcing mandatory insurance against occupational diseases, and broadening the list of recognized occupational diseases to encompass emerging risks are imperative.

Conclusion

The expected improvements in compensation for work accidents and occupational diseases can only be efficient within the framework of management by a national institution similar to the Tunisian model (the national social security fund).
O-246 VISION ZERO - STRENGTHENING CULTURE OF PREVENTION THROUGH DIGITAL SYSTEMS AT CONSTRUCTION SITES
Authors: Nirmalya Sen Krishna , Muralidhar Gollapalli
Published: July 2024

Introduction

Philosophy of Vision Zero focuses on prevention through various high-level strategies. To take this forward, leadership commitment is the primary requirement.

Methods

This paves the way for opting for a wide range of options including application of latest technologies for strengthening the culture of prevention.

Results

Incorporation of latest technologies in various stages of work can facilitate smooth and effective transformation of workplace OSH culture. Setting up of smart OSH objectives, Usage of Building Information Modelling (BIM) for planning, designing the effective safety surveillance systems, Virtual Reality (VR) devices & Micro learning modules for training and competency development are some of the technological interventions which can improve the understanding of inherent risks and effective management.

Discussion

Application of latest digital tools containing multiple capabilities including periodical review of systems across the workplaces can facilitate continual improvement of OSH management systems.

Conclusion

By genuinely committing towards the health, safety, and wellbeing of workers of an organization, incidents can be prevented and excellence in work culture can be achieved. Study in multiple major project sites reflects this over a period of 30 months.
O-248 EXPOSURE HAZARDS FROM ONGOING USE AND LEGACY OF ASBESTOS CEMENT IN CONSTRUCTION
Authors: Gottesfeld Perry
Published: July 2024

Introduction

Asbestos cement (AC) is used in water pipes, roofing, exterior siding, water tanks, cooling towers and other applications. Although the global market for asbestos is slowly shrinking, AC products continue to dominate the remaining uses in many countries. This review focuses on asbestos exposures during the installation and ultimate removal of these construction materials.

Methods

Online database search results and unpublished data were summarized for task-specific personal air sampling results for asbestos exposures involving asbestos cement in construction. This assessment summarizes the available published and unpublished reports for air sampling during the cutting and removal of AC pipes, roofing, sheets and cooling tower components and the range of exposures associated with the most common work practices.

Results

Task-specific exposures from cutting AC pipe ranged from 11.3 to 129.0 f/cc with a mean exposure of 53.8 f/cc. Cutting flat boards and corrugated roofing AC sheets resulted in exposures ranging from 1.33 to 130.0 f/cc with a mean of 24.0 f/cc. Exposures for power saw cutting of AC sheets and pipes fit lognormal distributions and suggest that more than 86% of these tasks with AC sheet and 100% of the tasks with AC pipe exceed the U.S. short-term Excursion Limit.

Discussion

Intermittent high exposures from the ongoing use of AC products in countries around the world are associated with an increased lifetime risk of asbestos-related disease.

Conclusion

Governments should consider risks from these construction exposures in decisions to regulate the remaining uses and removal practices for asbestos.
O-255 OSH BAROMETER – A VISUAL INFORMATION SYSTEM ON STATUS AND TRENDS OF OSH IN THE EU
Authors: Anyfantis Ioannis , Elsler Dietmar
Published: July 2024

Introduction

The OSH Barometer is a visual information system on status and trends of OSH in the EU. The system contains data from governmental sources, statistical authorities, European surveys and research. The included indicators are updated on a regular basis, while apart from data referring to previous years, a number of forecasted indicators referring to the year 2035 are included.

Methods

The tool has four sections: “Generic information”, “Steering of OSH”, “OSH outcomes and working conditions”, and “OSH infrastructure and monitoring capacity”. These four sections contain indicators such as: • OSH authorities • Economic and sector profile • Workforce profile • National strategies • Regulation • Social dialogue and Worker involvement • Work accidents • Work related diseases • Health perception of workers • Working conditions and prevention • Enforcement capacity

Results

In total, more than 90 single datasets (sub-indicators) are included. Every data set covers all EU Member States and provides EU27 average values as well.

Discussion

The OSH Barometer offers filtering and adaptation to the information needs of the users. It also allows comparison between Member States and the EU-average. The tool went live in 2020 but is regularly updated with the addition of new features and indicators. Included data are used for the development of analytical reports, with explanatory and analytical descriptions of status, trends that reach back between 10 and 25 years, and forecasts.

Conclusion

This exercise can provide knowledge and insights for safer and healthier work, in an ever-changing world of work, to wider audiences.
O-256 EXPLORING RESILIENCE POTENTIALS IN OSH: DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE
Authors: Fernandes Joana , Barbosa Judite , Pardo-Ferreira Juan Carlos Rubio-Romero María del Carmen , Arezes Pedro , Rodrigues Matilde A
Published: July 2024

Introduction

Public health crises that occur without warning test the effectiveness and resilience of Occupational Safety and Health (OSH) Management. Resilience engineering principles and practices have been used to support organizations to continue operating in the face of unforeseen crises, as well as to improve their functioning.

Methods

Erik Hollnagel developed a measurement tool of resilience potentials (respond, monitor, learn, and anticipate) called the Systemic Potential Management (SPM). This study aimed to attain an enhanced understanding of the resilience performance of an OSH service in terms of the four potentials proposed by him. For this purpose, a custom-made SPM was developed and validated.

Results

The study approach had four stages: 1) Design of the questionnaire based on the SPM; 2) Validation of the content of the questionnaire by Delphi methodology; 3) Questionnaire pre-test. A total of 19 experts participated evaluating the importance of each item in order to determine if they should be included in the questionnaire. In order to achieve consensus, three rounds were held. The final questionnaire was used in a pilot test. A sample of 30 subjects of the target population was used. As a result, a questionnaire was obtained with a total of 47 items divided into four dimensions, which represent the four resilience potentials.

Discussion-Conclusion

The application of this tool will contribute to the definition of strategies that help create resilience to face any future crises.
O-258 BEYOND COMPLIANCE: LESSONS FROM OSH STRATEGIES WITHIN THE CSR FRAMEWORK IN THE CORPORATE SECTORS OF COLOMBIA. OSH: OCCUPATIONAL SAFETY AND HEALTH CSR: CORPORATE SOCIAL RESPONSIBILITY
Authors: Copete Jimenez Diana Catalina
Published: July 2024

Introduction

CSR-OSH strategies have been driven by companies that wish to promote best practices, perceiving human capital as a valuable but vulnerable resource. CSR-OSH initiatives promote decent work, and support the fight against poverty and the maintenance of peace. These points of intervention are important in Colombia where there are communities with low employability, without sufficient government support and in isolated territories. OHS-CSR strategies may be applicable in other countries with the same challenges. The momentum that sustainability and CSR are currently having can be used to improve OSH standards.

Methods

a scoping review was carried out, evaluating OSH initiatives within the CSR framework in Colombia including Databases and bibliographic resources. This is part of the research for the dissertation work for the Master degree in OSH in the ITCILO.

Results

It was evidenced that the initiatives are led by international initiatives, corporations that intervene within the supply chain, large companies or international cooperation. Sectors such as energy, mining and agriculture are the ones that have implemented more OSH-CRS initiatives.

Discussion

The initiatives reviewed are related to international certifications, voluntary reporting and as a requirement for international trade. Successfully implemented strategies can be adapted to other economic sectors. The main challenges are the lack of managerial level commitment, insufficient reporting, multiple international certifications that limit the homogenization of criteria for OSH-CSR strategies. It is necessary to increase efforts in managerial commitment, reporting, research, training, and promotion of small and medium enterprises initiatives.
O-260 VISION ZERO IN THE ‘EU STRATEGIC FRAMEWORK ON HEALTH AND SAFETY AT WORK 2021-2027’ AND ITS RELATION TO THE SDGS - EU-OSHA DEVELOPING TARGETED INFORMATION ACTIONS AND TOOLS TO INCREASE AWARENESS
Authors: Elsler Dietmar , Anyfantis Ioannis
Published: July 2024

Introduction

The EU strategic framework on health and safety at work 2021-2027 promotes a ‘Vision Zero’ approach to work-related deaths by improving data collection on accidents at work and occupational diseases, by strengthening enforcement and increasing awareness on reducing work-related deaths at company level, sharing good practices, and supporting increased training for labour inspectorates. The EU Advisory Committee on Safety and Health at Work encourages EU-OSHA to disseminate information on vision zero approaches, include vision zero in its campaigns and spread related tools and guidelines.

Methods

To achieve the goal of zero occupational accidents and illnesses, reliable, timely and comparable data on occupational accidents and work-related health problems is a key requirement to assess OSH performance across EU Member States and draw evidence-based policy conclusions from such comparisons.

Results

EU-OSHA will continue to improve EU data collections on occupational accidents and diseases in its OSH Barometer data visualisation tool. In supply chains OSH will be promoted as part of companies’ code of conduct for suppliers and including OSH specifications in procurement procedures.

Discussion

EU-OSHA arranges fora for sharing best practices on OSH, in and between Member States as well as in a tripartite framework, for example in the good practice exchange activities of the Healthy Worlplaces Campaigns.

Conclusion

In today’s economy, where all countries have global business relations, a vision zero approach can be a key element to improve OSH throughout the global supply chains, thus contributing to achieve the SDGs on ‘Decent work and economic growth (8)’ and ‘Good Health and Wellbeing (3)’.
O-264 BURNOUT AND WORK PARTICIPATION OF HOME CARE REHABILITATION PROFESSIONALS TRANSITIONING OUT OF THE COVID-19 PANDEMIC: A MIXED-METHODS SEQUENTIAL EXPLANATORY PILOT STUDY IN ONTARIO, CANADA
Authors: Nowrouzi-Kia Behdin , King Emily , Edwards Brydne , Nizzer Sonia , Yazdani Amin , Gohar Basem , Bani-Fatemi Ali , Howe Aaron , Chattu Vijay Kumar
Published: July 2024

Introduction

The objectives of this study were to examine the nature of burnout and occupational stress among home care rehabilitation professionals (hcRPs) working at a large home care agency in Toronto, transitioning out of the COVID-19 pandemic; and understand their lived-experiences with burnout and occupational stress.

Methods

This study used a sequential explanatory mixed-methods design. In the first phase, a self-administered questionnaire was designed to collect demographic data and inventory factors experienced as occupational stressors and burnout. In the second phase, we interviewed 23 hcRPs. Data analyses included descriptive, inferential statistics and thematic analysis.

Results

A total of 139 (33.1% response rate) participants were included and 91% were females. Coping w:ith daily tasks (AOR = 3.06, 95% CI: 1.17 - 8.45), unexpected occurrences in the lives of RPs (AOR = 4.43, 95% CI: 1.22 - 21.23), and lack of control (AOR = 2.80, 95% CI: 0.90 - 9.40) were found to be associated with an increased risk of burnout. Three themes were identified: a) unique challenges of a home care rehabilitation professional, b) COVID-19 exacerbations of home care occupational and mental stress, and c) personal and workplace coping strategies.

Discussion

The findings of this study provide preliminary about hcRPs burnout and work participation. Furthermore, providing insight into the impacts of burnout on hcRPs work participation.

Conclusion

These findings may inform strategies that home care providers or organizations can adopt to build resilience, support the mental health of healthcare providers, and promote workplace engagement and participation while maintaining evidence-based clinical practices.