bluuebunny/crossref_metadata_2025 huggingface dataset:
P-502 PREVALENCE OF AGRICULTURAL AND CITY WORKERS WITH CHRONIC KIDNEY DISEASES RECEIVING SICK LEAVE BENEFITS AND ASSOCIATED FACTORS IN BRAZIL – A RETROSPECTIVE STUDY
Authors: Ferreira Luciano , Priester Luiz , Ferreira Laura , Galhardi Cristiano
Published: July 2024

Introduction

A worldwide epidemic of chronic kidney disease (CKD) is associated with cases among agricultural workers, and others performing manual labor, especially in Central America known as CKD of unknown cause (CDKu). The objective of this study was to verify the prevalence of rural and city workers with CKD and associated factors in Brazil.

Methods

A retrospective study with 660 patients who underwent evaluation for sick leave benefits in Brazil from January 2007 to April 2017. The data were collected using the Brazilian National Social Security (INSS) System Information, and registered gender, age, occupation, etiology, manual and non-manual labor.

Results

The results showed a prevalence of male workers (64,24%), living in cities (84,39%), performing manual labor jobs (51,6%), with the mean age of 56,42 years old. Agricultural workers accounted for 32% of the cases. The main occupation for city workers was truck driver and for rural employers was coffee agricultural workers. The main etiologies were the same for rural and city workers:

1) Primary Hypertension,

2) Diabetes Mellitus,

3) Unknown,

4) Polycystic Kidney Disease.

Twenty e two percent of rural workers had CKDu.

Discussion

CKDu can have higher prevalence among agricultural workers and may cause long-term disability. Preventing manual labor workers, especially in the rural area, from developing CKDu may reduce the number of sick leave long-term benefits.

Conclusion

It was observed a higher number of manual labor workers with CKD, and many of them with CKDu especially in agricultural workers. It is possible that these agricultural workers may have CKDu associated with manual labor.
P-504 KNOWLEDGE, ATTITUDE, AND PRACTICE OF PESTICIDE USE AMONG AGRICULTURAL WORKERS OF LAMATAR, LALITPUR, NEPAL
Authors: Vaidiya Subhadra , Joshi Sunil Kumar , Jyoti Sabita , Lama Prasanna
Published: July 2024

Introduction

Unsafe methods in handling pesticides, especially in middle and low-income countries like Nepal are practiced, although the harmful health effects either go unnoticed or are missed or are diagnosed late. This study aimed to assess knowledge, attitude, and practice regarding pesticide use among agricultural workers and farmers’ awareness of pesticide labels on pesticide bottles or packets.

Methods

A cross-sectional study among 74 conveniently selected agricultural workers, who used or ever-used pesticides within the last six months was conducted in Lamatar, Lalitpur District of Nepal from January 2022 to February 2022. Ethical clearance was obtained from the Institutional Review Committee of Kathmandu Medical College.

Results

Among the 74 respondents 49 (66.2%) were females and only 25 (33.8%) were males. Most of them had no formal education but could read and write. However, less than half 32 (43.2%) had adequate knowledge while the majority 49 (66.2%) had a negative attitude towards the use of pesticides. However, only 32 (43.2%) had good practice handling pesticides and its effect.

Discussion

This study showed low knowledge regarding pesticides among the respondents and the majority of them were females. Females also had inadequate knowledge about its health effects and poor practice along with a negative attitude towards the use of pesticides, however still widely used because of the demand for more earnings.

Conclusion

There is a need for time-to-time regular community-based training regarding how to safely handle pesticides and the availability of less harmful fertilizers products at retailers or consultancies.
P-506 METHODS USED TO DEVELOP A CULTURALLY APPROPRIATE STUDY PROTOCOL EXAMINING OCCUPATIONAL EXPOSURES AMONG SYRIAN REFUGEE AGRICULTURAL WORKERS
Authors: Habib Rima R , Rohlman Diane S , Fakih Lina , Estephan Christina , Nuwayhid Iman
Published: July 2024

Introduction

Refugees from war-torn neighboring Syria are often engaged in agricultural practices in Lebanon. Little is known about their multiple exposures to workplace hazards and psychosocial stressors. Our objective is to describe the methods used to develop a research protocol and tools that are culturally appropriate for this vulnerable population.

Methods

An iterative process was used to learn from stakeholders and intermediary organizations in Beqaa, Lebanon. Interviews and field observations identified work practices, exposures, and living conditions that directly impact the study design and assessment tools.

Results

Fifty stakeholders (employers, farm workers, NGOs, government officials) were interviewed or participated in focus group discussions. We learned that preventive spraying using a mixture of pesticides is common practice in greenhouses, where intensive frequent pesticide application occurs following a preset schedule that overlaps with harvest time. This puts at risk men who apply pesticides and women who harvest recently treated crops, without using personal protective equipment. Only Syrian refugees perform this hazardous work. Moreover, Syrian workers, who live in precarious conditions in nearby informal tented settlements, often experience discrimination and receive low pay without social protection.

Discussion

Our findings informed our decision to focus on Syrian refugee agricultural workers in greenhouses and adapt our assessment tools (exposure to pesticides, heat stress, and social stressors) and data collection plan (morning and afternoon shifts) to the specificities of greenhouse agricultural practices in Beqaa.

Conclusion

Although such preliminary work is crucial to develop culturally appropriate and feasible methods for evaluation of workplace exposures in high-risk populations, this information is seldom described.
P-509 ASSESSMENT OF OCCUPATIONAL HAZARDS IN FARMING
Authors: Dallagi Amani , Benchrifa Emna , Baraketi Emna , Khouja Nihel , Ismail Saloua , Hsinet Jihene , Benzarti Aida
Published: July 2024

Introduction

Pesticides are chemical products widely used, mainly in agriculture. They can be responsible for health effects, whether acute or chronic. Our aim is to qualitatively assess pesticide exposure and its impact on workers’ health.

Methods

This is a descriptive, cross-sectional epidemiological survey of 54 employees in 4 agricultural enterprises.

Results

The study population is relatively old (49 ± 7 years) and almost exclusively male. Average seniority was 23 ± 10 years. The most exposed positions were those of multi-skilled workers (35 employees) and drivers (12 employees).The inventory of pesticide products handled revealed 67 active ingredients of varying effects, risks and severity. Working conditions are generally unsatisfactory. Lack of individual and collective preventive measures, poor general hygiene and non-compliance with handling and waste management rules are at the top of the list.Exposure assessment is summarized in the form of three levels of risk, taking into account the mode, frequency and duration of exposure. The medical study revealed the importance of chronic toxic effects linked to pesticide exposure (respiratory, cutaneous and neuropsychic). In particular, organic psycho-syndrome was found in 7 employees.

Discussion

The level of risk associated with pesticide used is high as exposure increases. However, the lack of adequate preventive measures is an aggravating factor.

Conclusion

The adoption of a prevention strategy is therefore an extreme necessity in order to reduce the level of risk and limit the health, environmental and socio-economic impact of pesticides.
O-338 THE SECOND ITALIAN CROSS-SECTIONAL SURVEY ON OCCUPATIONAL SAFETY AND HEALTH: RESULTS FROM A SAMPLE OF IMMIGRANT WORKERS
Authors: Buresti Giuliana , Rondinone Bruna Maria , Boccuni Fabio , Valenti Antonio , Monti Carlo , Iavicoli Sergio , Persechino Benedetta
Published: July 2024

Introduction

Work is the main driver of international migration. In 2022 there were about 5 million foreign citizens living in Italy; working age were over 3 million and around 2 million were employed, mainly in agriculture, construction and personal services. Legislative Decree 81/08 calls for specific attention to “workers from other countries”, both in the risk assessment process and in training activities, due to their vulnerability. INAIL conducted the Insula surveys (2014, 2019) aimed at investigating Occupational Safety and Health (OSH) perceptions, emerging risks and levels of awareness of legislation on a large sample of workers, including also foreign workers.

Methods

The sample consisted of 206 foreign workers extracted from 2019 Insula dataset. Questionnaire was administered using Computer-Assisted Telephone Interviewing (CATI) methodology and consisted of closed-ended questions organized in 8 sections.

Results

60% are male and 36% come from EU countries, mainly Eastern Europe; 56% live in Northern Italy. Around 65% of the sample is aware of Italian OSH legislation and 45% attended training courses on OSH issues. 81% believe having legal obligations for OSH and 76% are able to fulfill them. Furthermore, on a 1-5 scale they feel mostly exposed to biomechanical and ergonomic risk (2.6), work-related stress (2.4) and physical risks (2.2).

Discussion

The inclusion of foreign workers in the survey allows us to gather useful information through the analysis of risk perception of this group of workers.

Conclusion

Deeper analysis will contribute to better identify needs in the OSH protection to implement preventive instruments, in consideration of peculiarities with reference to their vulnerability.
O-344 KNOWLEDGE, ATTITUDES, AND PRACTICES CHEMICAL RISKS AMONG OPERATING ROOMS STAFF IN TUNISIAN HOSPITALS
Authors: Bechrifa Emna , Baraketi Emna , Khouja Nihel , Ismail Saloua , Hsinet Jihen , Benzarti Aida , Amairi Oumaima
Published: July 2024

Introduction

Chemicals are extensively used in operating rooms (OR). Our aim was to assess knowledge, attitudes, and practices of OR staff concerning chemical risks (CR).

Methods

Descriptive, cross-sectional, multicenter survey conducted for OR staff in 2023 over one-month period using an anonymous self-administered questionnaire.

Results

Eighty participants were included, predominantly female (67%) with a median age of 33 years and job tenure of 7 years. They were mainly scrub-nurses (42%) and surgical instrumentalists (33%). Participants gave inadequate answers to questions regarding aldehydes’ uses and their effects in 36% and 63% of cases respectively. Additionally, 3% of participants affirmed the possibility of substituting glutaraldehyde with peracetic acid. Moreover, 75% were unaware of quaternary ammoniums’ uses, and 70% disregarded their health effects. They reported never ensuring proper ventilation of OR in 27% and never checking chemical labels in 24%. They answered correctly 5% of questions related to hazard pictograms in 5%. They stated not verifying chemical compatibility during storage in 41% and 79% did not know proper course of action in case of formaldehyde spills. Participants reported they had no prior training on CR in ORs in 95% of cases, that they had no access to informative posters about CR in 91% of cases and that they had not undergone occupational health check-up since being hired in 88% of cases.

Discussion

We highlighted significant knowledge gaps and inadequate and worrisome practices related to CRs in the OR.

Conclusion

We emphasize the urgent need for targeted training programs and comprehensive safety interventions in ORs related to CRs.
P-518 INVESTIGATING RISK PERCEPTION AMONG HEALTHCARE WORKERS OF ONCOLOGICAL UNITS EXPOSED TO HANDLING ANTINEOPLASTIC DRUGS
Authors: Ursini Cinzia Lucia , Di Tecco Cristina , Omodeo-Salè Emanuela , Petyx Marta , Jemos Costantino , Camera Cristina , Beltramini Sabrina , Gaggero Daniela , Rigamonti Nicoletta , Zorzetto Giorgia , Maiolino Piera , Filippo Pasquale Di , Baldo Paolo , Martinello Valeria , Mattia Andrea Di , Esposito Chiara , Nardulli Patrizia , Laforgia Mariarita , Persechino Benedetta , Cavallo Delia
Published: July 2024

Introduction

This study aimed to assess the risk perception among healthcare workers regarding occupational exposure to antineoplastic drugs (AD). Risk perception involves subjective judgments about risk characteristics and severity, influencing how people handle hazards they care about.

Methods

A survey was conducted on 229 healthcare workers handling AD. They used a 1 to 5 Likert scale to rate their risk perception, covering awareness of risk severity, preventive measures, fear of illness or injury, and personal exposure to health and safety risks. The survey also explored perceptions of traditional risks and those linked to AD exposure.

Results

Results showed that approximately 63% of workers feel exposed to “chemical risk,” and 65% to “work-related stress” (rated 4 or 5 on the scale). Around 66% of workers believe they understand the extent of the risk, and 67% are aware of health risks associated with AD exposure. Approximately 32% and 38% of workers fear getting injured or sick, respectively. Moreover, 71% claimed to be informed about safety measures against AD exposure risks, with 50% believing these measures are sufficient to protect their health.

Discussion

The study emphasizes the significant impact of risk perception on healthcare workers’ awareness and adoption of safety measures when handling AD. While many workers acknowledge the risks and the importance of preventive measures, there are differences in their perceptions of the measures’ adequacy.

Conclusions

Further exploration of the relationship between risk perception levels, safety behaviour and impacts on health can offer valuable insights for improving occupational health and safety protocols in healthcare settings.
O-346 ASSOCIATION BETWEEN PROLONGED EXPOSURE TO LONG-WORKING HOURS AND STROKE SUBTYPES IN THE CONSTANCES COHORT
Authors: Fadel Marc , Sembajwe Grace , Li Jian , Leclerc Annette , Pico Fernando , Schnitzler Alexis , Roquelaure Yves , Descatha Alexis
Published: July 2024

Introduction

Long working hours (LWH) was suggested to be associated with stroke in recent studies, though few have distinguished stroke subtypes even though physiopathological mechanisms are different. We examined the associations between LWH and ischemic or hemorrhagic stroke while adjusting for cardiovascular risk factors.

Methods

Using data from the French cohort CONSTANCES including participants from 2012 to 2018, we retrieved sociodemographic and cardiovascular risk factors from baseline questionnaires and initial health examinations. LWH were defined as self-reported working time ≥10 hours daily for at least 50 days per year. Incident cases of stroke were collected using International Classification of Disease codes recorded in the National health data system. Multinomial logistic models were computed to assess associations between LWH and stroke while adjusting for cardiovascular risk factors.

Results

There were 160,751 participants who were free from stroke at baseline, among which exposure to LWH ≥10 years was reported by 20,723 participants, and 190 incident cases of stroke, including 134 ischemic and 56 hemorrhagic. Exposure to LWH was associated with an elevated odds of ischemic stroke [OR=1.61(1.04-2.49)] and hemorrhagic stroke [OR=2.50(1.38-4.53)] in unadjusted model, whereas in adjusted models, only the LWH association with hemorrhagic stroke remained significant [aOR=1.92(1.01-3.09)].

Conclusions

As reported in the literature, workers exposed to LWH had an increased risk of stroke, though it only remained significant for hemorrhagic stroke after adjustments. Differences in direct and indirect biological pathways and lack of power in the ischemic subgroup may explain these results. Further studies on the impact of mediating and effect measure modifying factors are needed.
O-351 IDENTIFYING HARMFUL ALCOHOL USE IN THE SWEDISH WORKFORCE
Authors: Olivia Thern Emelie Ingegard , Blindow Katrina , Jonsson Erica , Brulin Emma , Landberg Jonas , Bodin Theo , Elling Devy L
Published: July 2024

Introduction

Alcohol consumption can result in great harm and cause tremendous expenses. Identifying at-risk groups and informing effective prevention is therefore imperative. The current study aims to identify what professions/branches in Sweden are more likely to report harmful use of alcohol and to investigate to what extend this can be attributed to individual and work-related characteristics, as well as how these trends have developed over time.

Methods

A repeated cross-sectional study was conducted including all participants of the survey of Health, Work Environment, and Lifestyle Habits between 2010-2022 (n= 310 000), collected by an occupational health service company (Feelgood). The survey contained information on alcohol use, profession/branch, physical and psychosocial work environment, mental health, and other relevant factors.

Results

Preliminary results suggest that individuals working in the restaurant and construction sectors are at the highest prevalence of harmful alcohol consumption. Several common characteristics relating to health, lifestyle, and work environment were found.

Discussion

Although several preventive efforts have been implemented with regard to harmful alcohol in the workforce, some professions remain at a high risk. The Covid-19 Pandemic appeared to have limited effect on harmful alcohol use, especially among professions where distance work was possible.

Conclusion

We identified groups in the Swedish workforce where harmful alcohol use is highly prevalent and to what extend modifiable risk factors contribute to this problematic behavior. This information can be used to target alcohol use screening programs and for public health interventions.
P-535 CANNABIS USE AMONG TEMPORARY AGENCY WORKERS: PREVALENCE AND PERCEPTIONS
Authors: Van Kerckhove Zeen , Braeckman Lutgart , Versée Mathieu
Published: July 2024

Introduction

Cannabis is in Belgium the most commonly used illicit drug, with 7.4% of employees using cannabis. This study examined the prevalence of cannabis use among temporary agency workers (TAWs), as well as their perception of the impact of cannabis use on occupational safety.

Methods

Every TAW who underwent a pre-employment health assessment was eligible for this cross-sectional study. The socio-demographic characteristics and the prevalence of cannabis use were determined. A Wilcoxon Rank Sum Test was used to investigate whether there was a difference in the perceptions about cannabis use and occupational safety between the cannabis users and non-users.

Results

During the study period of 2 months 192 (80,3%) of the 239 TAW’s completed the questionnaire. The average age of the TAWs was 33.3 years and 76% were males. 60 (31.3%) TAWs had used cannabis at least once in the past 12 months, and 42 (21.9%) used it 2 times a month or more frequently. Cannabis use was more prevalent among males (37.7% vs. 10.9%) and younger workers (39.2% when ≤ 36 years). 85% Of the cannabis users vs 25% of the non-users believed that cannabis use had no impact on occupational safety (p < 0.001).

Discussion

Cannabis use was about 4 times more frequent in temporary agency workers than in the general working population (31,3% vs 7,4%). The cannabis-users (85%) perceived cannabis use more often as not a threat for their occupational safety than the non-users (25%).

Conclusion

There is need for further research on the impact of cannabis use on occupational safety.
P-536 ENHANCING WORKPLACE HEALTH: A COMPREHENSIVE APPROACH TO SMOKING PREVENTION AND CESSATION
Authors: Debbagh Asmaa
Published: July 2024

Introduction

Smoking is a leading, preventable cause of death, claiming approximately 8 million lives yearly, per the WHO. This study presents a comprehensive approach for implementing smoking prevention and cessation programs in workplaces. Our program’s objectives include raising awareness of smoking risks in professional settings, facilitating self-assessment of tobacco addiction among employees, and promoting smoking cessation with effective guidance.

Methods

This research, spanning from 2011 to 2022, encompassed a diverse sample of over 2,000 individuals grappling with various forms of addiction, including tobacco, cannabis, alcohol, opioids, and more. To focus on this intervention, we narrowed our scope to the 461 patients exclusively addicted to cigarettes. Each patient underwent an individual assessment employing the Fagerström questionnaire to determine their level of addiction.

Results

Among the 461 exclusive tobacco smokers: - Gender distribution revealed 61.1% men and 38.9% women. - The predominant age group was 36 to 50 years. - Remarkably, 71.5% achieved complete smoking cessation after one to four acupuncture sessions, while 7.5% reduced daily consumption from two to three packs to one to three cigarettes. - 6.5% faced challenges in maintaining cessation, 3.2% relapsed, and 11.3% withdrew. - Fagerström test results indicated 65% had high tobacco dependence, 25% moderate dependence, and 10% low dependence.

Conclusion

Implementing workplace-based smoking cessation and prevention programs addresses substantial public health concerns while offering significant economic and societal benefits. These initiatives represent a crucial step toward mitigating smoking’s devastating impact and enhancing overall workplace well-being.
O-352 RISK OF OCCUPATIONAL INJURIES DUE TO ACCIDENTS AMONG NATIVE VS IMMIGRANT POPULATIONS IN SWEDEN
Authors: Elling Devy , Bodin Theo , Honkaniemi Helena , Kreshpaj Bertina , Davis Letitia , Nevriana Alicia , Matilla-Santander Nuria , Wegman David H , Wadensjö Eskil , Kjellberg Katarina , Luleå Nina Lazarcyk-Bilal , Thern Emelie
Published: July 2024

Background

Risks of occupational injuries due to accidents (OIA) are typically higher among immigrants than natives, yet no studies have explored the determinants of these differential risks in the Swedish context. This study aims to identify differences in risks of OIA and their determinants among immigrants relative to native Swedes.

Methods

A repeated cross-sectional prospective study was conducted for all gainfully employed individuals in Sweden between 2003–2020 (approximately 4.5 million individuals annually). Information on sociodemographic factors, migration status, reason for migration and generation, duration of residence, job sector, employment status, as well as OIA and severity estimated by the number of sickness absence days were obtained from nationwide registers.

Results

Preliminary results showed that first-generation immigrants have higher OIA risks and severity than second-generation immigrants and natives. Differences were partly explained by reason for migration and duration of residence. Job-related factors are now being examined.

Discussion

Despite safety improvements in workplaces, immigrants remain disproportionately vulnerable to OIA in the workplace, likely due to immigrants having more hazardous working conditions that lead to higher OIA rates than natives.

Conclusion

Identifying risk factors for OIA and how their differences by migration status, as well as job-related factors could contribute to improvements in policy and safety measures in the workplace and reduction of health inequalities among the working population.
O-353 REALIZATION OF WHO AIMS FOR HEALTHIER POPULATIONS RELATED TO OCCUPATIONAL HEALTH IN THE RUSSIAN FEDERATION
Authors: Bukhtiyarov Igor , Kovalevskiy Evgeny , Zemlyakova Svetlana
Published: July 2024

Introduction

An example scorecard was developed by WHO to provide an overview of the “ideal” indicator values that countries should aim to achieve. Occupational health is among these indicators.

Methods

Based on the data of the Federal Service for Labor and Employment, a review of the achievement of the proposed indicators in the field of occupational health was carried out.

Results

The working-age population in Russia in 2022 was 83.23 million, 71.97 million were employed in the formal sector of the economy. Sufficient part of the population was still employed in the informal sector. 1.1% of workers had working week more than 51 hours. About 10 million Russians worked in areas with harmful working conditions. 2.0 out of 100000 people of working age died from injuries due to occupational risks and 1 (less than) out of 100000 died from occupational diseases.

Discussion

Data on occupational injuries can be considered quite reliable. But considering the number of jobs in harmful and dangerous working conditions there is still underestimation of the occupational diseases, primarily those with a long latent period.

Conclusion

Estimation of the prevalence of occupational diseases is an essential factor determining the planning of measures to protect the health of the working population. Currently, work is underway to integrate this indicator into the intensively developing unified state information system in the field of healthcare and vertically integrated medical information systems for certain types of diseases which will include data not only related the patient’s health statute, but also employment history and working conditions.
O-357 OCCUPATIONAL ACCIDENTS AND DISEASES IN ZIMBABWE: THE ECONOMIC BURDEN- 2009 TO 2018
Authors: Magada Elingah Yeukai
Published: July 2024

Introduction

The paper is an analysis of the economic losses due to the burden of occupational injuries, diseases and fatalities in Zimbabwe from 2009 to 2018.

Methods

Quantitative comparative analysis of the burden of occupational injuries, diseases and fatalities in Zimbabwe vis a vis related- costs from 2009 to 2018 using data from the Accident Prevention and Workers’ Compensation Insurance Fund claims.

Results

On average there were 4921 occupational injuries and diseases and 77 fatalities recorded annually. This translated to an average cost of USD 9,419,691-20 in total claims to the fund (0.054% of the annual GDP). These costs include lump sum and periodic payouts to affected workers, medical and rehabilitation expenses, related travel and subsistence payments for medical visits or reviews, and funeral grants for fatalities. However, there are other hidden costs that are not covered under the Fund, such as lost productivity/business and goodwill, investigation time, repair and replacement costs, et cetera. Furthermore, these are statistics from the formal economy while the informal economy statistics remain unrecorded (informal economy constitutes over 70% of the economy) hence the costs are relatively higher.

Discussion and conclusion

Despite the missing data from the larger informal sector- the unreported and uninsured losses still have an impact on Zimbabwe’s economy as they not only affect enterprises’ capacity utilization but are often paid for directly from the enterprises’ bottom line profits, which ultimately affects the country’s GDP. It is imperative for the government and enterprises to prioritise and invest in safety and health as a key business and economic driver.
O-359 THE NATIONAL BURDEN OF WORKING TIME LOST TO COMPENSABLE OCCUPATIONAL INJURY AND DISEASE: A RETROSPECTIVE POPULATION BASED STUDY
Authors: Collie Alex , Griffiths Daniel , Donato Michael Di , Lane Tyler , Gray Shannon , Iles Ross , Smith Peter , Berecki-Gisolf Janneke , Collie Alex , Sheehan Luke
Published: July 2024

Introduction

Population-based measures of working time lost to occupational injury and disease have not been previously reported in Australia. This study sought to determine the national burden of working time lost to compensable occupational injury and disease, and to characterise the distribution of working time loss by age, sex, injury and disease.

Methods

Retrospective population-based study of all accepted workers’ compensation claims involving payment of wage replacement benefits between July 2012 and June 2017 nationally. Primary outcome measure is Working Years Lost (WYL) per annum, defined as the total number of years of wage replacement benefits paid to injured and ill nationally, by sex, age, injury and disease.

Results

Compensable occupational injury and disease resulted in 45,642 WYL nationally per annum. Male workers incurred 28,676 (62.8%) WYL while female workers accounted for 16,966 (37.2%). More than half of WYL (53.5%) were from workers aged over 45 years, despite these workers accounting for less than half (43.9%) of accepted claims. Traumatic injury resulted in 18,584 (40.7%) WYL per annum, followed by Musculoskeletal disorders (9,211WYL; 20.2%) and Mental health conditions (5,412 WYL, 11.9%).

Discussion

Annually, compensable occupational injury and disease in Australia results in a substantial burden of lost working time, equivalent to over 45,000 lost full time jobs. The distribution of burden reflects the higher labour force participation of males, slower rehabilitation in older workers, and the relative impact of common occupational injuries and diseases.

Conclusion

Effective occupational health surveillance, policy development and resource allocation will benefit from population-based monitoring of working time loss.
P-538 TWENTY YEARS OF ACCIDENT ANALYSIS OF WORKERS IN THE OIL AND GAS INDUSTRY
Authors: Cukier Julian , Gomez Guilermina , Marmanelli Diego , Orue Myriam Villegas , Ontivero Marcelo
Published: July 2024

Introduction

Transportadora de Gas del Sur (TGS): natural gas transporter, responsible for 9,231 kilometers of gas pipelines distributed in seven southern provinces of the Argentine Republic. It is the most important transportation company in the country and operates the most extensive gas pipeline system in Latin America with a total of 44 sites and 1110 employees currently.

Methods

Analyze the accidentology of the company in the period from 2003 to 2023, the personal and work factors that influence its production. All the accidents registered in our database were taken into account.

Results

Of the 403 reported accidents, 38% represent accidents in upper limbs Although 78% of the accidents occurred in operational areas, it should be noted that 9% were located in other places such as service areas. Within the personal factors we can observe that 40% corresponds to a lack of knowledge or ability.

Discussion

From the statistical analysis, it is evident that in a high percentage of accidents the attitudes and behaviors of people at the time of doing the job were decisive (unsafe acts). Another factor observed it is related to shortcomings of Middle Management (Managers, Heads of Sectors, Inspectors, etc.) in relation to their leadership related to safety.

Conclusion

A different look at safety, focusing on the development of skills in leaders for early detection in the conditions in which employees report to work to discern if they are psychophysically for work. It is necessary to incorporate a comprehensive approach to psychosocial aspects in Prevention Programs.
P-542 INTERVENING TO REDUCE THE FUTURE BURDEN OF LUNG CANCER AND SILICOSIS FROM OCCUPATIONAL SILICA EXPOSURE
Authors: Carey Renee , Fritschi Lin
Published: July 2024

Introduction

Silicosis has recently re-emerged in several countries due to increased exposure to respirable crystalline silica (RCS) in mines, tunnelling, and kitchen benchtop fitting.

Methods

We used the future excess fraction (FEF) method to estimate the future number of lung cancer cases arising from occupational RCS exposure. Using census data, national predictions of future cancer occurrence, and information on the prevalence of RCS exposure from an OccIDEAS survey, we predicted the future number of lung cancers from occupational exposure to RCS. We then extrapolated the number of lung cancers to future silicosis cases using ratios derived from past cohort studies. By changing assumptions within this model we could then estimate the relative effect of various interventions on the future burden of disease.

Results and discussion

We estimated that approximately 584,050 Australian workers are currently exposed to RCS in the workplace, and that around 10,390 cases of lung cancer and 83,090 cases of silicosis will arise among those workers as a result of their exposure. Higher order interventions such as wet-cutting and banning engineered stone are likely to have the most impact on future burden of disease; however, modelling demonstrated that significant impact could still be achieved with the use of lower order controls.

Conclusion

These findings have clear implications for policy action. Our study received considerable press coverage and contributed to the national government taking action to reduce occupational RCS exposure. The FEF method is a useful way to demonstrate the effect of different policy options.
P-544 “WHY SHOULD I BE ASHAMED?” A MIXED-METHODS ASSESSMENT OF THE MENTAL HEALTH OF FECAL SLUDGE OPERATORS IN 2 DISTRICTS OF SOUTHERN INDIA
Authors: Thattil Anissa , Goud B Ramakrishna , Angeline G. Nancy
Published: July 2024

Introduction

The occupation of Fecal Sludge Management (FSM) in India is usually provided by the unorganized sector and relegated to vulnerable communities who are exposed to numerous occupational hazards. This mixed-method study was therefore conducted to gain a deeper understanding of the mental health of Fecal Sludge Operators (FSOs) in India.

Methodology

The study was carried out, after ethical clearance, from 2017-2019 using the snowball sampling method to identify FSOs in Bengaluru Urban and Krishnagiri Districts. The WHO-5 Well-Being Index, Rosenberg Self-Esteem questionnaire, and the Alcohol Use Disorders Identification Test were administered to 60 FSOs after informed consent. Fifteen Key Informant Interviews were conducted using a topic guide, with data saturation guiding the sample. A thematic framework approach was utilized for data collection.

Results

The majority (78.3%) reported good well-being and all (100.0%) participants reported good self-esteem. A quarter (23.3%) of the participants consumed alcohol at a hazardous level and 31.7% reported symptoms indicative of alcohol-related harm. The caste-based nature of FSM and discrimination, prevent FSOs from seeking better job opportunities. Absent or improperly fitted personal protective equipment and lack of basic amenities were commonly reported concerns. Despite the stigma, FSOs perceived their occupation to be a dignified one.

Discussion

FSM has a high degree of psychosocial impact. Continued discrimination is associated with substance use and mental health disorders. This can lead to occupational accidents, and reduced health-seeking behavior, thereby adversely impacting health.

Conclusion

Formalizing FSM, addressing discrimination, and assuring financial security are crucial to ensuring the dignity of labor and reducing occupational health hazards.
O-360 PREVENTING NURSE VIOLENCE – AN OVERVIEW OF SYSTEMATIC REVIEWS AND META-ANALYSES
Authors: Bošnjak Magdalena , Brborović Hana , Brborović Ognjen , Žaja Roko
Published: July 2024

Introduction

Workplace violence is a multifaceted phenomenon that occurs when an individual or a collective entity engages in aggressive or harmful behavior within the organizational context. The occurrence of violence against nurses is observed to be perpetrated by various individuals within the healthcare setting, including patients, their family members, as well as doctors and fellow nurses. The overarching aim of this study is to provide a comprehensive description of the strategies and measures employed in the prevention of violence against nurses. The primary aim of this study is to ascertain and analyze distinct indicators of violence prevention strategies, with the ultimate goal of assessing their efficacy.

Methods

A literature search on the databases PubMed, WoS, and Scopus was performed. The study included systematic reviews (SR) and meta-analyses (MA) published in the last decade. The literature review was conducted in accordance with the PRISMA guidelines. The assessment of the articles’ quality was conducted utilizing the AMSTAR-R assessment tool.

Results and discussion

A total of six studies (4 SA and 2 MA) were deemed eligible based on the predetermined inclusion criteria. Research has demonstrated that the implementation of educational programs and effective communication strategies are the most efficacious measures for preventing violence.

Conclusion

This approach will effectively enhance the level of awareness among nurses and foster a culture of cooperation and mutual respect within the workplace. Changes in achieving desired outcomes can be facilitated through the implementation of educational initiatives, training programs focused on enhancing communication skills, and the establishment of a secure and collaborative work environment.
O-362 OCCUPATIONAL HEALTH NURSES AS POLICY ACTORS IN THE DELIVERY OF SUSTAINABLE OCCUPATIONAL HEALTH SERVICES
Authors: Michell Karen
Published: July 2024

Introduction

The historical under-investment and relative neglect of occupational health services (OHS) is well documented. The Covid-19 pandemic highlighted the global importance of OHS as occupational health nurses were viewed as essential in the protection of key workers allowing for the continued functioning of many services including healthcare. The aim of this paper is to explore the influencers of OHS and how these could impact the sustainability of future services.

Methods

The Health System Dynamics Framework (HSDF) is used to explore OHS within health systems with a focus on the role of occupational health nurses. Both qualitative and quantitative methods underpin the research. Insights from research conducted in South Africa, WHO and ILO reference documents, as well as practitioner perceptions and anecdotal post pandemic experiences have been explored.

Results

OHS are the result of complex and dynamic interactions between multiple policy actors, as well as the population served. The results demonstrate how the internal and external influencers of the HSDF such as governance, resources, values, sector population and service delivery impact OHS delivery.

Discussion

As key policy actors in the delivery of OHS the occupational health nurse needs to be cognisant of the impact relevant influencers have on service delivery and how these could be navigated.

Conclusion

It is crucial that the traction gained during the pandemic is sustained to safeguard the continued relevance of OHS. The delivery of sustainable OHS is dependent on the collaboration of manifold stakeholders in their efforts to move towards the delivery of quality OHS delivery that meets worker needs.
P-550 OCCUPATIONAL HEALTH NURSING: CARING FOR WORKERS, PROTECTING THE FUTURE
Authors: De-Arco-Canoles Oneys del Carmen
Published: July 2024

Introduction

Talking about nursing forces us to go back to the beginning of life itself, in response to the needs that human beings have had, to care or be cared for, understanding care as the set of activities and the use of resources to ensure that the life of each person, is based on the validity of human rights; primarily, the right to life in the first person. Work has accompanied care throughout the history of humanity. Therefore, the objective of this work is to validate the role of nursing in occupational health.

Methods

Integrative literature review to identify the roles of nursing in occupational health and the challenges that professionals currently face in the world of work.

Results and Discussion

Relevant articles between the period 2012-2022 will be presented, highlighting the role of the nursing professional in tune with current dynamics, mediated by the technification of care and the increasing introduction of artificial intelligence, to develop care. Discussion It is expected to find in the review elements that validate whether there are changes presented over the years, in activities that could be carried out by occupational nurses such as Betty Moulder and Philippa Flowerday, with those that are currently carried out.

Conclusion

The role of occupational nursing requires greater visibility, in order to care not only for the patient, but also to care for the person responsible for offering that care.
O-365 THE IMPACT OF HEAT ON WORKERS’ HEALTH AND PRODUCTIVITY
Authors: Rothmore Paul , Anikeeva Olga
Published: July 2024

Introduction

Heat exposure negatively impacts outdoor workers’ productivity, health and wellbeing. The study aimed to develop a decision matrix including a work zone map incorporating high/medium/low risk areas for heat exposure, workload and heatwave forecasts to guide the scheduling of work activities for local government authorities.

Methods

This study was conducted in three phases: heat risk mapping of work zones, environmental monitoring, and a mixed methods approach to assess the impact of heat exposure among workers. The mixed methods approach included focus groups/surveys and physiological monitoring of heart rate, skin and ambient temperature. Ethics approval was provided by the University of Adelaide.

Results

Work zones were mapped as low/medium/high risk for heat exposure and a decision matrix was developed. Workers agreed that working during hot weather negatively impacted productivity and wellbeing. Negative health outcomes included dizziness, exhaustion, and reduced sleep quality. Physiological monito
O-370 MEDICAL SURVEILLANCE AND HEAT RELATED ILLNESS PREVENTION: RESTROSPECTIVE OBSERVATIONAL STUDY ON HEAT RELATED ILLNESS FREQUENCY IN TEXAS OUTDOOR MUNICIPAL WORKERS
Authors: McCarthy Ronda , Perkison William , Schaefer Caroline , White Rachel , McKenzie Judith Green , Shofer Fran
Published: July 2024

Objective

To describe heat-related illness (HRI) frequency and cost outcomes for a heat illness prevention program (HIPP) that included the U.S. National Institute for Occupational Safety and Health’s heat exposure guidelines for training, acclimatization, and medical surveillance, and then later modified without medical surveillance for outdoor workers employed by a Central Texas municipality.

Methods

HRI frequency and workers’ compensation (WC) cost were assessed retrospectively in a cohort of 329 municipal outdoor workers from 2011-2019. The HIPP years (2011-2017) included training, acclimatization, and medical surveillance that screened workers for factors that can increase risk for HRI. In 2018-2019, a modified heat illness prevention program (mHIPP) was implemented that included training and acclimatization, but without medical surveillance. The SARS- CoV-2 pandemic prevented adding cohort data after 2019.

Results

Out of a total of 329 workers, the rate of reported HRIs during the HIPP years (2011-2017) was 11.7 per 1,000 workers, with a 1.01 per 1,000 workers in the last three-year subset, 2015-2017. In the mHIPP years the rate was 7.6 per 1,000 workers. The median cost per HRI was $208 during the HIPP years and $1,078 during mHIPP years (p = 0.45).

Discussion

The HRI rate decreased over the HIPP years with cohort medical surveillance. The HRI rate and median cost per injury increased in the mHIPP years without medical surveillance. Significance impacted by the small number of HRI and short duration of observed MHIPP years.

Conclusion

Medical surveillance may be an important component in heat illness prevention programs to lower workforce heat related illnesses
O-372 THERMAL RESPONSES AND CLOTHING INSULATION IN EXTREME INDOOR COLD CONDITION
Authors: Piedrahita Hugo , Oksa Juha
Published: July 2024

Introduction

Several health effects are associated with exposure to cold in indoor workplaces (chronic health problems and cooling injuries). Clothing is the most common measure to control the cold exposure in indoor workplaces. Freeze drying is used for food preservation including coffee production (temperatures between -40ºC -60ºC). This paper presents the experience of 9 workers in extreme cold store(freeze drying coffee company) to evaluate the thermal responses and thermal insulation of clothing.

Methods

Nine young subjects volunteered for the study. Air temperature in cold storage was -43ºC and air velocity (0.5m/s to 2m/s). Rectal temperature and skin temperatures (13 sites) were measured continuously. Health questionnaire about cold experience, Thermal sensation, Thermal comfort, local and general physical exertion, Musculoskeletal symptoms and discomfort questionnaire, were apply to workers.

Results

Rectal temperature remained stable during the 8 hours in all subjects, but important differences were found in extremities. All skin temperatures during the working hours were significantly lower compared with resting hours. The subjects rated their thermal sensation lower from the first hour in cold condition. General and local thermal comfort were more uncomfortable in Cold compared with N (P<0.05)

Discussion & Conclusion

The cold protective overall has sufficient thermal insulation for 8h about at -10°C and for 1h about at -30°C when activity level is low. When activity level is medium, thermal insulation of the overall gives protection against cold for 8h about at -30°C and for 1h about at -50°C. By adding more protection on extremities, the performance level will be higher in colder ambient temperatures.
P-560 CO-EXPOSURE OF WORKERS TO AIR POLLUTANTS AND A WARMING CLIMATE: SIGNIFICANCE OF MEDICAL MONITORING PROGRAMS
Authors: Saberi Pouné , McCarthy Ronda , Perkison William
Published: July 2024

Introduction

Increasing earth’s surface temperatures, and its contribution to the deterioration of air quality has resulted in increasing cardiopulmonary related health risks. Globally, over one billion workers are exposed to these changing climatic conditions including increases in heat indices, ground ozone levels, and particulate levels. Scientific literature supports the health benefits of establishing air quality indices and subsequent action alerts for the general community.

The aim is to review literature on medical monitoring programs that can identify those workers who are at increased risk for the health effects of both elevated ambient temperatures and poor air quality and determine the role of an occupational program that takes into account both air quality and heat indices.

Methods

An occupational medicine literature review searching for heat-related illness outcomes in workers was conducted and investigated how the air pollutant levels and the level of heat exposure combined may impact worker health.

Results

While heat and air pollution are independent risk factors, they also act as synergistic health stressors for workers.

Discussion

More attention must be paid to co-exposure of heat and air pollution in workers. Air quality measures need to be incorporated into the heat illness prevention program for a more comprehensive approach in occupational medical monitoring programs as its own independent index to improve protection of workers. More information will be needed to codify the interventions based on the air quality indices.

Conclusion

Employee heat illness prevention programs should take into account the effects of air quality as well as traditional heat indices.