bluuebunny/crossref_metadata_2025 huggingface dataset:
O-046 LET’S LEARN TOGETHER! ATTITUDES OF OCCUPATIONAL SAFETY AND HEALTH PROFESSIONALS ABOUT INTERPROFESSIONAL CONTINUING EDUCATION
Authors: Nobrega Suzanne , Zhang Yuan
Published: July 2024

Introduction

Occupational safety and health (OSH) professionals increasingly need interdisciplinary collaborative practice competencies to respond to complex worker safety, health, and social concerns. Effective communication with non-OSH-trained professionals (e.g., health promotion, human resources) is critical for delivering interventions that address interrelated work and non-work sources of risks, per the US “Total Worker Health” (TWH) and WHO Healthy Workplace frameworks. Interprofessional education (IPE) pedagogy offers skill-building specific to interdisciplinary collaboration, but little evidence is available for IPE implementation in OSH post-graduate education settings. We prospectively assessed OSH professionals’ attitudes for participating in post-graduate IPE to learn TWH practices and applications in the workplace.

Methods

This mixed methods study involved 210 US professionals in safety (31%), industrial hygiene (16%), occupational nursing (12%) and medicine (11%), and related disciplines (30%). Participants completed a 12-item Readiness for Interprofessional Education Scale (RIPLS) adapted for TWH. Nineteen survey-takers also participated in virtual focus groups to share opinions about IPE benefits, barriers, and desirable course features.

Results

OSH professionals reported high overall readiness for IPE (RIPLS, 4.45±0.47), endorsing IPE for interdisciplinary skill-building. Salient IPE motivators were learning new perspectives from diverse disciplines and industries; gaining new subject expertise; and learning TWH best practices. Participants recommended case studies to practice interdisciplinary problem-solving and time for interdisciplinary group work.

Discussion

Participants strongly endorsed IPE pedagogy for interdisciplinary collaborative skill-building and developing “common ground” across disciplines.

Conclusion

Interprofessional education is a promising pedagogy for OSH continuing education settings. OSH educators need to build competency in IPE pedagogical theory and practice.
P-066 WORKING ABROAD: PSYCHOLOGICAL EFFECTS
Authors: Siegmann Silvester
Published: July 2024

Introduction

Both the public and economic importance of psychosocial health has advanced: The WHO summarises in its “World Mental Health Report” (2022) that about one in eight adults worldwide lives with a mental illness - a much higher number is to be assumed due to still prevailing stigmatisation and lack of treatment options (WHO, 2022).

Methods

When assessing the safety, health and well-being of employees deployed abroad for work, there are sometimes very specific mental impacts.

Results

Post-traumatic stress disorder (PTSD) is particularly dramatic for those affected. In the normal population, the frequency is 1 event per 50 person-years of life. For German development aid workers, it is 1 event per 2 person-years of life. 93% of the emergency workers surveyed had already been confronted with a stressful event at least once. In addition, there are correlations between the number of assignments and the risk of depression, the duration of stays abroad and mental stress, as well as indications that assignments abroad in immediate succession represent a risk factor for mental health. Other risk factors for exhaustion and burnout: lack of separation between work and leisure, little time for regeneration and few leisure options. These stresses must be taken into account, especially with regard to a holistic approach in the sense of Vision Zero.

Discussion

Prevention options, especially for the preparation of deployment, such as preventive training measures and crisis intervention structures, have been developed and have proven themselves in practice.

Conclusion

Once again, risk assessment of psychological effects and Training in Occupational Health plays an important role.
P-067 ALGORITHMS, ARTIFICIAL INTELLIGENCE, MACHINE LEARNING: NEW LEARNING AND THE FUTURE OF WORK
Authors: Lum Max
Published: July 2024

Introduction

Worldwide, workers and employers are being confronted with algorithmically-driven automation in the workplace — through the introduction of specific procedures to digitally manage and affect positively and negatively major changes in the future of work. This will require new learning, new educational approaches for digital development, risk education and management for our community of practice.

Methods

This presentation is drawn from a content analysis of the current literature reviewing three major areas: algorithms, artificial intelligence and machine learning with a focus on the key automated procedures and their definition and effect on workers and workplaces. In addition, the presentation is informed by the current work being undertaken at the National Institute of Occupational Safety and Health

Results

The current focus on the effect of artificial intelligence for work and employment has tended to focus on the impact on overall employment, and skills demand. Yet, the most obvious and direct impact of machine learning is on how work is undertaken, coordinated, monitored, evaluated and most importantly- its effect on the quality of working life and wellbeing.

Discussion

While the emphasis on this presentation is on the United States, the approach and issues presented provide a more general outline and basic template for a more global approach and analysis.

Conclusion

Algorithm-enabled Al systems are maturing quickly, but international regulatory approaches are lagging and voluntary approaches seem ill-defined with little agreement by developers and risk managers.
P-068 RELATIONSHIP BETWEENEMOTIONAL INTELLIGENCE AND BURNOUT IN INTENSIVE CARE STAFF
Authors: Ghenim Amal , Kacem Imene , Kahloul Mohamed , Ajmi Mohamed , Chouchane Asma , Aloui Asma , Maoua Maher , Walid Naija , Mrizak Nejib
Published: July 2024

Introduction

Intensive care unit (ICUs) staff are often going through conflicting emotions such as hope, decisiveness, uncertainty, compassion and professionalism. To navigate this plethora of feelings and prevent burn out syndrome, they need to enchace their emotional intelligence (EI).

Aims

To examine the relationship between EI and burnout among critical care workers.

Methods

This is a cross-sectional study conducted among ICU over a two-month period. Two questionnaires were considered, The Maslach Burnout Inventory (MBI) and the Schutte Self Report Emotional Intelligence Test (SSEIT).

Results

Our study included 103 health care workers. The mean age was 36.6 ± 7.7 years with a sex ratio of 1.6. The majority of the participants were nurses (61.3%) with a professional seniority of 8.6 ± 7.2 years. The mean EI score was 111.1 ± 16.7. A high level of EI was reported in 9.7% of participants. The mean scores for emotional exhaustion, depersonalization and personal accomplishment were 26.9 ± 6.1, 15.15 ± 4.5 and 26 ± 5.4 respectively. A high score was noted for emotional exhaustion in 38.8% of cases and for depersonalization in 70.9%. A low score was reported in 56.1% for personal accomplishment. A significant association was reported between EI and depersonalization (p=0.03; OR=0.6 CI95% [0.5-0.7]) and personal accomplishment (p<10-3; OR=1.4 CI95% [0.95-2.14]).

Discussion

EI may reduce the risk of burnout in ICU workers.

Conclusion

EI enhancement should be considered as a preventive measure.
P-069 INNOVATIVE VIRTUAL PREVENTION SIMULATIONS IN THE RETAIL SECTOR
Authors: Chatelain Karine
Published: July 2024

Introduction

Confronted with a constant increase of occupational diseases in the retail industry over the past quarter-century, the governmental organizations (CARSAT et DREETS Grand EST) together with the occupational health and safety services (OHSS) and in partnership with the French National Education have developed the first virtual project for the prevention of occupational health in retail.

Methods

The methodology involves the creation of a virtual model of a supermarket that serves as the backdrop for scenarios simulating risky situations. The technology provider HOLO3 designed the “Optimus Prev” application, furnished the necessary equipment to partners and handled the maintenance. The working group deployed the system within the medical-technical team of OHSS and the CARSAT addressed the national and regional management of retail chains, the trade unions, the employer associations, vocational schools and higher education institutions for immersive experimentation. The multidisciplinary teams of OHS analyzed workplace situations in super and hypermarkets, employing standardized measurements based on harmonized recommendations.

Results

A working group comprising 17 specialists from different institutions, driven by common goals, achieved a prevention system through 29 meetings that closely addressed the 600 hyper and supermarkets in Alsace and Moselle (France). “Optimus Prev” was integrated into 14 portable stations in France, primarily in the Grand Est region. Training deployment began in Alsace and Moselle with 160 workers from 22 supermarkets. Additionally, 37 educational institutions, including engineering students from INSA, used the tool to raise awareness of occupational risks.

Discussion and conclusion

This multi-institutional collaboration introduced innovative virtual prevention simulations to the retail sector, unifying prevention stakeholders in a shared message.
P-072 ENHANCING N95 RESPIRATOR PROFICIENCY AMONG THAI MEDICAL STUDENTS: AN EXPERIMENTAL STUDY
Authors: Paointr Sirawit , Suriyasathaporn Arpunna , Chitphiankha Kunkongrat , Prompila Supisara , Wangsan Kampanat
Published: July 2024

Introduction

Medical students face risks from biological hazards, particularly airborne pathogens. While N95 respirators are generally provided, a Respiratory Protection Program (RPP) is not commonly implemented for medical students in Thailand. This study aims to assess the N95 respirator-wearing proficiency of clinical-year Thai medical students before and after RPP training.

Method

In 2023, an experimental study was conducted among Thai clinical medical students (years 4 to 6). Data on participants’ characteristics, including sex, height, weight, history of facial surgery, braces, and presence of a beard, were recorded. Pre-training fit tests were performed using a quantitative method. Subsequently, a 5-minute training program on correct respirator usage was provided. Participants repeated the respirator-wearing process and underwent post-training fit testing.

Results

All four phases of the quantitative fit and overall fit factor showed significant improvements post-training. The number of participants passing the fit test increased significantly from 19 to 42 in the overall fit factor. In the pre-training test, the lowest pass rate was in the talking domain, while in the post-training test, it was in the head up and down domain. The highest pass rate, both pre- and post-training, was observed in the head side-to-side domain.

Discussion

The fit test results demonstrate that educational training significantly enhances medical students’ ability to use respirators effectively.

Conclusion

This suggests the need for an educational program to teach all medical students proper respirator usage, potentially becoming a policy within the medical school curriculum.
P-074 THE SIGNIFICANCE OF ENGLISH LANGUAGE PROFICIENCY IN OCCUPATIONAL HEALTH RESEARCH AND PRACTICE IN NON-NATIVE SPEAKING COUNTRIES
Authors: Guennoun Badr , EL KHOLTI Abdeljalil
Published: July 2024

Introduction

As the world becomes increasingly interconnected, English serves as a linchpin in multinational organizations and companies operating across diverse linguistic landscapes. By employing English as a common language, these entities can standardize occupational health protocols, ensuring the well-being of their global workforce and compliance with international health and safety standards.

Material and Methods

The present oral communication revolves around the vital role of the English language in the practice and research of occupational health within non-native speaking countries.

Results

Through case studies, success stories, and statistics, participants will gain practical knowledge on leveraging English for multinational collaboration, accessing international resources, and advancing their careers, ultimately contributing to the advancement of occupational health worldwide. Additionally, we will explore how English proficiency drives professional development in the occupational health sector. Access to the latest research, international conferences, and networking opportunities predominantly occurs through English, offering practitioners in non-native English-speaking countries a pathway to career growth both locally and internationally.

Discussion

Furthermore, our discussion will delve into the significance of English in promoting cross-cultural collaboration within the field. Occupational health often necessitates interdisciplinary cooperation among professionals from diverse cultural backgrounds, and English facilitates effective communication, enabling the exchange of insights, research findings, and best practices of occupational health.

Conclusion

This oral communication aims to provide occupational professionals with a holistic understanding of the pivotal role of English in occupational health, equipping them with actionable insights to excel in a globalized environment.
P-076 WELLNESS NURSES, EVOLUTION AND INNOVATION AS HEALTH AGENTS IN THE WORKPLACE
Authors: Velazquez Luis Alberto , Velazquez Luis Alberto , Zarate Pablo
Published: July 2024

Introduction

In 2017, the new role of the Wellness nurse with a Salutogenic approach emerged, which helped the development of the area, strengthening innovation and the search for new Wellness programs and activities for the working population in Argentina and expanding to countries such as Brazil and Mexico. Methods: Company of 1000 employees in the oil and gas industry, with 98% of workers examined annually for risk factors. Two main risks were defined for intervention: Hypertension and obesity. 2 wellness programs were implemented. Wellness nurses specialized in promotion and healthy actions led the programs. We measured risk at the beginning and measured intervention outcomes. An important role was played by staff training through health coaching.

Results

1. Obesity Program: Pandemic, year 2020 a population of 89 employees with BMI = < 40, obesity 3 was intervened, they had to telework. During the first 3 months 67% went back to work, after 3 months 100% returned to their usual position. 1.071Kgs were lost. 2. Telemedicine and self-monitoring program of blood pressure: 125 patients, 102 were not known to be hypertensive, diagnosis of hypertension 3.2%. Out of the 23 patients known to be hypertensive patients, half had their BP controlled and the rest (9.6% of the total population) did not have adequate control.

Discussion

Health coaching is an intervention tool that has allowed us to take advantage of and enhance the new role of the Wellness Nurse.

Conclusion

Wellness nurses are strategic professionals who contribute to building a culture of well-being in the workplace.
O-047 BLIND SPOTS IN THE MOZAMBICAN OSH MANAGEMENT FRAMEWORK
Authors: Valoi Manuel Estevão , Maripiha Paloma Tatiana
Published: July 2024

Introduction

Workers health and safety remains a challenge in Africa. Diseases that are discovered in retirement could be prevented if the laws and regulations were implemented by the companies under the proper watch of the government. Objective Describe the contributing factors for the increase of occupational disease in retirement. Determine the criteria in the legal provisions regarding the responsibility of the employer and the role of the government to protect the employee.

Methods

The literature review from other countries and Mozambique (its labor department OHS report of 2019) revealed that the OSH system has challenges in the implementation of the laws, regulations, and ILO conventions.

Results

The large enterprises and those considered of high risk are forced by law to have a medical service however the government is too far to inspect and ascertain the quality of services being provided specially for the large enterprises (mostly multinational) deemed to have high medical quality services. There seems to be a conflict of interest in that the company’s interest comes first before the wellbeing of the employee.

Discussion

The occupational physician shall by his/her discretion make a judgment of the employee’s fitness to work and apply the proper preventive measures for the worker’s health and safety.

Conclusion

African governments should take the lead in dealing with occupational health issues as the utmost responsible of public health, inspections should work and work properly using the ILO conventions without catering to the multinationals that have profit as the main goal. HSE (Health Safety and Environment) is compromised.
O-051 MOTIVATION TO REMAIN AS PRACTICING OCCUPATIONAL HEALTH DOCTOR: SCALE DEVELOPMENT AND VALIDITY
Authors: Yusoff Hanizah Mohd , Yew Sheng Qian , Rahman Anita Abd , Kadir Nor Ba’yah Abdul , Noordin Muhamad Ariff Muhamad
Published: July 2024

Introduction

Poor retention of doctors in occupational health services (OHS) has been recognized in Malaysia, based on the low percentage of registration renewal among Occupational Health Doctor (OHD). Poor motivation to remain as practicing OHD was never empirically studied. Thus, this paper proposes and validates an OHD Motivation Scale using the Expectancy-Value-Cost theory of motivation.

Methods

The initial scale, which consisted of 25 items, was developed based on a qualitative study that explored the challenges faced by OHDs. The scale was then completed by 277 OHDs. Validity and reliability of this scale were assessed by Exploratory and Confirmatory Factor Analysis.

Results

In EFA, 21 items were retained and 6 dimensions (Self-concept of ability, Locus of control, Perception of task difficulty, Perceptions of others expectations, Value and Cost) were identified. Total variance explained by EFA was 69.78% and Cronbach’s alpha for the scale was 0.796. In CFA, items were deleted due to redundancy based on modification indices (2 items) and low factor loading (1 item). The measurement model of the final 18-item scale fitted the data well (RMSEA = 0.077, CFI= 0.904, and Chisq/df = 2.172). The convergence and discriminant validity were also achieved. The composite reliability for the 6 dimensions ranged from 0.634 to 0.866.

Discussion

The motivation of OHDs can be measured by the expectancy, value and cost of their practice. The psychometric analysis of the OHD motivation scale supported its model and validity.

Conclusion

This scale can be used in future studies related to promotion of OHDs participation in OHS.
P-083 NATIONAL ENTERPRISE MACRO POLICIES AND SPECIFIC REQUIREMENTS AS WELL AS PRACTICE OF OCCUPATIONAL HEALTH WORK IN CHINA
Authors: Zhou Zhijun , Zhang Jiming
Published: July 2024

Introduction

China is in a stage of rapid economic development. Its experience in occupational health work (OH) is worth sharing and China also needs to learn from developed countries.

Methods

The regulations related to both enterprise supervision and OH issued by the government, and actual OH practices were collected, abstracted and introduced.

Results

The government, enterprises and workers are a community of interests. In China, the Law on the Prevention and Control of Occupational Diseases stipulates their basic rights and obligations. To increase the vitality of enterprises, under the notion of simplifying administration and delegating power, the government has issued a series of documents to reduce the burden on enterprises. However, the requirements issued by the authority, such as the Provisions on the Administration of Occupational Health in Workplace, the Notice on the Category-wise List of Risk Management of Occupational Hazards in Construction Projects, the Notice on the Specifications for Supervision and Enforcement of Employer’s Occupational Health Work, and the Notice on Further Strengthening Occupational Health Training for Employers, didn’t keep the consistence with such documents.

Discussion

The most OH servicers, including both government-funded and self-operated, didn’t think of new hazards while providing guidance and services to employers. In fact, except for very few reports of occupational disease cases, the health status of employees in most enterprises is not significantly different from that of the general population.

Conclusion

Under the new stage, China should learn more from outsiders and make occupational health work more targeted and effective to ensure all employee’s health.
P-086 LOCAL COLLABORATION IN PRIMARY CARE ZONES FACILITATES RETURN-TO-WORK IN PEOPLE WITH LONG-TERM SICKNESS
Authors: Deprez Anke , Lambrechts Marie-Claire , Schoenmakers Birgitte , Bels Lisa , Berben Kevin , Bergs Jochen , Cloostermans Alexandra , Cools Katrien , Hamblok Theo , Stinissen Piet , Tirez Bart , Tuinstra Anouk , Vonck Sharona , Godderis Lode
Published: July 2024

Introduction

Despite many existing initiatives to aid return-to-work (RTW), not every patient is reached or makes use of the provided support. In Belgium, 60 ‘primary care zones’ (PCZs) have been established to help coordinate the work of local authorities and healthcare providers. This research explores the potential role of PCZ’s in aligning RTW-actors.

Methods

Two co-creation sessions were organized in two PCZ’s with following objectives: (1) establish a return-to-work ‘program’ that can be implemented within the PCZ and (2) establish an implementation plan to ensure successful execution. In a final phase, findings are brought together in a generic plan of approach for PCZs in Flanders.

Results

Preliminary results show the fragmentation of RTW-actors and the lack of communication among themselves and with primary care actors. There is a clear need for organized communication to share knowledge and improve coordination of the RTW-path. PCZ’s might be able to fulfill a role as networking medium for local RTW- and primary care actors, to benefit RTW for people with long-term sickness.

Discussion

Increased understanding and local collaboration concerning the RTW-path could improve RTW for long-term sickness. Authorized ministers could utilize the policy preparatory output to integrate return-to-work as a health objective in the future, thereby aiding implementation of local RTW-initiatives and emphasizing the importance of RTW for health and quality of life.

Conclusion

Local collaboration of RTW-actors and primary care providers could benefit RTW for people with long-term sickness.
P-091 STRUCTURED APPROACH IN STANDARDIZING PRACTICES FOR EXPOSURE MANAGEMENT: A SUCCESSFUL EXPERIENCE
Authors: Naik Rishikesh
Published: July 2024

Introduction

A Group is committed to the prevention of occupational diseases and the protection of health of our workforce. The Group’s footprint has expanded to 34 countries around the world with differing legislations and stakeholder awareness in the area of exposure assessment and management. Different service providers were carrying out exposure assessment with different reporting which was troublesome in compiling and comparing exposure status for different manufacturing locations.

Methods

Industrial Hygiene function was established at group level. Eventually it led to standardization of practices viz releasing group wide technical standards, approved service partners with required capabilities and competencies, approved and contracted accredited laboratory, standardized format for reporting observations and sampling results, usage of software.

Results

More than 250 reports of QLEAs and QNEAs were received for sites with this new approach, which are now technically reliable and comparable across businesses and geographies. Analysis and presentation to decision makers turned sharp and got required attention. Generating solutions was now on a bigger scale and helped getting results.

Discussion

While exposure assessment is done by experts from different backgrounds, it is essential that their observations and interpretation is channelised in a common format. This has led to reduced efforts in analysis and implementing hierarchy of controls and generating examples of controlling exposure included in presentation.

Conclusion

Like any other management system, Industrial hygiene and exposure management also require structured efforts and leadership support. This experience has helped to understand that apart from technical expertise, streamlining data flow and standardization of practice helps makes the analysis more palatable and leads to controls.
P-093 OCCUPATIONAL RISK MANAGEMENT IN A COLOMBIAN UNIVERSITY THROUGH ACADEMIC-SCIENTIFIC INTEGRATION WITH THE ACADEMY
Authors: Rincón Sarmiento Juan Ignacio
Published: July 2024

Introduction

Universities are institutions that manage many occupational risks, both in their mission activities and in their support work. The National University of Colombia, in Bogotá, has a daily population of approximately 40,000 people, including students, faculty, administrative staff, support staff, contractors and visitors.

Methods

Given that our university has expert faculty and students in training in multiple disciplines related to occupational risk management, several alliances have been established that are of interest to our Division of Occupational Safety and Health.

Results

As of 2019, we have had the support of 4 faculties to intervene in critical aspects for the management of occupational risks: Faculty of Medicine, Human Sciences, Nursing and Engineering. At present, our students carry out several of the business practices of their academic programs in our own university, which represents a facility for them, while letting them learn administratively of the university and about the environment of work. On the other hand, through this strategy, workers value and recognize the work of students from their own institution.

Discussion

It is essential to seek strategic alliances in the management of occupational risks in highly complex institutions such as universities. Additionally, the variability of spaces constitutes an ideal environment for students’ business practices.

Conclusions

The integrated management of occupational risks and the proximity to the knowledge provided by academia is important in universities. This model can be implemented in other universities, especially in those of large size or complexity.
P-094 TAKING OCCUPATIONAL HISTORY INTO ELECTRONIC DATABASE IN PUBLIC HEALTH, THE KEY TO THE INTEGRATION OF TWO DIFFERENT SYSTEMS; OCCUPATIONAL VERSUS PUBLIC HEALTH
Authors: Paek Domyung , Zoh Kyung Ehi , Kim Yongho , Kang Mo-Yeol , Kim Jungwon , Yoon Jin-Ha , Choi Eunsuk , Park Dong-Uk , Lee Yun-Keun , Yoon Kanwoo
Published: July 2024

Introduction

In Korea, occupational health is under the jurisdiction of the Ministry of Labor, and public health is organized by the Ministry of Health and Social Security.

Methods

Separation of two systems has resulted in quite an inefficiency, and even though the cancer registry program covers completely nationwide, there is no case of occupational cancer identified yet in the registry. A pilot study of integration was carried out to find out huddles and strategic turning points in integrating occupational and public health systems together.

Results

From the pilot study in hematologic oncology clinics, four major difficulties were identified; no utility of occupational history in clinical practice, privacy and confidentiality, time constraints in busy settings, and no standardized approaches for history taking. In a clinical setting, occupational information is not asked mainly because of ‘no apparent or immediate benefit of the information to patients and staff’ in diagnosing and managing the diseases. Instead, issues of personal privacy of the patients, and difficulties in rapport formation in time-squeezing situations for the staff were raised as the hindrance to the occupational history taking. Up to now, even though Electronic Medical Records include occupation as an item of nursing assessments, there has been no standardization in its contents and depth.

Discussion

We have prepared and validated a standardized approach for the breadth and depth of occupational history taking, and are now trying to tweak the current public and occupational health systems to include the validated approach into their practices.

Conclusion

The progress will be presented in the 2024 ICOH meeting.
P-096 THE ITALIAN “PARAMETRIC, (H)OLISTIC, PROFITABLE” (POP) TREE MODEL OF THE OCCUPATIONAL MEDICINE IN THE TOTAL WORKER HEALTH® APPROACH FOR THE SAKE OF WORKFORCE AND THE ORGANIZATION
Authors: Di Prinzio Reparata Rosa , Vinci Maria Rosaria , Camisa Vincenzo , Santoro Annapaola , Dosi Alessia , Ceresi Bianca , Dalmasso Guendalina , Raponi Massimiliano , Zaffina Salvatore
Published: July 2024

Introduction

The occupational physician (OP) is a global advisor of the employer for aspects concerning the workers’ health.

Methods

Beyond the assessment of occupational risks, the OP has been enriched in recent decades with innovative skills and responsibilities, which span in the field of prevention and promotion of worker’s wellbeing.

Results

The occupational health service is depicted by the “POP tree” –Parametric, (h)Olistic, Profitable– with three main branches regarding ergonomics, psychological well-being, and workplace health promotion (WHP). Well-being indicators (e.g., absenteeism, limitation in the fitness-to-work) showed its effectiveness and profitability.

Discussion

In the difficult task of mediator between the social partners (employer and workers), the OP has become a true pillar of the corporate organizational structure capable of exercising control over workers’ health, becoming the disability manager and the WHP manager. Personalized prevention and health promotion initiatives have a positive impact not only on workers’ wellbeing but also and above all on the organizational climate and corporate wellbeing. Tailored occupational medicine can help increase workers’ loyalty to the top management with relevant positive effects on productivity. The collaboration of the OP with important corporate professional figures (e.g., HR managers, psychologists) empowered the workforce health and the organization profit as well. The team game led by the OP enhanced the real effectiveness of WHP programs as shown in the econometric analyses. The Return on Investment registered after one year established a profit ranged from 2-27 times.

Conclusion

Strengthening the worker’s all-round wellness raises positive engagement vibes, which leads to better organizational well-being and increasing productivity.
O-057 DEVELOPING A GLOBAL GUIDELINE FOR BEHAVIOUR-BASED HEALTH PROGRAMS TARGETED AT CONTROL AND PREVENTION OF INFECTIOUS DISEASES AT NON-HEALTH SECTORS
Authors: Joseph Olajumoke
Published: July 2024

Introduction

Infectious diseases which have been a cause of great morbidity and mortality to both humans and animals, are known to significantly increase man-hours lost, medical bills, and reduce productivity, which in turn leads to great profit loss for organizations. In recent times the emergence and re-emergence of highly infectious pathogens such as Ebola virus, Zika virus, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Marburg virus, Monkeypox virus, Lassa fever virus, Bacillus anthracis, and Corynebacterium diphtheriae has been on the observed.

Methods

From animal – human (zoonotic pathogen), and human – human transmission, the various means of spread and the necessary methods of control and prevention are information well known among most health workers, due to academic training, and the intense health promotion programs that are often carried out for workers in this sector.

Results

All workers have an equal right to good health and the basic knowledge of the various methods of control and prevention of infectious diseases at their workplaces. It is sadly observed that there is a huge dearth in awareness/ understanding of this subject among non-health workers.

Discussion

This identified area of neglect of workers in non-health sectors has been revealed to lead to their poor response to/ uptake of crucial health interventions.

Conclusion

Hence, developing a global guideline for behavior-based health programs targeted at control and prevention of infectious diseases at non-health sectors is urgently required to ensure the protection of these categories of workers, and ultimately promote vision zero in every organization.
O-060 EXPLORING SEX DIFFERENCES IN LUNG CANCER RISK AMONG A LARGE COHORT OF ONTARIO, CANADA WORKERS
Authors: Sritharan Jeavana , Christopher Gabriella , Eros Fanni , Demers Paul
Published: July 2024

Background

While occupational exposures are known to contribute to lung cancer risk, there is less known about sex differences, specifically regarding the risk among female workers. This study aimed to explore sex differences in lung cancer risk across occupational groups, with a focus on female workers.

Methods

A cohort of approximately 2.37 million workers with lost-time compensation claims were linked to the Ontario Cancer Registry and followed until lung cancer diagnosis, age 85, emigration, death, or end of follow-up (Dec 31, 2020). Cox proportional hazards models were used to estimate sex-specific hazard ratios (HRs) and 95% confidence intervals (CIs) for lung cancer by occupational group, adjusted for birth-year and age and indirectly adjusted for cigarette smoking.

Results

A total of 12,216 and 30,291 incident lung cancer cases were identified among females and males, respectively. Several occupations demonstrated stronger associations for lung cancer in females, with a more than 20% increased risk compared to males. These occupations at the major level include mining and quarrying (HR=3.05, 95%CI=1.37-6.78); materials processing (chemical, petroleum, rubber, plastic) (HR=1.35, 95%CI=1.19-1.52); wood processing (HR=1.87, 95%CI=1.22-2.87); metal machining (HR=1.56, 95%CI=1.21-2.00); metal shaping and forming (HR=1.46, 95%CI=1.32-1.62); mechanic and repair work (HR=1.39, 95% CI=1.04-1.85); and printing (HR=1.51, 95%CI=1.30-1.75).

Discussion and conclusion

Findings demonstrate a stronger association of lung cancer risk in blue collar occupations among female workers when compared to male workers. Findings may be due to sex differences in various factors that impact risk, such as occupational exposures, use and effectiveness of personal protective equipment, and other biological/lifestyle factors.
O-063 ENDOCRINE DISRUPTING CHEMICALS AND COLORECTAL CANCER – AN ANALYSIS OF FOUR PARTICIPATING COHORTS OF THE CANADIAN PARTNERSHIP FOR TOMORROW’S HEALTH STUDY
Authors: Pelland-St-Pierre Laura , Verner Marc-André , Lavoué Jérôme , Koushik Anita , King Will , Sylvestre Marie-Pierre , Mayrand Marie-Hélène , Richardson Harriet , Drummer Trevor , Siemiatycki Jack , Ho Vikki
Published: July 2024

Introduction

Endocrine disrupting chemicals (EDCs) may influence cancer risk by interfering with sex hormone signaling but their role in colorectal cancer (CRC) etiology is under-explored. EDCs are ubiquitous in the general environment, but exposure levels are much higher in some workplaces.

Methods

Occupational EDC exposure in relation to CRC was examined in the Canadian Partnership for Tomorrow’s Health, a collaboration of six Canadian regional cohorts, including 330,000 participants aged 30-74 at baseline. Among four regional cohorts with enough cases for inclusion, a case-cohort approach was used, which included 1,087 cases that were diagnosed during follow-up (2009-2020) and a representative sub-cohort of 4,895 participants. Based on participants’ reported longest-held job, exposure to EDCs of estrogenic (arsenic, BPA, cadmium, copper, PCBs), anti-estrogenic (arsenic, lead, PCBs) and anti-androgenic (arsenic, BPA, lead, phthalates, toluene) mode of action was estimated using the Canadian Job Exposure Matrix. Odds ratios and 95% confidence intervals were estimated separately for the four regional cohorts and then pooled using a random-effects model.

Results

Compared to those never exposed, participants exposed to BPA (OR=1.70, 95%CI: 1.20-2.41) or 2+ anti-estrogenic EDCs (OR2 EDCs=1.48, 95%CI: 1.09-2.01; OR3 EDCs= OR=17.23, 95%CI: 0.79-375.52) had elevated odds for CRC while an inverse association was observed for cadmium. Substantial heterogeneity was observed across provincial regions.

Discussion and conclusion

Among EDCs considered, exposure to BPA and multiple anti-estrogenic EDCs in the workplace were associated with elevated risk for CRC. However, conclusions should be tempered given the heterogeneity between the four regional cohorts, low study power for some of the analyses and multiple comparisons.
O-066 OCCUPATIONAL EXPOSURE TO NICKEL OR HEXAVALENT CHROMIUM AND THE RISK OF LUNG CANCER (SYNERGY)
Authors: Behrens Thomas , Ge Calvin , Vermeulen Roel , Kendzia Benjamin , Olsson Ann , Schüz Joachim , Kromhout Hans , Siemiatycki Jack , Straíf Kurt , Brüning Thomas
Published: July 2024

Background

Limited evidence exists on the exposure-response relationship of hexavalent chromium (Cr(VI)) or nickel with lung-cancer risk. We estimated lung-cancer risks based on quantitative indices of occupational exposure to each metal, and their interaction with smoking habits.

Methods

Fourteen case-control studies from Europe and Canada (16,901 cases, 20,965 controls) were pooled. A measurement-based job-exposure matrix was used to estimate year- and region-specific exposure levels for Cr(VI) and nickel, which were linked to the study subjects’ occupational histories. Odds ratios (OR) and 95% confidence intervals (CI) were calculated, adjusting for study, age group, smoking, and exposure to other occupational lung carcinogens.

Results

The OR for the highest quartile (>99.5 μg/m3-years) of cumulative exposure to Cr(VI) in men was 1.32 (95% CI 1.19-1.47) and for nickel (highest quartile >78.1 μg/m3-years) OR=1.29 (95% CI 1.15-1.45). Corresponding results in women were: 1.04 (95% CI 0.48-2.24) and 1.29 (95% CI 0.60-2.86). In men, increased lung-cancer risks from occupational Cr(VI) and nickel exposure were also observed in each stratum of never, former, and current smokers. The joint effects of Cr(VI) and nickel with smoking were generally greater than additives.

Discussion

Strengths of our analysis include a large study population, detailed individual information on smoking habits, and exposure assessment by a comprehensive, measurement-based job-exposure matrix. However, we cannot rule out a combined classical measurement and Berkson error structure that may have caused bias in our risk estimates.

Conclusion

In conclusion, relatively low cumulative levels of occupational exposure to Cr(VI) and nickel were associated with increased ORs for lung cancer, particularly in men.
O-067 CANCER AND MORTALITY OF QUEENSLAND COAL MINE WORKERS AUSTRALIA
Authors: Glass Deborah , Gwini Stella , Monaco Anthony Del , Sim Malcolm
Published: July 2024

Introduction

Following a health survey of coal mine workers in 1982, mandatory preemployment and periodic medicals were introduced for Queensland coal mining sector. Coal mine workers now have medicals at least 5-yearly and the data are reported to Resources Safety and Health Queensland.

Methods

The medical registration data since the medical program started were used to form a cohort of coal mine workers, including 164,622 men and 24,389 women. The cohort was linked to the Australian death and cancer registries. The coal mine workers were grouped into opencut, underground and coal handling preparation plant workers and within these mine types by job.

Results

Risks of overall mortality and cancer incidence, and major causes of death and types of cancer were assessed for the group as a whole, and separately for men and women. Analyses were also carried out for specific job groups such as underground miners, dragline operators and groups of workers such as open cut maintenance workers. Risk was investigated in respect of measured exposure to respirable dust, respirable silica and diesel engine exhaust. Cancer and mortality rates were compared to the general population age standardized rates and within the cohort. The latter comparisons were adjusted for smoking status and age. These findings will be available at the Congress.

Discussion

A major strength of the study, unlike most occupational cohorts, is the availability of smoking data for over 99% of the cohort.

Conclusion

The findings are particularly important as some coal mine workers have exposure to silica and diesel engine exhaust, two known carcinogens.
O-076 PREDICTORS FOR RETURNING TO WORK AFTER SICK LEAVE DUE TO MUSCULOSKELETAL CONDITIONS: A COMPARATIVE STUDY AMONG DIFFERENT DISORDERS AND INJURIES
Authors: Silvestre João , Fischer Frida
Published: July 2024

Introduction

Musculoskeletal disorders and injuries (MSDI) are the leading causes of work disability in Brazil.

Objective

To analyze predictors for return to work (RTW) after sick leave due to musculoskeletal disorder or injury.

Methods

A longitudinal study conducted in São Paulo between 2021-2022, among 216 workers on sick leave requesting a social security benefit due to MSDI. Participants answered questions about sociodemographic, occupational features, and clinical information. Logistic regression was performed to study predictors for RTW within one year of sick leave.

Results

Among 122 participants on sick leave due to disorders, mean age was 43 years (SD 9.48); RTW was 63.9%, mean RTW was 158 days (SD 88.4). Multiple analysis showed predictors for RTW were: age > 40 years (OR4.15; 95%CI 1.66-0.37) and regular physical activity (OR4.14; 95%CI 1.25-13.71), adjusted for sex. Among 94 participants on sick leave due to injury, mean age was 34.7 years (SD 10.3). RTW was 78.7% and mean time to return was 129 days (SD 77.2). Predictors for RTW were age > 40 years (OR 6.00; 95%CI 1.37-26.2) and low RTW self-efficacy (OR 4.76; 95%CI 1.16-19.49), adjusted for sex and education.

Discussion and conclusion

People injured returned more often and earlier than those with musculoskeletal disorders. Older workers reporting lower self-efficacy were more likely to return among the disorder’ group; and non-sedentary older workers were more likely to RTW among those in injury group. This profile can help OSH professionals to better plan RTW process aiming on workers under risk for longer absenteeism. Acknowledgments: CNPq 423231/2018–9, 304375/2017–9, 306963/2021–3.
O-078 THE ASSOCIATION BETWEEN HEAVY PHYSICAL WORKLOAD AND ISCHEMIC HEART DISEASE MORTALITY AMONG MIDDLE AGED AND OLDER SWEDISH MEN
Authors: Kjellberg Katarina , Almroth Melody , Falkstedt Daniel , Hemmingsson Tomas
Published: July 2024

Introduction

Earlier studies show inconsistent results regarding effects of heavy physical work on ischemic heart disease (IHD) mortality. The aim was to examine the association between heavy physical workload at 54-56 years of age and IHD mortality among men 55-71 years of age, while accounting for early life factors such as socioeconomic position during childhood and health, cognitive ability, lifestyle factors including smoking measured during young adulthood, as well as later educational level and job control.

Methods

The study is based on a register linked cohort of 46 565 men who conscripted for military service in Sweden 1969-1970. Physical workload was measured using a job-exposure matrix linked to their registered occupation in 2005. Mean values of a composite physical exposure variable based on eight different physical exposures were categorized into quintiles. The men were followed regarding IHD deaths between 2006-2020.

Results and discussion

Increased relative risk of deaths in IHD were found among workers exposed to high (HR 2.64, CI 95% 2.05-3.39), medium-high (HR 2.74, CI 95% 2.13-3.51), medium (HR 1.81, CI 95% 1.39-2.36) and medium-low (HR 1.41, CI 95% 1.07-1.86) levels of physical workload, compared with those exposed to a low level. The increased risks remained but were clearly attenuated after adjustments for pre-labour market factors, education and job control.

Conclusion

Men in physically heavy jobs during their later working life are at higher risk of IHD death than men in physically light jobs. Preventive measures at workplaces to reduce the physical workload for older employees in manual jobs are crucial to prevent inequalities in mortality.
P-099 THE RISK OF BETA-2-MICROGLOBULINURIA INCREASES WITH THE BLOOD CADMIUM LEVEL IN JAPANESE CADMIUM WORKERS
Authors: Hoshino Kento , Iwasawa Satoko , Nakashima Hiroshi , Yoshioka Noriyuki , Suzuki Satoko , Miyoshi Yuka , Sakamoto Takahiro , Hashimoto Itsumi , Tsunoda Masashi
Published: July 2024

Introduction

The kidneys, especially the proximal tubules, are most sensitive to cadmium. The objective of this study was to elucidate the relationship between occupational exposure to cadmium and renal damage in Japanese cadmium workers.

Methods

A dataset of 4080 cases was collected from nickel cadmium battery plants between 1997 and 2020. Blood cadmium (Cd-B) was used as an exposure indicator and urinary β2-microglobulin (B2M-U) as an indicator of renal damage. Cd-B < 1 μg/L was set as the control and ≥ 1 μg/L as the 5 quintiles of exposure groups (< 1.51, < 2.11, < 2.81, < 4.12, and ≥ 4.12). β2-microglobulinuria was defined as exceeding 360 μg/gCr, which was calculated from the mean + 2SD of B2M-U of the control. The Cd-B groups, age, urinary cadmium, smoking, and sex were analyzed for the odds ratio of β2-microglobulinuria using a multivariable logistic regression model.

Results

Among the 4080 cases, 267 (6.5%) had β2-microglobulinuria, composed of 11 (2.3%) in the control and 256 (7.6%) in the exposure group. The significant increases in adjusted odds ratio for β2-microglobulinuria compared to the control were observed in the groups higher than the central group of the quintile.

Discussion

Increased odds ratios for β2-microglobulinuria were observed in the groups with Cd-B of 2.1 μg/L or higher in the Japanese plants. Because high B2M-U is an independent risk factor for rapid decline in eGFR, improved management is recommended in Japanese cadmium plants. ù

Conclusion

A significant increased risk of β2-microglobulinuria was observed at high Cd-B levels among Japanese cadmium workers.
P-108 ASSOCIATION BETWEEN LONG WORKING HOURS AND ESTIMATED GLOMERULAR FILTRATION RATE AMONG HEALTHCARE WORKERS: A RETROSPECTIVE COHORT STUDY
Authors: Chen Wan-Chin , Yang Hsiao-Yu
Published: July 2024

Introduction

The impact of long working hours on early chronic kidney disease (CKD) remains uncertain. This study aimed to investigate the association between long working hours and estimated glomerular filtration rate (eGFR) in healthcare workers.

Methods

A retrospective cohort study was conducted among healthcare workers at a tertiary medical center in Taiwan from 2002 to 2021. Eligible participants included all hospital employees aged 20 to 65 with complete working hour records and a yearly blood test of eGFR. Those with eGFR <60 ml/min/1.73 m² at enrollment were excluded. Total working hours and night working hours were recorded for each year. The relationship between total working hours, night working hours and eGFR was assessed using the generalized linear mixed model (GLMM), adjusting for demographic and laboratory profiles.

Results

A total of 10,358 participants with a mean age of 26.7 years (standard deviation 7.1) were included, with 88.9% being females. The median follow-up period was 4 years. Each 10-hour increase in weekly working hours was associated with a decrease in eGFR by -2.07 (-2.99, -1.14). Factors such as age, diastolic blood pressure, glucose, uric acid, and male sex were also linked to lower eGFR. The effect of a 10-hour increase in weekly working hours on eGFR was nearly 1.2 times that of each year increase in age.

Discussion and conclusion

This study reveals a significant association between long working hours and lower eGFR among healthcare workers. These findings suggest that regulating working hours may be a potential strategy to impede the progression of early chronic kidney disease.