bluuebunny/crossref_metadata_2025 huggingface dataset:
O-199 INTEGRATED PHYSICAL AND MENTAL WELL-BEING PROGRAM FOR DOCK WORKERS IN THE LARGEST PORT IN SOUTH AMERICA – RECOVERING COMPREHENSIVE HEALTH AFTER THE PANDEMIC YEARS
Authors: De Lima Edgard Barros , Alves Aldenir , Ferreira Paulo R B
Published: July 2024

Introduction

The COVID-19 pandemic has caused immense damage to the physical and mental health of workers in general, especially Dock workers, one of the categories that has not stopped working throughout this period, which has forced us to adapt our wellness program for this new reality.

Methods

A new Wellness program was designed, with emphasis on the integral health of our workers. It includes, in addition to the legally required exams, a multidisciplinary team, with a Doctor, Nurse, Psychologist, Nutritionist and Physical Education Teacher working inside the Terminal. In addition, participation in individual and collective physical activities is encouraged by employees and their families. The practice of sports was also encouraged and subsidized.

Results

We managed to reduce the absenteeism rates due to musculoskeletal and mental health diseases that we already had in the pre-pandemic period.

Discussion

Reducing absenteeism was a major concern due to the loss of health habits during the pandemic period, in addition to increased demand due to employees taking sick leave. In terms of mental health, the presence of psychological support inside the terminal and other decompression actions taken were very well accepted, with a high rate of adherence to the program and a drastic reduction in the number of leaves compared to the pandemic period.

Conclusion

A comprehensive worker health program must be multidisciplinary and aim to improve the physical and mental health of employees with a broad vision, taking care of all the different aspects involved with their well-being, even in a high-demand environment, such as the port.
O-202 EMPLOYER-PROVIDED INSURANCE COVERAGE AMONG INDONESIAN WORKERS AND CHARACTERISTICS OF THE UNINSURED: A TREND ANALYSIS OF THE NATIONAL LABOUR FORCE SURVEY 2018-2022
Authors: Khoe Levina Chandra , Mansyur Muchtaruddin , Wiseman Virginia , Asante Augustine
Published: July 2024

Introduction

Everyone has the rights for social security, nevertheless, there is still a big gap of insurance coverage among Indonesian workers. This study aims to examine the extent of employer-provided insurance coverage among Indonesian workers and analyse the characteristics of the uninsured working population.

Methods

We performed a secondary analysis of a nationally representative cross-sectional data from the National Labour Force Survey (NLFS) between 2018-2022. The primary dependent variable was the employer-provided health-related insurance (EPHI). The independent variables included having physical difficulties, number of working hours, duration of employment, union membership status, earning above the minimum wage, having written contract, and working in high risk jobs. Logistic regression analysis was employed using R statistical software.

Results

The findings indicate that the percentage of Indonesian workers with EPHI ranged from 36.1% to 38.4% between 2018 to 2022. Having a written contract was the most important factor contributing to the EPHI, followed by earning more than minimum wage, and being a member of the labour union.Workers with longer employment contracts (> 5 years) and working more than 40 hours per week were more likely to be insured. Meanwhile, workers who had physical difficulties or are employed in high-risk jobs were less likely to be insured.

Discussion and Conclusion

We conclude that enforcement of Labor Law is necessary by making written contract as mandatory requirement, prioritizing workers in high risk jobs to be included in the social security scheme, encouraging regular inspection of social security activity, and setting up social dialogue platform that could facilitate the voice of workers in non-standard jobs.
O-203 EVALUATION OF A TRAINING PROTOCOL FOR LABOR INSPECTORS TO EVALUATE COMPLIANCE WITH THE MEXICAN STANDARD ON MANUAL LOAD HANDLING
Authors: Tovalin Horacio , Cruz Cointa Lagunes
Published: July 2024

Introduction

Compliance with the Mexican standard NOM 036-1 STPS-2018 on manual handling of loads (MMC) is a new issue, and training of labor inspectors is needed. This study’s objective was to evaluate a training protocol for inspectors in the application of the “Conformity Assessment Procedure” of NOM-036-1-STPS-2018 (NOM 036-1).

Methods

In this study, for the evaluation of a training proposal for labor inspectors on the MMC standard, 20 labor inspectors with different seniority and sex participated. The workshop contents were elaborated, and the evaluation of the training in the field. Finally, there was a group meeting to evaluate the training inspection and the utility of the indicators.

Results

In Phase 1: the contents of the course and group exercises were prepared and reviewed with the officials responsible for labor inspection. In Phase 2: the training workshop was held and indicators of compliance with the standard were prepared as a group. The indicators should facilitate the inspection of compliance with NOM-036-1. After that, the inspectors´ performance was observed in the field during an inspection. In Phase 3: the inspection results and usefulness of the indicators used were reviewed with the inspectors. The group of indicators was proposed to be integrated into the compliance verification system.

Discussion

The training and indicators were validated in the field and the use of the training model is proposed in subsequent training of inspectors.

Conclusion

The training made it easier for the inspectors to propose appropriate ergonomic risk indicators to observe compliance with the standard.
O-206 OCCUPATIONAL HEALTH PROBLEMS PREVENTION: EVIDENCE FROM A NIGERIAN STUDY
Authors: Afolabi Funmilayo Juliana
Published: July 2024

Introduction

Occupational diseases and injuries are declining significantly in some high-income countries. However, parallel decline cannot be observed in low-and -medium-income countries (LMICs). For instance, many of the Nigerian workers are exposed to occupational hazards. This is because about 90% work in the informal sector and are more exposed to poor working conditions than formal workers, making them more frequently vulnerable to occupational health problems (OHPs). This study explores how OHPs are prevented among Nigerian automobile artisans.

Method

Thirty-nine informal automobile artisans (panel beaters, mechanics, painters, and vulcanizers) in Osun State, Nigeria, were purposively interviewed. The data was analyzed thematically with MAXQDA 2020 software.

Results

The artisans reported exposure to various occupational hazards, which could cause injuries (e.g., bruises and wounds); and illnesses (e.g., vision problems, malaria, stress, and pains). The OHPs with major consequences are prevented, while the ones with minor effects are tolerated. Prevention mechanisms included chocking the vehicle after tyre removal, thoroughly checking the car for extra petrol in the boot before welding, removing sharp objects from the environment, and rejecting dangerous work.

Discussion

The individual artisans actively prevent injuries and illnesses in the sector. Moreover, their occupational risk perception and risk tolerance influence the prevention of OHPs. For instance, the artisans prevent OHPs with high-risk perception (e.g., vehicle falling on workers, burns, and tire bursting), while OHPs with low-risk perception are ignored.

Conclusion

In the absence of a policy that guides OSH in LMICs, the agency can be encouraged to be actively involved in prevention.
P-371 SMALL AND MEDIUM-SIZED OCCUPATIONAL HEALTH BUSINESSES ON THE PATH TO SUCCESS: HOW TO ESTABLISH A SUCCESSFUL OCCUPATIONAL HEALTH SERVICES COMPANY IN A DEVELOPING COUNTRY AND REPLICATE THESE STRATEGIES IN OTHER DEVELOPING COUNTRIES SOUTH-SOUTH COOPERAT
Authors: Gonzalez Luis
Published: July 2024

Introduction

Creating a successful Occupational Health SME in a developing country like Costa Rica requires appropriate strategies and approaches tailored to its unique nature. Often, both entrepreneurs and workers may not fully grasp the importance of occupational health and safety, making it essential to navigate the challenges of legal requirements and unfair competition in a loosely regulated but restricted market.

Methods and Results

Therefore, the implementation of the following strategies can be crucial in building a robust organization that can emerge and achieve success, benefiting not only the businesses but also their essential workforce: 1. Market-Specific Needs Identification: Key to success is identifying the market’s specific needs. Conduct thorough research to understand labor challenges and occupational health gaps, enabling a more optimal approach to the market. 2. Belief in the Work Team: Have faith in your team by providing the necessary support and benefits to cultivate a solid and highly trustworthy workforce. This fosters a culture of high professionalism and world-class service. 3. Invest in Technology and Efficient Management Systems: Investing in technology and efficient management systems streamlines internal processes and enhances the customer experience. This includes appointment tracking, detailed reporting, and a customer-centric approach.

Discussion and Conclusion

By developing these strategies effectively, an organization can pave the way for success not only in Costa Rica but also in other developing countries.
O-211 HEALTH RISKS FROM CLIMATE FIX: OCCUPATIONAL HEALTH IMPLICATIONS OF ELECTRIC VEHICLES AND BATTERY STORAGE
Authors: Gottesfeld Perry
Published: July 2024

Introduction

The projected growth in electric vehicles (EVs) and battery storage is expected to increase mineral demand between 10 and 30-fold by 2040. A typical electric car uses six times the mineral inputs of a conventional vehicle and expected demand over the next 20 years will require 40% more copper, 60% more nickel and cobalt, and 90% more lithium than current production levels. Other required inputs including graphite will also experience a sharp rise in demand.

Methods

Using UN Comtrade and other online databases we examine export trends for key metals used in battery production. Utilizing Pubmed, Google Scholar and other sources this paper reviews the available exposure data and health outcomes for mining and ore processing for the key metal and mineral inputs for batteries.

Results/ Discussion

Community opposition to mining and mineral processing in wealthy countries will likely drive growth in informal sector miners in low and middle-income countries. Aside from increased exposures to heavy metals, silica dust will remain a significant health threat in mining operations resulting in increased rates of silicosis, Tuberculosis (TB) and lung cancer. Metals including arsenic, manganese, nickel and cobalt are associated with nervous system effects, cardiovascular disease, and other health effects. However, low-cost interventions to significantly reduce these exposures have been proven to be effective although not widely adopted in informal sector.

Conclusion

Government agencies, battery manufacturers and the vehicle manufacturers must develop action plans to invest in reducing silica dust and metal exposures among informal and formal sector miners in the supply chain.
O-215 POST-MORTEM RECOGNITION OF NASOPHARYNGEAL CANCER AS AN OCCUPATIONAL DISEASE IN A CARPENTER
Authors: Youabd Saadia , Tahri Loubna , Wifaq Kamal , Omali Asmaa , El Kholti Abdeljalil
Published: July 2024

Introduction

Post-mortem recognition of occupational diseases is a crucial step aimed at establishing a link between a disease contracted by an individual and their work environment. It is essential for safeguarding the rights of the deceased and their family. The objective of the presented case study is to examine the post-mortem recognition of nasopharyngeal cancer in a carpenter, linked to their occupational exposure to formaldehyde.

Materials and Methods

Tripartite medical expertise was conducted by the occupational health service at Ibn Rochd University Hospital, following a request from the Casablanca court of first instance.

Results

The plaintiff, aged 51, worked as a carpenter for seven years in a company engaged in wood treatment and furniture design. Their exposure to wood dust and formaldehyde was reasonably considered to be the cause of nasopharyngeal cancer, resulting in a permanent physical disability of 70%. After the worker’s death, an evaluation of compensation for their beneficiaries was conducted.

Discussion

Formaldehyde has been classified as a human carcinogen by the International Agency for Research on Cancer in 2004. The causal relationship between the activity of varnishing wooden furniture and nasopharyngeal cancer is firmly established and is listed in the Moroccan Table of compensable occupational diseases, No. 1.2.8bis.

Conclusion

Compensation for the beneficiaries is essential to support families of workers who have died from occupational diseases. However, implementing preventive measures in the workplace is equally critical to protect the health of workers and prevent such cases in the future.
O-218 SCREENING FOR PATHOLOGIES: ROLE OF THE OCCUPATIONAL MEDICINE
Authors: Es-Saadi Kawtar , Wifaq Kamal , Tahri Loubna , Benjdiya Malak , Hammal Asmaa , El Kholti Abdeljalil
Published: July 2024

Introduction

The pre-employment medical assessment conducted by the occupational health physician plays a crucial role in screening for various pathologies among new recruits. This study aims to demonstrate the importance of screening for certain pathologies during pre-employment medical examinations in the process of assessing employment suitability.

Materials and Methods

This study is based on the analysis of three cases of pathologies detected during pre-employment medical examinations in three newly recruited personnel at IBN ROCHD university hospital in Casablanca. These personnel were applicants for the positions of resident and administrator. The health status evaluation was based on specialized medical opinions.

Results

The first case involves a diagnosis of chronic myeloid leukemia in a traumatology resident. After analysis, the decision was to change the specialty to a discipline with a lower physical workload. The second case concerns minor scoliosis detected in a visceral surgery resident. After analysis, employment suitability was subject to the condition of orthopedic adaptation measures. The third case involves delusional psychosis detected in a newly assigned technician, working in the administrative department. After analysis, work suitability was decided upon with the condition of regular medical reevaluations by the occupational health physician.

Discussion

Employment suitability is determined based on the health status observed during the pre-employment medical assessment. Regular medical reevaluations are necessary to assess the alignment between the individual’s health status and employment requirements.

Conclusion

Screening for certain pathologies during pre-employment medical assessments is a vital tool in determining employment suitability and enabling the recommendation of necessary adaptation measures to preserve the worker’s health.
O-219 RETURN TO WORK AFTER A SICK LEAVE DUE TO ILLNESS: A CASE STUDY OF METASTATIC COLON CANCER
Authors: Benjdiya Malak , Wifaq Kamal , Tahri Loubna , Es-Saadi Kawtar , Mazroui Imane , El Kholti Abdeljalil
Published: July 2024

Introduction

Returning to work after a cancer-related absence is an important process in the reintegration of workers. The objective of this study is to investigate the return to work after a sick leave due to colon cancer.

Materials and Methods

The study was conducted on a financial affairs manager at the 20th August Hospital in Casablanca, who was diagnosed with metastatic colon cancer. A pre- return visit assessing her health status, as well as an analysis of her work position regarding the working conditions and constraints, were carried out.

Results

The clinical examination during the pre-return visit revealed mild asthenia, occasional nausea, and anxiety. The work study identified a significant physical workload assessed by the INRS scale and high occupational stress, with a 44 score of PSS-14. Recommendations were made for adjusting the working conditions, such as reducing physical workload and limiting contact with patients and hospital staff. Psychological support for the worker was also provided to facilitate the return to work.

Discussion

According to several studies, the impact of cancer often requires adaptations to the work position, such as ergonomic adjustments, lightening the workload, and flexibility in working hours and location. The approach of occupational health services is essential in evaluating the fitness of workers with cancer to return to work after a sick leave.

Conclusion

Returning to work after a period of sick leave involves numerous challenges, highlighting the indispensable role of the occupational health physician.
O-220 OCCUPATIONAL INDUCED CATARACTS: A CASE REPORT OF 3 PATIENTS
Authors: Tidjani Abdoulaye , Kamal Wifaq , Sara Soltani , Mazroui Imane , Abdeljalil El Kholti
Published: July 2024

Introduction

Exposure to ionizing and thermal radiation from incandescent glass or metal represents a health risk for workers. The aim of this study was to determine the characteristics of the reported cases and to identify their risk factors.

Material and Methods

This is a prospective descriptive study conducted over a one-month period from July 1 to 31, 2023, at the ophthalmology department Casablanca University Hospital. Our study concerns workers received in ophthalmology consultation and diagnosed with a cataract.

Results

The first two cases were men aged 52 and 45 respectively, fishermen who had been working on the Casablanca beach for 20 and 18 years respectively. The third case was a 50-year-old man who had been a welder for 20 years. All three cases had no pathological antecedents, and worked without protective equipment or medical supervision. Ophthalmological examination of all three cases revealed bilateral asymmetric cortico-nuclear cataracts. The patients returned to work 14 days after the operation. The 3 cases were declared as compensable occupational diseases, recognized in tables 2.1 and 2.2 with a 10 and 15 year delay.

Discussion

The study showed us that long-term exposure to ultraviolet and thermal radiation can damage the lens and lead to cataracts, particularly when preventive measures are not taken.

Conclusion

Although treatable, occupational origin is rare in the literature. Compliance with preventive measures remains the only guarantee of primary prevention.
O-221 OCCUPATIONAL TUBERCULOSIS AMONG HEALTHCARE WORKERS: A REPORTED OF TWELVE CASES
Authors: Asrir Ihsan , Wifaq Kamal , Tahri Loubna , Soltani Sara , Kholti El Abdeljalil
Published: July 2024

Introduction

Tuberculosis (TB) is a human disease caused by Mycobacterium Tuberculosis, and transmitted by airborne pathway. The objective of this study is to draw up the epidemiological and professional profile of healthcare workers (HCWs) with TB at the Ibn Rochd University Hospital Center in Casablanca.

Methods

This is a retrospective study of twelve cases among HCWs with TB, collected over a 28 months period (December 2018- March 2021).

Results

Twelve HCWs were reported to have pleuropulmonary and extrapulmonary tuberculosis. The patients were predominantly female, with an average age of 28.6 years and an average professional seniority of 3 years. All had a normal medical examination on recruitment with a history of BCG vaccination. They included three nurses, three resident physicians, two physiotherapists, two radiology technicians and two ambulance technicians. Ten HCWs worked in high TB risk services. Five cases had pulmonary localization, lymph node in four cases, pleuropulmonary, plural and multifocal in only one case for each. Four cases have declared as occupational disease. Nine cases benefited from medium-term sick leave.

Discussion

Studies estimate that the TB risk among HCWs is about three times higher than in the general population. A higher risk of acquiring TB was associated with certain work locations (laboratory, emergency facilities …), occupational categories (radiology technicians, nurses...),a professional activity duration more than 10 years and certain acts that generate aerosols(bronchial endoscopy, orotracheal intubation,aspiration, respiratory physiotherapy...).

Conclusion

High incidence of TB among HCWs requires the adoption of strict preventive measures to limit its spread in the healthcare workplace.
O-225 RETURN TO WORK DUE TO MENTAL ILLNESS AMONG THE STAFF OF THE UNIVERSITY HOSPITAL CENTER IBN ROCHD-CASABLANCA
Authors: Norredine Doha , Tahri Loubna , Wifaq Kamal , Hammal Asmaa , Mazroui Imane , El Kholti Abdeljalil
Published: July 2024

Introduction

Mental health problems currently represent one of the most important causes of absenteeism. Return to work (RTW) is a complex process influenced by a multitude of variables that determine the success of professional reintegration. The aim is to evaluate the RTW after absenteeism due to mental illness among the staff of the University Hospital Center Ibn Rochd at Casablanca and to propose recommendations.

Methods

Employees (N=44) were recruited after absenteeism due to mental illness, and completed a survey which included socio-demographic information’s, medical and work history and RTW conditions.

Results

After RTW, 2.3% of our participants changed the workstation, 6.8% changed the department, 15.9% changed the work schedule, 18.2% benefited from a job accommodation and 45.5% were satisfied.

Discussion

Many factors should be taken into account to improve successful RTW: gradual RTW, reception and support from superiors and colleagues, changes in working conditions. Early contact between occupational physicians and employees ensures that measures can be initiated before the RTW.

Conclusion

Employees should be targeted in interventions aiming to improve RTW. A prerequisite for success of the RTW process is to pursue open communication between occupational physicians and employees.
O-226 SYSTEMIC SCLERODERMA AND OCCUPATIONAL IMPACTS: A CASE REPORT
Authors: Omali Asmaa , Wifaq Kamal , Tahri Loubna , Youabd Saadia , El kholti Abdeljalil
Published: July 2024

Introduction

Scleroderma is a connective tissue disease characterized by skin thickening and disabling multi-organ involvement. The hand is a prime target for scleroderma, which can have a major impact on the scleroderma worker.

Objective

Studying the impact of scleroderma on the professional activity of an office administrator

Patients and methods

This was a workstation study of a scleroderma patient and a discussion of his functional ability to fulfil his tasks.

Results

The patient was a 34-years-old office administrator. His tasks consisted of collecting documents, entering them into the system, and filing them. This activity involved keyboard work for three-quarters of his working time. The patient is being treated for severe systemic scleroderma for one year, characterized by cutaneous sclerosis in both hands, resulting in flexion of the MCP and a lack of extension of the PIP. The Quick DASH and Cochin scales indicated a moderate functional limitation, resulting in an inability to perform the tasks described above.

Discussion

Several occupational difficulties have been described in the literature for scleroderma workers, which are due to the extent of cutaneous sclerosis especially in the hands as well as the severe progressive complications of the disease. The symptoms of scleroderma can be aggravated by work, in particular by exposure to cold, physical effort and microtrauma. Our recommendations for this worker consisted in adapting his workstation and discussing the possibility of invalidity.

Conclusion

The occupational impact of scleroderma is significant. However, enhancing work conditions contribute positively to prolong the ability to remain at work as long as possible.
O-228 COMPUTERIZATION OF OCCUPATIONAL HEALTH MEDICAL RECORDS IN MOROCCO
Authors: Touil Soukaina , Rifak Nada
Published: July 2024

Introduction

The digital transformation in occupational health is gaining momentum thanks to Information and Communication Technologies (ICT). Specifically, the dematerialization of paper documents facilitates the exchange of health-related information and contributes to decision-making in this field, ultimately enhancing the quality of worker care. This work aims to describe the stages of computerizing the medical record in occupational health and safety.

Methods

The first phase involves describing the current state of medical records and analyzing the existing system in accordance with the current regulations.

Results

Subsequently, we will present a model for the process of computerizing medical records, highlighting the advantages and disadvantages of digitizing these records in the field of occupational health.

Discussion

Computerizing medical records in occupational health would enable more efficient data management, facilitate employee monitoring, and enhance decision-making for targeted interventions.

Conclusion

This approach draws inspiration from the ongoing computerization of patient records in Morocco. The idea is to extend this practice to medical records related to occupational health, aiming for eventual widespread adoption in the short or medium term, following the example of other countries that have already regulated the computerization of medical records in occupational health.
O-229 SCIENTIFIC RESEARCH AND TRAINING IN MARITIME MEDICINE IN MOROCCO
Authors: Ghailan Tarik
Published: July 2024

Introduction

Maritime activities in Morocco constitute an important economic and social lever of the country in particular in the fishing sector. In view of this situation as well as the nature and dangerousness of work at sea, scientific research and continuing education in this discipline should be highly developed to meet the needs of maritime doctors and the expectations of seamen. The objective of this work is to identify the different sources of scientific research in maritime medicine as well as to list the main continuing training activities in this discipline.

Material and methods

This study was based on the collection of relevant data related to maritime medicine, in particular various scientific publications, administrative and official documents as well as the proceedings of various congresses and scientific events.

Results

Moroccan scientific publications numbered 22, notably in the International Maritime Health Journal. There were 7 scientific congresses in Morocco, including 2 International Hispano-Francophone Congresses all organized by the Moroccan Society of Maritime Medicine. There were also 8 fishermen’s health days, including an international one organized by the Ministry of Fisheries. In addition, more than 120 oral presentations and more than 20 posters were presented at various medical conferences including in the International Maritime Health Symposium. No specific university diploma in maritime medicine is provided in Morocco.

Discussion and Conclusion

Many efforts have been made to promote maritime medicine in Morocco, particularly in terms of scientific publications and continuing education. However, the absence of university training in this discipline in Morocco constitutes a weak point in this field.
O-230 KNOWLEDGE, ATTITUDES AND PRACTICES (KAP) OF AL-HOCEIMA AIRPORT STAFF ON TUBERCULOSIS
Authors: El Khaldi Mohammed , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

Our work aimed to describe the knowledge, attitudes and practices on tuberculosis of employees at Al-Hoceima airport and to identify the associated factors.

Methodology

We conducted a cross-sectional, descriptive and analytical study carried out among employees of Al-Hoceima airport, based on questionnaires administered to employees through face-to-face interviews.

Results

We interviewed 253 employees, including 213 men (92%) and 40 women (8%). The average age was 31 years. They were educated in 181 cases (71.5%). 213 employees (84.1%) knew about tuberculosis, including 129 (49.5%) via the media. The main symptoms of pulmonary tuberculosis mentioned were dominated by cough (75.8%). 180 (79.2%) knew that tuberculosis had a treatment. 205 employees (81%) said that pulmonary tuberculosis was fatal if left untreated. 215 cases (84.9%) said they would go to the hospital if they had a persistent cough lasting more than 15 days. Prisoners’ knowledge of tuberculosis was linked to level of education (p=0.0099)

Discussion and Conclusion

This survey shows the need to strengthen employees’ knowledge of tuberculosis in order to reduce its incidence.
O-232 KNOWLEDGE, ATTITUDES AND PRACTICES OF PUBLIC SECTOR HEALTH PERSONNEL IN D’ERRACHIDIA (MOROCCO) TOWARDS TUBERCULOSIS
Authors: Abdelhakim Abbaouy , Nadia Manar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

The objective was to assess the knowledge, attitudes and practices of public sector health workers regarding tuberculosis and the implementation of the recommendations of the national tuberculosis control program.

Method

This cross-sectional study was carried out during the first half of 2023 among healthcare professionals at the Errachidia Regional Hospital Center. It involved 231 professionals (12 general practitioners, 49 specialists and 170 nurses), excluding pulmonologists. The self-questionnaire included knowledge about pulmonary tuberculosis, national tuberculosis control program, screening and diagnosis of pulmonary tuberculosis.

Results

The mean age was 31 ± 3.8 years. The female gender represented 65%. The National Tuberculosis Control Guide only contributed to strengthening knowledge on the topic of tuberculosis for 28.5% of the sample. 73% of professionals declared that they were aware of the missions of the Center for the diagnosis and treatment of respiratory diseases and 11% were completely unaware of them. All participants knew the address of the CDTMR in the town of Errachidia. 86.4% of doctors participating in the study are involved in screening and 75.2% in diagnosis. 94.3% referred tuberculosis patients to the CDTMR or to a private pulmonologist. 34.7% of the doctors surveyed were aware of the existence of a public-private partnership for the management of tuberculosis by private pulmonologists.

Conclusion

To improve the knowledge, attitudes and practices of non-pulmonology doctors with regard to tuberculosis, regular information, education and communication campaigns on a national scale are necessary to effectively fight against this scourge.
O-236 HEALTHCARE WORKERS VACCINATION: MOROCCAN EXPECTATIONS
Authors: Wifaq Kamal , Tahri Loubna , Soltani Sara , El Kholti Abdeljalil
Published: July 2024

Introduction

In Morocco, there are still no regulatory texts or recommendations from the authorities concerned regarding the Vaccination of HealthCare Workers (HCW-V). This work aim is to propose guidelines for the vaccination of moroccan HealthCare Workers (HCW) against VPDs.

Method

Study of the legal and regulatory framework of HCW-V in Morocco, and benchmarking of international practices in addition to the World Health Organization (WHO) directives of the “Implementation Guide for Vaccination of Health Workers”.

Results

The legal and regulatory framework of the HCW-V is defined by the moroccan Labor Act which places responsibility for the workers’ health and safety on the employer, and its implementing decree concerning general safety measures. prevention against biological risks. International benchmarking, which concerned practices in United Kingdom, United States, Canada and Switzerland, coupled with WHO directives, demonstrated the interest of an HCW-V program against Tetanus, Diphtheria, Viral Hepatitis B, Measles, Rubella, Meningococcus, Chickenpox, Whooping Cough and Seasonal Flu. This program takes the form of recommendations in certain countries, or legal obligations in others.

Discussion

The HCW-V measures should consider the national immunization program, and specially the epidemiological situation of infectious diseases in each country, in particular that VPDs. The determination of recommendations, being the result of a multidisciplinary consultation, should be part of a national policy for the occupational risks prevention among HCW including managing infectious risks.

Conclusion

HCW-V is a crucial element among primary prevention measures in the workplace, and where the occupational physician plays an essential role in assessing the infectious risk and implementing preventive actions.
O-244 ASSESSMENT OF MENTAL WORKLOAD IN CROHN’S DISEASE AND ITS IMPACT ON WORK ACTIVITY
Authors: Jbara Meriem , Wifaq Kamal , Tahri Loubna , Darid Fadwa , Norredine Doha , El Kholti Abdeljalil
Published: July 2024

Introduction

CD is a handicap due to the chronicity and repetition of relapses. The co-occurrence of emotional disorders and CD is widely reported in the literature. The objective of this study is to assess CD’s impact on mental and occupational health.

Materials and Methods

This study is part of a medical expertise established on a psychiatric nurse, at the Occupational Health Department of Ibn Rochd University Hospital in Casablanca. Mental workload was evaluated by: Karasek, Siegrist, Maslach Burnout Inventory (MBI), Work Productivity and Activity Impairment (WPAI) questionnaires, Hospital Depression and Anxiety Scale (HADS) and Perceived Stress Scale (PSS).

Results

The nurse has been diagnosed with MC since 2021 and depression since 2020. According to the

results

She is subject to job strain (Karasek), high degree of burnout (MBI), high perceived stress (PSS) and severe depression and anxiety (HADS). The nurse’s workstation is characterized by an imbalance between high extrinsic effort and low reward (Siegrist). Impaired activity, absenteeism and presenteeism were considered severe (WPAI).

Discussion

Due to the incompatibility between workstation and health status, we recommend to our nurse to avoid shifts. Most studies report that anxiety and depression are common in CD, especially during active disease. CD can impair the productivity and professional activity of sufferers, with considerable socioeconomic cost.

Conclusion

Mental health issues due to CD have a significant impact on patient’s professional health. Hence the need for a multidisciplinary approach aiming for well-being and integrity.
P-380 KNOWLEDGES, ATTITUDES AND PERCEPTIONS OF PENITENTIARY STAFF TOWARDS PULMONARY TUBERCULOSIS
Authors: Belhaj Khadija , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

Objective is to describe the knowledges, attitudes and practices on pulmonary tuberculosis of penitentiary staff in the Casablanca-Settat region.

Method

this epidemiological and cross-sectional study took place during the first semester of 2023, using a self-questionnaire.

Results

We interviewed 451 people (62.7% security personnel, 29.5% administrative personnel and 7.8% nursing assistants). 86% were men. The average age was 37 ± 8,2 years old. 72% had a high educational level. All of our respondents had already heard of pulmonary tuberculosis, including 69% through professional circles and 59% through the media. Tuberculosis was recognized by 95% as a contagious disease, 91% knew the airborne route as a mode of contamination and 62% knew that it is favored by HIV. The main symptoms of pulmonary TB mentioned were dominated by cough 77%, 50% knew that the duration of treatment is greater than or equal to six months, 28% knew that anti-tuberculosis drugs are taken once a day under supervision, 94 % knew that tuberculosis is curable and 76% knew it as a fatal disease in the absence of treatment. 87% preferred to consult the physicians if they had a persistent cough lasting more than 15 days.

Conclusion

Our population had a reasonable level of knowledge about tuberculosis.

Our survey thus shows the need to fight against the risk factors which favor the emergence of tuberculosis in prison, particularly in an overcrowded environment.
P-381 ASSESSMENT OF MUSCULOSKELETAL RISK AT THE CUTTING AND DRILLING STATION FOR METAL PARTS IN A STEELWORKS
Authors: Belhaj Khadija , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

The objective was to assess the biomechanical and musculoskeletal constraints resulting from carrying out the task using three simple methods.

Method

The operator, aged 28 and right-handed, had 5 years of seniority in the company and 3 years on the job. The working hours were 7:30 a.m. to 12 p.m. and 1:30 p.m. to 5:30 p.m.

OSHA (Occupational Safety and Health Administration) screens for situations likely to be at risk of MSDs of the upper limbs. The normal score is < 5. RULA (Rapid Upper Limb Assessment) requires observation over several work cycles to select the most frequent and/or most restrictive posture a priori. The acceptable score is between 1 and 2. OREGE (Gesture Identification and Evaluation Tool) is an analytical method for evaluating the three risk factors: effort, extreme joint positions and repetitiveness.

Results

OSHA score was = 3; the work did not present a significant risk of MSD of the upper limb. RULA made it possible to select the most frequent and most restrictive posture: taking the metal part from the table on the left to place it at the level of the drilling machine. The total score of 6 requires modifications to the position. According to OREGE, the maximum effort score was 3, therefore low. The repeatability score was 4, therefore average. The score for the extreme joint position was 2 for all actions except for the digital grasp of parts scored at 3 with use of the left shoulder.

Discussion and conclusion

The company must develop a preventive strategy involving all social partners.
P-382 PREVALENCE OF SKIN FUNGAL INFECTIONS AND ONYCHOMYCOSIS AMONG TRADITIONAL TANNERS
Authors: Farid Saloui , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

The objective of this study was to evaluate the prevalence and location of skin mycoses and onychomycosis among tanners.

Methods

this cross-sectional observational study interested 243 people working in traditional tanneries in Fez. It included a questionnaire and a clinical examination. The sociodemographic and professional data were age, professional seniority, means of protection used. The clinical examination specifies the location, nature and appearance of the lesions.

Results

The mean age was 45 ± 9.8 years. The average length of service was 22.6 ± 4.3 years. 13.2% had skin mycosis: 5.7% perionyxis, 5.3% intertrigo and 2% pityriasis. 72.4% had onychomycosis, including 35.8% with nail involvement, 32.5% with toenail involvement and 31.8% with associated nail and toenail involvement. Distolateral subungual onychomycosis represented 59.7%, total onychodystrophy 22.1% and superficial leuko-onychomycosis 18.2%. The most common lesions concerned the big toe (97.4%) and the thumb (95.1%). In people with onychomycosis, 58.2% had 10 toes affected and 66.6% had 10 fingers affected. The hygiene of the tanners was defective. They walked barefoot on damp ground, handled skins without gloves and used numerous irritating products (lime, vegetable tannins, mineral and vegetable dyes, chromium, sulfuric acid, hydrochloric acid, formic acid, ammonium sulfate and metabisulfite, etc.).

Discussion and conclusion

these craftsmen must benefit from occupational medical coverage for better prevention of maceration mycosis and onychomycosis.
P-383 PREVALENCE OF RESPIRATORY SYMPTOMS, DISEASES AND VENTILATORY DISORDERS AMONG WORKERS IN INDUSTRIAL CARPENTRY IN CASABLANCA
Authors: Farid Saloui , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

The aim of this study was to assess the prevalence of respiratory symptoms, diseases and ventilatory defects.

Methods

This cross-sectional study involved 395 workers, with at least two years’ seniority. It included a questionnaire, spirometry and thoracic radiophotography. The questionnaire consisted of four sections: socio-demographic and occupational characteristics, smoking habits, medical history and clinical respiratory symptoms. Chronic bronchitis is defined as chronic cough and chronic sputum production occurring for at least three months per year and for at least two consecutive years without any other identified cause. The diagnosis of COPD was made in the presence of an obstructive ventilatory defect based on a ratio forced expiratory volume at the first second/ forced vital capacity (FEV1/ FVC) <70% after administration of a bronchodilator

Results

the average age was 47,6 ± 5,2 years. The average seniority was 16.8 ± 9 years. 31.7% were current smokers, 18.2% former smokers and 50.1% non-smokers. The prevalence of tracheobronchial irritation symptoms was 22.2%: 17,7 % for chronic cough, 14,9% for respiratory discomfort, 17.2 % for chronic sputum and 9.1% for chest wheezing. The prevalence of rhinitis was 26%, asthma 8.8%, chronic bronchitis 7.5% and COPD 6.8% (8.1% in current and former smokers versus 5.6% in non-smokers). 22.4% had deficits in the FEV1 and the FVC. This prevalence reached 38.2% in current and former smokers. The prevalence of radiological abnormalities was 6.1% (2.9% were emphysema, 5.3% were parenchymal opacities likely resulting from pulmonary infections).

Discussion and conclusion

Occupational medicine plays an important role in the prevention of risk factors for respiratory diseases.
P-384 ASSESSMENT OF MUSCULOSKELETAL DISORDERS (MSDS) AT THE MANUAL MOLDING STATION WITHIN A MICROELECTRONICS COMPANY
Authors: Bensaoud Zakaryaa , Ghailan Tarik , Manar Nadia , Laraqui Omar , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

The objective was to assess the risk of MSDs by using 3 simple and rapid methods.

Methods

OSHA (Occupational Safety and Health Administration) screens for situations likely to be at risk of MSDs of the upper limbs. The normal score is < 5. RULA (Rapid Upper Limb Assessment) requires observation over several work cycles to select the most frequent and/or most restrictive posture a priori. The acceptable score is between 1 and 2. OREGE (Gesture Identification and Evaluation Tool) is an analytical method for evaluating the three risk factors: effort, extreme joint positions and repetitiveness.

Results

Shift work (3x8) with a half-hour break is carried out while standing. The complete work cycle of an operation lasts 3 minutes and 20 seconds. Each cycle includes eight different tasks: supplying the molding station with boxes containing frames and a stock of resin; taking frames of the boxes and placing them on the grill; preheating the resin; placing the pre-filled grill on the mold; deposition of the resin above the mold; recovery of the grill and unloading of the molded frames; storage in lockers transferred periodically to a table located 5 meters away; cleaning the device with a blower and brush. OSHA score = 4; the position is suitable. RULA made it possible to study the mold cleaning phase; its total score = 6 requires immediate modifications. The OREGE scores indicate that the actions were not recommended and the position must be quickly adapted.

Discussion and conclusion

The company must develop a participatory preventive strategy involving all social partners.
P-389 EVALUATION OF THE VIBRATIONAL ENVIRONMENTS OF THE WHOLE-BODY SYSTEM IN A FORKLIFT DRIVER WITHIN AN INDUSTRIAL COMPANY
Authors: El Hadri Mohamed , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

Vibrations constitute risk factors par excellence for musculoskeletal disorders (MSD), particularly at the spinal level for vibrations of the whole-body system. The objective of our study is to identify and measure whole-body system vibrations encountered when operating forklifts as well as to evaluate their possible association with health effects.

Methods

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

Results

The duration of the measurement was 01h50min. The effective weighted accelerations obtained over the entire recorded activity were for the three axes X (anteroposterior): 0.25 m/s², Y (lateral): 0.23 m/s², Z (vertical) seat: 0.71 m/s² and Z (vertical) of the floor: 0.73 m/s. The weighted equivalent acceleration was Aeq: 0.71 m/s². The daily exposure value was Aeq(8): 0.65 m/s².

Discussion

The exposure values found exceed the values triggering preventive action but still remain lower than the values prohibiting work.

Conclusion

Corrective organizational and preventive medical measures must be put in place to prevent the occurrence of the harmful effects of vibrations on the health of workers.
P-392 ASSESSMENT OF MUSCULOSKELETAL DISORDERS (MSD) IN A MOBILE GANTRY DRIVER AT THE PORT
Authors: Abbaouy Hakim , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

The objective was to evaluate MSDs in a mobile port gantry operator using methods allowing position analysis and diagnosis of MSD risk.

Method

Observing the work situation over several cycles required video recordings and the use of 3 methods:

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- OREGE (Gesture Identification and Evaluation Tool) aims to evaluate the biomechanical risk factors for MSDs of the upper limb. It is analytical and makes it possible to assess the three biomechanical risk factors: effort, extreme joint positions and repetitiveness.

Results

The OSHA (score > 5) confirmed that the gantry operator’s work situation involves a risk of MSD of the upper limbs. Observation over several work cycles made it possible to select the most frequent and most restrictive posture: opening the bin. The total RULA score > 2 requires immediate modifications. The OREGE scores evaluating effort, repetitiveness and joint positions indicate that the actions were not recommended or to be avoided.

Discussion et conclusion

The analysis made it possible to assess the arduousness of the work and note a high risk of MSD requiring ergonomic and organizational improvements.
P-393 EVALUATION OF THE VIBRATION ENVIRONMENTS OF THE HAND-ARM SYSTEM IN A WORKER HANDLING A PNEUMATIC IMPACT WRENCH
Authors: Kaitouni Omar Idrissi , Laraqui Omar , Manar Nadia , Deschamps Frédéric , Laraqui Hossini Chakib El Houssine
Published: July 2024

Introduction

Vibrations are important risk factors for musculoskeletal disorders. The objective of our study is to identify and measure the vibrations of the hand-arm system encountered during the handling of a pneumatic impact wrench by a worker at a port terminal in Morocco as well as to evaluate their possible harmful effects about health.

Methods

This metrological study is measuring the vibrations of the hand-arm system in a male worker who manipulates a pneumatic impact wrench to screw and unscrew the nuts of large caliber tires within a port terminal using a hand-arm system sensor connected to an analyzer. The measurements were carried out both on the right hand which supports the machine and ensures maximum operating effort and on the left hand which operates the device.

Results

At the level of the right hand, the weighted equivalent accelerations Ahv were of the order of 10.87 m/s² when unscrewing and 6.51 m/s² when screwing. On the left hand they were rated at 12.70 m/s² when unscrewing and 7.78 m/s² when screwing. The daily exposure levels Ahv (8) were 0.62 m/s² when unscrewing and 0.37 m/s² when screwing on the right as well as around 0.71 m/s² when unscrewing and 0.27 m/s² when screwing on the left.

Discussion and conclusion

The exposure levels found remain lower than the values triggering preventive action, this conclusion should not hinder the continuity of adequate occupational health care to early detect the harmful effects on health of these vibrations before the appearance of values which require the implementation of preventive actions.