bluuebunny/crossref_metadata_2025 huggingface dataset:
P-001 OBESITY AND HEALTH-RELATED JOB LOSS IN A COHORT OF OLDER WORKERS IN THE UK
Authors: D’Angelo Stefania , Bevilacqua Gregorio , Ntani Georgia , Walker-Bone Karen
Published: July 2024

Introduction

Governments require people to work to older ages. However, evidence shows this might not be feasible for obese people. We explored the association between body mass index (BMI) and health-related job loss (HRJL) in a cohort of older workers in England. We additionally tested whether slow walking speed and depression may explain such association.

Methods

In 2013-14, 8,000 participants aged 50-64 were recruited to the Health and Employment After Fifty (HEAF) study and followed-up annually, reporting on their demographics, employment, health, and lifestyle. Those in paid work reported on any HRJL over 5-years. BMI was computed with height and weight, and its association with HRJL explored with Cox proportional hazard models with adjustment for proximity to retirement, finances, qualification level, smoking, and physical activity.

Results

A total of 5,086 participants were included, 48% were males, aged 57.1 years on average (SD=4.0). Of those, 24% participants were obese, 3.8% of whom reported depression and slow walking speed, 3.1% only slow walking speed and 25.2% only depression. 631 participants reported at least one HRJL event. Both slow walking speed and depression were significantly associated with HRJL. Participants with obesity were more likely to experience HRJL (HR=1.54; 95% CI 1.25, 1.89), but estimates weakened when adjusted for depression or walking speed.

Discussion

Older workers with obesity were at increased risk of a premature job exit due to ill health. This association was partly explained by depression and slow walking speed.

Conclusions

Policy makers need to encourage maintaining a healthy weight to retain the older workforce.
P-002 ALL-CAUSE DISABILITY PENSION IS INDEPENDENTLY ASSOCIATED WITH PHYSICAL WORKLOAD AND LOW JOB CONTROL
Authors: Albin Maria , Almroth Melody , Bodin Theo , Falkstedt Daniel , Gustavsson Per , Hemingsson Tomas , Kjellberg Katarina , Selander Jenny
Published: July 2024

Introduction

We investigated job control and physical workload as determinants for labour market exit in a series of studies.

Methods

A cohort of 1.8 million men and women aged 44-63 years living in Sweden in 2005 were followed regarding all-cause disability pension (DP) 2006-2016. Physical workload and job control were estimated through gender-specific job-exposure matrices (JEMs), linked to the occupational titles in 2005. Multivariate Cox proportional-hazards regression models estimated hazard ratios (HR) with 95% confidence intervals (CI).

Results

DP was incrementally associated with physical workload. For the 5th quintile the HRs (CIs) were for men 2.11 (2.03–2.19) and for women 1.71 (1.66–1.76). Adjustment for job control attenuated the risk (5th quintile: men 1.56 (1.48 -- 1.64), women 1.31 (1.26 -- 1.36), but the increment remained significantly increased risks from the 3rd quintile. Similarly, all quintiles measuring lower job control showed an increased risk for DP as compared with high job control (lowest quintile: men 1.66 (1.60-1.73), women 1.36 (1.32-1.40), with adjustment for physical workload. Workers with high physical workload (N=372 219) shifting to lower load, experienced a decremental risk of DP (shift high to low: men 0.50 (0.36 -- 0.69), women 0.53 (0.38 -- 0.70).

Discussion

While study strengths are registry-based data, cohort size and completeness of follow-up, the effects are likely underestimated by not considering the full occupational history and variation in exposure within occupational groups.

Conclusion

Measures to increase job control and reduce physical workload, as well as opportunities to shift from high to lower physical workload, are likely to reduce exit due to disability among mid-/old-age workers.
O-010 GLOVE-RELATED CONTACT DERMATITIS: DIAGNOSTIC VALUE OF A REPEATED APPLICATION TEST
Authors: Lamouroux Céline , Bertolotti Lea , Coste Clio , Pralong Pauline , Lefevre Marine-Alexia , Pasteur Justine , Clément Aude , Le Bouedec Marie-Christine Ferrier , Charbotel Barbara , Fassier Jean-Baptiste , Vocanson Marc , Nicolas Jean-francois , Hacard Florence , Nosbaum Audrey
Published: July 2024

Introduction

Gloves are frequently the cause of occupational hand dermatitis and are responsible for irritant (ICD) and allergic contact dermatitis (ACD). The diagnosis of ACD is based on patch tests to gloves (PTg), semi-open tests to gloves (SOg), and patch tests to glove allergens (PTal). The aim was to define the contribution of a glove repeated application test (GRAT) in the diagnosis strategy of glove-related contact dermatitis.

Methods

This retrospective study included patients with hand eczema who wore gloves and who completed a GRAT in the context of allergological explorations. It consisted of applying a piece of the glove maintained by a non-adhesive strip during 10 consecutive nights on the same area of the anterior face of the forearm.

Results

Ten patients were diagnosed with ACD to gloves. This diagnosis was made on positive SOg, PTg, GRAT and PTal for 2 patients, positive PTal and GRAT for 3 patients, positive SOg and GRAT for 2 patients, positive GRAT alone for 2 patients, positive PTal alone for 1 patient. GRAT had better sensitivity than the other tests.

Discussion

GRAT diagnosed the most cases of glove allergy. It has the advantage of being non-invasive, easy to perform and cheap, but requires the patient’s cooperation.

Conclusion

GRAT seems useful in the diagnostic strategy of glove contact dermatitis and could be proposed when the diagnosis of glove-related contact dermatitis is suspected.
P-010 PENETRATION OF CHROMIUM SPECIES IN HUMAN SKIN AND RECONSTRUCTED SKIN MODELS – A COMPARATIVE STUDY
Authors: Hagvall Lina , Munem Marwa , Philipsen Mai Hoang , Dowlatshahi Masoumeh , Hedberg Yolanda
Published: July 2024

Introduction

Occupational exposure to chromium is a risk factor for the development of cancer. Skin penetration of chromium species has been less studied compared to airway exposure, although skin exposure to chromium species is abundant. Mass spectrometry imaging (time of flight secondary ion mass spectrometry - ToF-SIMS) allows direct visualization of the distribution of chromium ions in skin tissue, simultaneously with endogenous compounds of the skin.

Methods

The EpiDerm RHE model was investigated and compared to human skin ex vivo regarding tissue penetration and distribution of two chromium species. Using diffusion cells, tissue samples were exposed to potassium dichromate (CrVI) and chromium chloride (CrIII) in buffer solution, respectively, after which tissue samples were frozen and freeze sectioned. Penetration of chromium species in sectioned tissue samples was analysed using ToF-SIMS.

Results

Cr(VI) penetrated readily through both human skin ex vivo and the RHE model tissue. In the RHE model, the Cr(III) species accumulated in the tissue layer corresponding to the stratum corneum whereas in human skin ex vivo, the Cr(III) species penetrated more readily and could be detected in the viable epidermis.

Discussion

Cr(III) species are able to penetrate into viable epidermis in human skin ex vivo. RHE models do not seem to possess the same fundamental properties as human skin tissue as skin lipids were less abundant in the RHE model compared to the human skin tissue.

Conclusion

Both studied chromium species can penetrate the skin barrier and could cause systemic exposure. RHE models should be used with caution in studies of skin penetration of chemicals.
O-011 INFLUENCE OF FLU VACCINATION DURING COVID19 PANDEMIC
Authors: Deschamps Frederic
Published: July 2024

Introduction

Vaccination is a key current prophylactic measure. For instance, few germs including COVID 19 are highly contagious and they may be transmitted to other people and co- workers. The aim of the study was to determinate influence of COVID 19 pandemic on flu vaccination coverage.

Methodology: The study was conducted during five month between December 21 and April 22, on a representative sample of miscellaneous population group of workers. Data concerning flu vaccination coverage were obtained by special questionnaire. Therefore a distribution of jobs leading to increasing risk to be contaminated by virus, mainly flu and also COVID 19 was established. Reasons, knowledge, attitudes and practices of influenza vaccine were studied.

Results

Number of workers included in the study was 511 (58% females and 42% males). Technician, housemaid and engineers represent more than a half population. One of the main reasons given for being vaccinated was self-protection in regards to avoid harmful effects of the flu contamination. In opposite, half of population was not concerned by flu vaccination in the context of COVID 19 pandemic including the necessity to be vaccinated against this virus.

Discussion and Conclusion

General population including workers group has considerable ignorance about virus. The risk of contracting flu infection is associated to tremendous social impact and obviously hard adverse effects. It seems important to assess the perception of workers to be at risk of being infected. Workplace education programs need involvement of all the relevant parties including mainly occupational health professionals.
O-012 FACTORS ASSOCIATED WITH ACTIONS CONFIRMING RUBELLA IMMUNITY AMONG JAPANESE MEN AND WOMEN DURING THE RUBELLA CATCH-UP VACCINATION CAMPAIGN TARGETING THE WORKING GENERATION
Authors: Hori Ai , Tabuchi Takahiro
Published: July 2024

Introduction

Japan fails to achieve its rubella elimination “until 2020” goal. Rubella outbreaks periodically occurred in 2013 and 2018 among the Japanese working generation without childhood vaccination opportunities. Since 2019, the Japanese government has conducted free rubella catch-up vaccination following an antibody test. However, the ongoing rubella catch-up vaccination campaign targeting working-age men has experienced a low participation rate. This study aims to clarify the factors associated with actions to confirm rubella immunity among Japanese men and women.

Methods

We conducted a cross-sectional internet questionnaire survey between September 12th and October 19th, 2022. Participants were randomly selected from the Rakuten Insight internet survey panel, which consists of 2.3 million panelists. Out of the 32,000 respondents, we excluded 3,370 due to discrepancies in their responses. Multivariable log-binomial regression analysis explored the associations between actions to confirm rubella immunity (test or vaccination) and socio-demographic factors. The study was approved by the Research Ethics Committee of the Osaka International Cancer Institute (20084-9).

Results

Of 14,002 men and 14,628 women aged 20-82 years, 27.4% of men and 42.4% of women had taken action to confirm their rubella immunity. Among 3,987 men aged 44-60 targeted in the rubella catch-up vaccination campaign, 43.0% had understood the government recommendations, and 30.3% had taken action. Understanding government recommendations was the most influential factor in taking action for both men and women.

Discussion

Japan’s ongoing rubella catch-up vaccination campaign faces apathy from the target population.

Conclusion

A more significant effort to involve working-age men with apathy is essential to the success of rubella elimination.
O-018 ASSESSING THE RISK OF SEXUALLY TRANSMITTED INFECTIONS AMONG HOTEL WORKERS
Authors: Zahraoui Majida , Manar Nadia , Laraqui Omar , Deschamps Frédéric
Published: July 2024

Introduction

The objective was to assess the risks of sexually transmitted infections for workers in hotel establishments

Methods

This multicentric epidemiological study concerned 4007 workers of hotel establishments located in seven tourist regions in Morocco (Agadir, Casablanca, Essaouira, Fes, Marrakech, Ouarzazate, and Tangier). It included a questionnaire evaluating the risk factors and the search for serum markers of certain STIs (HIV, HVB, HVC and syphilis).

Results

The average age was 37.9 ± 8.9 years with a male predominance (72%) and 40% were single. The risk factors for STI-AIDS transmission were a history of STIs (24%), multiple sexual partners (19%), systematic non-use of condoms (13%), stays in high endemicity areas and finally, intravenous drug addiction (0.2%). 3% of the population had a positive hepatitis B serology (Ag HBs), 1.55% a positive serology for viral hepatitis C, 0.15% a positive HIV serology and 3.4% a positive TPHA test.

Discussion

Hotel workers seem exposed to several risk factors for STIs mainly risky sexual behavior. However, only the prevalence of syphilitic serology was higher than that of the general population, but not significantly. Occupational medicine must ensure special medical surveillance in this environment with information, education and communication actions on the prevention of STIs-AIDS. The involvement of occupational health services in the national program to combat STIs and AIDS can contribute to its success.

Conclusion

Hotel workers are exposed to several risk factors for STIs, and must benefit from a medical surveillance medical survey and a regular
P-017 SETTING THE BASELINE FOR A SENTINEL SYSTEM FOR THE IDENTIFICATION OF OCCUPATIONAL RISK FACTORS IN AFRICA: THE BIONET PROJECT
Authors: Menouni Aziza , Chbihi Kaoutar , Corneliu Radu , Jaafari Samir E L , Godderis Lode
Published: July 2024

Introduction

In Africa, environmental and occupational health risks are mostly underreported. We initiated the BIONET EU project with the aim of understanding the occupational origin of certain diseases that seem to be associated with new occupational settings, while developing and implementing a sentinel surveillance system, comprising training and guidance of occupational physicians (OC), who will report new work-related diseases in African countries.

Methods

A group of 30 OC is recruited and trained in each of the partner countries (Morocco, Benin, and Ethiopia). Each committed OC is asked to recruit 50 workers during a consultation in a time frame of 6 months (1500 workers per country). Workers are asked to fill out an online questionnaire about their health status and work conditions, including exposure to 20 chemicals. Urine and blood samples are then collected for human biomonitoring of common exposures.

Results

Our preliminary results showed that 92% of the employees surveyed are exposed to physical constraints, 44% to chemical agents, and 24% to biological agents. The most common physical constraints are manual handling of loads, noise pollution, and thermal pollution. The most frequent chemical risks are exposure to pesticides and fuels.

Discussion and conclusion

The BIONET project will allow a better understanding of effective sentinel systems as a promising method to gather high-quality data, which can support policy-making in terms of assessing occupational exposure, preventing emerging work-related diseases, and ensuring feedback to assist with prevention in African countries.
P-030 CARDIAC COMPLICATIONS AFTER COVID-19 VACCINATION IN A HEALTHCARE WORKER WITH A HISTORY OF VIRAL MYOCARDITIS: IMPACT ON WORK FITNESS - CASE REPORT
Authors: Popa Maria Valentina , Gurzu Irina Luciana , Duceac Letitia Doina
Published: July 2024

Introduction

Cardiac complications of SARS-CoV-2 infection have had a significant impact on quality of life and work in affected individuals. COVID-19 vaccines have reduced case fatality, but side effects have been reported.

Methods

We present the case of a physician with a history of arrhythmogenic cardiomyopathy following viral myocarditis. After administration of the first dose of COVID 19 mRNA vaccine, she presented suggestive symptoms for acute heart failure. In the absence of any other diagnostic evidence to explain the myocardial damage, a causal relationship with vaccination was established. Cardiac function was periodically assessed by evaluating myocardial strain parameters. She subsequently suffered two SARS Cov 2 infections, without significant heart damage.

Results and discussions

The impact on health has had a significant effect on working life, physically demanding work (operating theatre, night shifts) could not be performed until health improved. In addition, regular medical visits and intermittent health-related absences affected the overall attendance at work and the work schedule.

Conclusions

This case highlights the importance of careful risk assessment and monitoring of employees with chronic diseases in occupational health services. The particularity of this case is the existence of a post- viral cardiomyopathy, subsequently decompensated in the context of vaccination, which required work-life adjustments. Healthcare institutions and policy makers should be aware of these potential implications and consider appropriate adaptations for healthcare workers in the context of the emergence of chronic diseases and the long-term effects of SARS - CoV2 infection.

Ethics approval

The study was approved by the Institutional Ethical Committee of Clinical Emergency Hospital for Children Iasi.
P-034 OBESITY, METABOLIC ASSOCIATED (NON ALCOHOLIC) FATTY LIVER DISEASE, METABOLIC SYNDROME, IMPAIRED GLUCOSE REGULATION, IS THERE A LINK IN ADULT METABOLIC HEALTH?: A PROSPECTIVE STUDY
Authors: Sahoo Sarat , Sahoo Jyotshna
Published: July 2024

Introduction

Obesity, Non-Alcohlic Metabolic Fatty Liver Disease (MAFLD), Metabolic Syndrome (MS), Impaired Glucose Regulation (IGR) are pre-eminent cardio-vascular risks which are preventable. All the above factors lead to diabetes and cardiovascular disease and other non communicable disorders.

Methods

72 young healthy industrial workers aged from 20-50 were taken for the study from 1st of Jan to 31st of June 2023. Persons with known cardio-vascular disease, diabetes, hypothyroidism or genetic diseases of hypercholesterolemia and blood pressure and alcoholic liver disease are excluded from the study. The adult treatment plan three of NCEP (National Cholesterol Education Program), BMI (body mass index) determination by WHO guidelines was studied for Obesity. Fatty liver was diagnosed with ultra-sonographic study. IGR (impaired glucose regulation) was studied taken into account ADA (American Diabetic Association) guidelines from Plasma Glucose.

Results

The mean age of total population (N=72) is of mean age 39.4 +/- 9.6, male (N=52) mean age 38.0+/- 9.5, Females (N=20) mean age 39.9+/- 9.5. Metabolic Syndrome was present in 63.8%, Raised BMI in 89.39%, MAFLD 41.61% IGR 11.16% with proportionate distribution among male and female executives and workers

Discussion and conclusion

Adult health is nutrition associated and metabolically linked. Raised BMI is precursor to MS, MAFLD with progression to IGR meriting definitive treatment in the end. Obesity per say is a diseased state. MS was more common in males where as fatty liver disease more common in females. These are all interlinked which are preventable with adoption of work station preventive life style measures with exercise diet and home sleep advice.
P-035 “PREVENTION IS LIVING”: A TELEMEDICINE PROGRAM BASED ON SELF-MONITORING OF BLOOD PRESSURE IN WORKERS IN THE OIL INDUSTRY
Authors: Rolandi Florencia , Zarate Pablo , Ruiz Pablo , Cura Leila , Serantes Elisabeth , Milana Carolina , Cuellar Diego , Namuncura Sebastian , Quispe Cristian , Saldivia Javier , Velazquez Luis , Azcarate Juan Martin
Published: July 2024

Introduction

35% of the adult population has hypertension. Half don’t know. Of the 40% of known and medicated hypertensive patients, only 40% have their BP controlled. Self-monitoring of BP is an opportunity for improvement so that hypertensive people have less heart attack, stroke and cardiovascular death.

Methods

We implemented a telemedicine program in workers in the oil industry with the aim of identifying unknown hypertensive and hypertensive people with inadequate control. Participants received a BP monitor and were trained by nurses in the proper BP measurement. HTN was considered at least two values > 140/90 mmHg. Participants monitored their BP at home and work during 7 days and uploaded their values in a web available on their mobile phones. Results were evaluated by nurses and physicians through a web platform in real time. If the controls were > 140/90 a medical team contacted them by video call to initiate adjustments in the medication or referral to specialist doctors.

Results

In this initial stage, 125 patients who performed 1671 measurements were included. Among the 102 who were not known to be hypertensive, a diagnosis of hypertension was made in 3.2%. Of the 23 known hypertensive patients, half had their BP controlled and the rest (9.6% of the total population) did not have adequate control.

Discussion

This telemedicine program allowed training people in the correct BP measurement, diagnosed new HTN people and identified persons with uncontrolled hypertension.

Conclusion

Based on the findings we implemented the current stage in which only people with other CV risk factors will be included.
P-045 WORKABILITY AND RETURN TO WORK IN PATIENTS WITH A STOMA: A RAPID REVIEW
Authors: Cioffi Arcangelo , Garzillo Elpidio Maria , Spiteri Gianluca , Carta Angela , De Rosa Michele , Lourdes Monaco Maria Grazia
Published: July 2024

Introduction

The stoma creation is often a life-saving procedure but also a life-changing experience, with potential negative impact on the workability. This review aimed to summarise current literature about the impact of enterostomy on working life, attempting to provide benchmarks for clinical practice.

Methods

According to WHO and PRISMA guidelines, original articles between January 2012 and April 2023 were searched in PubMed, Scopus, and Web of Science, using the following keywords: work performance, work-ability, working capacity, capacity to work, fitness for work, enterostomy, surgical stomas.

Results

Starting from 3,954 titles, 13 articles were finally included. The main findings are related to aspect concerning ostomy awareness and related complications, limitations at workplace and restriction in daily working activities, and job resumption. Work and social function of these were influenced by gender, education, hope, and skills. Some interesting reported aspect are sex-related.

Discussion

Workers needing an ostomy are increasing with an improving of associated problems related to three main aspects: inability to do “heavy” work; need to change the aid during working hours; change the toilets. No studies are available that have investigated the definition of possible contraindications in work tasks for enterostomy users, or, more generally, reasonable accommodation of the workplace for the individual with an enterostomy.

Conclusion

This review attempted to comprehensively summarise the current information on the impact of ostomy on work-ability, trying to give some practal implication on the topic. Further exploration of these aspects is necessary to facilitate the reintegration of individuals with enterostomies into work, and reduce social inequalities.
P-051 EFFECTIVENESS OF A FUNCTIONAL CAPACITY EVALUATION ON THE RETURN-TO-WORK PROCESS: A RANDOMISED CONTROLLED TRIAL
Authors: Steel Jonas , Paradis Julie , Van Kelst Kirsten , Decuman Saskia , Geonet Marie , Godderis Lode
Published: July 2024

Introduction

Given the growing number of disability-benefit recipients, and the economic costs that accompany this rise, correctly assessing the capacities of this population is crucial to develop recommendations for a return-to-work. Despite the fact that Functional Capacity Evaluations (FCE) can be an interesting tool in this respect, these tests are scarcely used in the social security sector.

Methods

We investigate the value of a FCE on 1) the decision-making process of the medical advisor through a qualitative process evaluation, and 2) the work-ability of persons on sick leave/work disability through a randomized controlled trial. For the latter, participants will be randomly assigned to the intervention group (receiving FCE) or control group (usual care). Questionnaires related to work ability and perception of return-to-work and illness will be sent out at baseline, 3 months, 6 months, and 9 months. Qualitatively, medical advisors evaluate the added value of a FCE through semi-structured interviews. This study was approved by the ethical committee of UZ/KU Leuven.

Results

The short-term impact is presented by quantitatively comparing results at baseline and at 3 months. Qualitatively, we demonstrate the value of FCE and its barriers and facilitators for several stakeholders, including physicians and job counsellors.

Discussion

Although the short-term impact may differ from the long-term, it is far from irrelevant, as intermediate outcomes give an indication of long-term effects, and short-term changes can strongly affect cost-effectiveness.

Conclusion

FCE might be a valuable addition to support the return-to-work process and occupational rehabilitation of disability-benefit recipients.
O-033 IMPLEMENTATION OF COMPETENCY-BASED MEDICAL EDUCATION IN POST-GRADUATE TRAINING IN OCCUPATIONAL MEDICINE IN CANADA: WHERE ARE WE?
Authors: Durand-Moreau Quentin , Baillargeon Martine , Razavi Jalees , Spilchuk Vincent , Thompson Aaron , Titri Nabyla , Patry Louis
Published: July 2024

Introduction

Since 2017, residency programs in Canada are switching to a hybrid time-based and competency-based model, called Competence By Design (CBD). Resident assessment is based on the completion of Entrustable Professional Activities (EPA) over 4 stages of training. Our objective was to establish a list of skills for Occupational Medicine specialists in Canada, and benefit from this transition to increase the quality of programs.

Methods

A national committee was established with residency program directors, members of the Royal College of Physicians and Surgeons of Canada (RCPSC) subspecialty committee, and education representatives of the Occupational Medicine Specialists of Canada (OMSOC). This committee has met 3 times between 2021 and 2022 to review the scope of practice of Occupational Medicine. Results. A report has been written by the committee, listing the skills required for all occupational medicine specialists in Canada, organized in 8 sections, including environmental medicine as well.

Discussion

This report will serve as a preliminary step before designing the EPAs. However, implementation of CBD programs has not started yet as of spring of 2023. The RCSPC is also undertaking a review of our specialty that may end in a change in training duration and affect the design and number of EPAs.

Conclusion

Implementation of CBD in Canadian Occupational Medicine residency programs is currently at a pivotal moment. Educators will further work to implement CBD, with this preliminary work completed, as well as building up on the experience of other residency programs that already transitioned.
P-065 SURVEY OF OCCUPATIONAL PHYSICIANS’ OPINIONS ON CLINICAL CARE COMPETENCIES NEEDED IN OCCUPATIONAL HEALTH ACTIVITIES
Authors: Hiroyuki Koga , Yoshiyuki Shibata , Hiroko Kitamura , Yoto Taguchi , Tomoari Mori , Shoko Kawanami
Published: July 2024

Introduction

Previous studies have reported that good clinical care and communication skills are important competencies for occupational physicians (OPs). However, it remains unclear to what extent OPs need to acquire these skills to adequately perform occupational health activities. This study aimed to identify the basic clinical skills considered necessary by OPs.

Methods

We administered a questionnaire to 1,811 members of the Expert Community of Occupational Health Physicians in the Japan Society for Occupational Health. The questionnaire used a four-point ranking method to assess the necessity of 14 items relevant to occupational health activities selected from the “Basic Clinical Capability Lists for Residency” specified in the Japanese Medical Practitioners Law.

Results

There were 219 valid responses (response rate 12.1%). The skill most frequently cited as “highly necessary” was “the ability to prepare and manage referrals” (89.0%), followed by “the ability to communicate in medical interviews” (88.5%), and “the ability to take patient medical history” (86.7%). First aid techniques such as compression hemostasis and chest compressions were also considered “highly necessary” by over 80% of respondents.

Discussion

Communication skills including documentation and taking a medical history were identified as the most necessary skills; OPs frequently use these skills when interviewing workers. The survey responses also indicated that even OPs who mainly work outside of hospitals believe they should be able to provide a certain level of first aid.

Conclusion

OPs consider communication skills and first aid techniques to be highly necessary in performing their occupational health activities.
P-080 PRIMARY CARE SERVICES RESPONSIBILITIES ABOUT OCCUPATIONAL HEALTH IN TURKEY
Authors: Hacettepe Duygu Ayhan Baser , Kiran Sibel
Published: July 2024

Aims

The aim is to highlight and elucidate the crucial responsibilities held by primary care services in the context of occupational health in Turkey and to provide an overview of the roles and duties of primary care physicians in safeguarding the health and well-being of the workforce, emphasizing their role as key stakeholders in promoting and maintaining a healthy and productive working population.

Country report

Primary care physicians can be involved in providing occupational health services within their scope of practice. This may include pre-employment health assessments, periodic health check-ups for employees, managing work-related injuries, and advising on workplace ergonomics and health promotion. Turkey has regulations in place to ensure workplace health and safety.

Employment Reports

Primary care physicians in Turkey are authorized to issue employment reports as part of their scope of practice.

Pre-Employment Health Assessments

Primary care physicians may conduct pre-employment health assessments to determine if a candidate is medically fit for a specific job role. Sick Leave Certifications: Primary care physicians are often responsible for certifying sick leave for employees who are unable to work due to illness or injury. Fitness-for-Work Assessments: Primary care physicians can conduct fitness-for-work assessments for employees returning to work after an illness or injury.

Conclusion

In conclusion, primary care services play a pivotal role in promoting occupational health in Turkey. By collaborating closely with employers, government agencies, and other healthcare professionals, primary care physicians contribute significantly to maintaining a healthy and productive workforce in Turkey.
P-081 SLEEP-ROAD: A SERIOUS GAME FOR DRIVING HEALTH AND SAFETY
Authors: Martini Agnese , Pietrafesa Emma , Polimeni Antonella , Luzzi Valeria , Russo Simone , Pietrafesa Emma , Garbarino Sergio , Polimeni Antonella , Martini Agnese
Published: July 2024

Introduction

Global, European and national data show that road accidents RAs are an increasingly important cause of injury, disability and death (6/10 work-related fatalities in Europe). The road occupies an important part of our working time. The causes of work-related road injuries (WRRIs) and RAs are the same. Excessive sleepiness (caused by poor quantity and/or quality of sleep) is an important contributor to RAs, estimated to be the cause of about 25% of RAs. The aim of this study is to develop a video-game on sleep hygiene (SH) knowledge, promotion and education to mitigate the risk of RAs and (WRRIs).

Methods

A multidisciplinary expert team was created to highlight the WRRIs, the interaction between sleep disorders and driving. This information and literature data were used to develop the several gaming experiences to promote a good SH and to improve the road safety work-related too.

Results

The game begins with a choice of character, lifestyle and sleep-wake habits. The player experiences the effects of previous choices during the game turn and can improve or worsen sleep recovery and well-being indicators. At the end the player gets a report with feedback and useful recommendations to improve SH driving and safety.

Discussion

Recent studies have shown that gamification can be a methodology directly aimed at increasing involvement and promoting greater motivation during the performance of a task.

Conclusion

This game could influence psychological and social behaviour of the player-worker-driver through learning by doing, improving awareness about the importance of sleep for a health and a safety drive.
O-053 MEDICAL ACCESSIBILITY AND UNDER-REPORTING OF OCCUPATIONAL DISEASES: EFFECT OF TRAVEL DISTANCE AND TRAVEL TIME
Authors: Chen Ping Hui
Published: July 2024

Introduction

Considering the lack of time to visit clinics for workers and the scarcity of occupational physicians and occupational medicine clinics, under-reporting of occupational diseases (ODs) could be attributed to poor medical accessibility. Thus, our study tries to evaluate how reporting of ODs is impeded by long travel distance/time (TD/TT) to nearest major occupation medicine clinics.

Methods

Using data from Network of Occupational Diseases and Injuries Service (Taiwan’s OD surveillance system) and annual Manpower Survey, we calculate each town’s incidence rate of ODs (IROD) and expected IROD based on industry types and job titles. Each town’s TD/TT to nearest major occupation medicine clinics is estimated by Google Maps’ Distance Matrix API. We use the Quasi-Poisson regression model to investigate the effect of TD and TT on IROD, while industry types and job titles are adjusted by offsetting expected IROD, and carry out subgroup analysis to check effect of employment status and sickness absence.

Results

After adjusting industry types and job titles, TD and TT have significant effects on IROD. As TD/TT increases by 10 km/10 mins, IROD decreases by 12.54%/12.06%. It is estimated that around 200 OD cases (40%) are under-reported annually due to poor medical accessibility. In subgroup analysis, only workers who never have sickness absence or keep their jobs are still significantly affected by TD and TT.

Discussion

Our study shows how poor medical accessibility leads to under-reporting, especially for minor cases, and up to 40% cases are under-reported.

Conclusion

Using this method, we can identify areas with poor medical accessibility and evaluate cost-effectiveness of adding reporting hospitals.
O-056 ENHANCING PREPAREDNESS FOR BIOLOGICAL HEALTH HAZARDS IN GERMAN PORTS – STUDY DESIGN OF A BEST PRACTICE STUDY
Authors: M Frese , M Boldt , L Ehlers , S Gueye , J Bäßler , M Dirksen-Fischer , V Harth , J Heidrich
Published: July 2024

Background

In Germany, five ports are designated under the International Health Regulations (IHR) to have certain core capacities to respond immediately to biological cross-border health threats. Employees on ships and in ports are particularly exposed to these health risks in the form of communicable diseases. However, a joint external evaluation led by WHO has highlighted certain gaps in the preparedness of German IHR ports. The objective of the present study is therefore to harmonize and strengthen necessary core competencies for health security in maritime transport.

Methods

The existing structures and needs in German IHR ports will first be identified through expert interviews in the port health services and other relevant stakeholders. Based on these results, overarching concepts will be developed together with representatives of the IHR ports, which will then be tested in tabletop exercises and incorporated into training formats for public health actors.

Results

Parameters to be investigated include current procedures and interfaces in the context of contagious events. This will help determine the need for action to optimize processes and structures in preparedness.

Discussion

The study design with its participatory approach allows for a practical design of concepts with high relevance for the working environment on ships and in the port. It is linked to the European Healthy Sailing project, dealing with the prevention of infectious diseases on board large passenger ships.

Conclusion

The study has the potential to sustainably harmonize and strengthen health protection capacities and preparedness in German ports, which will benefit the improvement of occupational health and safety for employees.
O-065 OCCUPATIONAL PARTICLE EXPOSURE IS ASSOCIATED WITH CHRONIC KIDNEY DISEASE ONSET DURING WORKING AGE – A COHORT STUDY IN SWEDISH CONSTRUCTION WORKERS
Authors: Edlund Karl Kilbo , Andersson Eva M , Andersson Martin , Barregard Lars , Christensson Anders , Johannesson Sandra , Harari Florencia , Murgia Nicola , Torén Kjell , Stockfelt Leo
Published: July 2024

Introduction

Increasing epidemiological and experimental evidence suggests that ambient particulate air pollution is a risk factor for chronic kidney disease (CKD). However, few studies have investigated this association in an occupational setting, where exposure levels are usually much higher.

Methods

We performed a retrospective cohort study in male construction workers (n = 286 089) who were followed (mean follow-up time 28 years) through register data. We compared workers exposed to either inorganic dust and fumes, wood dust, or fibres with unexposed workers. Our main outcomes were incident CKD and start of renal replacement therapy, obtained from validated national registers.

Results

Exposure to inorganic dust and fumes was associated with higher risk of CKD during working age (e.g., 30–50 years: HR 1.25, 95% CI 1.00, 1.56), after adjustment for smoking and BMI. These associations remained after adjustment for comorbidities (diabetes, hypertension) and exclusion of participants exposed to quartz dust. Associations with renal replacement therapy were similar to those with CKD. We found no evidence of increased risks at any age among workers exposed to wood dust or fibres.

Discussion and conclusion

In this large cohort of Swedish construction workers, we found an increased risk of CKD during working age among workers exposed to inorganic dust and fumes. Our results are in line with previous evidence of renal effects of ambient particulate air pollution and warrant further public and occupational health efforts to reduce particulate matter exposure.
O-071 ACUTE EFFECTS OF OCCUPATIONAL NOISE EXPOSURE ON INFLAMMATORY RESPONSES IN SALIVARY CYTOKINES
Authors: CHANG Ta-Yuan , Hsiao Yan-Yun , Lin Meng-Liang , Chao Keh-Ping
Published: July 2024

Introduction

Noise-induced adverse health effects from the stress mechanism may affect inflammatory responses, but few studies elucidated changes in inflammatory cytokines caused by noise exposure. This study aimed to investigate the changes of salivary inflammatory cytokines after occupational noise exposure.

Methods

We recruited 49 employees from an aircraft manufacturing company as study subjects. They were measured 24-hours personal noise levels and collected three salivary samples on working days. Salivary samples were analyzed by commercial kits with Enzyme-linked immunosorbent assay (ELISA) to estimate concentrations of salivary cortisol, Interleukin-1β (IL-1β), Interleukin-18 (IL-18), and Interferon-γ (IFN-γ). Questionnaires were obtained to control for confounding factors. Multiple linear regression and generalized linear mixed model were applied to evaluate the associations between occupational noise exposure and changes of salivary cortisol, IL-1β, IL-18, and IFN-γ.

Results

In the multiple linear regression models adjusted for confounding factors, per one A-weighted decibel (dBA) increase in occupational noise significantly elevated the IL-1β (β=0.023, SE=0.010; P=0.032) and IL-18 (β=0.029, SE=0.010; P=0.006) at the end of the work shift. In the generalized linear mixed models, each dBA increase in occupational noise significantly increased the logtransformed salivary IL-1β (β=0.024, SE=0.011; P=0.040) and IFN-γ (β=0.020, SE=0.009; P=0.045) over the whole day.

Discussion

Exposure to occupational noise increased the salivary IL-1β and IFN-γ to sustain over the whole day, but the elevated IL-18 only was observed at the end of the work shift.

Conclusion

These findings suggest that occupational noise exposure increases the concentrations of pro-inflammatory cytokines to lead the inflammatory response among workers.
O-075 EFFECT OF THE NORWEGIAN AGREEMENT ON A MORE INCLUSIVE WORKING LIFE ON USE OF SICK LEAVE AND PREGNANCY BENEFITS AMONG PREGNANT WOMEN: A COHORT STUDY
Authors: Hasting Rachel , Hoff Rune , Merkus Suzanne , Gran Jon Michael , Mehlum Ingrid Sivesind
Published: July 2024

Introduction

This paper aims to estimate the effect of the Norwegian Agreement on a More Inclusive Working Life (IA Agreement) on sickness absence (SA) and use of pregnancy benefits among pregnant women.

Methods

Women giving birth 1.12.2003-31.12.2010 (n=112,486) were observed from 6-37 gestational weeks in one of the following states: work, full SA, graded SA, pregnancy benefits, maternity leave, and other. Repeated stays were possible. Transition intensities were estimated using an inverse probability weighted Nelson-Aalen estimator, and state probabilities were calculated using the Aalen-Johansen plug-in estimator. Absolute probability differences between women in companies with and without an IA Agreement plus expected length of stay (ELOS) in days were calculated. Weights adjusted for group differences in calendar year, age, civil status, education, industry, and number of employees. 95% confidence intervals (CI) were generated using bootstrapping (1,000 repetitions).

Results

Throughout pregnancy, women in IA companies spent half a day more in work, full SA, and graded SA, respectively, and half a day less in pregnancy benefits. During the second trimester, women in IA companies had a slightly higher probability of being in work and a lower probability of full SA. Confidence intervals were wide and included zero.

Discussion

During pregnancy, women in IA companies appeared more likely to use full and graded SA but also more likely to remain in work and less likely to use pregnancy benefits.

Conclusion

This study did not find any significant effects of the IA Agreement, but the results suggest IA-related measures could work best for conditions experienced in the second trimester.
P-126 ACCIDENTS AT WORK REGISTERED BY BRAZIL SOCIAL SECURITY FROM 2016 TO 2020: DESCRIPTIVE ANALYSIS
Authors: Sa Eduardo Costa , de Barros Daniel Osti , Oliveira Leopoldo Silva
Published: July 2024

Introduction

In Brazil, more than 500 thousand accidents at work were registered each year, during 2016 to 2018. All these accidents represent more than 300 million reais outgoing. The present study aimed to analyze the incidence of accidents at work in Brazil between the years 2016 to 2020, according to variables, geographic regions, age group and gender. And its prevalence, according to the causes and the branch of economic activity in the same period.

Methods

The applied methodology was a descriptive longitudinal study, with analysis of the time series of the statistical yearbook of Social Security in Brazil. From the analysis, lower rates of accidents at work were identified between 2016 and 2019, compared to previous years.

Results and discussion

The South and Southeast regions were the locations with the highest incidence of accidents at work, 11.7 and 9.10, respectively. The Northeast, on the other hand, showed a greater reduction in accidents with 6.22. Regarding sex, there was a reduction in the incidence of accidents at work, with the greatest decreases for males. The highest prevalence of work-related accidents are related, respectively, to injuries, poisoning and some other consequence of external causes, and diseases of the musculoskeletal system and connective tissue.

Conclusion

It is necessary to improve records of accidents at work, due to underreporting of informal workers - not considered in the yearbooks. In addition, more accurate data make it possible to expand prevention, health and safety policies at work, in order to reduce the numbers of these accidents.
P-138 WHEN THE EXIT IS THEIR OWN DEATH: SUICIDE AMONG WORKERS IN BRAZIL
Authors: De Araújo Tânia Maria , de Figueiredo Tarciso
Published: July 2024

Introduction

An ecological study assessed the frequency of suicides in Brazil in the age group 14-65 years, with data reported in the SIM (System of Mortality Information). Objectives: to describe the temporal trend of suicides in 2010-19 and evaluate the socio-occupational profile of occurrences, exploring aspects connecting suicide and work.

Methods

We analyzed the percentage distribution, estimates of Proportional Percentage Variation-VPP, and mortality rates (MR) with population data from IBGE (Brazilian Institute of Geography and Statistics), RAIS (Annual List of Social Information), and occupation surveys.

Results and discussion

Between 2010-19, suicides showed a sustained upward trend (VPPglobal=60.1%); higher in men (VPP=62.8%) than in women (VPP=51.4%). The MR was 8.1 suicides/100,000 people of working age. The suicide risk was 3.5 times higher in men than in women. In 2019, the MR among self-declared Indigenous people (19.5/100,000) and Agricultural workers (21.7/100,000) stood out. Hanging was the most used method (71.4%).

Conclusion

The evolution of suicide and accentuated vulnerability in the self-declared indigenous population and agricultural workers is worrisome. The expansion of affected occupations is also highlighted, pointing to its dissemination and the relevance of attention to the characteristics of the work in the surveillance and control of suicide.
O-092 DEVELOPMENT OF AN EXPOSOME TOOLBOX FOR REDUCING THE OCCUPATIONAL BURDEN OF DISEASE: THE EU EPHOR PROJECT
Authors: Pronk Anjoeka , Scholten Bernice , Kelly Blaise , Kingma Boris , Schlünssen Vivi , Gosh Manosij , Notø Hilde , Turner Michelle C , Solovieva Svetlana , Ge Calvin , Kolstad Henrik , Selander Jenny , Pronk Anjoeka , Ge Calvin , Loh Miranda , Albin Maria , Selander Jenny , Godderis Lode , Gosh Manosij , Vermeulen Roel , Peters Susan , Mehlum Ingrid S , Turner Michelle C , Schlünssen Vivi , Goldberg Marcel , Kogevinas Manolis , Harding Barbara , Solovieva Svetlana , Garani-Papadatos Tina , Van Tongeren Martie , Kuijpers Eelco
Published: July 2024

Introduction

Occupational risk reduction strategies are informed by existing scientific evidence on single exposure-single outcome associations, limiting their applicability. Within the EU EPHOR project (2020-2025), we aim to apply the exposome concept to working life health for developing new knowledge and methods on e.g. combined exposures and vulnerability that will enable more effective risk reduction strategies and policies.

Methods

Within EPHOR, we investigate the effects of the working-life exposome through combining large-scale meta analyses of existing cohorts with the collection of new external and internal exposome data in case studies. Methods for characterizing the exposome and for investigating its complex associations (multiple exposures, timing of exposures, early health effects and vulnerability) with health are being developed.

Results

The methods and results of the project are being made available to scientists, policy makers and occupational health practitioners via the WE-EXPOSE Toolbox. Example tools include methods to collect and interpret the external (e.g. with sensors) and internal (e.g. with noninvasive sampling) exposome, methods and tools to characterize (EuroJEM) and study effects of the exposome in multiple cohorts (Mega Cohort) in a harmonized way, and an online tool for visualizing occupational risk factors including levels, population sizes and related health effects across Europe.

Discussion and conclusion

An overview of the (planned) tools in the WE-EXPOSE Toolbox as well as the cocreation process for enhancing the usability of specific tools will be given. By providing a knowledge base for evidence-based prevention, the Toolbox will contribute to reducing the burden of occupational disease.