bluuebunny/crossref_metadata_2025 huggingface dataset:
SS34 WORKPLACE HEALTH WITHOUT BORDERS (WHWB), ITS MISSION AND IMPACT: OSH PROJECTS AND TRAINING ACROSS THE GLOBE
Authors: Galvin Jennifer
Published: July 2024

This Special Session will highlight how an international charity organization – Workplace Health Without Borders (WHWB) - collaborates with membership organizations, universities and international host bodies to provide opportunities locally, nationally and globally for professionals to provide and receive training and mentoring, and establish intervention projects to advance the knowledge, skills and experience of occupational health professionals around the world. WHWB members provide these services on a voluntary basis to vulnerable populations in resource-poor settings.

The objectives of the Special Session are to present: (i) an understanding of the way that WHWB collaborates with various organizations across sectors to increase its reach around the world, (ii) an understanding of projects and training initiatives being undertaken at grassroots level by an international charity with a limited budget, and (iii) an appreciation of how smaller projects can make a difference to workforces and communities lacking OSH expertise and services, and how the sustainability of these programs is considered and achieved.
SS40-03 ARE BASIC OCCUPATIONAL HEALTH SERVICES PROGRESSING BEYOND GENERAL MEDICAL CARE AT THE WORKPLACE IN THE INFORMAL SECTOR IN INDIA?: A SCOPING REVIEW
Authors: Moti Suvarna
Published: July 2024

Introduction

Informal employment has been increasing, perpetuating low-quality employment with low productivity with lack of workplace occupational health and safety (OHS) facilities in India. Scant regulatory and legal frameworks for the informal workers and workplaces have denied occupational healthcare for the working populations in this sector exposed to high risks of occupational hazards. The objective of this scoping review was to summarise the challenges that affect provision of the much-needed occupational healthcare in the informal sector through the primary healthcare approach.

Methods

We searched PubMed, IndMed, Google Scholar besides grey literature through Google search using specific inclusion/exclusion criteria, extracted data from the included studies and assessed study quality. Then we presented the results in narrative form since meta-analysis was not possible due to heterogeneity in the study design.

Results

We retrieved publications between 2010-2020. Nearly 20 studies were cross-sectional surveys and the rest were technical documents. Peer reviewed journals, reports, internet publications with reviews on research were reviewed. Articles in conference proceedings did not undergo methodological quality scrutiny. The results demonstrate that primarily, availability and affordability of medical care were prioritised, followed by work equipment modifications, use of PPE and practice of safe work behaviour.

Conclusion

Access to basic medical care emerged as a priority element of occupational healthcare of informal workers in India suggesting the need for sustained intensive efforts at policy, enterprise and employee levels in mainstreaming minimisation of hazards at work and promotion of safe work behaviour as key elements.
SS40-07 TECHNICAL AND PEDAGOGICAL SUPPORT (MATRIX) FOR BASIC OCCUPATIONAL HEALTH SERVICES (BOHS) IN SUS, THE NATIONAL HEALTH SYSTEM IN BRAZIL
Authors: Costa Dias Elizabeth , da Silva Anunciação Lazarino Márcia
Published: July 2024

Introduction

Recent changes in working conditions, loss of social protection and increasing informality underline the importance of primary healthcare (PHC) to guarantee Universal Occupational Health Coverage. Basic Occupational Health Services (BOHS) can support a major part of all workers without access to expert-based occupational health services. In Brazil, the BOHS proposal is favored within the National Health System (SUS), guaranteed in the Federal Constitution (1988). In this network, PHC is the gateway and coordinator. Permanent training, technical and pedagogical support (Matrix training) of health teams are essential, provided by Reference Centers for Workers’ Health (Cerest) and institutions also from the labor side.

Materials and Methods

A successful experience is developed in the municipality of Betim, Minas Gerais. PHC professionals were covered from 13 municipalities (732,000 inhabitants) with various industries, commerce, and many small and micro companies. Work at home is prevalent.

Results

The Matrix support began in 2006 by decentralizing workers' health actions to the SUS network, with a broad training program and organizing reference units for treating workers' health problems. Formalization followed in a Municipal Decree in 2016 (workers’ health protocol). Several programs were implemented on surveillance of work-related injuries and of working conditions, and assistance actions covering the SUS network with meetings, online contacts, education, and face-to-face meetings at PHC units.

Conclusions

The successful experience shows exciting possibilities. Challenges remain in the support of municipal management, insufficient Cerest centres, high turnover of professionals, and availability of health teams given the high demands in PHC
SS43-02 CHANGES IN SELF-RATED HEALTH DURING THE TRANSITION TO RETIREMENT: A MULTI-COHORT ASSESSMENT
Authors: Prakash K C , Neupane Subas
Published: July 2024

Introduction

Changes in self-rated health during retirement transition are poorly understood, and previous findings have been inconsistent. This study aimed to examine changes in self-rated health during retirement transition and additionally examine whether those changes differ by gender, marital status, occupational status, and educational attainment using longitudinal studies from Finland and France.

Methods

Aging public sector employees (n=5813, mean age at baseline 50.4 years, standard deviation 3.6, 56% women) from Finland and occupational cohort from France (n=11363, age 51.9 years, standard deviation 2.5, 22% women), were included in the study. For the analyses, we used an original rating of self-rated health. The mean and mean change estimates and their 95% CI were calculated by using the linear regression models with generalized estimating equations, adjusted for age, sex, marital status, occupational status, educational attainment, smoking status, body mass index and leisure time physical activity levels.

Results

We observed significant positive changes in self-rated health among the entire study population during the retirement transition, which remained stable or improved thereafter. The improvement was significantly greater among women (vs. men), among those in low occupational class (vs. high), and among those who were single or unmarried (vs. married).

Conclusions

Self-rated health improves during the retirement transition period as people may have positive perceptions of their health status due to easiness in life because of no work-related stress. The stability in improvement after retirement was seen especially among women, and those who were single or unmarried.
SS44 STAY-AT-WORK FOR WORKERS WITH CHRONIC PAIN CONDITIONS
Authors: Jensen Stochkendahl Mette
Published: July 2024

With expected increased life expectancy and older retirement age, most industrialized countries face a significant challenge in keeping their work force healthy and productive. Chronic pain conditions such as musculoskeletal disorders (MSD) significantly contribute to the challenge, as the risk of increase with age. Proactive solutions are needed if workers are to stay at work for as long as they wish or need to.

A growing body of evidence demonstrates the importance of a shift in focus from return-to-work to stay-at-work approaches, and that preventive practices can have substantial impacts on continued work participation in people with chronic pain. This session will (a) review the concept of staying at work and how if differs from return to work; (b) describe worker experiences of going to work with chronic pain and what makes them continue to work; (c) present workplace stakeholders’ experiences of retaining workers with chronic pain; (d) present examples of healthcare providers’ role in staying at work; and (e) legislative and policy implications.
SS46-01 NETWORKING FOR HEALTHIER AND SAFER WORKING PEOPLE
Authors: Ivanov Ivan , Ngajilo Dorothy
Published: July 2024

Since 1990, the Global Network of WHO Collaborating Centres for Occupational Health has supported the implementation of WHO strategies and action plans on occupational health, workers' health and environmental health.

This presentation will outline the priorities for the work of the networks for 2024-2028 in line with the 14th Global Programme of Work of WHO.
SS47-02 ROLE OF THE OCCUPATIONAL MEDICAL SERVICE IN DEMONSTRATING THE BENEFIT OF OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT STANDARDS THROUGH FIRST AID FOR INJURIES RELATED TO PROFESSIONAL ACTIVITY
Authors: Bendaha Abdelhamid , Abbaouy Abdelhakim , El Khaldi Mohammed
Published: July 2024

Morocco, a country in full construction, is experiencing significant industrial development in the cement sector. Occupational risks in this industry are numerous and diverse.

We have chosen a cement plant in the Oriental region of Morocco as an example to demonstrate, through the continuous improvement of occupational injuries in this industrial unit over three decades, the importance of health and safety management. This is achieved through recognized management frameworks and the involvement of occupational medicine in this management.
SS48-01 HEALTH ISSUES IN THE FISHERMEN OF BANGLADESH
Authors: Denisenko Ilona
Published: July 2024

Introduction

Fishing is one of the most important economic sectors in Bangladesh. Fishermen here are not only doing one of the most dangerous professions, but also belong to the most vulnerable and poorest communities, with very limited access to medical care. The aim of this study was to understand the health status and the health risk factors present in Bangladesh fishermen. The field research was done at the Mohipur and Alipur fish landing center in Patuakhali District, Bangladesh as a parallel activity for the ‘The fishSAFE 2025 Fishing Safety Intervention Program - Phase 1: Bangladesh’ in January 10-16, 2020. Artisanal fishing is the main type of fishing and net fishing is the most dominant for the local fishing communities. Four fishing vessels are used that are 12–17 meters long and 3.5–4.5 meters wide. The safety is often neglected and the living conditions on board are very poor.

Materials and methods

A total of 93 seafarers and their spouses were interviewed. A cursory medical examination was provided ,as conditions of the facilities allowed.

Results

The main health issues among fishermen and their spouses are allergic and pulmonary diseases, abdominal problems most probably connected with the pollution of the drinking water, eye diseases and musculoskeletal complains.

Conclusions

The difficult working and poor living conditions are often leading to different health issues of the Bangladesh fishermen and their families. More research is needed to establish health assistance and health promotion programs for them.
SS48-04 SCREENING FOR TYPE 2 DIABETES AND HYPERTENSION IN SEAFARERS' MEDICAL EXAMINATIONS
Authors: Jensen Olaf Chresten , Flores Agnes , Corman Victoria , Canals Maria Luisa , Lucas David , Denisenko Ilona , Lucero-Prisno Don Eliseo-Iii , Secher Anna Lilja , Andersen Gregers Stig , Jørgensen Marit Eika , Pujol Helena Estopà , Cohen Guido , Gyntelberg Finn
Published: July 2024

Introduction

The aims of the study are: 1) to replace the urine glucose test for diabetes with more than 50% false negatives, with an accurate screening for type 2 diabetes and hypertension in the mandatory biannual fit-for-duty medical examinations of seafarers; 2) to produce data driven ‘Green Ship’ health promotion in the ships. A new health promotion and disease prevention public health intervention program integrated in the fit-for-duty medical examinations for seafarers is being developed.

Materials and Methods

The lack of an accurate diagnosis of type 2 diabetes is replaced by accurate HbA1c and/or fasting glucose tests and the test for hypertension in various disease stages is based on the International Associations’ Guidelines. A ‘Green Ship’ health promotion program is proposed for all on board, not only for diseased crew members.

Results

A protocol for an accurate biannual screening for diabetes and hypertension is presented. Educational programs for medical doctors and seafarers on the management of hypertension and diabetes on board will be developed. Presuming that all crew members are potentially on their way to be pre-diseased or are diseased, the ‘Green Ship’ health promotion program is implemented for the whole crew.

Conclusions

The International Labour Organization and the National Maritime Authorities are prompted to revise the International and the National Guidelines for Seafarers Medical Examinations, respectively. Concerted actions are requested to implement public health promotion projects in shipping. Maritime medical doctors are prompted to use health dialogues and to report the clinical data in the Excel file.
SS51- COMBATING OCCUPATIONAL HEAT STRESS: MOVING TOWARDS A GLOBAL APPROACH
Authors: Glaser Jason R
Published: July 2024

Through highlighting occupational heat stress mitigation programs in five regions (i.e., South Asia, Southeast Asia, Middle East, Europe, and Mesoamerica) we will explore the adaptation and scaling of effective programs. The session explores the need to collectively gather and analyse information on a global level, and the considerations required for effective uptake in the private and public sectors. Experiences from leading experts and programs will provide insight into what elements of interventions have been effective, what have historically been overlooked and the opportunities that each has created.

Building on these individual experiences, the objective of the session is to lay the foundation for future collaborative, inclusive and transdisciplinary efforts to mitigate the negative impacts of occupational heat stress on workers, industry and public institutions. Special attention will be given to practical considerations with a focus on what makes interventions viable, the need for effective protocol design and subsequent implementation support to ensure adherence by workers and employers. We will also discuss how we have used findings for improving public and private polices impacting worker protections in a warming world while guaranteeing all stakeholders, especially workers at risk, have a voice in the design and intended impact of such efforts. The intended outcomes of this Special Session are: 1) convey the essential elements of leading occupational heat stress mitigation programs 2) provide insights and discuss emergent opportunities from each of these efforts, and 3) propose a way forward for the development of future heat stress mitigation programs through collaborative and transdisciplinary approaches
SS52-01 LONG-TERM IMMUNITY AGAINST HEPATITIS B VIRUS INFECTION AFTER VACCINATION: ISSUES AND POSSIBLE SOLUTIONS FOR HEALTH WORKERS
Authors: De Schryver Antoon , Francois Guido
Published: July 2024

Introduction

Hepatitis B virus (HBV) vaccination is recommended in health workers (HWs). HBV vaccines have been commercially available since 1982. Many HWs may have received their primary vaccine series 35 years ago.

Materials and Methods

We discuss a study published in 2022 evaluating protection against HBV infection after 35 years, the longest period studied up to now, and examine how the results are applicable to the case of HWs.

Results

In the 2022 study, 320 persons were tested for anti-HBs levels 35 years after receiving their primary HBV vaccine series. Among those, 320 (66.9%) had anti-HBs levels ≥10 mIU/ml. Those with levels < 10 mIU/ml received one booster dose of recombinant hepatitis B vaccine and were tested for anti-HBs post booster. Among this group, 73.7% of those available and receiving a booster had anti-HBs levels ≥10 mIU/ml at 30 days. Overall, 86% of participants had evidence of protection after 35 years and therefore, booster doses were not considered necessary for the general population. The remaining question was if this conclusion was equally useful in the case of HWs.

Conclusions

In the considered study, 14% of subjects had no evidence of protection at 35 years and this fact may be of great importance in the case of HWs. It would mean that about 14% of HWs vaccinated at birth would have to work unprotected against HBV during the second part of their career. Therefore, more studies are needed to determine how HWs can be better protected against HBV during the whole course of their career.
SS53 CRISIS COMMUNICATION IN THE TIME OF UNCERTAINTY AND MISINFORMATION: REPORT FROM FOUR COUNTRIES AND LESSONS LEARNED FOR WORKERS AND OUR COMMUNITY OF PRACTICE
Authors: Lum Max
Published: July 2024

Over the last century, outbreaks and pandemics have occurred with disturbing regularity and we can expect more of them, whether like a Coronavirus, or some yet unknown pathogen. Effective public health surveillance, action and turnaround times requires an effective communication response and action.
SS54-01 FORGOTTEN PATIENTS, VULNERABLE WORKERS AND JOB INSECURITY
Authors: Tamin Jacques
Published: July 2024

Introduction

“Forgotten patients” (FPs) include those with complex medically unexplained symptoms with no clear diagnosis and those with rare disorders unrecognised by health professionals. “Vulnerable workers” (VWs) include those whose ill-health disadvantages them in the workplace. It will be argued that both groups may overlap and that both are at higher risk of job insecurity.

Materials and Methods

Published work shows some groups of workers, e.g. the disabled, can be seriously disadvantaged in accessing “good” work. The same methodology, namely ethical analysis, using the capability approach, will be used for the FP group.

Results

The results will show specific areas where OH professionals can significantly help FPs in the workplace. Firstly, FPs may not always be identified as being VWs. Therefore, appropriate workplace adjustments or legal protection (such as disability legislation) may not be made available to them. This increases their job insecurity. Secondly, FPs are further disadvantaged in the areas of sickness absence management and early ill-health retirement.

Conclusions

FPs are at higher risk of job insecurity. OH professionals have an important role in the recognition of this group and in giving timely appropriate advice to lessen their burden of job insecurity.
SS54-03 BANDITRY AND TERRORISM IN NIGERIA: IMPLICATIONS FOR JOB INSECURITY AND OCCUPATIONAL HEALTH
Authors: Oluranti Samuel
Published: July 2024

Introduction

Banditry are criminal groups, driven by non-ideological but economically motivated actions, traceable to ethno-religious conflicts, political incitement, economic factors among others. They terrorize villagers, informal economy operators and road users in achieving their goals. Their actions have caused internal displacement, disruption of livelihoods, food insecurity, anxiety, unemployment, inflation and poverty, among others. Adopting Queer Ladder Theory (QLT) and Frustration-Aggression Theory (FAT), the paper assesses how banditry has contributed to job insecurity and occupational health of the workforces in Nigeria.

Materials and Methods

The study uses secondary data and desk research methods, which include documentaries, newspapers, magazines, national statistics, web information. Key informant interviews were also conducted.

Results

The results indicate that large-scale theft, armed robbery, sexual assault, pillage, destruction of farmlands, ransom taking, extortion, killings have a lot of implications for job insecurity in the affected areas. The occupational health of workers in all sectors is in jeopardy, as they are endangered with no precautionary measures, safety or protective gadgets and their death constitute health hazards.

Conclusion

The paper suggests adequate security apparatuses, ethno-religious tolerance, employment opportunities for youths and young adults, re-orientation of citizenry, emphasis on citizenship, effective and result-orientated social policy, good governance, and education among others as ways of reducing banditry, enhancing job security and wellbeing of workers.
SS55-02 PARTICIPATION OF HEALTH AND SAFETY COMMITTEES AND SUPERVISORS IN THE MITIGATION OF OCCUPATIONAL RISKS DUE TO THE USE OF ARTIFICIAL INTELLIGENCE
Authors: Talledo Karla Giamnina Cánova
Published: July 2024

Introduction

The intervention of artificial intelligence (AI) in the world of work has been generating a real impact that must be addressed with priority given the potential violation of the fundamental right to safety and health at work. Therefore, the intervention of committees and supervisors in management systems is relevant considering the appearance of emerging risks such as cyberbullying.

Materials and Methods

In 2021, a quantitative study was carried out in Peru during the state of health emergency due to COVID-19 which identified the absence of safety management in companies in the formal sector. For the study, the information recorded by the Ministry of Labor and Employment Promotion for the years 2020 and 2021 is taken as a basis and the information is analysed, segmenting between micro and small companies in the formal sector.

Results

Among the findings, it was found that of 314,762 companies, only 66,689 complied with the implementation of workplace health and safety committees and supervisors, representing only 21% of the total companies in Peru, finding a significant relationship between the absence of committees and supervisors and the increase in complaints of cyberbullying or excessive surveillance on the part of the employer.

Conclusions

The intervention of health and safety committees and supervisors requires priority implementation as well as the dissemination of emerging risks due to the use of AI in the world of work.
SS56-02 IMPROVEMENTS IN OCCUPATIONAL HEALTH OUTCOMES IN CONSTRUCTION OVER THE PAST 60 YEARS
Authors: Ringen Knut
Published: July 2024

Introduction

Construction workers have always had a high risk of occupational illnesses. We used 25 years of data from a medical screening program serving older construction workers to determine how much health outcomes have improved over the past 60 years.

Methods

We investigated changes in relative risk for chest radiographs consistent with pneumoconiosis, COPD by spirometry, lung cancer mortality, and audiometry-assessed hearing impairment among workers participating in a medical screening program. Results were stratified by decade of first construction employment: before 1960, 1960-69, 1970-79, 1980-89, and after 1990. Poisson and Cox regression analyses assessed relative risk by decade, adjusted for age, sex, smoking, and years of construction trade work.

Results

Subjects were 94% male and, on average, 60 years old with 25 years of construction work. When compared to workers employed before 1960, those first employed after 1990 experienced the following reductions in model-adjusted relative risks: COPD, 32%; all pneumoconiosis, 68%; parenchymal abnormalities, 35%; pleural abnormalities, 71%; hearing impairment, 20%; and lung cancer (≥1980), 48%. Risks started to decline in the 1960s with greatest reductions among workers first employed after 1970.

Conclusions

This study demonstrates the positive impact that adoption of occupational health protections have had over the past 60 years. The greatest risk reductions were observed for outcomes with strong regulatory and legal incentives to reduce exposures and associated risks, such as those associated with inhalation hazards (asbestos and silica), while lowest improvement was for hearing impairment, for which little regulatory enforcement and/or few prevention incentives have been adopted.
SS57 SOLAR UV RADIATION EXPOSURE AND OCCUPATIONAL SKIN CANCERS
Authors: Wittlich Marc
Published: July 2024

The prevention of solar UV-related occupational skin cancers represents an extremely relevant mission for all OHS professionals dealing with outdoor work activities, as well as with mixed indoor-outdoor work activities. Unfortunately, the occupational risk is still not fully recognized and, also for this reason, UV-related occupational skin cancers are among the most frequent occupational diseases worldwide for workers with fair skin photo-types. As other occupational risks, solar UV risk can be properly evaluated and prevented, through various methods, including personal dosimetry, and interventions to increase the knowledge and attitudes toward adequate preventive measures to reduce skin cancers’ burden. The aim of this session is to give an overview of current developments related to the solar UV risk evaluation for outdoor and mixed indoor-outdoor workers, of the main preventive interventions available and of the clinical-epidemiological characteristics, relevant for occupational health surveillance, of UV-induced skin cancers.
SS58-05 SCHEDULING RECOMMENDATIONS FOR PREVENTION OF ADVERSE HEALTH EFFECTS OF SHIFT WORK
Authors: Härmä Mikko , Shiri Rahman , Ervasti Jenni , Annina Ropponen Kati Karhula , Sallinen Mikael , Vanttola Päivi , Koskinen Aki , Turunen Jarno
Published: July 2024

Introduction

We produced recommendations for the prevention of adverse health effects of shift work in the social and health care sector in Finland. The recommendations on the length, timing, recovery and social aspects of working hours were embedded as an evaluation tool in a shift scheduling software. We investigated the utilization of the tool, and whether the use of the tool resulted in changes in working hours and occupational injuries.

Materials and Methods

Our data was based on 36 663 employees from the WHFPS (Working Hours in the Finnish Public Sector cohort) with payroll- and registry-based information on working hours and occupational injuries. We used intention-to-treat principle to examine the effects of using the tool on changes in working hour characteristics. The employees using the tool were compared to non-users by multi-level generalized linear models adjusting for relevant confounders. The effects on the incidence of occupational injuries were studied in a stepped-wedge randomized controlled trial design with a 4-year follow-up.

Results

The tool was used at least occasionally by 96%, and continuously by 20% of the employees. Using the tool was associated with several, albeit modest changes that aligned with the scheduling recommendations. Especially long spells of work shifts, several consecutive night shifts and short (< 11 hours) shift intervals decreased. Using the evaluation tool was associated with a reduced risk for occupational injuries.

Conclusions

The results suggest that having technically easy-to-use recommendations as a part of shift scheduling software.
SS64 NEW FRONTIERS IN AUDITORY FUNCTION DAMAGE PREVENTION: COMBINED EXPOSURE ASSESSMENT AND EFFECTS, BIOMARKERS, AND DIGITAL AUDIOMETRY
Authors: Sisto Renata
Published: July 2024

Noise induced hearing loss is a well-established phenomenon for which dose-response curves are standardized. The occupational setting is currently becoming more and more complex with scenarios characterized much more by low dose multiple exposure than by a clear exposure to a single risk factor. In this scenario the most reasonable approach is the exposome one. In this approach, all the possible exposures are considered, coming from both the occupational and non-occupational environment. To the dose biomarkers effect biomarkers are also associated that are able to quantify the individual damage susceptibility. The hearing conservation program must be updated, introducing the most flexible hearing diagnostic tools.

In this special session we will learn that the non-Gaussian noise or, in other words, a noise with an high content of impulsive components is an higher risk factor for the auditory system with respect to the Gaussian one. We also will learn about the synergistic effects of noise and chemicals commonly found in occupational settings such as solvents and pesticides. In the session also, the prevention strategy and policies will be discussed and compared. Finally, the session will discuss the best diagnostic tools for the auditory system monitoring in the hearing conservation program.
SS64-01 OTOTOXICITY MANAGEMENT PERSPECTIVES FOR ENVIRONMENTAL AND OCCUPATIONAL EXPOSURES
Authors: Morata Thais , Fuente Adrian
Published: July 2024

Introduction

Ototoxicity management includes the identification of at-risk individuals, and the diagnosis, monitoring, rehabilitation and therapeutic management of hearing and balance deficits in affected individuals.

Methods

Interested parties committed to addressing major healthcare gaps in the management of ototoxicity (hearing loss, tinnitus, vestibular and/or balance deficits) caused by environmental toxicants and/or medications came together to establish the International Ototoxicity Management Group (IOMG, https://www.ncrar.research.va.gov/ClinicianResources/IOMG.asp). We will report on the objectives and activities of the Environmental and Occupational Focus Area.

Results

Across countries, no standard methods exist for the auditory surveillance of individuals exposed to hazardous chemicals at work. We published a mixed method review to scope the literature, identify knowledge gaps, appraise results, and synthesize the evidence on the audiological evaluation of workers exposed to solvents. Of 454 identified references, 37 studies were included for analysis. Twenty-five different tests were used in the various studies.

Discussion

This study is facilitating the development of consensus statements in ototoxicity management in the workplace.

Conclusion

The IOMG has expanded stakeholder engagement. Its multicultural and interdisciplinary approach is needed to support application of ototoxicity management in specific medical, environmental and occupational contexts worldwide.

Disclaimer

The conclusions in this presentation are those of the presenter and do not necessarily represent the official position of the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention.
SS65-01 CORE VALUES AT WORK — THE DIGNITY IN DECENT WORK
Authors: Nicholas Robin
Published: July 2024

Introduction

Our core values carry us through the different conditions and times of our lives. They bridge all areas, including our lives at work — across different jobs, cultures, countries, large companies and SMEs, formal and informal work. Through it all, these values guide us through our challenges and successes.

Materials and Methods

How we experience our core values will be explored through philosophy, psychology, neuroscience, occupational health, and personal stories. With this background, these values will be applied to decent work and the dignity and worker rights it protects.

Results

People are complex. We are not one set of data or one job description. Work is not who people are. But work should be a chance for people to express and experience who they are. Core values provides a means to do so. The International Labour Organization includes dignity as a key element of decent work. Dignity is more than a single core value. In some ways, it includes all core values: respect, positive relationships, being heard, personal excellence, being able to take care of family and friends, and much more. These values provide the foundation, the reason why we take action to improve people’s experience of work. Programs and actions identify what needs to be done, and further details instruct how it gets done. But the foundation lies with human values, the why.

Conclusions

Core values constantly remind us how each worker might experience their work. This is why the values of dignity and worker rights remain at the core of decent work.
SS66 OCCUPATIONAL HEALTH IN LATIN AMERICA: POSTGRADUATE STUDENT PRESENTATIONS
Authors: Taboadela Claudio
Published: July 2024

Latin American postgraduate students in occupational medicine from universities of Argentina and Peru will present their first academic papers in this Special Session, guided by their professors.

It is important to foster the participation of young occupational physicians from developing countries in international scientific events in order to integrate them into the community of International Commission on Occupational Health (ICOH) professionals dedicated to occupational health, all over the world.
SS67 CLIMATE CHANGE, AIR POLLUTION AND ORGANIC DUST ISSUES IN RURAL POPULATIONS AND THE NEED FOR SUSTAINABLE AGRICULTURE
Authors: Chandrasekar Sashikala , Brumby Susan
Published: July 2024

Air pollution, climate change and agricultural and organic dusts produce health and safety issues in farm workers and the rural population. It is not only workers and their families, persons who are residing nearby are also exposed. Workers in cottage industries and other informal sectors in rural areas are also affected by occupational hazards in their workplace. They are vulnerable to respiratory and kidney diseases due to dust and heat. Initiatives in agriculture for improving occupational health and safety should be given importance. Measures for reducing the impact of air pollution, heat and dust in rural areas and new developments in agricultural sector for sustainable development will be addressed in this session.
SS67-02 DUST EXPOSURE AND PREVENTING RESPIRATORY SYMPTOMS IN YOUNG PEOPLE
Authors: Brumby Susan , Adams Jessie , Fitzgerald Cecilia , Hatherell Tracey , Cotton Jacqueline , McKay Claire , Cunningham Sally
Published: July 2024

Introduction

Growing up on a farm can be fun and foster independence. Habits learned in the family farm context include safety behaviours to prevent injury or exposures. Respiratory diseases have been associated with agriculture for centuries and continue to rise. Targeted education to reduce exposures in young people has been haphazard and poorly evaluated.

Aim

To increase knowledge of farm hazards, their possible impact, and promote practices that grow individual agency and empower young people to reduce their individual exposure to respiratory hazards.

Materials and Methods

Twenty-one programs at 20 Victorian schools in farming communities were delivered. A pre-program survey qualified relevance of program content by identifying farming type, exposures and common work tasks. A post-program survey assessed (i) changes in knowledge of hazards, (ii) self-reported changes to safety practices and behaviors of students.

Results

Overall, 393 students (12 to 24 years) completed the pre-program survey. Of those, 79% (n=310) worked in dusty environments with 29% reporting shortness of breath, cough, fever or chills after work in dusty environments. Six-week post-program 97% of students reported increased understanding of when and why they should wear respiratory protection. Further, 48% reported wearing respiratory protection in dusty environments and 34% described discussing safety concerns with their family, and friends post program.

Conclusion

Young people working on farms often have little choice on safety equipment or exposure risk. This school program increased knowledge and agency to reduce individual exposure on farm. Individual agency was highlighted with demand for and wearing of respiratory protection and discussion with peers.
SS67-05 INITIATIVES FOR SUSTAINABLE AGRICULTURE AND HEALTH OF INFORMAL SECTOR WORKERS AND RURAL POPULATIONS IN INDIA
Authors: Chandrasekar Sashikala
Published: July 2024

Introduction

Air pollution, climate change, agricultural dust and organic dust produce health issues in agricultural workers, informal sector workers and the general population in rural areas. They are vulnerable to accidents, heat, toxic gases, chemicals in fertilizers and pesticides. Working in confined spaces and green house, exhaust from generators and tractors, and solid fuels smoke affect their health. Stubble burning after harvest leads to environmental air pollution.

Materials and Methods

Initiatives for safety, health and sustainable agriculture are introduced in India. Biogas units to generate compressed natural gas and biorefinery to produce ethanol by fermenting harvest residue are installed. Crop residue is used for cardboard and particle board cartons. Artificial intelligence (AI)-based precision farming for irrigation, soil and crop health monitoring are taken up. Motorized tree climbers for harvesting and electronic solar pest control traps are introduced. Poly-oxime treated clothing and pesticides spraying drones to prevent pesticide toxicity and UV protective apron for outdoor work are under trial.

Results

Biogas and biorefinery installation and particle board cartons have reduced stubble burning and air pollution. Farmers use mobile apps for agriculture information. AI-based farming is gaining importance. Pesticide spraying by drones has reduced exposure in pesticide sprayers. Protective clothing for pesticides sprayers and for outdoor workers will improve health and safety.

Conclusion

Mitigation of occupational and environmental hazards in rural populations is imperative with health and safety awareness programs and participatory action-oriented training. These initiatives and new technological advances will lead to sustainable agriculture in India.
SS69-03 PSYCHOSOCIAL RISKS IN THE AUTOMOTIVE INDUSTRY IN TANGIER
Authors: Amiry Rachid
Published: July 2024

Introduction

The Tangier region is experiencing significant development in terms of industry, particularly the automotive sector. Psychosocial risks are increasingly present in the workplace and all sectors are affected. The objective of our study was to assess the prevalence of psychosocial risks among workers in the automobile industry in the Tangier region.

Materials and Methods

This is a multicentric retrospective study of the various surveys carried out to assess psychosocial risks among workers in the automotive sector in the region.

Results

The studies were carried out within three industrial units. Sleep disorders were present in 28% of workers, work stress in 41%, and depression in 7%. Around 21% said they had already been harassed at work.

Conclusions

The results obtained raise the importance of occupational medicine for the prevention and early detection of psychosocial risks to avoid the transition to more serious mental illnesses.
SS70-02 WORKERS’ EXPOSURE SURVEY ON CANCER RISK FACTORS IN EUROPE - FIRST FINDINGS
Authors: Cavet Marine , Irastorza Xabier , Schneider Elke , Vilahur Nadia
Published: July 2024

Introduction

The European Agency for Safety and Health at Work (EU-OSHA) has coordinated the development and implementation of a large survey – the Workers’ Exposure Survey on cancer risk factors in Europe (WES).

Materials and Methods

WES looks at how workers are exposed to a selection of 24 cancer risk factors relevant in the European context, including both physical and chemical risks. Detailed information on the probability of exposure, multiple exposures, the specific circumstances of exposure across jobs, and the preventive measures used at work was also collected. A selection of demographic data supports the identification of exposed worker groups.

Results

24,402 workers were interviewed in six European countries – Finland, France, Germany, Hungary, Ireland and Spain. They were asked to respond to questions focusing on their daily tasks and tailored to their current job. We present the first findings of WES: who are the respondents, their main exposures (including exposure to several cancer risk factors) and the circumstances where exposures occurred for some of the most spread cancer risk factors (solar ultraviolet radiation, diesel engine exhaust emissions, formaldehyde, benzene, and respirable crystalline silica).

Conclusions

Results of the survey are expected to contribute to the Europe’s Beating Cancer Plan by helping to reduce work-related cancer, and to support one of the key objectives of the European Union (EU) strategic framework on health and safety at work 2021-2027 on improving prevention of work-related diseases, including cancer. The findings will also provide additional data for updating EU legislation on carcinogens at work.
SS72 OCCUPATIONAL HEALTH TRAINING AND EDUCATION IN LMICS – OVERCOMING CHALLENGES AND DEVELOPING SOLUTIONS (WORKSHOP)
Authors: Pingle Shyam
Published: July 2024

Occupational health education and training in low- and middle-income countries (LMICs) is a complex and multifaceted issue. LMICs are characterized by a lack of resources, limited access to healthcare, and a lack of awareness of occupational health issues. This leads to a lack of access to occupational health education, which has a significant impact on the health and safety of workers in LMICs.

This Special Session will be in the form of an interactive workshop to enable participants to understand and develop local solutions. Experts and facilitators from different LMICs will briefly present the situational analysis and challenges in occupational health education and training in their respective countries. Participants will acquire an understanding of the complexities of the challenges, learn the commonality of issues and will contribute to proposing solutions, globally and locally.
SS73-03 DESIGN AND REGULATION AS A CHAIN OF DETERMINANTS OF PESTICIDE EXPOSURE SITUATIONS DURING THE USE OF SPRAYERS
Authors: Albert Marion , Garrigou Alain , Charbonneau Alexandre
Published: July 2024

This contribution deals with the understanding of pesticide exposure situations encountered by farmers during the use of vineyard sprayers. In order to better understand these situations, this work aims at identifying and understanding a specific chain of determinants based on analysis conducted at different levels: the treatment activities, the activities of sprayer design, the regulation that applies to this design and the activities of regulation development.

The ergonomic analysis of treatment activities highlights the fact that farmers encounter many issues during the use of their equipment, which leads, in most cases, to situations of pesticides exposure. To that extent, the design of sprayers turns out to determining in the emergence of these situations. Indeed, the analysis of the design activities show that design choices reflect a lack of understanding of the winegrowers’ activity and the associated risks of pesticide contamination.

Although regulation requirements could serve as a resource to include health and safety matters in the design, the analysis of their content reveals the same deficiencies. The analysis of the activities of rules development shows that the economic criterion holds a predominant position, sometimes at the expense of other criteria such as health and safety.

The results of these analyses highlight the role played by design and regulation, as macro-determinants, in the emergence of pesticide exposure situations during the use of sprayers.

By considering a wider environment than that of the work situation, the chain of determinants investigated makes it possible to consider changes at different levels in order to aim at a sustainable prevention.
SS74-01 HOW HEAVY WORK INVESTMENTS RELATE TO INTIMATE PARTNER’S MENTAL WELLBEING: A TEST OF THE SPILLOVER-CROSSOVER MODEL AMONG INDONESIAN DUAL-EARNER COUPLES
Authors: Hamsyah Fuad , Shimazu Akihito , Hakanen Jari
Published: July 2024

Introduction

This study examined how heavy work investment (i.e., work engagement and workaholism) is associated with intimate partner’s mental wellbeing among Indonesian dual-earner couples. Based on the Spillover-Crossover Model (SCM), we hypothesized that (a) work-to-family spillover (i.e., work-to-family conflict and facilitation), (b) recovery experiences, and (c) one’s own mental wellbeing will sequentially mediate the relationship between heavy work investment and intimate partner’s mental wellbeing.

Materials and Methods

A cross-sectional survey was conducted among 186 dual-earner couples with preschool children in Indonesia. The hypothesized model was tested using structural equation modelling.

Results

As hypothesized, among male and female workers, work engagement was positively related to one’s own mental wellbeing through work-to-family facilitation and recovery experiences. One’s own mental wellbeing, in turn, was positively related to intimate partner’s mental wellbeing. In contrast, workaholism was negatively related to one’s own mental wellbeing through work-to-family conflict and recovery experiences (except for psychological detachment). One’s own mental wellbeing, in turn, was negatively related to intimate partner’s mental wellbeing.

Conclusions

These findings suggest that work engagement and workaholism are related to intimate partner’s mental wellbeing differently, mediated by work-to-family spillover, recovery experiences, and one’s own mental wellbeing. These results also support the SCM and suggest that improving work engagement may improve workers’ and their intimate partner’s mental well-being mediated by work-to-family facilitation and their recovery experiences, while workaholism is the other way around.
O-003 ASSOCIATION OF EPIGENETIC AGE AND WORK-RELATED STRESS WITH TRAJECTORIES OF CHRONIC HEALTH CONDITIONS IN OLDER WORKERS
Authors: Mutambudzi Miriam , Chen Nai-Wei
Published: July 2024

Introduction

This study examined whether epigenetic age and work-related stress are associated with differential classification into trajectories of chronic health conditions (CHCs) among older workers.

Methods

We used 2016-2020 data for adults working for pay from the Health and Retirement Study and biological clock data from the 2016 HRS Venous Blood Study (N=988). CHC trajectories were constructed using latent class growth models, and focused on self-reported doctor-diagnosed diabetes, hypertension, cancer, lung disease, heart disease, stroke, and arthritis at each wave. Multinomial logistic regression analysis examined the association between epigenetic age as measured by the PhenoAge clock and CHC trajectories.

Results

Participants (≥ 50 years) were classified into 4 CHC trajectory classes, graded by risk of increasing mean CHCs, with trajectory class 1 indicating the lowest mean number of CHCs (most favorable) and class 4 the highest (worst), over 3 study waves. We found a graded association between increasing epigenetic age and risk of classification into worsening CHC trajectory classes. After adjusting for chronological age, race, gender, education, work hours, and job tenure, PhenoAge was associated with a four-fold risk of classification into CHC trajectory class 4 (RRR=4.13, 95%CI=1.91-8.93), and inclusion of job stress into the model, modestly attenuated this association (RRR=4.07, 95%CI=1.87-8.86), implying that job stress partially explains the observed association. An epigenetic age*job stress interaction in the fully adjusted model was not statistically significant, therefore no additional post-hoc analysis was conducted.

Discussion and conclusion

Further research is warranted to better understand the contribution of epigenetic age and work conditions to adverse health outcomes in older workers.