bluuebunny/crossref_metadata_2025 huggingface dataset:
SS64-05 AI-DRIVEN HEARING LOSS DETECTION, PREDICTION, AND PREVENTION: REIMAGINING THE FUTURE OF HEARING HEALTHCARE
Authors: Debacker James Riley , McMillan Garnett P , Konrad-Martin Dawn
Published: July 2024

Current efforts to identify changes in hearing rely on somewhat arbitrary hearing shift definitions and scales. These scales often have very nuanced requirements and it is difficult to communicate their meaning in plain language to those outside of hearing science, including employers, physicians, employees, and patients. Even beyond this problem, there are also a number of limitations to these application-specific grading scales related to their development and limitations of audiological equipment.

To address these limitations, our group has created a flexible algorithm-based tool that generates patient-specific ranges of acceptable hearing variation. This allows for simple interpretation of auditory monitoring regardless of setting to speed up the identification of potential hearing damage. Additionally, similar processes can be used to forecast the amount of hearing loss that will be caused. It is our hope that these two tools can assist in the rapid and accurate prediction of hearing loss and detection of hearing changes to prevent future hearing losses across sectors.
SS65-02 REDUCING SOCIAL INEQUALITIES - IMPROVING ACCESS TO HEALTH TREATMENT AND CARE FOR VULNERABLE WORKERS LIVING AND WORKING IN DEVELOPING COUNTRIES
Authors: Green Janice
Published: July 2024

Introduction

In 2008, the report of the WHO Commission on the Social Determinants of Health recognized that employment and working conditions are social determinants of health; that they provide well-being and economic stability, and that although employment and work can favour sustainable human development, they can also contribute to health inequalities.

Materials

In Jamaica there are over 330 health centres that offer free of cost services to patients such as basic maternal and child health nutrition, family planning, immunization, health education curative dental and pharmacy. These overcrowded health centres are mainly used by vulnerable individuals, some of whom are low-income workers. In the Jamaica Gleaner article of August 16 2023, the Jamaica Minister of Health and Wellness said that only 47% of equipment in public health sector is fully functional.

Method

To assist in retooling of equipment in the public health sector, the Inter-American Development Bank in 2019 approved an investment grant to upgrade primary healthcare facilities in the catchment areas of three priority hospitals; and provide support for the Health Systems Strengthening for the Prevention and Care Management of Non-communicable Diseases Programme.

Results

In 2016 the ‘Reducing Waiting Time Initiative’ that was piloted in seven Jamaican hospitals and eight health centres through support from the Pan American Health Organization (PAHO), in response to overcrowding at hospital emergency departments, has now been expanded to other facilities.

Conclusion

The modernization of public health infrastructure in developing countries will require government policy and legislations, long term financial commitment and capacity strengthening support, from international donor agencies.
SS66-02 VALIDATION OF THE ‘COMPUTER VISION SYNDROME QUESTIONNAIRE’ (CVS-Q) INSTRUMENT AMONG ADMINISTRATIVE WORKERS IN LIMA, PERU (2019)
Authors: Huapaya Yessenia , Cornejo John Astete
Published: July 2024

Introduction

Computer Vision Syndrome (CVS) is currently considered an emerging public health problem due to the increase in economic activities associated with the use of data display screens (DDS). However, the lack of an instrument to identify the early symptoms and signs, can originate a prolonged exposure to the use of DDS and increase the prevalence of symptoms.

Material and Methods

A validation study incorporating content and discriminant validation of the CVS-Q instrument was carried out on administrative sector workers, susceptible to presenting risk factors associated with CVS in a company in Lima, Peru. The sample size consisted of 181 workers (91workers with risk factors for CVS and 90 workers without risk factors).

Results

The content validity was determined using the Aiken's method with average values greater than 0.7 for the coherence and clarity of the questions. The discriminant validity, an area under the ROC curve of 82.5% was obtained with a sensitivity of 70% and specificity of 89% for distinguishing between administrative and operative workers. Reliability was analysed using Cronbach's alpha method resulting in a value of 0,87 indicating high internal consistency. The Test-Retest reliability analysis for reproducibility was significant with a value of r=0,715.

Conclusions

The CVS-Q instrument demonstrated discriminant validity reaching high levels of sensitivy and specificity, being specific for measuring exposure to risk factors for CVS. The reliability of the instrument was confirmed through statistical Test-Retest analysis and the calculation of Cronbach's alpha. In conclusion, the study validates the CVS-Q among administrative workers.
SS67-01 HEALTH EFFECTS OF ORGANIC DUST AMONG FARMERS AND OTHER EXPOSED WORKERS
Authors: Stokholm Zara Ann , Schlünssen Vivi
Published: July 2024

Organic dust is a mixture of particles originating from plants, animals, and microorganisms. Exposure to high levels of organic dust is common in many industries including but not restricted to farmers, other agricultural workers and waste workers. Apart from that, organic dust is ubiquitous in the environment with a decreasing gradient from livestock farming to large cities. Organic dust is a well-established risk factor for a range of diseases and conditions including hypersensitivity pneumonitis, toxic alveolitis, asthma, bronchitis, and COPD.

Furthermore, organic dust exposure is suspected to contribute to the burden of cardiovascular disease. It is still debated whether organic dust exposure is a risk factor or a preventive factor for lung cancer. Despite emerging evidence of possible beneficial effects of organic dust exposure early in life in relation to inflammatory disease including asthma, inflammatory bowel disease and type one diabetes, work-related organic dust exposure is still primarily a major health risk worldwide. The impact of timing of organic exposure as well as the relation between organic dust exposure (levels as well as diversity of microorganisms) and the human microbiome will be discussed, and preventive strategies will be touch upon. Note: As it is an overview, the headings, “Introduction” “Materials and Methods”, “Results” and “Conclusions” are not used.
SS68 DEVELOPMENT OF GUIDELINES IN FRANCE FOR OCCUPATIONAL PRACTITIONERS
Authors: Descatha Alexis
Published: July 2024

The aim of this session is to show how French guidelines were elaborated from scientific evidence to share solutions intended for practitioners in occupational health. Different examples are presented briefly in order to have time for a roundtable with the audience to end the session.
SS68-01 OCCUPATIONAL HEALTH MONITORING OF WORKERS EXPOSED, OR WHO HAVE BEEN EXPOSED, TO CRYSTALLINE SILICA
Authors: Hulo Sebastien , Paris Christophe
Published: July 2024

Introduction

Following the publication of the French National Agency for Safety, for Food, Environment and Work (Anses) collective expertise report ‘Dangers, expositions et risques relatifs à la silice cristalline’ in 2019, the Société Française de Santé au Travail, in partnership with the Société de Pneumologie de Langue Française, the Société Française de Radiologie, and the Société Nationale Française de Médecine Interne, wished to draw up recommendations for good practice on the medical survey of workers exposed, or who have been exposed, to crystalline silica (CS).

Materials and Methods

These recommendations for good practice were drafted using the ‘Recommendation for Clinical Practice’ method recommended by the French National Authority for Occupational Health (HAS).

Results

These statements have made it possible to describe the occupational situations currently exposing workers to CS, and the diseases likely to be caused or aggravated by exposure to CS, to discuss the arguments including exposure characteristics currently available for proposing or not screening for each of the diseases caused by exposure to CS, the tools or examinations recommended for such screening, in particular the use of chest X-rays, to present the objectives and the schedule of the medical monitoring, the methods of primary prevention and finally to determine the research priorities to be promoted to optimize medical monitoring of populations exposed, or having been exposed, to CS.

Conclusions

This best practice recommendation has been awarded the HAS label, and are now progressively used in practice by occupational health services.
SS68-04 RECOMMENDATIONS FROM THE FRENCH SOCIETY FOR OCCUPATIONAL HEALTH FOR ASSESSING THE MEDICAL FITNESS FOR WORK OF PEOPLE WITH EPILEPSY
Authors: Fassier Jean-Baptiste , Boulogne Sébastien , Fantoni-Quinton Sophie
Published: July 2024

Introduction

People with epilepsy may have trouble keeping a job. Certain types of work (working at heights, using machinery, helping dependents, etc.) present risks of accident when the seizures occur. Driving restrictions vary in different countries. Medical fitness for work must be assessed on a case-by-case basis, and not according to general standards. With a view to harmonising the practices of occupational physicians, the French Society for Occupational Health has developed recommendations.

Method: A taskforce drew up a checklist of parameters to be taken into account in assessing each individual situation. A table was proposed to characterise the risks associated with certain dangerous work situations, with an algorithm to summarise the medical-professional situation. The recommendations were sent to a group of reviewers for their comments.

Results

The characteristics of epilepsy which make it possible to assess the risk of seizures and the repercussions in the workplace are the syndromic framework, semiological elements of seizures, markers of disease activity, and comorbidities. Favourable factors are also identified. Workplace factors that may favour decompensation from epilepsy include working hours and workload. Occupational situations with a risk of trauma include those involving falls, working at heights, jobs requiring constant vigilance and dangerous machinery.

Discussion and Conclusion

It is expected that the recommendations will help occupational physicians in assessing individual situations so that people with epilepsy have the best possible chance of keeping their job without risk to their health and persons in their environment.
SS69 OCCUPATIONAL HEALTH IN THE AUTOMOTIVE INDUSTRY SECTOR IN TANGIER (NORTHERN MOROCCO)
Authors: El Hadri Mohamed
Published: July 2024

The automotive industry is a booming activity in Morocco, particularly in the Tangier region in northern Morocco. This activity is fraught with many risks, both physical and mental.

This session offers a review of the main studies carried out in the region within the automotive industry sector to characterize the occupational health aspect of the workers of this recent activity in Morocco. This session will permit us to have a vision of the main occupational health risks in the automotive industry sector, to test the effectiveness of the means of prevention available, and to open the debate to share our experience with those of other industrialized countries.
SS69-02 MUSCULOSKELETAL DISORDERS IN THE AUTOMOTIVE INDUSTRY IN TANGIER
Authors: Ghailan Tarik
Published: July 2024

Introduction

Musculoskeletal disorders (MSDs) constitute the leading occupational pathology throughout the world and constitute a real occupational health problem. The automotive industry in Morocco is booming, particularly in the Tangier region. The objective of our study was to evaluate MSDs among workers in the automotive industry sector in Tangier, Morocco.

Materials and Methods

This study took place in 2023 and interested workers belonging to three industrial units - one manufacturing car cables, a second manufacturing car cushions, and a third manufacturing car mats. The assessment of MSDs was carried out using the Nordic Questionnaire.

Results

The prevalence of MSDs was high within the three units, particularly that of car cable manufacturing where the part most affected was the wrist, particularly during cable insertion operations within the mold. In the carpet manufacturing unit, it was rather lower back and back pain that dominated, particularly during the stapling phase. Finally, within the cushions manufacturing unit, shoulder pain was the most severe, particularly during the cushion quilting operation.

Conclusions

The results obtained affirm the subsequent findings and impose the need for the implementation of a national plan for the prevention of MSDs, particularly within the automotive industry units. The role of occupational physicians remains essential in the prevention of this pathology.
SS70-04 FOCUS ON OCCUPATIONAL EXPOSURE TO CANCER RISK FACTORS IN THE HEALTH AND SOCIAL WORK SECTOR IN EUROPE
Authors: Vilahur Nadia , Cavet Marine , Irastorza Xabier , Schneider Elke , Turner Michelle , Khan Muhammed Waseem
Published: July 2024

Introduction

The health and social care sector is one of the largest in Europe. The European Agency for Safety and Health at Work (EU-OSHA) is currently conducting a multiannual research overview on the sector, aiming at increasing knowledge on the specific risks faced by workers in the sector and on best prevention strategies.

Materials and Methods

The Workers’ Exposure Survey on cancer risk factors in Europe (WES) provides exposure assessment to a selection of 24 cancer risk factors in all sectors of activity, including the health and social care sector. Detailed information on the probability and level of exposure, multiple exposures, specific circumstances of exposure and prevention measures at work were collected in six European Union member states, alongside relevant demographic data.

Results

From a total of 24,402 interviews, 3,000 respondents worked in human health and social work activities, the majority in human health. Almost two thirds were female workers, 70% health professionals or associate health professionals, and more than half were employed in small and medium-sized companies. Workers in the sector appeared to be more exposed to ionising radiation in the medical environment (for example X-rays, radiotherapy), and to a lesser extent to ethylene oxide (as a gas for sterilisation) and artificial ultraviolet (UV) radiation (by using UV light for sterilisation or by delivering a UV treatment).

Conclusions

Results of the WES will contribute to cancer prevention in the sector.
SS71 PSYCHOSOCIAL RISKS AND MENTAL HEALTH PROMOTION IN COLOMBIA
Authors: Cuervo Diana Elizabeth
Published: July 2024

Contemporary society has important effects on mental health. According to the WHO, in 2019, one in eight people in the world suffered from a mental disorder; that is, 970 million people. The most common were anxiety and depressive disorders. Both the global and Colombian contexts show the magnitude of the problem.

Colombia has important regulations on prevention and health monitoring in companies, the processes of occupational disease qualification derived from this exposure is increasing, which represents a challenge, where the enterprises will play an important role in prevention and timely diagnosis.

Considering socio-political aspects is fundamental to improving impacts comprehensively. Brief learning outcomes: With this review, attendees will be able to: (i) know the achievements of the Colombian context in the processes of prevention, attention and assessment of the effects derived from occupational psychosocial risks and mental health, (ii) reflect on the analysis on how the Colombian experience can generate a path for countries with similar contexts, while promoting new lines of research in this area, and (iii) consider future collaborative alliances in mental health.
SS73-01 ERGOTOXICOLOGY: A TRANSDISCIPLINARY APPROACH IN ORDER TO PREVENT EXPOSURE TO CHEMICALS
Authors: Mohammed-Brahim Brahim , Garrigou Alain
Published: July 2024

The resumption of research in agriculture (Mohammed-Brahim et al., 1997) and the implementation of the ergotoxicological approach in asbestos removal work (Mohammed-Brahim et al., 1998) has further demonstrated the limitations of a screen-based model (Mohammed-Brahim & Garrigou, 2009), whether prescriptive (through the application of limit values or restrictions on use), based on protection and instructions (around the wearing of personal protective equipment (PPE) and procedures to be followed), or medical (relating to medical aptitudes and indications).

This work in the field of agriculture has focused precisely on the lack of effectiveness of protective suits in real-life spraying situations in viticulture (Garrigou et al., 2011). In this vein, the demonstration that the pesticide registration process relies on the ineffective prescription of PPE in certain work situations, reinforces the global questioning of screen-based prevention strategies (Garrigou et al., 2020). The parallel between the ‘screens’ described by Mohammed-Brahim & Garrigou (2009) and the ‘norms’ questioned by Villatte (1985) is unavoidable.

This demonstration in the field of pesticides confirms the strength of Villatte's initial proposal. An entire functionalist prevention paradigm promulgated by human factors (Reason, 1990) is now called into question.
SS73-02 A MULTI-SCALAR APPROACH IS ESSENTIAL TO PREVENT THE RISK OF PESTICIDE EXPOSURE IN THE AGRICULTURAL WORLD
Authors: Goutille Fabienne , Jolly Caroline , Judon Nathalie
Published: July 2024

Agriculture is a sector particularly affected by the risk of pesticide exposure. The scientific literature associates agricultural pesticides with numerous effects on farmers' health (cancer, lymphoma, anxiety disorders). A number of studies have shown that it is necessary to examine the question of ‘real exposure’ in greater depth, in particular through a more detailed description of work practices, in order to take preventive action.

Despite the preventive measures developed in the agricultural sector in France and Canada, farmers continue to be exposed, to expose themselves and those around them to pesticides when handling products or working in the field. They have to comply with numerous regulations, but cannot rely on safety measures adapted to their work activity and its constraints to prevent exposure.

In order to understand the different forms of pesticide exposure and consider the transformation of risk situations in a plural way, we show in this contribution how, within our respective research-interventions (in Bordeaux viticulture and Quebec apple growing), we have each sought to enrich the analysis of exposure in real work with a broader, contextual approach to the activity.

Our contribution seeks to: (1) to make visible a methodology for multi-scalar analysis of the determinants of exposure, whether internal to the farm or external to it (located beyond the decision-making scope of the business), (2) to contribute to the development of an exposure analysis that takes into account the personal and professional concerns of farmers, to promote a more sustainable approach to prevention.
SS73-04 METHODOLOGICAL PROPOSAL FOR AN ARTICULATION OF ERGONOMIC DESIGN AND ERGOTOXICOLOGY APPROACHES – THE CASE OF METAL ADDITIVE MANUFACTURING
Authors: Galey Louis , Brossard Mathilde , Garrigou Alain
Published: July 2024

The aim of this presentation is to propose a global approach articulating design ergonomics and ergotoxicology, in order to support the creation and transformations of future additive manufacturing activities. This approach, developed as part of a thesis, is marked by an Industry 4.0 context. Indeed, this 4th industrial revolution favors the integration of new technologies, particularly digital ones, in order to respond to technical limits and feasibilities, as is the case with additive manufacturing.

The methods and approaches used to design technological systems in the industry of the future are mainly based on a technocentric approach. This technocentric design approach often underestimates the multidisciplinary, anthropocentric approaches that enable awareness of real work issues and emerging risks. Indeed, work activities are transformed and new exposure situations arise.

The aim of this research work is therefore to create a design methodology for these technological systems that incorporates ergonomics input. This contribution is characterized in particular by the classic methods used in ergonomics: observation of real-life work, interviews with actors, or physiological measurements (e.g. cardiofrequencemetry). The classic ergonomic tools used in project management can thus be combined with ergotoxicology-specific metrology methods: video exposure monitoring, real-time particle measurement, individual aerosol sampling, surface sampling, etc.

These data from real work activities will be used to build future activity simulations, prevent occupational risks (MSDs, chemical risks) and support those involved in transforming their professional practices. Knowledge of work and exposure is then used in the industrial design process to promote safe implementation.
SS73-05 APPLIED ERGOTOXICOLOGY METHODOLOGY IN THE CONSTRUCTION SECTOR TO PREVENT EXPOSURE TO DUSTS
Authors: Mariko Elhadj , Galey Louis , Albert Marion , Langlard Benoit , Garrigou Alain
Published: July 2024

Introduction

Exposure to respirable dusts is a construction industry health issue due to the number of workers concerned by this exposure. However, few studies are interested in the activity of workers exposed to these dusts.

Methods

An ergotoxicology methodology is relevant in order to assess and prevent dust exposure. This methodology is divided into 5 steps: (i) social construction of the study with several actors; (ii) global analysis in order to explore work site, and to choose situations on which to focus, based on assumptions; (iii) observations with camera and dust concentrations measuring instruments; (iv) self-confrontation interview with workers who were the subject of observations and measurements, and (v) a feedback session with actors of study allowing discussions on possible prevention solutions.

Results

This methodology proposes an original understanding of dust exposure by highlighting its multicausality. It shows a plurality exposures situation and their macro-determinants, representations of dust risk by workers, compromises between protection and production activities in connection with organizational issues.

Discussion

Coupling measurement with video is a resource to understand exposure situations and their determinants, developing collective actions and discourse on activity. This allows us to support there is insufficient consideration of real conditions for carrying out tasks exposing to dust and the need to take activity into account through an ergotoxicological approach to exposure.

Conclusion

This ergotoxicological method could be reproduced and perfected in other situations to serve as a lever for evaluation and prevention of dust exposure
SS74-02 WORK ORGANIZATION, STRESS, SLEEP AND HEALTH IN A GENDER PERSPECTIVE
Authors: Magnavita Nicola
Published: July 2024

Introduction

Work organization can influence workers' perceptions of organizational justice. Gender gap could exacerbate the effects of poor work organization on health.

Materials and Methods

During several prevention-integrated health promotion (PIP) campaigns, workers were asked to assess: the quality of work organization, the perception of organizational justice, leadership style (intrusive leadership), demand for work beyond traditional hours, workaholism, and sleep quality. The level of occupational stress and the level of physical and mental health were also assessed. Participation in PIPs included above 85% of the eligible, a total of 1607 workers.

Results

The quality of work organization was inversely associated with workers' psychological disorders; occupational stress was the moderating factor in this relationship. Quality was also inversely associated with absences due to musculoskeletal disorders. Women had significantly worse mental health than their male counterparts (p<0.01) and a higher frequency of absences for musculoskeletal disorders (p<0.01). Work justice was inversely associated with psychological disorders and absences for musculoskeletal disorders. Women reported significantly lower levels of interpersonal justice than men (p<0.05). Intrusive leadership and off-hours work were associated with occupational stress, workaholism, low sleep quality, anxiety and depression, especially in the female gender (p<0.01).

Conclusions

The quality of work organization has a strong impact on physical and mental health. Female workers suffer the most damage, measurable both as more frequent absences due to musculoskeletal illnesses and higher prevalence of anxiety, depression, sleep problems, and psychological distress than male workers.
O-002 THE INFLUENCE OF COGNITIVE FUNCTION (DECLINE) ON EMPLOYMENT STATUS IN AGEING WORKERS, AND THE MODERATING EFFECTS OF PSYCHOSOCIAL WORK CONDITIONS - A LONGITUDINAL COHORT STUDY
Authors: Ciliacus Robert
Published: July 2024

Introduction

The ageing workforce is associated with a growing incidence of age-related health issues, particularly cognitive impairment. This elevates the risk of premature exit from paid employment. Encouraging continued employment may safeguard workers’ health and well-being and sustain social security systems. This study aims to provide insight into the relation between cognitive function (CF) and early exit from paid employment, and to what extent psychosocial working conditions moderate this outcome.

Methods

Data from the population representative Survey of Health, Ageing, and Retirement in Europe were utilized. Early exit from paid employment was defined as exiting employment before the national retirement age. Cox regression analyses were performed to define the impact of (changes in) CF on early exit from paid employment (N=6198). Additionally, the influence of (un)favorable working conditions was assessed for various subgroups.

Results/ Discussion

Individuals with low baseline CF had a significantly higher probability of early exit from paid employment (HR 1.46, 95% CI 1.32-.160). In isolation, a decline in CF was associated with an elevated hazard of early exit from paid employment (HR 1.08, 95% CI.97-1.20). The association was significantly stronger among individuals with lower baseline CF (HR1.26, 95% CI 1.02 – 1.57). Psychosocial working conditions did not significantly moderate these outcomes.

Conclusion

This study highlights that individuals with low baseline CF are at a higher risk of early exit from paid employment, emphasizing the importance of cognitive health in workforce sustainability. These findings underscore the need for interventions promoting cognitive well-being among ageing workers to enhance work longevity and well-being.
O-004 A MULTICOHORT STUDY OF THE EFFECTS OF PSYCHOSOCIAL AND PHYSICAL WORK EXPOSURES ON ALL-CAUSE MORTALITY: FINDINGS FROM US AND EUROPEAN MIDDLE-AGED ADULTS
Authors: Tanjung Insani Kamilia , K C Prakash , Kyrönlahti Saila , Nygård Clas-Håkan , Neupane Subas
Published: July 2024

Introduction

Previous evidence on all-cause mortality risk associated with the psychosocial and physical work exposures are inconsistent. A multicohort study with participant-level data likely offers stronger evidence in understanding these associations.

Methods

Data from England, Finland, France, and the US were used. We studied 37202 and 38921 individuals with baseline information on psychosocial and physical work exposures, respectively. Self-reported data on work exposures were collected in 1981-2009. Mortality data came from the national register. Associations between the work exposures and all-cause mortality were examined using Cox regression, adjusted for relevant confounders. Pooled estimates were calculated using random-effects meta-analysis.

Results

The mean follow-up was 24 (SD 8) years (age 48 [IQR 9], 62% male), during which 7201 participants died. Among those who died, 53% (n=19824) were exposed to high psychosocial exposure. Additionally, we observed 7401 deaths in individuals with data on physical exposure, with 49% (n=18952) of them exposed to high physical exposure. Fully adjusted estimates showed that high psychosocial exposure was associated with elevated risk of all-cause mortality in the English cohort (HR 2.17; 95% CI 1.12–4.19), and lower risk in the Finnish cohort (HR 0.90; 95% CI 0.82–0.99). No significant associations were found for high physical exposure. Pooled estimates were not significant for either exposure.

Discussion

All-cause mortality risk did not vary by level of psychosocial and physical work exposures. The mortality risk was partially explained by non-work-related factors (sociodemographic, health, and lifestyle factors).

Conclusion

There is limited evidence that high psychosocial and physical work exposures are associated with all-cause mortality.
O-006 HEALTHY WORKING LIFE EXPECTANCY AND THE ASSOCIATED HEALTH BEHAVIOURS AMONG DIFFERENT SOCIODEMOGRAPHIC GROUPS
Authors: Slootweg Marit , Qi Yuwei , Ots Patricia , Van Ooijen Raun , Brouwer Sandra
Published: July 2024

Introduction

Due to population ageing, it is essential to prolong working life to safeguard the sustainability of social security systems. However, not everyone is able to work until the rising retirement age due to their health. We aim to estimate healthy working life expectancy (HWLE) of the Dutch working-age population and how it is associated with socioeconomic status and health behaviors (physical activity, smoking and alcohol consumption).

Methods

Longitudinal data from the Lifelines cohort (2006-2021) on health and health behavior were used, enriched with registry data from Statistics Netherlands on work outcomes. HWLE was defined as the expected number of years working in good health after age 50. HWLE was estimated using a multi-state model, conducting stratified analyses by educational levels and gender.

Results

Estimated HWLE was 9.6 years. People work 0.8 years in poor health and spend the remaining 4.6 years out of employment. HWLE changed over educational levels from 8.7 years for low to 10.3 for intermediate and to 9.8 years for high education. HWLE was lower for women than for men. Unhealthy physical activity and smoking were associated with working longer in poor health and alcohol consumption was associated with more years out of employment.

Discussion

HWLE comprises two-thirds of late working life, indicating that a large group of workers experiences difficulties to reach the rising retirement age.

Conclusion

Health behaviours are potentially underlying mechanisms towards HWLE, and new policies should focus on equitable improvements. A broader set of determinants (e.g. work and living environment) is required to further investigate sustainable employability.
O-008 AUTOIMMUNE DISEASES: IS THERE LINKAGE WITH OCCUPATIONAL HAZARD FACTORS?
Authors: Lee Seunghyun
Published: July 2024

Introduction

The precise causes of autoimmune diseases and how they develop remain unclear, and the impact of general exposure to external airborne agents (EAA) in the environment or workplace on autoimmune diseases has not been thoroughly studied. This research aimed to investigate the connection between EAA exposure and the likelihood of developing autoimmune diseases, considering different types of exposures.

Methods

The study utilized data from NHIS-NSC spanning from 2002 to 2019, covering a total of 17,984,963 person-years for analysis. Autoimmune diseases were categorized based on the InterLymph classification.

Results

Through logistic regression analysis, adjusted for potential confounding factors, the incidence and rate ratio of autoimmune diseases were estimated according to EAA exposure. Of the 1,082,879 participants, 86,376 (8.0%) were diagnosed with autoimmune diseases. Among these, 208 (14.1%) experienced severe exposure to EAA.

Discussion

Total EAA exposure was significantly associated with any autoimmune disease and organ-specific diseases. Inorganic dust exposure was associated with organ-specific diseases. Exposure to other dust was significantly associated with any autoimmune disease, connective tissue diseases, and organ-specific diseases. Exposure to EAA was predominantly related to psoriasis, rheumatoid arthritis, and type 1 diabetes.

Conclusion

This study indicates that exposure to EAA could be considered a potential risk factor for autoimmune diseases, particularly psoriasis, rheumatoid arthritis, and type 1 diabetes. These findings shed light on the potential role of severe airborne agents in the development of autoimmune diseases.
P-014 SICK LEAVE DUE TO SARS-COV-2 INFECTION
Authors: Vandersmissen Godelieve , Verbeeck Johan , Acerta Piet Henckens , Van Acerta Joos Dyck , Acerta Chris Wuytens , Molenberghs Geert , Godderis Lode
Published: July 2024

Introduction

COVID-19 caused a high burden of sick leave worldwide. Long-term sick leave for COVID-19 may be longer than for other influenza-like syndromes. The real impact of COVID on absenteeism remains uncertain. The aim of our study was to investigate the burden of sick leave, especially > 12 weeks, in Belgian workers with a positive PCR test for SARS-CoV-2 from July 2020 to September 2021 and to compare these figures with sick leave for other infectious diseases.

Methods

We coupled a database of SARS-CoV-2–positive workers and workers who were absent for other infections with objective absence data. Predictors of prolonged sickness were evaluated by negative binomial regression, Cox proportional-hazards regression and ordinal logistic regression.

Results

The study population involved 2569 workers who tested positive for SARS-CoV-2 and 392 workers who were absent for other infectious diseases. In total, 16% (95%CI: 14-17%) of workers with a positive SARS-CoV-2 test had no sick leave registered. The prevalence of long-term sick leave was 1.39% (95%CI: 0.94-1.97) in workers with COVID-19 and 4.34% (95%CI: 2.55-6.85) in workers with other infectious diseases. When including PCR-positive workers without sick leave, the prevalence of long-term sick leave decreased to 1.17% (95%CI: 0.79-1.66). Long sick leave was associated with older age, high previous sick leave and low educational level.

Discussion and conclusion

The prevalence of long-term sick leave was lower than estimated in earlier investigations, regardless of worrying reports about post-COVID-19 syndrome.
P-021 DISSEMINATED HISTOPLASMOSIS IN A FOOD SERVICE COMPANY EMPLOYEE: A CASE REPORT FROM BUENOS AIRES, ARGENTINA
Authors: Molina Graciela , Taboadela Claudio
Published: July 2024

Introduction

Histoplasmosis is a fungal infection caused by the inhalation of conidia of Histoplasma. Disseminated histoplasmosis is characterized by progressive granulomatous disease usually associated with immunosuppression. The objective of this communication is to report a case of disseminated histoplasmosis in a food service company employee.

Material and Methods

In 2022, in Buenos Aires, a 29-year-old male employee of a food service company with acquired immunodeficiency syndrome (HIV-AIDS) diagnosed in 2017, consulted for weight loss, multiple lymphadenopathies, fever and nocturnal sweats. Radiology demonstrated disseminated micronodular images that were interpreted as tuberculosis (TB). After three weeks of TB treatment, violaceous papule-type skin lesions appeared in the upper limbs and thorax. The skin biopsy showed fungal encapsulated yeasts suggestive of Histoplasma. The anti-fungal treatment was carried out successfully.

Results

Histoplasma mainly lives in the soil and environments that contain large accumulations of bird or bat droppings. Bridge, construction, excavation or demolition workers, farmers, gardeners, landscapers and microbiology laboratory workers are the occupations usually exposed to histoplasma. Most people who inhale the spores do not get sick but in people with weakened immune systems, the infection often becomes disseminated and simulates TB.

Conclusion

Histoplasma spores in the food service environment are not usual. This case should not be considered as an occupational disease because the development of the histoplasmosis was related not to the work itself, but to immunosuppression due to non-occupational HIV-AIDS.
P-024 EBOLA IN GUINEA: ASSESSMENT OF THE EXPOSURE OF HEALTHCARE PERSONNEL IN CARE STRUCTURES
Authors: Sangare Gbato
Published: July 2024

Background

Ebola in Guinea: Assessment of the exposure of healthcare personnel in care structures.

Aims

Identify the exposure conditions of Guinean healthcare personnel; Assess the protective measures used and Establish a situational diagnosis of the Guinean health system.

Methods

A retrospective, evaluative study on an analytical reflection of the different modes of exposure of Guinean healthcare personnel during the epidemic period of the Ebola virus epidemic on the analysis of data recorded at the Ebola coordination and WHO.

Results

162 confirmed cases of Ebola virus contamination among healthcare personnel out of 11,527. That is 1.41% contamination of all Guinean healthcare personnel. This extremely high mortality rate is explained by the pathophysiology of the disease. The reasons for this heavy price paid by the nursing staff are due to their multiple occupational and community exposures to the virus ¬¬¬. Long hours of work in a cosmonaut’s tunic, psychological stress and the lack of competent health personnel have also avoided this carnage. Although extremely lethal, Ebola is fought through communication and the application of health and safety measures.

Discussion and conclusion

Epidemic as experienced by the Guinean population and particularly by the Guinean medical staff has been a dramatic lesson that everyone will remember for a very long time. It has committed enormous human, economic and even cultural damage. The best tools for the fight remain communication, the wise application of hygiene, protection and safety measures. Added to this is the performance of health services.

Key words: Ebola, healthcare workers, exposure
P-025 HEALTH AND SAFETY IN MEDICAL ANALYSIS LABORATORY
Authors: Kechkar Hind
Published: July 2024

Introduction

The medical analysis laboratory (MAL) plays a very important role in the health system. Compliance with health and safety (HAS) requirements in a MAL ensures the protection of the patients, the staff and the public. The purpose of this study is to determine the state of the MAL regarding the regulatory requirements related to HAS and to identify the risks that may appear in the laboratory if we do not enforce these requirements.

Methods

We used a self-assessment grid which makes it possible to determine the state of a MAL in relation to the application requirement in terms of regular HAS and then we determined the risks that may appear, with their criticality index using AMDEC. Ultimately, we determined the quality indicators to be followed to identify the improvement obtained.

Results

The results showed that the laboratory already applies the regulatory requirements for HAS, but does not have the traceability or the tests to apply these requirements. Also this study helped to show the different types of risk with their degrees of criticality: biological risk, chemical risk and physical risk. We also found that no respect for hygiene rules can even have an influence on patient results.

Discussion

The implementation of HAS regulatory requirements in MAL contributes to the protection of the patients, the staff and the public.

Conclusion

The use of the AMDEC method gives an idea of the risks of non-application of HAS regulatory requirements, and the use of the self-assessment grid before and after implementation enables the extent of improvement to be determined.
P-026 UNRAVELLING DIVERSITY IN IMMUNE RESPONSE TO VACCINATION: A COMPREHENSIVE REVIEW OF REGIONAL, OCCUPATIONAL, SOCIOECONOMIC, AND GENDER BASED PERSPECTIVE
Authors: Khan Shakir Ullah , Vonesch Nicoletta , Melis Paola , Simona Di Renzi , Tomao Paola
Published: July 2024

Introduction

The vaccination is crucial in preventing infectious diseases, mainly in health sector. The immune system and the immunological response are very complex, depending on several factors. The aim of this study is to investigate the immune responses to vaccinations with an emphasis on regional, occupational, socioeconomic, and gender-based differences.

Methods

Literature search was performed by a web search in PubMed, Scopus, and Google Scholar, using MeSH descriptors and free words, with Boolean operators (AND, OR and NOT), including peer-reviewed scientific articles of the last 10 years. The keywords used were: occupational health, gender-sex, immune response, vaccination, infectious diseases, geographical areas, high, middle, and low income countries.

Results

Among 66 publications found, only 50 were taken into consideration and analyzed. Comparative research on immune responses in different geographic populations and professions revealed how genetic, environmental, socioeconomic, and healthcare access variables interact. About 70% of the world’s healthcare workers are women. One of the interesting findings is that the immune responses to viral infections and vaccination reactions are often stronger in females.

Discussion

A sex-specific variation in vaccine effectiveness may come from the processes mediating these differences, which include hormonal and genetic variables. The differences evidenced in this study have significant effects on disease management and prevention, particularly when planning strategies for disease outbreaks, the use of vaccines, and the development of public and occupational health regulations.

Conclusion

The contribution of further studies is necessary to better manage occupational infections in the health care sector, recommending new directions for a more universally applicable health approach.
O-020 EFFORT-REWARD IMBALANCE AT WORK AND CARDIOVASCULAR DISEASE MORTALITY AMONG OLDER WORKERS IN THE UNITED STATES: A PROSPECTIVE COHORT STUDY
Authors: Li Jian , Matthews Timothy A , Siegrist Johannes
Published: July 2024

Introduction

Several studies in Europe have suggested work stress in terms of Effort-Reward Imbalance (ERI) as a risk factor for cardiovascular disease (CVD). The purpose of this study was to provide evidence on ERI and CVD mortality in the United States (US).

Methods

We used data from the nationally population-based Health and Retirement Study. ERI was measured with a 9-item standardized scale at baseline between 2006-2008, and death information was verified by the US National Death Index through 2018. Cox proportional hazards regression models were applied to examine prospective associations of ERI with CVD mortality among 4553 older workers (aged 50 or above).

Results

In total 85 fatal cases of CVD were identified during 47129 person-years of follow-up time (CVD mortality rate = 1.80 per 1000 person-years). After adjustment for demographic factors, socioeconomic positions, health-related behaviors, and existing non-fatal CVD at baseline, E-R ratio was significantly associated with elevated risk of CVD mortality (aHR and 95% CI = 1.34 [1.06, 1.69]).

Discussion

For the first time in the US, we examined prospective associations between ERI and CVD, which is the leading cause of death in this country. Additional sensitivity analyses (excluding CVD death cases within the first 3 years of follow-up or existing non-fatal CVD cases at baseline) indicated robust and stable prospective associations of ERI at baseline with increased CVD mortality.

Conclusion

ERI at work may be a risk factor for CVD in older workers in the US. If further studies confirm our findings, interventions to promote psychosocial work environment are warranted.
O-025 ROLE OF PRIVATE SECTOR IN MANAGING COVID-19 AND FUTURE OUTBREAKS IN A DEVELOPING COUNTRY SETTING: THE FIRST PHILIPPINE HOLDINGS CORPORATION COVID-19 OCCUPATIONAL HEALTH STRATEGY
Authors: Gapas Joselito
Published: July 2024

Introduction

Addressing outbreaks require an “all of country and all of society” approach. The business sector supported the Philippines National COVID-19 strategy. The COVID-19 Occupational Health Strategy of First Philippine Holdings Corporation (FPHC) supports the strategy and addresses the risk to its workers, household members, host communities and ensured business continuity.

Methods

FPHC supported the national strategy through donation of RT-PCR laboratories to the Philippine General Hospital, expansion of public health care capacities, and vaccine acquisition for its stakeholders and donation to government. As part of the private sector vaccine-buying consortium, FPHC obtained vaccines for workers, household members and for government donation via tripartite agreement between national government, private sector and vaccine suppliers. Vaccination was provided free to FPHC stakeholders. The COVID-19 Occupational Health Strategy include workplace risk-based protocols, case identification and management, stakeholder engagement, and vaccination across its 26 subsidiaries and affiliates. The vaccination initiative was implemented in partnership with Zuellig Foundation (logistics), Reliance United and ACHealth (vaccine administration) and government.

Results

Health risks to workers and business partners have been managed and business continuity ensured.Thirty Eight (38) company vaccination sites were mobilized administering 100,000 vaccine doses. Vaccination rates for employees averaged more than 95% (primary dose), 85% (1st booster) and 60% (2nd booster). Two hundred two thousand (202,000) vaccine doses donated to the public sector.

Discussion and Conclusion

Private sector participation is vital in achieving national strategic goals in resource-limited countries like the Philippines. Strategic partnership covers strategy and planning, vaccine acquisition, distribution, vaccination, and health monitoring and stakeholder demand generation.
O-026 LESSONS LEARNED FROM THE COVID 19 PANDEMIC—WHAT OCCUPATIONAL SAFETY AND HEALTH CAN BRING TO PUBLIC HEALTH
Authors: Godderis Lode , Lerouge Loic , Samant Yogindra , Noone Peter
Published: July 2024

Introduction

We strive to increase public (PH) and occupational health (OSH) inter-linkages by building a collaborative framework. Besides Covid-19 pandemic, recent approaches such as Human Exposome and Total Worker Health TM, have led to a shift to improving health of working population and consequently the total population.

Méthodology and Results

These health objectives can be best realised through primary care actors in specific contexts. Work, school, home and leisure are the four multi-stakeholder contexts in which health and healthcare (goal-oriented care) objectives needs to be set and defined. PH policy makers need to establish a shared decision-making process involving employees, employers and OSH representatives to set PH goals and align with OSH goals.

Discussion

The policy making process in OSH can serve as a potential way forward, as the decisions and policies are being decided centrally in consultation with social partners and governments. This process can then be mirrored on company level to adopt and implement.

Conclusion

One of the key messages here is that synergies and close collaboration between occupational and public health professionals are key to prevent community-acquired infections, as has been demonstrated during the COVID-19 pandemic.