bluuebunny/crossref_metadata_2025 huggingface dataset:
P-252 CHEST CT LUNG SEQUELAE FOLLOWING A COVID-19 EPISODE IN HOSPITAL STAFF IN MONASTIR: WHAT ARE THE PARTICULARITIES?
Authors: Grissa Ons , Hayouni Mohamed Marouen , Jdey Ons , Machghoul Samia , Amri Charfeddine , Chaari Neila , Akrout Mohamed , Henchi Mohamed Adnene , Merchaoui Irtyah , Salem Randa , Rassas Ines
Published: July 2024

Introduction

The COVID-19 pandemic has had a significant impact on healthcare workers (HCWs) worldwide. The purpose of this study is to quantify the pulmonary sequelae after COVID-19 infection in HCWs using chest CT scan.

Methods

This is a retrospective analytic cohort study that enrolled University Hospital of Monastir HCWs, who were diagnosed with COVID-19 infection between August 31, 2020, and November 30, 2021, and that underwent a chest CT scan at least 10 days after symptom onset. Chest CT scans were assessed for the presence of residual abnormalities and COVID-19 related pulmonary sequelae.

Results

Out of 1075 HCWs diagnosed with COVID-19 infection, 56 were included. 91% had mild to moderate symptoms, but 94.6% experienced persistent symptoms upon returning to work. Residual symptoms were dyspnea (67.9%), cough (42.9%) and chest pain (32.1%). 46.4% of CT scans showed abnormalities and COVID-19 related pulmonary sequelae were found in 26.8% of cases. They included linear atelectasis (73.3%), bronchiectasis (26.7%), and one case of septal thickening. Higher seniority levels and dyspnea during CT scanning were found to significantly increase the risk of pulmonary sequelae.

Discussion

HCWs with mild to moderate COVID-19 infection may have persistent respiratory symptoms and chest CT pulmonary sequelae during early convalescence. dyspnea during CT scanning increases this risk. This finding suggests that persistent dyspnea is not just a symptom of COVID-19 but may serve as an important clinical indicator of ongoing lung damage.

Conclusion

The recommendation arising from this study indicates the need for continuous monitoring of persistent dyspnea using objective tools.
P-254 THE BURDEN OF HIGH WORKLOAD AND THE COVID-19 PANDEMIC ON THE HEALTH-RELATED QUALITY OF LIFE AMONG HOME CARE WORKERS IN SWEDEN
Authors: Norström Fredrik , Bölenius Karin , Zingmark Magnus , Sahlén Klas-Göran , Pettersson-Strömbäck Anita , Öhrlin Malin
Published: July 2024

Background

A poorer health-related quality of life has been shown due to high workload among home care workers. The pandemic created challenging working conditions for all healthcare workers. The aim of this study is to examine the burden of perceived workload on health-related quality of life among home care workers during the Covid-19 pandemic.

Methods

Two cross-sectional studies were conducted in three Swedish regions among home care workers, 1,154 (56%) participated in 2017 (before the pandemic) and 630 (31%) participated in 2021 (during the pandemic). Workload was measured by QPSnordic. Health-related quality of life was measured by EQ-5D, from which responses were translated into quality-adjusted life year scores (QALY). Propensity scores were used with absolute risk differences. Surveys were compared using Analysis of Variance.

Results

Thirty-one percent of the home care workers expressed high workload in 2021, a non-significant increase compared to 2017 (28%). Home care workers with high workload had a statistically significant 0.065 lower QALY, confidence interval -0.108 - -0.025, and 21%, confidence interval 0.121-0.299, more reported problems with anxiety/depression dimension than personnel with normal workload during the pandemic. There was statistically significantly lower QALY (0.79 vs. 0.82) and more reported problems on the anxiety/depression dimension (37% vs. 28%) in the pandemic compared to the post-pandemic cohort.

Discussion

Our study shows that the pandemic increased problems with health-related quality of life due to high workload among home care workers.

Conclusion

Swedish home care already had a strained organization before the pandemic. A strengthened organization is needed for better well-being among the personnel.
P-255 WHICH ALTERNATIVE WELL-FIT MASKS CAN BE USED IN MEDICAL PROCEDURES?
Authors: Chaiear Naesinee , Kraisorn Phanumas , Ngarmchokwatta Chatpong , Faksri Kiatichai , Chantarasuk Yingrit , Phewkliang Arunya , Thapthim-on Maturin , Mitsungnern Thapanawong
Published: July 2024

Introduction

During the COVID-19 pandemic, the WHO and CDC recommended that health workers (HWs) who perform non-aerosol-generating procedures (AGPs) don a properly fitted mask. Our objective was to evaluate the fit factors (FFs) of eight alternative well-fit masks (AWMs) used by Thai HWs.

Methods

This comparative descriptive study was conducted on 33 HWs between October and November 2022 and was categorized into three facial sizes, small, medium, and large. Each participant wore eight types of AWMs in random order: medical mask under adjustable ear-loop (AEL)-KF94 (MK), medical mask under AEL-KN95 with a hook (MN), medical mask under fabric mask (MF), AEL-KF94 (KF94), AEL-KF94 under fabric masks (KF), AEL-KF94 with a hook (KF94H), AEL-KN95 with a hook (KN95), and AEL-KN95 with a hook under fabric mask (NF). FFs were measured using a quantitative fit test (QNFT).

Results

The number of HWs in size small, medium, and large was 12, 12, and 9. The highest respective median of FF was KN95=200, NF=200, MN=185, and KF94H =171, and the respective passing fit-test rate was 97%, 84.8%, 63.6%, and 60.6%. There was no difference in FFs between the N95 and KN95 (p-value=0.72), the N95 and NF (p-value=0.20), and the three facial sizes.

Discussion

The AEL-KN95 with hook and sponge at the nosepiece was an effective respirator for use by HWs in non-AGPs, as the FF

Conclusion

The AEL-KN95 with hook and sponge at the nosepiece fit test pass rates were comparable to those of NIOSH N95 respirator, and there were no differences in FFs between facial sizes.
P-257 THE EFFECT OF OCCUPATIONAL MORAL INJURY ON THE MENTAL HEALTH OF HEALTH CARE WORKERS
Authors: Troper Kamila , Mestre Pedro Miguel , Pinela Ana Sofia , Martinho Teresa
Published: July 2024

Introduction

The expression moral injury can be found in the literature as “disruption in an individual’s confidence and expectations about one’s own or others’ motivation or capacity to behave in a just and ethical manner”. As a concept, moral injury first appeared in the literature in the 1990s in the context of combat and war circumstances. However, it has recently been brought up more broadly in the healthcare context. The term is often associated with strong moral emotions related to the event, including guilt, anger and disgust. Can still lead to distress and psychological difficulties.

Methods

Systematic literature review using the PubMed, SCIELO, RESEARCHGATE databases with the descriptors: Occupational Moral Injury + Mental Health + Healthcare professionals. Studies published between 2000 and 2023 in Portuguese, English and Spanish

Results

Of the 354 studies initially found in the cited databases, a sample of 33 studies was reached that matched the election criteria. A final sample of 16 studies was defined, mainly articles. Studies purely epidemiological or non related to health professionals were excluded.

Discussion

Certain occupational groups may be at risk of exposure to work-related morally injurious events, including first responders, journalists and armed forces personnel.

Conclusion

Morally injurious experiences include those in which the individual perpetuates, fails to prevent, bears witness to, or learns about acts that transgress deeply held moral beliefs and experiences. Moral injury can contribute to inner conflict and emotional distress and the emergence of guilt, shame, and anxiety is facilitated by idiographic factors such as shame proneness and/or neuroticism.
P-263 OCCUPATIONAL INJURY FROM PATIENT HANDLING AND WORKPLACE VIOLENCE AT RESIDENTIAL DISABILITY AND MENTAL HEALTH FACILITIES: AN ANALYSIS OF WORKERS’ COMPENSATION DATA
Authors: Moskowitz Adam , Schofield Katherine
Published: July 2024

Introduction

Residential facilities for disability, mental health, and substance abuse, colloquially known as “group homes” in the United States, have similar occupational hazards to more traditional healthcare settings. However, many US policies intended to protect the safety of healthcare workers exclude group homes. This study aims to assess occupational injury in group homes from patient-handling and mobility activities (SPHM) and workplace violence (WV), two widely recognized hazards to healthcare worker safety.

Methods

Descriptions of 4,364 workers’ compensation claims from 306 employers in the group home industry were coded by investigators for injuries connected to SPHM, WV, or both. Log-binomial and log-linear regression were used to predict risk of severe injury resulting from SPH and WV. Injury severity was determined by claim cost and lost work time.

Results

Nearly half of all analyzed claims involved physical contact between a worker and a group home resident. The 1,281 claims associated with SPH were more likely to result in lost work time and higher mean costs than the average injury claim. The 1,487 claims associated with WV were less likely to result in lost work time and had lower associated mean costs than the average injury claim.

Discussion

SPH and WV are worryingly prevalent in group homes, and associated injuries may be severe, especially for SPHM. Despite WV’s decreased risk of severe injury in this study’s measures, there may be more adverse effects on workers not captured in workers’ compensation data.

Conclusion

Policymakers should adopt broader definitions of healthcare settings when regulating occupational hazards like SPH and WV.
P-265 ECONOMIC IMPACT OF PREVENTABLE OCCUPATIONAL BLOOD EXPOSURES IN A TUNISIAN HOSPITAL
Authors: Triki Amira , Ayadi Abir , Jlassi Olfa , Ayari Sihem , Magroun Imene
Published: July 2024

Introduction

Occupational Blood Exposures (OBEs) present is a significant public health concern within healthcare settings. This study aimed to assess the prevalence and associated costs of OBEs in a hospital.

Methods

A cross sectional retrospective study was conducted from July 2015 to June 2023. It included all healthcare workers (HCWs) consulting for an OBEs at a university hospital in the capital city of Tunis.

Results

A total of 440 HCWs were included, comprising nurses (23.9%), physicians (33.9%), technicians (8.6%) and cleaning personnel (15%). Predominantly female (79%) with a sex ratio of 0.26. The average age was 31±8.9 years. Needlestick injuries were the most common incident (90.5%), followed by blood or fluid splashes (5.3%) and sharp object cuts (4.2%). Notably, 40.2% of individuals were not wearing gloves during the OBEs. Needle recapping was associated with 26.7% of accidental exposures, with an associated cost of 9066 d. Additionally, 18.3% of injuries could have been prevented through proper disposal, amounting to a cost of 22252 d. Overall, the cost range for managing reported exposures spanned 28D to 845D (average 115.44D), including check-ups and chemoprophylaxis expenses.

Discussion

This study’s results underscore the heightened risk of needlestick injuries among HCWs, which contrasts with a study conducted in a hospital in Cameroon in 2013, where blood or fluid splashes were the most reported injuries, followed by needlestick injuries.

Conclusion

Effectively managing occupational blood and body fluid exposures incurs significant costs. Preventive measures to minimize exposure incidents are crucial in mitigating these expenses.
P-268 MERCURY LEVELS IN URINE AND HAIR OF DENTISTS IN MOROCCO: A PILOT STUDY
Authors: Korachi Imane Bensouda , Duca Radu-Corneliu , Ani Maria-Mirela , Creta Matteo , Godderis Lode , Jaâfari Samir El , Filali-Zegzouti Younes
Published: July 2024

Introduction

Dentists are exposed to mercury through their handling of dental amalgam, which can accumulate in their bodies to higher levels than non-occupationally exposed individuals. This study aims to determine occupational exposure levels to mercury and its impact on the health of Moroccan dentists.

Methods

A cross-sectional study was implemented among a random sample of 34 dentists operating in private dental clinics. They were asked to fill in a self-questionnaire inquiring about socio-demographics and work environment and practices. Urine and hair samples were collected. Mercury concentration in urine (U-Hg) and hair (H-Hg) was measured by inductively coupled plasma mass spectrometry. Correlations between amalgam use and the biological parameters were determined using Spearman’s coefficient (non-parametric test).

Results

The mean urine concentration was 1.2 μg/g creatinine (SD = 1.5, range: 0.18-8.2). The mean hair concentration was 0.9 μ g/g (SD = 0.64, range: 0.28-2.7). Amalgam use correlated significantly with H-Hg (ρ = 64.60%; p-value < 0.001) and with U-Hg (ρ = 37.50%; p-value < 0.03).

Discussion

The higher correlation with H-Hg compared to U-Hg implicitly suggests the impact of chronic exposure to this metal in dentists of our study area. The U-Hg in our sample was below the Occupational Biological Exposure Indice for Mercury. U-Hg and H-Hg were also lower than what has been reported in other studies.

Conclusion

To the best of our knowledge, this is the first study to identify mercury levels in urine and hair of Moroccan dentists. Further investigation is needed to assess the impact of this exposure on their health
P-270 POST COVID SYNDROME IN HEALTH CARE WORKERS
Authors: Dallagi Amani , Hsinet Jihen , Ismail Saloua , Khouja Nihel , Bechrifa Emna , Fatma Naourez Ben , Belkahla Amira , Benzarti Aida
Published: July 2024

Introduction

Post COVID syndrome (PCS) is characterized by polymorphous symptoms of variable duration. The evolution of these symptoms remains unpredictable. Our aim is to assess the prevalence of PCS in healthcare workers (HCW) who have contracted COVID-19 and to study the evolution of persistent symptoms.

Methods

Cross-sectional descriptive study of HCW at Rabta Hospital who contracted COVID-19 between October 2020 and May 2021. Patients without symptoms when returning to work were not included. Data concerning PCS were collected by telephone contact in June 2021.

Results

Of the 200 patients included, 170 (85%) completed the questionnaire. Ninety HCW (52.9%) had developed PCS. The population was predominantly female (82.2%), with a mean age of 43.07±10.15 years. Persistent symptoms were mainly exertional dyspnea (33.3%), fatigue (28.9%), memory impairment (11.1%), palpitations (7.8%) and arthralgia (6.7%). A statistically significant relationship was found between the severe form and the onset of PCS (p=0.01). Progression was characterized by the persistence of at least one of the symptoms affecting 31 patients (38%). The persistent symptoms were mainly neuropsychological disorders (65%) requiring psychiatric treatment (29%), exertional dyspnea (61%) requiring pulmonary treatment (26%).

Discussion

Since the end of the first epidemic wave in May 2020, the persistence of symptoms several weeks or months after the first manifestations has been described in over 20% of patients after 5 weeks or more, and in over 10% of patients after 3 months. Despite the still-limited follow-up, the evolution is generally towards improvement.

Conclusion

Some patients with PCS should have access to multidisciplinary consultations for better management.
P-273 COVID-19, LONG-COVID AND RETURN-TO-WORK: RESULTS OF A SURVEY FOR OCCUPATIONAL PHYSICIANS FROM AN ITALIAN REGION
Authors: Modenese Alberto , Gobba Fabriziomaria
Published: July 2024

Introduction

The impact of long-COVID on workers’ health as well as the issues related to return-to-work (RTW) and COVID-19 are still little known. We present the results of an analysis of expert opinions on these problems from Italian occupational physicians (OP).

Methods

A 24-items questionnaire was administered in spring 2023 to a sample of OP from Emilia-Romagna. The survey investigates long-COVID symptoms, RTW and COVID-19 issues experienced by the workers followed by the OP.

Results

Sixty-two OP answered: the 90% provided health surveillance (HS) to workers with long-COVID. The 33% thinks that long-COVID is more frequent among females, while 10% among males. The 27% reported long-COVID as associated with age-range 51-60 years. The main long-COVID symptoms were asthenia for the 34% of OP, breathless (31%) and memory/conentration problems (15%). Considering RTW, for the 47% of the OP the most frequent problem was represented by workers with health conditions of frailty with respect to COVID-19 risk. The 78% of the OP indicated specific limitations on the fitness to work of subjects undergoing HS at a RTW occasion.

Discussion

Our data confirm the relevance of the issues related to long-COVID symptoms in workers and RTW after COVID-19, in particular for workers with frailty conditions. The vast majority of OP indicated limitations for the fitness to work of these workers. The most frequent long-COVID symptom was asthenia.

Conclusion

After the end of the emergency phase of the pandemic, COVID-19 is still a relevant occupational issue in Italy, with an important impact in terms of both RTW and long-COVID.
P-274 THE COST OF ABSENTEEISM DUE TO COVID-19 IN HEALTHCARE WORKERS IN A PUBLIC HOSPITAL IN CENTRAL TUNISIA
Authors: Omrane Amira , Smida Selma , Kheder Asma , Belhadj Noura , Bouzgarrou Lamia , Khalfallah Taoufik
Published: July 2024

Introduction and Objective

To estimate the cost of absenteeism due to COVID-19 among Tahar Sfar University Hospital Health care workers (HCWs) in Mahdia, Tunisia.

Methods

This cross-sectional study was carried out on HCWs, since the beginning of the first coronavirus wave. To acheive this study, we used a numeric database of HCWs diagnosed with COVID-19 from September to July 2022 collected by the Occupational Medicine Department with the assistance of Humain Ressource Department. This database included the sociodemographic and professional characteristics as well as and all COVID-19 sick leave durations of HCWs with COVID-19 confirmed by a positive Rt-PCR or antigen rapid testing.

Results

Since the beginning of the pandemic, 1233 cases of infection and reinfection by the COVID-19 among HCWs, have been detected and reported as occupational diseases. The average age was 37.82±9.9 years [23-65 years]. The rate of infections entitling a sick leave was the highest (31.3%) among doctors, followed by nurses, (30.8%) working in COVID-19 department in 40.6%. Incidences of occupational COVID-19 infections resulted in a loss of 10 278 working days, with an average duration of 8.34±4.68 days [5-50 days]. The multivariate analysis revealed that the age and function impact absenteeism (OR=198.73 and -71.35 respectively). The estimated cost of absenteeism was 156,000 euros.

Discussions and Conclusions

HCWs were significantly affected by the COVID-19 pandemic. Absenteeism in healthcare is a complex problem that requires a comprehensive approach. HCWs need to work with employees to understand the factors that contribute to absenteeism and take effective measures to cope with this issue.
P-277 THE IMPACT OF RAPID ACCESS TO OCCUPATIONAL PHYSIOTHERAPY FOR HEALTHCARE WORKERS WITH MUSCULOSKELETAL DISORDERS
Authors: O’Neill Mary-Teresa , Jones Victoria , Reid Alex
Published: July 2024

Introduction

Musculoskeletal disorders (MSDs) remain the 2nd most common reason for days lost to work-related ill health accounting for 8.9 million days lost in the UK in 2019-2020.1 Studies have shown that early intervention by occupational physiotherapy improved clinical symptoms and work performance and reduced absenteeism and presenteeism.2,3 The impact of a rapid access occupational physiotherapy service for hospital employees presenting with MSDs either directly attributable to work or impacting upon work was assessed.

Method

A retrospective chart review was completed on 100 employees referred to physiotherapy following occupational health review. Information collected included demographics, presenting complaints, work injuries, quantity of sessions, sick leave, phased return, workplace modifications and treatment response.

Results

42% of employees had upper limb MSDs followed by neck/back (38%) and lower limb (20%) MSDs. 79% worked in roles with significant manual handling duties. 31% reported a work-related injury and 83% described symptoms exacerbated by work. 70% were reviewed within 2 weeks with 48% requiring 1-2 sessions (mean 2.86). 34% took sick leave with a mean of 62 days (range 1-240). 94% successfully returned to work; 50% required workplace modifications & 21% required phased returns. 83% reported improvement or resolution of symptoms.

Discussion

Timely access to occupational physiotherapy combined with workplace modifications and phased returns, optimized overall recovery and facilitated the majority of employees to remain at work or successfully return to work.

Conclusion

Given the physical nature of healthcare roles, early occupational support for MSDs is essential to maintain a healthy workforce, reduce sick leave and improve performance in the workplace.
P-278 OCCUPATIONAL BIOLOGICAL RISK PERCEPTION AND KNOWLEDGE AMONG ITALIAN HEALTHCARE PERSONNEL
Authors: Tomao Paola , Vonesch Nicoletta , Renzi Simona Di , Tecco Cristina Di , Persechino Benedetta
Published: July 2024

Introduction

The Covid-19 pandemic has had an unprecedented impact on the health sector worldwide, with health and safety effects in workers. This survey aims to investigate risk perception and knowledge of occupational safety and health protection regulations in Italian healthcare personnel.

Methods

A survey was conducted through self-administered, online questionnaires in health care workers in 2023. Data on the following themes were collected: socio-demographic and occupational information, procedures/information and risk training, perception of risk and injury, preventive behaviour, psychosocial and psychological variables, sleep disorders and job satisfaction.

Results

This study involved 652 workers, including nurses (44.0%), physicians (23%), social health workers (9%), health technicians (11%) and others (13%). Most respondents were female (74.0%) and the predominant age group was 40–60 years. The most frequent length of service was >15 years (38.0%), with 39%, 13% and 48% reporting from the medical, surgical and services areas respectively. More than half of the respondents were aware of the biological risk at workplace and conscious of hazards; most of them had been vaccinated against hepatitis B, Covid-19, influenza, measles.

Discussion

The study showed that health care workers might be exposed to biological agents at various levels, depending on the specific tasks. Information and training are essential to address the correct behaviours of workers and help them to recognise and assess the risks.

Conclusion

Nonetheless, the prevention of needlestick and sharps injuries through the implementation of specific Directives in many European countries and the experience gained from the pandemic have brought important improvements in safety against biological risk.
O-150 TREATMENT PATHWAYS FOR OCCUPATIONAL HEALTH PROBLEMS AMONG INFORMAL AUTOMOBILE ARTISANS IN NIGERIA
Authors: Afolabi Funmilayo Juliana
Published: July 2024

Introduction

Occupational health problems (OHPs) are a major concern in developing countries, especially for informal workers. This study examines how informal automobile artisans in Nigeria treat OHPs and how they choose their ‘pathway’ for health care providers. It focuses on their choice between orthodox and traditional medicine, self-care and professional care, and private and public healthcare providers.

Method

This study purposively collected data from 43 informal automobile artisans in Osun State, Nigeria, using an interpretive approach. Specifically, in-depth interviews were used to collect the data. Thematic analysis was done using MAXQDA 2020 software.

Results

It shows that the treatment sought depends on the type, the severity, and the perceived cause of the OHP. Self-care is used for treating minor OHPs, while professional care is sought for serious/very serious OHPs. Moreover, the artisans prefer private healthcare providers to public healthcare providers in providing healthcare for serious OHPs. The artisans’ rational and non-rational explanations of the causes of OHPs usually determined the endpoint of treatment.

Discussion

The study revealed some determinants of the pathway to healthcare. They are characteristics of the subject (the artisans), characteristics of the disorder (the severity and the perceived cause of the OHP), and characteristics of the health service (expected income, proximity, perceived quality of treatment, and the potency of the medicine).

Conclusion

To improve the health condition of workers in the sector, policymakers and artisanal associations should be aware of the considerations that informed the artisans’ choices on how to treat OHP.
O-151 MANAGING PSYCHOSOCIAL RISKS IN EUROPEAN MICRO AND SMALL ENTERPRISES – EVIDENCE FROM THE EUROPEAN SURVEY OF ENTERPRISES ON NEW AND EMERGING RISKS (ESENER)
Authors: Irastorza Xabier
Published: July 2024

Introduction

Through the EU Framework Directive (89/391) European employers are obliged to assess and eliminate/reduce any risk to workers’ safety and health. The awareness on the need to manage psychosocial risks (PSR) as part of this obligation has increased recently and several countries have modified their legislation, making the management of PSR a part of OSH.

Methods

EU-OSHA’s ESENER survey provides a comparative picture of how PSR are managed across Europe, identifying gaps and support needs.

Results

Over 45,000 public and private establishments employing at least five people and across all sectors are interviewed in over 30 European countries. ESENER (third wave in 2019) shows a large share of establishments reporting at least one PSR factor but significantly fewer reporting measures in place to deal with them. The level of PSR management varies greatly by country, sector and establishment size. Management and worker representatives of 240 micro and small enterprises surveyed in ESENER were interviewed again in-depth in 2021 on their approach to managing PSR.

Discussion

National legislative developments play an important role when managing PSR, while at the workplace level, management leadership and worker representation are key. COVID-19 has had a significant impact, increasing PSR in many ways, while, at the same time, it has contributed to raising awareness of mental health, with increasing discussions on the topic.

Conclusion

The presentation will explore trends of reported PSR at work and measures to deal with them, as well as ways for policy makers, social partners and practitioners to support workplaces and ensure adequate worker protection and business sustainability.
O-154 ENHANCING WORK PROCESSES AND HEALTH SAFETY IN INDIA’S INFORMAL SECTORS: AN ERGONOMIC INTERVENTION STUDY
Authors: Ghosh Tirthankar
Published: July 2024

Introduction

India’s informal sector accommodates a significant portion of the workforce, necessitating a focus on enhancing work processes for improved health and safety outcomes. This study aims to address this imperative by investigating ergonomic interventions within distinct informal sectors.

Methods

A sample of 300 male workers was purposely selected from West Bengal, Karnataka, Chhattisgarh, and Odisha, representing sand core workers, goldsmiths, and carpenters. Utilizing a modified Nordic questionnaire, comprehensive discomfort assessments were conducted. Analysis of workspace dimensions and body postures was executed to evaluate work-related stress. Ergonomic interventions, guided by worker input, were introduced and post-intervention interviews were carried out.

Results

Findings unveiled that roles in all three sectors entail uncomfortable postures, escalating musculoskeletal disorder risks, notably within the lower back. Existing processes within these sectors revealed redundant steps and awkward postures, potentially leading to occupational hazards. Various ergonomic interventions were implemented to mitigate these concerns, potentially augmenting productivity, health, and safety among informal laborers.

Discussion

The study’s outcomes underscore the pressing need for ergonomic interventions in informal sectors to alleviate health risks associated with suboptimal work conditions. The implemented changes hold promise for enhancing worker well-being and operational efficiency.

Conclusion

The study highlights the importance of ergonomic adaptations in informal sectors. The modifications, such as ergonomic tools and adjusted workstations, hold the potential to enhance worker safety and productivity. These results emphasize the significance of ongoing efforts to ameliorate work conditions within India’s informal workforce, fostering improved livelihoods and overall societal progress.
O-157 GREEN TRANSITION AND SUSTAINABLE WORKING LIFE – WORKING CONDITIONS DURING PRODUCTION OF INSECT-BASED FOOD AND FEED IN SWEDEN
Authors: Gunnare Sara , Wahlkvist Helen , Lind Marie-Louise , Gunnare Sara
Published: July 2024

Introduction

Agenda 2030 for sustainable development states 17 global goals for sustainable growth. Goal 8 promotes economic growth and decent work conditions for everybody. In this project we study the impact of the green transition on working conditions. We focus on the work environment in insect-based food and feed production.

Methods

A literature survey has been conducted regarding insect-based food and feed. In order to study the work environment and occupational exposure contact with some companies handling insects has been made. We have studied the number of producers, what species that they handle, biological hazards, and working conditions.

Results

Currently there are few producers of insects in Sweden, but the interest for this type of business is increasing. Not all insects used for breeding are native species. This can cause negative effects on ecosystems if they escape to the environment. The literature survey has shown reports of health risks such as respiratory diseases or skin allergy caused by inhalation of dust containing allergens from different insect species or skin contact with insects or dust. Problems from exposure to mold allergies also may occur. No studies have been found that address the work environment during insect production.

Discussion

There is a potential health risk connected to working with insects. Recommendations for safe and sustainable work in the production of insects as food and feed is essential.

Conclusion

It is important to include the working conditions during the worldwide green transition to achieve a sustainable working life.
O-159 INSIGHTS INTO SMALL AND MEDIUM ENTERPRISES PRACTICES OF EARLY RETURN TO WORK WITH MODIFIED TASKS FOLLOWING A WORK-RELATED INJURY
Authors: Nastasia Iuliana , Coutu Marie-France , Lederer Valérie , Lecours Alexandra , Rives Romain
Published: July 2024

Introduction

Facilitating early return-to-work with modified tasks following work-related injuries is a common practice in industrial countries to promote workers’ rehabilitation. This presentation aims to explore how that strategy is implemented in small and medium enterprises (SMEs) which often experience higher rates of occupational injuries compared to larger corporations.

Methods

Using a qualitative descriptive design, semi-structured interviews were conducted with managers, while focus groups involved external stakeholders in disability management. The selection of participants was purposeful, aiming to ensure diversity in roles and perspectives. Qualitative content analysis of verbatim transcripts was performed, using a mix-coding approach that integrated both pre-established and emerging topics.

Results

SMEs have limited options for task modifications tailored to the injured worker’s health condition, abilities and interests. Modified tasks are typically chosen informally by the person in charge of the disability management in the enterprise with the supervisor’s insight, and occasionally the worker’s depending on the company. While follow-ups by a manager are common, they are not consistently standardized, placing the responsibility on workers to raise concerns in case of difficulties.

Discussion

The informal approach of the early return-to-work with modified tasks, sought-after by SMEs for its flexibility, carries the risk for workers to exceed their limitations, potentially aggravating their injury. The contribution of a healthcare professional throughout the process can reduce these risks and improve rehabilitation.

Conclusion

While early return-to-work with modified tasks strategies can be beneficial for both SMEs and the injured workers, integrating safeguards can ensure that the worker’s rehabilitation remains at the forefront of the process.
P-284 EVALUATION OF AIR QUALITY IN SMALL TO MEDIUM-SIZED ENTERPRISES IN BELGIUM
Authors: De Raeve Hilde , Pelgrims Filip , Vandenbroeck Sofie
Published: July 2024

Introduction

With the impact of Covid-19, maintaining good air quality in workplaces has become essential for employee well-being. Occupational Health Services (OHS), including IDEWE, play a significant role in assessing implementation of prevention policies within companies. This study presents the results of air quality improvement measures in small to medium-sized enterprises (SMEs).

Methods

Between January 1, 2022 and April 1, 2023, IDEWE reference nurses or prevention advisors conducted 15,015 air quality assessments during company visits, assisting employers in implementing Well-being -at-Work recommendations.

Results and discussion

The findings indicate that 53% of SMEs regulated air quality through mechanical ventilation, with offices being the primary users (61.2%). SMEs made good use of natural ventilation and aeration, especially in nurseries (98.1%), industry (96.8%), and education (93.3%). 40.7% of SMEs use CO2 meters to measure, monitor, and adjust air quality. Education (79.7%), elderly care (65.9%), nurseries (66.7%), and hairdressing salons (66.2%) were the sectors with highest usage of CO2 meters. The use of air purifiers remained relatively low (11.4%), with hairdressers having the highest percentage of usage (22%). Encouragingly, 86.3% of employers took measures to educate their employees about the importance of ventilation, and all nurseries visited responded positively to this aspect. However, only 49.1% of SMEs demonstrated a comprehensive implementation plan incorporating all identified measures to ensure good air quality.

Conclusion

this study highlights the prevailing ventilation practices in Belgian SMEs and emphasizes their efforts to achieve good air quality. Nevertheless, further improvement is needed in the form of a comprehensive implementation plan.
P-285 SURVEY ON PROMOTION OF OCCUPATIONAL HEALTH INFORMATION TO SMALL AND MEDIUM-SIZED ENTERPRISES IN JAPAN
Authors: Imai Teppei , Nishikido Noriko , Moriguchi Jiro , Kondo Sho , Terada Hayato , Saito Akiko , Shibata Eiji , Shimamoto Satoko , Jikumaru Yasuaki , Sugawara Tamotsu , Seiji Kuniaki , Tabata Masaji , Nakadaira Hiroto , Hara Toshiyuki , Hinoue Mitsuo , Matsumoto Izumi , Narai Rie , Takayama Hideyuki , Taguchi Yoto , Makimoto Hiroko , Abe Hitomi , Tajima Makoto
Published: July 2024

Introductions

Preventive measures for occupational health problems are still uncommon in small and medium-sized enterprises (SMEs). The objective of this study was to investigate effective approaches to promote occupational health information to small and medium-sized enterprises in Japan.

Methods

We published a collection of good practices of occupational health, based on the results of an interview survey conducted among SMEs, on the research group website in June 2022. Then, we recruited 50 various support organizations (e.g., chambers of commerce and industry, labor and social security attorneys) that were familiar consultation services for SMEs. In May 2023, we started to provide information about websites and good practices to SMEs through them. During the intervention period (from May to September, 2023), we continue to count the number of accesses to the website.

Results

At the baseline (from December 16 to May 15, 2023), the total number of accesses to the website was only 189 in three months. In three months of the intervention (from May 16 to July 15, 2023), the number increased five times (1,029 accesses). Some organizations were very influential on SMEs, and it increased 50 to 100 in a day after they provided information to SMEs.

Conclusion

For the promotion of occupational health information to SMEs, various support organizations may have great impact on it. For implementing effective preventive measures for occupational health among them, the collaboration of occupational health professionals and various support organizations for SMEs may be important.
P-288 THE IMPROVEMENT OF PESTICIDE APPLICATION AMONG FARMERS IN SMALL COOPERATIVE GROUPS
Authors: Arphorn Sara , Thanachoksawang Chatchai , Yogyorn Densak , Theppitak Chalermsiri , Manothum Aniruth , Kiatkitroj Kanpitcha , Lertvarayut Teepapipat
Published: July 2024

Introduction

Contaminated water in rivers in Thailand may be linked to agrochemical run-off from farms directly related to the inappropriate application of pesticides, particularly by crops and vegetable growers. Since agrochemical application increases yield and makes crops look good, they satisfy the city’s customers. Spraying crops daily, without proper knowledge, seems to be the norm for the crop’s growers. On the other hand, the effectiveness of crop protection from soil-incorporated herbicide depends on the selection of spray nozzles, droplet size, and soil permeable characteristics. This study aimed at the crop grower’s knowledge of selecting appropriate spray nozzles.

Methods

This was a cross-sectional study; questionnaires were developed, and 418 farmers were recruited in two agricultural crop-growing areas, Nan and Saraburi provinces. These farmers registered with the agricultural provincial office.

Results

This study found that 31.5% of the crop farmers used the flood-type nozzles, which is the most effective type, produce large droplets, and are less prone to drift, reducing off-target contamination. At the same time, most crop farmers (63.5%) used the less effective nozzles, flat fan nozzles (43.5.0%), and cone-type nozzles (25.0%).

Discussion

Inappropriate spraying of herbicide harms the health and safety of the crop’s growers and pollutes rivers. The cause might be the classroom-type training, and its content may not make farmers perceived to have chemical safety issues. The content may cover more on the use of safety tools like appropriate nozzles.

Conclusions

Thus, this study encourages a workshop on spraying equipment to be provided for crop growers around the country for environmental and health sustainability.
P-290 HEPATITIS A VACCINATION AND FOOD HANDLERS: A LITERATURE-BASED RISK ANALYSIS
Authors: Van Hooste Wim , Bogaert An , Van Dijcke Pieter
Published: July 2024

Introduction

On the crossroads of public and occupational health, there is an issue of hepatitis A virus (HAV) infection and vaccination of food handlers. Both the Belgian Federal Agency for the Safety of the Food Chain and the Superior Health Council of Belgium, “strongly” recommend the hepatitis A vaccine for food handlers.

Methods

For the purposes of evidence-based decision-making and public health management, I performed a literature-based risk analysis assessing the likelihood of transmission and the consequences of the infection to determine the level of risk.

Results

I concluded that the level of risk medium to high is, and very high for persons at risk with existing comorbidities. From the occupational health perspective, routine vaccination of all food handlers is not recommended, because their profession does not put them at higher risk for infection. It could cause a considerable burden on public health resources because of the high turnover rate of employees.

Discussion

First, efforts should be made to comply with and enforce the rules of the Hazard Analysis of Critical Control Points (HACCP) in order to prevent cross-contamination and transmission of other potential foodborne pathogens for which there is currently no vaccine available. Secondly, there is some concern that vaccinating will create an impression that the risk of other foodborne diseases has been removed or reduced. Inclusion in the routine basic vaccination.

Conclusions

Personal hygiene and sanitation practices are critical to avoid (outbreaks of) foodborne illnesses. The retrieved risk could be a reason to encourage HAV vaccination among food handlers, but no strong recommendation.
P-298 MORBIDITIES AMONG WORKERS OF ADHESIVE TAPE INDUSTRY IN INDIA
Authors: Mhalshekar Sweta , Mhalshekar Vishwaraj , Kunkolienkar Rudra
Published: July 2024

Introduction

The workers working in the adhesive tape industry are exposed to harmful effects of chemical and pollutants. Workers in these industries face severe health consequences due to exposure to pollution, handling and storing wastes, and continuous exposure to loud noise and bright light. The study aims to assess selected morbidities in an adhesive tape industry in India

Materials and Methods

The retrospective record-based cross-sectional study was conducted over 3 months. Data was obtained from periodic medical examination of employees and included socio-demographic characteristics and details regarding selected morbidities among the workers. SPSS Version 23 was used for data analysis and Chi-square test was used to assess associations between qualitative variables.

Results

Among 127 workers analyzed, all were males. It was observed that 11.02% had hypertension, 25.1% were overweight with BMI >25, 4.7% had defects in far vision, 9.4% had defects in near vision, 4.7 % had deranged blood sugars with random blood sugar >200mg/dl and 3.9% had abnormal liver function tests, 18.2% had pulmonary function abnormalities and 4.2% had abnormal audiometry findings.

Discussion

Adhesive tape industry workers suffered from various occupational health problems such as hearing deficit, visual impairment and pulmonary function abnormalities as well as lifestyle diseases like diabetes, hypertension and obesity.

Conclusion

This study stresses the need for regular health surveillance of workers to detect any deviations from heath along with information, instruction and training on use of appropriate PPE. Lifestyle modifications such as exercise and healthy diet should be inculcated amongst the workers to prevent non communicable diseases.
O-164 ETHICAL CHALLENGES OF HEALTH ACCESS FOR MIGRANT WORKERS
Authors: Koh David , Low Shiong Wen , Chua Hillary , Lee See Muah
Published: July 2024

Introduction

Unskilled/semi-skilled migrant workers are relatively/absolutely incapable of protecting their interests. They are often vulnerable because of language barriers, unfamiliarity with local laws, separation from families, and dependency on employers for their welfare needs e.g. accommodation, medical expenses.

Methods

We examined laws/guidelines relating to healthcare access for migrant workers in Singapore and discussed the ethical challenges.

Results

Migrant workers have the same right to give consent/refuse healthcare under the Mental Capacity Act and the Singapore Medical Council’s Ethical Code and Guidelines, as other capacitous adults. For non-occupational related illnesses, their access to healthcare is tempered by cost considerations. Migrant workers do not enjoy the same healthcare subsidies as Singapore residents and their families usually cannot afford treatment. Employers are obligated to pay for their medical insurance. Once insurance payout limits are reached, employers are liable for out-of-pocket expenses. Under existing regulations, employers may also exercise the right to repatriate their workers (once stabilized and fit to return home).

Discussion

Doctors must uphold the duty of confidentiality unless patient consent is given for disclosure of medical information. An ethical issue is that migrant workers would find it challenging to withhold details of their medical condition from employers, who may exert significant influence over workers’ decisions because they are paying for treatment.

Conclusion

Migrant workers are transient, serving an economic imperative with no long-term stake in citizenship. We posit that each country should find a balance between its approach to healthcare spending, public interest in migrant-assisted economic growth, and the individual welfare interests of migrant workers.
O-168 RELATIONSHIP BETWEEN WORK WITH NIGHT SHIFTS AND SELF-RATED HEALTH
Authors: Hino Yuki , Nagata Tomohisa , Odagami Kiminori , Adi Nuri Purwito , Mori Koji
Published: July 2024

Introduction

Self-rated health of workers with night shifts may be lower when their regular life is disturbed. The previous studies have shown that the results are not consistent. This study aimed to examine the relationship between work with night shifts and self-rated health.

Methods

We conducted an online self-administered questionnaire survey to workers aged 20 years or older in Japan. (cross-sectional study) A total of 27693 subjects were included in the analysis. The explanatory variable was work with night shifts. Outcome variable was self-rated health. Odds ratios (95%CI) of poor self-rated health of workers with night shifts compared to workers without night shifts were calculated using logistic regression analysis. We adjusted for age, gender, household income, and industry (Model1), plus sleeping hours and sleep quality (Model2). This study was approved by the Ethics Committee of UOEH.

Results

Of the 27,693 subjects, 4,513 (16.3%) were workers with night shifts. The odds ratios of workers with night shifts were 1.22 (1.13-1.33) for Model1 and 1.12 (1.03-1.22) for Model2, compared to workers without night shifts.

Discussion

There was a relationship between work with night shifts and self-rated health. Our result suggested sleep influences the relationship. However, we also found a statistically significant relationship even after adjusting for sleep. One reason may be that irregular lifestyles increase effects of physical and psychological subjective symptoms and disruption of healthy lifestyle such as diet, exercise.

Conclusion

We need to help workers with night shifts get to sleep and further investigate other factors.