bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-024 EBOLA IN GUINEA: ASSESSMENT OF THE EXPOSURE OF HEALTHCARE PERSONNEL IN CARE STRUCTURES
Authors: Sangare Gbato 
Published: July 2024

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.
P-036 PROCODE: A WEB APPLICATION FOR CODING AND RECODING OCCUPATIONS AND ECONOMIC ACTIVITIES
Authors: Chettou Hasnaa , Charreau Thomas , Schaufelberger Sylvain , Faivre Vincent , Canu Irina Guseva 
Published: July 2024

Abstract

Introduction
Epidemiological studies require coded occupational data. Standardized classifications of occupations and economic activities contain hundreds of options, raising misclassification concerns. We developed an application, PROCODE, for coding raw occupational data and transcoding them between different classifications. The 1st PROCODE version using the Complement Naïve Bayes (CNB) machine-learning algorithm had 60-75% accuracy, depending on the classification used and digit number. We aimed at improving PROCODE performance.

Methods
Through a tight collaboration with software developers and data-manager, we sought to clarify the application’s architecture and structure it into several procedural levels, depending on the quality of the databases used to train the CNB algorithm, the quality of the input data and the user’s expertise

Results
The current version distinguishes between three procedural levels. 1-If the complete title of the occupation to be coded exists in one of the validated databases, PROCODE assigns the corresponding code. 2-If not, PROCODE segments the title terms, identify the key-terms, corrects certain errors and interrogates the algorithm to identify the codes resulting from machine learning. 3-If this fails, PROCODE replaces the key-terms by terms from each key-term definition and re-queries the algorithm.

Discussion
The use of artificial intelligence, such as ChatGPT, is envisaged to enrich existing databases and improve the training of the algorithm. The optimization of natural language processing can be also considered

Conclusion
These developments should enhance PROCODE’s performance, particularly in terms of result accuracy and precision. The new version will soon be used to code occupations and activity sectors in the Swiss Health Study and other population-based cohorts.
O-028 MUSCULOSKELETAL DISORDERS AS A WORK-RELATED RISK FACTOR OF UNFITNESS FOR WORK: A CROSS-SECTIONAL STUDY OF 1,327,540 WORKERS IN OCCITANIA, FRANCE
Authors: Pucci Chiara , Dell’Omo Marco , Lesage François-Xavier , Murgia Nicola , Annesi-Maesano Isabella 
Published: July 2024

Abstract

Introduction
Much has been published on occupational musculoskeletal disorders (MSDs), while little notion exists regarding the relation between MSDs and complete unfitness for work.

Methods
Data collected from September 2019 to August 2020 from 24 of the 27 SSTI (Intercompany occupational health services) in Occitania (France) during health surveillance visits allowed to study the determinants, pathologies included, of unfitness for work.

Results
Of the 1,327,540 workers monitored, 8,374 were found to be unfitted for work. In both sexes, MSDs ranked second as determinants of unfitness (n= 2,747, 40.6%), after mental and behavioral disorders. However, in blue collars, MSDs were found to be the most frequent pathologies (n= 992, 36.1%). ICD-10 classification showed low-back pain as first cause in both sexes (women=451, 29.3%; men=434, 35.9%). In a multivariate model, age (Odds ratio (OR) 1.044, 95% confidence interval (CI) 1.040-1.048), female gender (OR 2.09, 95% CI 1.90-2.28), permanent contract (OR 4.25, 95% CI 3.61-5.0) and blue collar’s job category compared to white collars (OR 2.49, 95% CI 2.28-2.73) proved to be significant in increasing the risk of develop unfitness for work related to MSDs.

Discussion
Our study was able to confirm the risk factors associated with unfitness for work related to MSDs, particularly for certain job categories.

Conclusions
In order to protect workers’ health and fitness for work, prevention with regard to MSDs is confirmed as fundamental and occupational physician could play a crucial role in this action.
O-029 ASSESSING WORK-RELATED CHALLENGES AND WORK ABILITY AMONG YOUNG DOCTORS
Authors: Sellami Imen , Es-Saffar Salim , KOUKI Mohamed Bilel , Masmoudi Mohamed Larbi , Hajjaji Mounira , Hammami Kaouthar Jmal , Masmoudi Afif 
Published: July 2024

Abstract

Introduction
Concerns are mounting regarding the well-being of young doctors due to the challenges they encounter during their training. This study aims to assess the professional obstacles young doctors face, and explore how these factors impact their work ability and career fulfilment.

Methods
In a cross-sectional study spanning from February to May 2023, we involved 304 young doctors working in Tunisian healthcare settings. Socio-demographic, clinical, and work-related data were gathered. We gauged professional well-being using short professional quality of life scale and the work ability using the Work Ability Index (WAI).

Results
Among respondents (average age 27±2 years, 59% female), 77% were residents, predominantly in university hospitals (82%). They averaged 56 working hours and 5.5 24-hour shifts monthly. A significant 32% faced a high risk of burnout, while 84% reported fatigue and 43% suffered severe psychological distress. The WAI indicated reduced work capacity in 18%. Factors linked to diminished work ability included youth, male gender, addictive behaviors, workload, an unfavorable work environment, and inadequate training quality.

Discussion
This study underscores the profound impact of young doctors’ health, particularly their psychological well-being, and adverse working conditions on their overall work ability. The findings emphasize the necessity for interventions aimed at addressing these issues and improving the workplace environment for young doctors.

Conclusion
Young doctors’ work ability is profoundly affected by their health, working conditions, and their subsequent impact on overall well-being. This study furnishes critical insights to guide interventions and preventive strategies for enhancing the well-being and work ability of young doctors in the medical field.
P-037 FEASIBILITY OF A PILOT ELECTRONIC DATA COLLECTION WITH MIGRANT AND SEASONAL FARMWORKERS IN IOWA
Authors: Corwin Claudia , Dukes Kimberly , Wendt Linder , Subramain Maran 
Published: July 2024

Abstract

Introduction
Including migrant farmworkers (MFW) in research is essential to delivering culturally appropriate health and public health interventions. Little is known about MFWs’ willingness to engage in research and the feasibility of data collection methods for this group.

Methods
This pilot study investigated the feasibility of surveying MFW using cellphone technology. We recruited 50 MFW to participate in automated text messaging surveys for 4-12 weeks. Participants received 4 questions per week, including mental health questions adapted from the Generalized Anxiety Disorder Scale (GAD2) and the Patient Health Questionnaire (PHQ2), and healthcare access questions developed by the authors.

Results
49 participants answered text messages. 35 participants (70%) continued responding 12 weeks after enrollment or later, while 6 (12%) stopped participating by 4 weeks. Responses declined significantly over time (Weekly OR = 0.87, 95% CI 0.85-0.90, p &lt; 0.001), but there were no significant differences in declines between mental health questions and other questions (p = 0.7).

Discussion
This study aimed to determine the feasibility of engaging 50 MFW in research using mobile texting technology. We were able to recruit 50 participants and sustain participation over time. Waning participation was likely related in part to the reality MFWs live a mobile lifestyle, have limited access to stable mobile technology and are engaged in nearly around the clock work. Importantly, academic institutions do not optimally enable the administration of community engaged research with hard-to-reach populations.

Conclusion
Engaging MFW in research using mobile technology is challenging but feasible.
P-044 WORK-RELATED DISEASES AND JOB OUTCOMES OF CALL CENTER OPERATORS
Authors: Bechrifa Emna , Khouja Nihel , Baraketi Emna , Ismail Saloua , Belkahla Amira , Fatma Naourez Ben , Hsinet Jihen , Benzarti Aida 
Published: July 2024

Abstract

Introduction
Call Center Operators (CCOs) play a crucial role in modern customer service sectors. However, their work environment exposes them to challenges that may impact their health and well-being.

Objective
To study the impact of morbidities observed in teleworkers on their medical fitness for work.

Methods
A retrospective descriptive study was conducted, involving CCOs who consulted the Occupational Medicine Department over an eight-year period (January 2015 to June 2023).

Results
We included 80 patients with an average age of 36.24 ± 6.83years, a sex ratio of 0.51, and mean job tenure of 8.29±4.34years. The most prevalent challenges reported by the CCOs were lack of autonomy (90%), repetitiveness (80%), unsatisfactory relationships with clients (20%), difficulties in dealing with their hierarchical superiors (52.5%) and ergonomic constraints (41%). Environmental noise affected 47.5% of the participants, and 25% of CCOs indicated intolerance to wearing headsets. The main diseases encountered were anxiety and depressive disorders (46%), sensorineural hearing loss (34%), isolated tinnitus (9%), and visual impairments (4%). Absenteeism was reported in 33.8% of cases. Workstation adjustments were made for 42.5% of participants, including calls barring (21.5%) and schedule adjustments (52.5%). Moreover, 36% were considered permanently unfit for the CCOs position and underwent job reassignment.

Discussion
Despite their relatively young mean age, the encountered pathologies among CCOs are diverse and severe underscoring the need for proactive interventions to safeguard their health and well-being

Conclusion
The study highlights the significance of implementing regular occupational health surveillance, and collective preventive measures for CCOs.
P-047 ASSESSING THE WORK ABILITY IMPACT OF COVID-19 INFECTION ON HEALTHCARE WORKERS
Authors: Sellami Imen , ABBES Anwar , Halweni Hayfa , Haddar Aicha , Hrairi Anouare , Daoud Hanen , Hammami Kaouthar Jmal , HAJJAJI Mounira , Masmoudi Afif , Masmoudi Mohamed Larbi 
Published: July 2024

Abstract

Introduction
The impact of COVID-19 on healthcare workers (HCWs) encompasses both their health and work ability. This study aims to evaluate how COVID-19 infection influences the work ability of HCWs.

Methods
A cross-sectional study was conducted among HCWs at CHU of Sfax, infected with COVID-19 from January to June 2021. Post-COVID follow-up consultations employed a questionnaire to gather socio-demographic, professional, infection, and return-to-work data. Work Ability Index (WAI) scale assessed infection’s work ability impact. Anxiety and stress were screened using the Depression, Anxiety, and Stress Scale.

Results
The study included 200 HCWs, of whom 33.5% had direct contact with COVID-positive patients. Mean time off work was 14.59 days, with 33% returning after 10 days. Upon return, 66% faced job-related challenges, 4% benefited from modified workplaces, and 28.5% took medical leave. Work ability was poor for 23.5%, moderate for 39.5%, good for 33%, and excellent for 4% of HCWs. Better work ability correlated with improved health perception, physical activity, and lower anxiety and stress scores.

Discussion
The study reveals COVID-19’s substantial impact on HCWs’ work ability. Challenges upon return to work, variable work ability levels, and correlations with health perception and anxiety underscore the need for tailored support measures.

Conclusion
This study underscores the significant influence of COVID-19 on the work ability of healthcare workers. Challenges upon reintegration, diverse work capacity levels, and connections with health perception and anxiety emphasize the requirement for customized support strategies.