bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-091 STRUCTURED APPROACH IN STANDARDIZING PRACTICES FOR EXPOSURE MANAGEMENT: A SUCCESSFUL EXPERIENCE
Authors: Naik Rishikesh 
Published: July 2024

Abstract

Introduction
A Group is committed to the prevention of occupational diseases and the protection of health of our workforce. The Group’s footprint has expanded to 34 countries around the world with differing legislations and stakeholder awareness in the area of exposure assessment and management. Different service providers were carrying out exposure assessment with different reporting which was troublesome in compiling and comparing exposure status for different manufacturing locations.

Methods
Industrial Hygiene function was established at group level. Eventually it led to standardization of practices viz releasing group wide technical standards, approved service partners with required capabilities and competencies, approved and contracted accredited laboratory, standardized format for reporting observations and sampling results, usage of software.

Results
More than 250 reports of QLEAs and QNEAs were received for sites with this new approach, which are now technically reliable and comparable across businesses and geographies. Analysis and presentation to decision makers turned sharp and got required attention. Generating solutions was now on a bigger scale and helped getting results.

Discussion
While exposure assessment is done by experts from different backgrounds, it is essential that their observations and interpretation is channelised in a common format. This has led to reduced efforts in analysis and implementing hierarchy of controls and generating examples of controlling exposure included in presentation.

Conclusion
Like any other management system, Industrial hygiene and exposure management also require structured efforts and leadership support. This experience has helped to understand that apart from technical expertise, streamlining data flow and standardization of practice helps makes the analysis more palatable and leads to controls.
P-093 OCCUPATIONAL RISK MANAGEMENT IN A COLOMBIAN UNIVERSITY THROUGH ACADEMIC-SCIENTIFIC INTEGRATION WITH THE ACADEMY
Authors: Rincón Sarmiento Juan Ignacio 
Published: July 2024

Abstract

Introduction
Universities are institutions that manage many occupational risks, both in their mission activities and in their support work. The National University of Colombia, in Bogotá, has a daily population of approximately 40,000 people, including students, faculty, administrative staff, support staff, contractors and visitors.

Methods
Given that our university has expert faculty and students in training in multiple disciplines related to occupational risk management, several alliances have been established that are of interest to our Division of Occupational Safety and Health.

Results
As of 2019, we have had the support of 4 faculties to intervene in critical aspects for the management of occupational risks: Faculty of Medicine, Human Sciences, Nursing and Engineering. At present, our students carry out several of the business practices of their academic programs in our own university, which represents a facility for them, while letting them learn administratively of the university and about the environment of work. On the other hand, through this strategy, workers value and recognize the work of students from their own institution.

Discussion
It is essential to seek strategic alliances in the management of occupational risks in highly complex institutions such as universities. Additionally, the variability of spaces constitutes an ideal environment for students’ business practices.

Conclusions
The integrated management of occupational risks and the proximity to the knowledge provided by academia is important in universities. This model can be implemented in other universities, especially in those of large size or complexity.
P-094 TAKING OCCUPATIONAL HISTORY INTO ELECTRONIC DATABASE IN PUBLIC HEALTH, THE KEY TO THE INTEGRATION OF TWO DIFFERENT SYSTEMS; OCCUPATIONAL VERSUS PUBLIC HEALTH
Authors: Paek Domyung , Zoh Kyung Ehi , Kim Yongho , Kang Mo-Yeol , Kim Jungwon , Yoon Jin-Ha , Choi Eunsuk , Park Dong-Uk , Lee Yun-Keun , Yoon Kanwoo 
Published: July 2024

Abstract

Introduction
In Korea, occupational health is under the jurisdiction of the Ministry of Labor, and public health is organized by the Ministry of Health and Social Security.

Methods
Separation of two systems has resulted in quite an inefficiency, and even though the cancer registry program covers completely nationwide, there is no case of occupational cancer identified yet in the registry. A pilot study of integration was carried out to find out huddles and strategic turning points in integrating occupational and public health systems together.

Results
From the pilot study in hematologic oncology clinics, four major difficulties were identified; no utility of occupational history in clinical practice, privacy and confidentiality, time constraints in busy settings, and no standardized approaches for history taking. In a clinical setting, occupational information is not asked mainly because of ‘no apparent or immediate benefit of the information to patients and staff’ in diagnosing and managing the diseases. Instead, issues of personal privacy of the patients, and difficulties in rapport formation in time-squeezing situations for the staff were raised as the hindrance to the occupational history taking. Up to now, even though Electronic Medical Records include occupation as an item of nursing assessments, there has been no standardization in its contents and depth.

Discussion
We have prepared and validated a standardized approach for the breadth and depth of occupational history taking, and are now trying to tweak the current public and occupational health systems to include the validated approach into their practices.

Conclusion
The progress will be presented in the 2024 ICOH meeting.
P-096 THE ITALIAN “PARAMETRIC, (H)OLISTIC, PROFITABLE” (POP) TREE MODEL OF THE OCCUPATIONAL MEDICINE IN THE TOTAL WORKER HEALTH® APPROACH FOR THE SAKE OF WORKFORCE AND THE ORGANIZATION
Authors: Di Prinzio Reparata Rosa , Vinci Maria Rosaria , Camisa Vincenzo , Santoro Annapaola , Dosi Alessia , Ceresi Bianca , Dalmasso Guendalina , Raponi Massimiliano , Zaffina Salvatore 
Published: July 2024

Abstract

Introduction
The occupational physician (OP) is a global advisor of the employer for aspects concerning the workers’ health.

Methods
Beyond the assessment of occupational risks, the OP has been enriched in recent decades with innovative skills and responsibilities, which span in the field of prevention and promotion of worker’s wellbeing.

Results
The occupational health service is depicted by the “POP tree” –Parametric, (h)Olistic, Profitable– with three main branches regarding ergonomics, psychological well-being, and workplace health promotion (WHP). Well-being indicators (e.g., absenteeism, limitation in the fitness-to-work) showed its effectiveness and profitability.

Discussion
In the difficult task of mediator between the social partners (employer and workers), the OP has become a true pillar of the corporate organizational structure capable of exercising control over workers’ health, becoming the disability manager and the WHP manager. Personalized prevention and health promotion initiatives have a positive impact not only on workers’ wellbeing but also and above all on the organizational climate and corporate wellbeing. Tailored occupational medicine can help increase workers’ loyalty to the top management with relevant positive effects on productivity. The collaboration of the OP with important corporate professional figures (e.g., HR managers, psychologists) empowered the workforce health and the organization profit as well. The team game led by the OP enhanced the real effectiveness of WHP programs as shown in the econometric analyses. The Return on Investment registered after one year established a profit ranged from 2-27 times.

Conclusion
Strengthening the worker’s all-round wellness raises positive engagement vibes, which leads to better organizational well-being and increasing productivity.
O-057 DEVELOPING A GLOBAL GUIDELINE FOR BEHAVIOUR-BASED HEALTH PROGRAMS TARGETED AT CONTROL AND PREVENTION OF INFECTIOUS DISEASES AT NON-HEALTH SECTORS
Authors: Joseph Olajumoke 
Published: July 2024

Abstract

Introduction
Infectious diseases which have been a cause of great morbidity and mortality to both humans and animals, are known to significantly increase man-hours lost, medical bills, and reduce productivity, which in turn leads to great profit loss for organizations. In recent times the emergence and re-emergence of highly infectious pathogens such as Ebola virus, Zika virus, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Marburg virus, Monkeypox virus, Lassa fever virus, Bacillus anthracis, and Corynebacterium diphtheriae has been on the observed.

Methods
From animal – human (zoonotic pathogen), and human – human transmission, the various means of spread and the necessary methods of control and prevention are information well known among most health workers, due to academic training, and the intense health promotion programs that are often carried out for workers in this sector.

Results
All workers have an equal right to good health and the basic knowledge of the various methods of control and prevention of infectious diseases at their workplaces. It is sadly observed that there is a huge dearth in awareness/ understanding of this subject among non-health workers.

Discussion
This identified area of neglect of workers in non-health sectors has been revealed to lead to their poor response to/ uptake of crucial health interventions.

Conclusion
Hence, developing a global guideline for behavior-based health programs targeted at control and prevention of infectious diseases at non-health sectors is urgently required to ensure the protection of these categories of workers, and ultimately promote vision zero in every organization.
O-060 EXPLORING SEX DIFFERENCES IN LUNG CANCER RISK AMONG A LARGE COHORT OF ONTARIO, CANADA WORKERS
Authors: Sritharan Jeavana , Christopher Gabriella , Eros Fanni , Demers Paul 
Published: July 2024

Abstract

Background
While occupational exposures are known to contribute to lung cancer risk, there is less known about sex differences, specifically regarding the risk among female workers. This study aimed to explore sex differences in lung cancer risk across occupational groups, with a focus on female workers.

Methods
A cohort of approximately 2.37 million workers with lost-time compensation claims were linked to the Ontario Cancer Registry and followed until lung cancer diagnosis, age 85, emigration, death, or end of follow-up (Dec 31, 2020). Cox proportional hazards models were used to estimate sex-specific hazard ratios (HRs) and 95% confidence intervals (CIs) for lung cancer by occupational group, adjusted for birth-year and age and indirectly adjusted for cigarette smoking.

Results
A total of 12,216 and 30,291 incident lung cancer cases were identified among females and males, respectively. Several occupations demonstrated stronger associations for lung cancer in females, with a more than 20% increased risk compared to males. These occupations at the major level include mining and quarrying (HR=3.05, 95%CI=1.37-6.78); materials processing (chemical, petroleum, rubber, plastic) (HR=1.35, 95%CI=1.19-1.52); wood processing (HR=1.87, 95%CI=1.22-2.87); metal machining (HR=1.56, 95%CI=1.21-2.00); metal shaping and forming (HR=1.46, 95%CI=1.32-1.62); mechanic and repair work (HR=1.39, 95% CI=1.04-1.85); and printing (HR=1.51, 95%CI=1.30-1.75).

Discussion and conclusion
Findings demonstrate a stronger association of lung cancer risk in blue collar occupations among female workers when compared to male workers. Findings may be due to sex differences in various factors that impact risk, such as occupational exposures, use and effectiveness of personal protective equipment, and other biological/lifestyle factors.
O-063 ENDOCRINE DISRUPTING CHEMICALS AND COLORECTAL CANCER – AN ANALYSIS OF FOUR PARTICIPATING COHORTS OF THE CANADIAN PARTNERSHIP FOR TOMORROW’S HEALTH STUDY
Authors: Pelland-St-Pierre Laura , Verner Marc-André , Lavoué Jérôme , Koushik Anita , King Will , Sylvestre Marie-Pierre , Mayrand Marie-Hélène , Richardson Harriet , Drummer Trevor , Siemiatycki Jack , Ho Vikki 
Published: July 2024

Abstract

Introduction
Endocrine disrupting chemicals (EDCs) may influence cancer risk by interfering with sex hormone signaling but their role in colorectal cancer (CRC) etiology is under-explored. EDCs are ubiquitous in the general environment, but exposure levels are much higher in some workplaces.

Methods
Occupational EDC exposure in relation to CRC was examined in the Canadian Partnership for Tomorrow’s Health, a collaboration of six Canadian regional cohorts, including 330,000 participants aged 30-74 at baseline. Among four regional cohorts with enough cases for inclusion, a case-cohort approach was used, which included 1,087 cases that were diagnosed during follow-up (2009-2020) and a representative sub-cohort of 4,895 participants. Based on participants’ reported longest-held job, exposure to EDCs of estrogenic (arsenic, BPA, cadmium, copper, PCBs), anti-estrogenic (arsenic, lead, PCBs) and anti-androgenic (arsenic, BPA, lead, phthalates, toluene) mode of action was estimated using the Canadian Job Exposure Matrix. Odds ratios and 95% confidence intervals were estimated separately for the four regional cohorts and then pooled using a random-effects model.

Results
Compared to those never exposed, participants exposed to BPA (OR=1.70, 95%CI: 1.20-2.41) or 2+ anti-estrogenic EDCs (OR2 EDCs=1.48, 95%CI: 1.09-2.01; OR3 EDCs= OR=17.23, 95%CI: 0.79-375.52) had elevated odds for CRC while an inverse association was observed for cadmium. Substantial heterogeneity was observed across provincial regions.

Discussion and conclusion
Among EDCs considered, exposure to BPA and multiple anti-estrogenic EDCs in the workplace were associated with elevated risk for CRC. However, conclusions should be tempered given the heterogeneity between the four regional cohorts, low study power for some of the analyses and multiple comparisons.
O-066 OCCUPATIONAL EXPOSURE TO NICKEL OR HEXAVALENT CHROMIUM AND THE RISK OF LUNG CANCER (SYNERGY)
Authors: Behrens Thomas , Ge Calvin , Vermeulen Roel , Kendzia Benjamin , Olsson Ann , Schüz Joachim , Kromhout Hans , Siemiatycki Jack , Straíf Kurt , Brüning Thomas 
Published: July 2024

Abstract

Background
Limited evidence exists on the exposure-response relationship of hexavalent chromium (Cr(VI)) or nickel with lung-cancer risk. We estimated lung-cancer risks based on quantitative indices of occupational exposure to each metal, and their interaction with smoking habits.

Methods
Fourteen case-control studies from Europe and Canada (16,901 cases, 20,965 controls) were pooled. A measurement-based job-exposure matrix was used to estimate year- and region-specific exposure levels for Cr(VI) and nickel, which were linked to the study subjects’ occupational histories. Odds ratios (OR) and 95% confidence intervals (CI) were calculated, adjusting for study, age group, smoking, and exposure to other occupational lung carcinogens.

Results
The OR for the highest quartile (&gt;99.5 μg/m3-years) of cumulative exposure to Cr(VI) in men was 1.32 (95% CI 1.19-1.47) and for nickel (highest quartile &gt;78.1 μg/m3-years) OR=1.29 (95% CI 1.15-1.45). Corresponding results in women were: 1.04 (95% CI 0.48-2.24) and 1.29 (95% CI 0.60-2.86). In men, increased lung-cancer risks from occupational Cr(VI) and nickel exposure were also observed in each stratum of never, former, and current smokers. The joint effects of Cr(VI) and nickel with smoking were generally greater than additives.

Discussion
Strengths of our analysis include a large study population, detailed individual information on smoking habits, and exposure assessment by a comprehensive, measurement-based job-exposure matrix. However, we cannot rule out a combined classical measurement and Berkson error structure that may have caused bias in our risk estimates.

Conclusion
In conclusion, relatively low cumulative levels of occupational exposure to Cr(VI) and nickel were associated with increased ORs for lung cancer, particularly in men.
O-067 CANCER AND MORTALITY OF QUEENSLAND COAL MINE WORKERS AUSTRALIA
Authors: Glass Deborah , Gwini Stella , Monaco Anthony Del , Sim Malcolm 
Published: July 2024

Abstract

Introduction
Following a health survey of coal mine workers in 1982, mandatory preemployment and periodic medicals were introduced for Queensland coal mining sector. Coal mine workers now have medicals at least 5-yearly and the data are reported to Resources Safety and Health Queensland.

Methods
The medical registration data since the medical program started were used to form a cohort of coal mine workers, including 164,622 men and 24,389 women. The cohort was linked to the Australian death and cancer registries. The coal mine workers were grouped into opencut, underground and coal handling preparation plant workers and within these mine types by job.

Results
Risks of overall mortality and cancer incidence, and major causes of death and types of cancer were assessed for the group as a whole, and separately for men and women. Analyses were also carried out for specific job groups such as underground miners, dragline operators and groups of workers such as open cut maintenance workers. Risk was investigated in respect of measured exposure to respirable dust, respirable silica and diesel engine exhaust. Cancer and mortality rates were compared to the general population age standardized rates and within the cohort. The latter comparisons were adjusted for smoking status and age. These findings will be available at the Congress.

Discussion
A major strength of the study, unlike most occupational cohorts, is the availability of smoking data for over 99% of the cohort.

Conclusion
The findings are particularly important as some coal mine workers have exposure to silica and diesel engine exhaust, two known carcinogens.
O-076 PREDICTORS FOR RETURNING TO WORK AFTER SICK LEAVE DUE TO MUSCULOSKELETAL CONDITIONS: A COMPARATIVE STUDY AMONG DIFFERENT DISORDERS AND INJURIES
Authors: Silvestre João , Fischer Frida 
Published: July 2024

Abstract

Introduction
Musculoskeletal disorders and injuries (MSDI) are the leading causes of work disability in Brazil.

Objective
To analyze predictors for return to work (RTW) after sick leave due to musculoskeletal disorder or injury.

Methods
A longitudinal study conducted in São Paulo between 2021-2022, among 216 workers on sick leave requesting a social security benefit due to MSDI. Participants answered questions about sociodemographic, occupational features, and clinical information. Logistic regression was performed to study predictors for RTW within one year of sick leave.

Results
Among 122 participants on sick leave due to disorders, mean age was 43 years (SD 9.48); RTW was 63.9%, mean RTW was 158 days (SD 88.4). Multiple analysis showed predictors for RTW were: age &gt; 40 years (OR4.15; 95%CI 1.66-0.37) and regular physical activity (OR4.14; 95%CI 1.25-13.71), adjusted for sex. Among 94 participants on sick leave due to injury, mean age was 34.7 years (SD 10.3). RTW was 78.7% and mean time to return was 129 days (SD 77.2). Predictors for RTW were age &gt; 40 years (OR 6.00; 95%CI 1.37-26.2) and low RTW self-efficacy (OR 4.76; 95%CI 1.16-19.49), adjusted for sex and education.

Discussion and conclusion
People injured returned more often and earlier than those with musculoskeletal disorders. Older workers reporting lower self-efficacy were more likely to return among the disorder’ group; and non-sedentary older workers were more likely to RTW among those in injury group. This profile can help OSH professionals to better plan RTW process aiming on workers under risk for longer absenteeism. Acknowledgments: CNPq 423231/2018–9, 304375/2017–9, 306963/2021–3.
O-078 THE ASSOCIATION BETWEEN HEAVY PHYSICAL WORKLOAD AND ISCHEMIC HEART DISEASE MORTALITY AMONG MIDDLE AGED AND OLDER SWEDISH MEN
Authors: Kjellberg Katarina , Almroth Melody , Falkstedt Daniel , Hemmingsson Tomas 
Published: July 2024

Abstract

Introduction
Earlier studies show inconsistent results regarding effects of heavy physical work on ischemic heart disease (IHD) mortality. The aim was to examine the association between heavy physical workload at 54-56 years of age and IHD mortality among men 55-71 years of age, while accounting for early life factors such as socioeconomic position during childhood and health, cognitive ability, lifestyle factors including smoking measured during young adulthood, as well as later educational level and job control.

Methods
The study is based on a register linked cohort of 46 565 men who conscripted for military service in Sweden 1969-1970. Physical workload was measured using a job-exposure matrix linked to their registered occupation in 2005. Mean values of a composite physical exposure variable based on eight different physical exposures were categorized into quintiles. The men were followed regarding IHD deaths between 2006-2020.

Results and discussion
Increased relative risk of deaths in IHD were found among workers exposed to high (HR 2.64, CI 95% 2.05-3.39), medium-high (HR 2.74, CI 95% 2.13-3.51), medium (HR 1.81, CI 95% 1.39-2.36) and medium-low (HR 1.41, CI 95% 1.07-1.86) levels of physical workload, compared with those exposed to a low level. The increased risks remained but were clearly attenuated after adjustments for pre-labour market factors, education and job control.

Conclusion
Men in physically heavy jobs during their later working life are at higher risk of IHD death than men in physically light jobs. Preventive measures at workplaces to reduce the physical workload for older employees in manual jobs are crucial to prevent inequalities in mortality.
P-099 THE RISK OF BETA-2-MICROGLOBULINURIA INCREASES WITH THE BLOOD CADMIUM LEVEL IN JAPANESE CADMIUM WORKERS
Authors: Hoshino Kento , Iwasawa Satoko , Nakashima Hiroshi , Yoshioka Noriyuki , Suzuki Satoko , Miyoshi Yuka , Sakamoto Takahiro , Hashimoto Itsumi , Tsunoda Masashi 
Published: July 2024

Abstract

Introduction
The kidneys, especially the proximal tubules, are most sensitive to cadmium. The objective of this study was to elucidate the relationship between occupational exposure to cadmium and renal damage in Japanese cadmium workers.

Methods
A dataset of 4080 cases was collected from nickel cadmium battery plants between 1997 and 2020. Blood cadmium (Cd-B) was used as an exposure indicator and urinary β2-microglobulin (B2M-U) as an indicator of renal damage. Cd-B &lt; 1 μg/L was set as the control and ≥ 1 μg/L as the 5 quintiles of exposure groups (&lt; 1.51, &lt; 2.11, &lt; 2.81, &lt; 4.12, and ≥ 4.12). β2-microglobulinuria was defined as exceeding 360 μg/gCr, which was calculated from the mean + 2SD of B2M-U of the control. The Cd-B groups, age, urinary cadmium, smoking, and sex were analyzed for the odds ratio of β2-microglobulinuria using a multivariable logistic regression model.

Results
Among the 4080 cases, 267 (6.5%) had β2-microglobulinuria, composed of 11 (2.3%) in the control and 256 (7.6%) in the exposure group. The significant increases in adjusted odds ratio for β2-microglobulinuria compared to the control were observed in the groups higher than the central group of the quintile.

Discussion
Increased odds ratios for β2-microglobulinuria were observed in the groups with Cd-B of 2.1 μg/L or higher in the Japanese plants. Because high B2M-U is an independent risk factor for rapid decline in eGFR, improved management is recommended in Japanese cadmium plants. ù

Conclusion
A significant increased risk of β2-microglobulinuria was observed at high Cd-B levels among Japanese cadmium workers.