bluuebunny/crossref_metadata_2025_split huggingface dataset:
SS40-04 BASIC OCCUPATIONAL HEALTH SERVICES (BOHS) IN IRAN: OVERVIEW OF STATE OF THE ART
Authors: Tabibi Ramin 
Published: July 2024

Abstract

Introduction
Around half of the world’s people are economically active and spend at least one third of their time in their place of work while only 10-15% of workers have access to basic occupational health services (BOHS). Health indicators in Iran have consistently improved during the last decades, to the extent that they are comparable with those in developed countries. In this study, BOHS available to workers in Iran have been described.

Methods
The healthcare system in the country and the status of occupational health services to the workers and employers, the integration into primary healthcare (PHC) and outlining the challenges in provision of occupational health services to the working population were investigated.

Results
Iran has good health indicators. More than 85% of the population in rural and deprived regions, have access to PHC services. The PHC centres provide essential healthcare and public health services for the community. Providing, maintaining, and improving of the workers’ health are the main goals of occupational health services in Iran.

Conclusion
Although Iran has developed in most PHC facilities, there are still a few remote areas that might suffer from inadequate services. Collaboration with the private sector and training managers are among the obstacles. Strengthening national policies for health at work, promotion of healthy work and work environment, sharing healthy work practices, developing updated training curricula to improve human resource knowledge including occupational health professionals, are recommended.
Keywords: healthcare system, occupational health services, Iran
SS44-01 STAY-AT-WORK WITH CHRONIC MUSCULOSKELETAL PAIN CONDITIONS – AN INTRODUCTION
Authors: Keegel Tessa 
Published: July 2024

Abstract

Introduction
In most industrialized countries, life expectancy is increasing, and the age of retirement is rising. In response to this, it is important to keep the work force healthy and productive as they age.

Materials and Methods
This presentation will describe the concept of stay-at-work and how it differs from return-to-work.

Results
Chronic pain conditions such as musculoskeletal disorders (MSD) significantly contribute to the challenge of work participation, as the risk of chronic pain conditions escalates with age. To enable workers to stay-at-work for as long as they wish or need to, there is a need to implement forward-thinking, pro-active approaches.

Conclusions
There is an urgent need for better stay-at-work approaches. The importance of preventive practices for keeping workers with chronic pain in the workforce cannot be understated.
SS44-03 TRAINING FOR SUPERVISORS TO IMPROVE SUSTAINABLE EMPLOYMENT OF EMPLOYEES WITH A WORK DISABILITY: A LONGITUDINAL EFFECT AND PROCESS EVALUATION FROM AN INTERVENTION STUDY WITH MATCHED CONTROLS
Authors: Schaap Rosanne , Coenen Pieter , Zwinkels Wim , de Wolff Marianne , Hazelzet Astrid , Anema Johannes 
Published: July 2024

Abstract

Introduction
Supervisors play a crucial role in sustainable employment of employees with a work disability. The 'Mentorwijs' (literal translation: Mentorwise) training was developed to train supervisors in knowledge, attitudes and skills needed to guide these employees. This study evaluated the effect of 'Mentorwijs' on employees' employment and supervisors' behavioral outcomes.

Materials and Methods
Register- and questionnaire data were obtained from 73 employees and 1,526 matched controls to measure employment (≥ 1/month, ≥ 12 h/week and ≥ 3 consecutive months (≥ 1 h/month)) during a 12-month follow-up period. Questionnaire data were obtained from 127 supervisors who followed the 'Mentorwijs' training, to assess their knowledge, self-efficacy, intention to adopt and applied behaviors.

Results
Employment for ≥ 1 h/month did not significantly improve after 3 (β = 0.05; CI=-0.07-0.16), 6 (β = 0.07; CI=-0.04-0.18), 9 (β = 0.08; CI=-0.02-0.18) and 12 (β = 0.01; CI=-0.08-0.10) months among employees whose supervisors followed 'Mentorwijs' compared to those who did not. Significant effects were found after 8 months (β = 0.11; CI = 0.01-0.21). Comparable effects were found for employment ≥ 12 hour/week and ≥ 3 consecutive months (≥ 1 hour/month). Supervisors' knowledge and self-efficacy significantly improved as a result of 'Mentorwijs', but no effects were found for intention to adopt and applied behaviors.

Conclusions
'Mentorwijs' is a promising training to improve the guidance of employees with a work disability. Further research is needed to examine how long-term effects of 'Mentorwijs' on employment can be sustained.
SS45-01 LEGAL REQUIREMENTS FOR OCCUPATIONAL HEALTH AND SAFETY IN EMERGING COUNTRIES: THE CASE OF MOROCCO
Authors: Moha Aajli 
Published: July 2024

Abstract

Introduction
The labor legislation in Morocco underwent significant revision in 2004, marking a pivotal moment in the country's commitment to workers' rights.

Materials and Methods
This study analyzes the legal framework, specifically the labor code and its implementing texts, providing a comprehensive understanding of the regulatory landscape governing employment.

Results
A detailed examination of key provisions related to hygiene, safety, and occupational medicine reveals the legislation's emphasis on ensuring the well-being of workers.

Conclusions
The study concludes with an exploration of major questions arising from the current legal framework, paving the way for further discussions on potential improvements and the effective implementation of these regulations. This legislative review not only underscores Morocco's dedication to workers' welfare but also sets the stage for ongoing assessments of the regulatory landscape.
SS45-02 CHALLENGES FACED BY HUMAN RESOURCE MANAGEMENT (HRM) IN OCCUPATIONAL HEALTH AND SAFETY
Authors: Driss Soufiani 
Published: July 2024

Abstract

Introduction
In emerging economies, the predominant business entities are small- and medium-sized enterprises (SMEs), grappling with significant hurdles in adhering to occupational health and safety regulations.

Materials and Methods
This study combines a scrutiny of the legal framework with on-the-ground observations, providing a comprehensive analysis of the existing scenario.

Results
An exhaustive examination of the main challenges confronted by SMEs in implementing occupational health and safety laws sheds light on the intricacies of compliance.

Conclusions
The identified challenges underscore the imperative need for a reevaluation of both the legal framework and operational practices. This study advocates for a strategic revision to enhance the efficacy of existing laws and ensure their practicality for SMEs. The findings call for a proactive approach to address these challenges, fostering a safer and healthier working environment in emerging economies.
SS46-02 NETWORKING FOR WORKERS' HEALTH IN THE AMERICAS
Authors: Forst Linda 
Published: July 2024

Abstract
The Pan American Health Organization (PAHO) Workers' Health team promotes workers' health equity in the Americas by providing technical assistance to strengthen regulatory frameworks and the leadership of the health sector; promote workers' health and the development of safe, productive and healthy workplaces; prevent and register diseases, injuries and deaths at work; achieve access to universal healthcare and support critical economic sectors related to workers' health.
PAHO collaborates with a broad range of stakeholders to implement the Plan of Action on Workers' Health 2015-2025, using a Health in All Policies approach, responding to national, regional and global priorities for workers' health, and contributing to the achievement of the Sustainable Development Goals (SDGs) 1, 3, and 8.
This presentation will cover the activities of the WHO Collaborating Centres for Occupational Health in the PAHO region / Region of the Americas (AMRO).
SS46-03 THE COLLABORATION BETWEEN THE WORLD HEALTH ORGANIZATION (WHO) AND THE INTERNATIONAL COMMISSION ON OCCUPATIONAL HEALTH (ICOH)
Authors: Gagliardi Diana , Cannone Erika , Campisano Claudia , Giannitelli Maria , Boccuni Valeria 
Published: July 2024

Abstract
The International Commission on Occupational Health (ICOH) is the most ancient and largest professional association in the field of occupational health. ICOH is also a NGO recognized by the United Nations and in official working relation with WHO and ILO. The collaboration between WHO and ICOH is based on a triennial workplan that is agreed among the WHO Technical Officer and the ICOH Officers. The ICOH Secretary General is the liaison person for this collaboration.
The workplan includes collaboration activities related to occupational and environmental hazards (e.g. extreme weather conditions, heat / cold, air pollution, solar radiation) for vulnerable populations; prevention and control of the most common occupational cancers; prevention and control of occupational chronic respiratory diseases; and, protecting physical and mental health and safety of health workers and emergency responders.
Based on the activities agreed in the Collaboration Plan, ICOH can contribute to raising awareness on occupational health and workplace health by preparing statements and submitting comments to draft documents, and by participating in relevant meetings as a representative of Civil Society organizations.
SS49-02 PSYCHIATRIC EFFECTS OF 9/11 TRAUMA EXPOSURE
Authors: Lowe Sandra 
Published: July 2024

Abstract

Introduction
Research findings support the association between direct exposure to the 9/11 attacks and increased risk of subsequent adverse health effects, including PTSD, depression, anxiety, substance use disorders and adjustment disorders. The aim of this presentation is to describe the nature and course of these disorders within the 9/11 affected cohort.

Materials and Methods
Published literature on 9/11 trauma exposure and psychiatric sequelae was reviewed. Findings were informed by the clinical experience of WTC Health Program mental health professionals providing surveillance and treatment to 9/11 disaster responders and survivors.

Results
Dual exposure to both terrorism and environmental disaster following the 9/11 attacks has deeply influenced the nature of subsequent mental health effects on disaster responders and affected NYC survivors. Prevalence and trajectory of illness within the cohort varies, moderated by individual risk and resilience factors, severity of 9/11 exposure, prior disaster training, and post-event adversities. Presence of co-occurring psychiatric and medical conditions and loss of economic and social resources contribute to complex presentations, poorer treatment outcomes and greater functional impairment. Despite these challenges effective treatments are available.

Conclusions
Populations directly exposed to trauma are at increased risk for psychiatric disorders. While acute stress-related symptoms abated for many 9/11 exposed individuals, the psychological trauma has had a wide ranging and enduring impact on others. The persistence of these conditions many years after 9/11 presents a substantial health burden and highlights the need for ongoing clinical surveillance among at-risk populations to identify and treat affected individuals.
SS50-02 CO-CREATION METHODS IN CLIMATE CHANGE AND OCCUPATIONAL HEALTH: THE EU INTERCAMBIO PROJECT
Authors: Godderis Lode 
Published: July 2024

Abstract

Introduction
Globally, over one billion workers contend with extreme temperatures. Further, workplaces are also being transformed due to climate change mitigation and adaptation strategies. This emphasizes the immediate need to address new occupational safety and health (OSH) challenges including to co-create multidisciplinary interventions to mitigate potential adverse physical and mental health impacts among workers.

Materials and Methods
The co-creation process in the EU INTERCAMBIO project involves diverse end users and stakeholders, employing the double diamond approach. It's crucial to note that co-creation steps are iterative, not linear, allowing for the development, testing, and refinement of ideas multiple times. Weak ideas will be systematically discarded during this iterative process, ensuring the evolution of robust and effective interventions.

Results
The co-creation process will produce varied characteristics of OSH interventions and key factors, each rigorously tested and refined. This dynamic process will craft interventions to enhance occupational health in diverse working environments.

Conclusions
Co-creation, utilizing the double diamond approach, offers a comprehensive and adaptable framework for addressing multifaceted challenges posed by climate-related occupational health risks. The iterative nature ensures continuous improvement, refining interventions to meet the dynamic demands of a changing climate and diverse work environments. The findings highlight the significance of collaborative, multidisciplinary efforts in developing effective solutions to safeguard workers' well-being amid evolving climate conditions.
SS52- VACCINATION AND PERSONAL PROTECTIVE EQUIPMENT (PPE) ISSUES AND MANDATES FOR HEALTH WORKERS
Authors: De Schryver Antoon 
Published: July 2024

Abstract
This session will cover vaccination and treatment recommendations for several different infectious agents including COVID, tuberculosis, bloodborne pathogens (HIV, hepatitis B virus, hepatitis C virus). Mandates and workers’ compensation issues will also be discussed.
Brief learning outcomes: (i) to review current vaccine recommendations, (ii) to understand appropriate PPE usage for health workers in different situations, (iii) to discuss the legal ramifications of mandates and exemptions from vaccines for health workers.
SS52-03 VACCINATION AND PERSONAL PROTECTIVE EQUIPMENT (PPE) ISSUES AND MANDATES FOR HEALTH WORKERS: A PERSPECTIVE ON TUBERCULOSIS
Authors: Thanassi Wendy 
Published: July 2024

Abstract

Introduction
The reservoir of active tuberculosis infection is latent tuberculosis (TB) infection (LTBI). This reservoir can be denuded by occupational health (OH) professionals aggressively testing new hires - in all occupations - and following that testing with LTBI short-course therapies. Because OHS providers are highly experienced in TB testing and interpretation, and have easy access to workers (easier than to primary MDs), OHS providers are in the ideal position to prevent active TB by “vaccinating” with antibiotic therapies.

Materials and Methods, Results, Conclusions
Several OH departments in US hospitals are preventing active TB in their healthcare worker population using three months of weekly INH+rifapentine or with four months of daily rifampicin. But in the US, healthcare workers are not getting TB from work, they are getting it from their country of birth. That means there’s no reason anymore to focus on testing just our healthcare workers: we should expand TB testing and LTBI therapy to all workers on hire, treat them appropriately to prevent activation, and eliminate annual testing for TB in areas where there are acceptable environmental controls.
SS53-04 COVID-19 OUTREACH LESSONS - SINGAPORE
Authors: Hin Ho Siong , Tan Alvian 
Published: July 2024

Abstract

Introduction
COVID-19 demanded whole-of-nation response from the government, partners from the public, private and people sectors. The government worked with employers and the labour movement to develop reasonably practicable requirements to tackle workplace transmission.

Materials and Methods
The Ministry of Manpower rolled out the system early - take care of your workers, take care of the workplace, and implement a safe management measures system, a national vaccination campaign, contact tracing technology, tough enforcement actions, and support for the financial, social and mental wellbeing to the vulnerable.

Results
Singapore’s overall case fatality rate is one of the lowest globally, standing at less than 0.1% as of 13 February 2023. COVID-19 requirements were well implemented across workplaces. COVID-19 workplace clusters were investigated to address lapses and errant employers taken to task.

Conclusions
As Singapore transitions towards becoming a COVID-19 resilient nation moving away from a ‘COVID-zero’ approach, businesses are better prepared to minimize the health and safety risks of employees and improve the continuity of business operations. In summary, Singapore’s workforce enhanced its resilience by leveraging momentum and lessons learnt from COVID-19 to prepare for the next pandemic.
SS54 THE JIGSAW OF JOB INSECURITY
Authors: Suraya Anna 
Published: July 2024

Abstract
The effects and manifestations of job insecurity vary worldwide. This session aims to spotlight workers who are especially vulnerable to these insecurities. We have four distinguished speakers from across the globe, each addressing this issue from their unique perspective.
The first speaker, hailing from England, will delve into the plight of "forgotten patients". These are individuals with intricate, medically unexplained symptoms that remain undiagnosed or those suffering from rare disorders that often go unnoticed by health professionals. It's crucial for occupational health professionals to identify and support this group, offering timely advice to mitigate their job insecurities. Our second speaker, from the United States, will discuss professionals in humanitarian settings. For these workers, it's vital that employers emphasize workplace sensitization and robust support structures. A multi-layered approach, integrating research, is indispensable in bolstering especially those in humanitarian contexts. The third speaker, a Nigerian representative, will focus on workers in regions affected by banditry and terrorism. The proposed solutions include robust security measures, promoting ethno-religious harmony, generating job opportunities for the youth, re-orienting citizens to prioritize national identity over ethnicity, implementing effective social policies, emphasizing education, and ensuring good governance. Finally, the speaker from Indonesia will address the challenges faced by workers in small-scale industries (SSIs). Considering that a significant chunk of the workforce in low-income nations is engaged in SSIs, it becomes paramount for regulatory bodies to address these concerns, ensuring the health and well-being of this vital community.
SS57-02 THE GENESIS-UV STUDY ON ULTRAVIOLET RADIATION EXPOSURE AT WORKPLACES
Authors: Wittlich Marc , Westerhausen Stephan , Strehl Benjamin , Versteeg Helmut , Stöppelmann Wiho 
Published: July 2024

Abstract

Introduction
Several hundred million of the three billion formally employed people worldwide are at risk from high levels of solar UV radiation. Chronic light damage to the skin can lead to non-melanoma skin cancer (NMSC), especially when irradiation is too high and acquired for decades. Our aim was to develop a compendium with UVR exposure data for global use. Uniform metrics, high resolution and detailed information on occupational profiles were of utmost importance.

Materials and Methods
We used the GENESIS-UV measurement system to equip 1000 test persons with electronic data logger dosimeters. Data and information for more than 250 occupations and sub-occupations were collected and evaluated with regards to daily and half-hourly means, geographical transfer calculations to the world and threshold exceedance quota.

Results
Detailed exposure data per occupation were derived and the risk on an occupational / activity basis assuming different exposure level quota was quantified. This showed that, for example, even in temperate latitudes like in Germany, activities with a duration of more than two hours outdoors are associated with increased NMSC risk and employees have to be termed “outdoor workers”. Approaching the equator, the irradiation and thus the risk even for higher skin types increases significantly.

Conclusions
The socio-economic burden caused by NMSC worldwide appears higher than assumed by these figures. This also applies in particular to the number of occupational diseases to be compensated. Prevention is the ideal means to reduce suffering and costs and should be significantly strengthened on the basis of our findings.
SS57-03 MEAOW PROJECT: AN INTERNATIONAL PROJECT ON SOLAR UVR MEASUREMENTS FOR A PREVENTIVE DIGITAL SOLUTION
Authors: Silva Paulo Marília , Maia Mélanie R , Symanzik Cara , Lapão Luís Velez , Carvalho Fernanda , Dias Jorge Barroso , Gobba Fabriziomaria , John Swen Malte , Pinho Cristina , Rodrigues Ana , Tenkate Thomas , Strehl Claudine , Wittlich Marc , Loney Tom , Modenese Alberto 
Published: July 2024

Abstract

Introduction
The more we know about the prevalence of skin cancer and the work environment, the more we can act for preventive and corrective measures. This study works on a solution for risk assessment of UVR exposure in outdoor workers of the Lisbon Municipality (Portugal). The solution will have a digital component for the validation and integration of real-time quantitative and qualitative information, that will guide prevention and decision support for positive behavior change.

Methods
Participatory action research is the framework for (1) quantitative data analysis, where personal electronic dosimeters (GENESIS-UV) are being used by the outdoor workers to collect UVR exposure levels; (2) periodic work meetings and field visits for design, development, implementation, training, and support to guarantee compliance and engagement of all the involved; (3) dermatological screening, and (4) the integrative digital system development design for data presentation and accurate risk assessment.

Results
Thirty dosimeters are being used by gardeners, gravediggers, pavers, asphalters, sanitation workers, and sailors. Preliminary data suggest gravediggers and sanitation workers are the most exposed. All human interactions during the processes inform the design of a one-kind system that will integrate and serve the real needs for skin cancer prevention of outdoor workers.

Conclusions
An accurate system validated by both the occupational professionals and outdoor workers, will contribute to the shape of the work layout conditions, preventing UVR over-exposure. Digital solutions with accurate exposure data available to each worker context enhance by the dermatological screening can provide user-driven recommendations to the worker, and the occupational health service.