Environmental Health Insights最新文献

Background: Trachoma is the leading infectious cause of blindness worldwide, particularly impacting the poorest nations, including Ethiopia.

Objective: To assess knowledge, practice, and associated factors of trachoma transmission and prevention among primary school students in Addis Zemen town, South Gondar, Northwest Ethiopia, 2022.

Methods: An institution-based cross-sectional study was conducted on 407 randomly selected primary school students (grades 5-8), aged 10 to 24 years. Data collection included face-to-face interviews using structured questionnaires and an observation checklist. Epi-data version 4.2.0.0 and SPSS version 20 were used to enter and analyze the collected data, respectively. The data were analyzed using the descriptive statistical method and using bivariable and multivariable logistic regression models. Variables with a P-value <.05 with a 95% CI were considered to have statistical significance.

Result: The study has a response rate of 98.25%, with a total of 400 respondents. 74.00% of the respondents knew about trachoma transmission and prevention, and 71.50% practiced preventive measures, such as face washing. Respondents in Grades 7 and 8, aged 12 to 24 years (AOR: 2.67, 95% CI: 1.93, 4.64), information about trachoma (AOR: 2.30, 95% CI: 1.56, 4.21), and urban residence (AOR: 3.42, 95% CI: 2.56, 5.23) were determinants of knowledge regarding trachoma transmission and prevention. Meanwhile, the mother's occupation (government employee) (AOR: 2.50, 95% CI: 1.83, 6.91) and overall knowledge about trachoma (AOR: 4.87, 95% CI: 2.95, 8.53) were significant predictors of the practice of trachoma transmission prevention.

Conclusion: While the level of knowledge and practice regarding trachoma transmission and prevention was relatively high, 26.00% of respondents still lacked adequate knowledge, and 28.50% did not practice prevention measures. To reduce the spread of trachoma and enhance public health outcomes, targeted interventions focusing on education about transmission and prevention strategies such as promoting face washing and proper sanitation should be prioritized in this area.

The Middle East is facing serious climate change challenges, rendering it as one of the most affected regions worldwide. This paper aimed to investigate the outcomes of climate change in the Middle East. In 2024, a qualitative study was conducted employing a methodology that integrated systematic review for data collection and thematic analysis for data analysis. Such integration of the approaches provided valuable insights into the findings within the literature in a comprehensive and categorized format. PubMed, Scopus, ProQuest, and the Cochrane Database of Systematic Reviews were searched for relevant studies published between 2000 and 2024. The quality of these studies was assessed using the AACODS (Accuracy, Coverage, Objectivity, Date, Significance) checklist. The data extracted from the included studies underwent a thematic analysis utilizing Braun and Clarke's methodology. After completing the screening process, a total of 93 papers were deemed suitable for inclusion in the study. The quality assessment of these selected studies demonstrated a notably high standard, particularly in terms of authority, accuracy, coverage, objectivity, and significance. Moreover, minimal levels of bias were observed within the included studies. Subsequent thematic analysis of the findings from the systematic review identified 6 overarching themes: "Human Health Outcomes," "Animal Health Outcomes," "Plant Health Outcomes," "Ecological Outcomes," "Economic Outcomes," and "Political Outcomes." The study revealed ecological outcomes as the most prevalent consequences of climate change in the Middle East, including alterations in habitat distribution, temperature increase, water scarcity, and more. The outcomes seemed to be interconnected, exacerbating each other. Yemen and Syria had faced severe consequences, leading to political unrest and humanitarian crises in which Yemen ranking among the most water-stressed nations globally, while Syria contending with millions of displaced individuals living in dire conditions.

This article empirically analyzes the influence of green finance (GF) on ocean health. Employing 10 indicators and a composite Ocean Health Index (OHI) to measure the efficiency and sustainability of ocean economies, the study spans 9 years across 35 countries. Multiple econometric methodologies, including Feasible Generalized Least Squares (FGLS), Panel-Corrected Standard Errors (PCSE), and the 2-step Generalized Method of Moments (GMM), demonstrate a substantial negative association between GF and ocean health. An extensive analysis of GF's relationship to the Ocean Health Index (OHI) components indicates that GF negatively impacts each of the 6 aspects of OHI. In the long run, however, when a Pooled Mean Group Autoregressive Distributed Lag (PMG-ARDL) model is used to assess the short- and long-term impacts, the results show a substantial positive association between GF and the ocean health. JEL code: J4; C12.

The role healthcare systems can play in surmounting global challenges like climatic change and resource scarcity is large, considering the major social and environmental impact. The research investigates the role of organizational behavior in influencing the adoption of sustainability initiatives in Greek healthcare organizations in regard to climate change. The research surveys 379 healthcare professionals from the public and private sectors with regard to organizational attitudes toward climate change, the adoption of sustainable practices, and individual environmental perspectives. Results underline that health care administration is still cut off from environmental considerations, with limited employee involvement in such initiatives of sustainability. The major barriers were poor communication, lack of education, and inadequate awareness across institutions. The study also emphasized that healthcare organizations need to align their values with environmental strategy so they can work in unison toward seeking sustainability. These would be stimulating initiatives for more leadership and active staff who become involved in making meaningful contributions toward global sustainability from the healthcare sector.

This research aimed to assess the levels of AFM1 and evaluate the associated health risks from raw milk samples collected randomly from four selected towns. Ninety (n = 90) raw milk samples were randomly collected from smallholder dairy farmers in the North Shewa Zone, with 23 samples from Fiche, 23 from G/Gurracha, 22 from Dagem, and 22 from Sululta. The concentrations of AFM1 in the raw milk samples were determined using high-performance liquid chromatography with fluorescence detection (HPLC-FLD) after purification via an immunoaffinity column (IAC). AFM1 was detected in 76 (84.4%) raw milk samples, with 53 (58.9%) exceeding the maximum permissible limit established by the European Commission, 0.0500 µg/L. The highest AFM1 content was 2.00 µg/L and the lowest was 0.0100 µg/L. Additionally, risk assessment was performed using the margin of exposure (MOE), estimated daily intake (EDI), hazard index (HI), and cancer risk (CR). The results indicated that based on the average contamination levels of the milk during the study period and typical consumption rates, the average EDI of the adult population to AFM1 ranged from 0.374 to 0.852 ng/kg body weight (bw) per day. The calculated MOE values were less than 10,000, indicating potential health concerns. The mean HI value determined in this study was 2.70, which also suggests adverse health effects. Furthermore, the estimated risk of developing hepatocellular carcinoma (HCC) due to AFM1 exposure from milk consumption among adults was calculated to be 0.00170 cases per 100 000 individuals yearly. This finding indicates a significant risk of HCC, which justifies its continuous monitoring of dairy products throughout the entire supply chain, from production to consumption. Furthermore, our research highlights the need for further investigation into the risks posed by AFM1 in children, given their higher levels of milk consumption relative to adults.

This systematic review investigates the association between environmental pollutants and the risk of diarrhea, a critical public health issue, particularly in low- and middle-income countries. The review synthesizes findings from various studies that highlight the impact of contaminants such as pesticides, heavy metals, polycyclic aromatic hydrocarbons (PAHs), microplastics, and parabens on gastrointestinal health. Following PRISMA guidelines, a comprehensive literature search across databases including PubMed, Scopus, and Google Scholar yielded 496 articles, of which 11 met the inclusion criteria for detailed analysis. The results indicate a significant correlation between exposure to specific pollutants-particularly pesticides like dichlorodiphenyltrichloroethane (DDT), PAHs, arsenic, cadmium, and microplastics-and increased incidences of diarrhea. Notably, studies revealed that prenatal exposure to DDT is linked to higher diarrhea rates among boys in urban settings, while pesticide exposure in childhood correlates with inflammatory bowel disease in adulthood. Mechanistically, these pollutants may disrupt gastrointestinal function through cholinergic effects and endocrine disruption, leading to altered gut motility and microbiome imbalances. Moreover, the review emphasizes the immunosuppressive effects of heavy metals such as mercury and cadmium, which compromise the immune response and increase susceptibility to gastrointestinal infections. Despite the identified associations, there is a notable gap in research regarding geographic distribution and pollutant impacts on health outcomes. The review underscores the necessity for public health interventions aimed at reducing exposure to these environmental pollutants to mitigate their adverse health effects. In conclusion, this systematic review highlights the urgent need for further epidemiological studies in underrepresented areas to enhance our understanding of how environmental pollutants influence public health globally. Recommendations include rigorous monitoring of pollutant levels, public health initiatives to reduce exposure, and policies that restrict emissions of harmful substances. Addressing environmental pollution is crucial for mitigating diarrheal diseases and protecting vulnerable populations from its detrimental effects.

The purpose of this study was to evaluate Solid Waste Collectors' (SWCs) knowledge of occupational hazards, their views on personal protective equipment (PPE), strategies for PPE use, and challenges in managing occupational risks. Previous studies have highlighted the importance of protective measures in addressing occupational hazards, but there is a need for further research to assess the knowledge levels of waste collectors regarding these hazards and PPE practices. This study used a qualitative research technique, particularly, a phenomenological research design to capture the living experiences from SWCs. Focused group discussions and in-depth interviews were employed to gather data. Subgroups of topics were created by coding the data using a predefined codebook as part of the content analysis process. SWCs demonstrated that they were aware of the risks they face in their work environments. The risks include which can range from long-term health issues brought by repetitive exposure to harmful substances and sharp objects. The lack of PPE accessibility and availability has become a significant issue, exposing waste collectors to various diseases and accidents, forcing them to work without necessary safeguards. Efforts to increase PPEs through public-private partnerships (PPPs) should be promoted. The city council should provide on-the-job training on health risks, occupational hazards related to waste collection, and PPE usage regularly; and establish efficient channels for SWCs to report problems and ensure that their grievances are properly addressed.

Rice production in Southeast Vietnam generates a large amount of straw, which is often burnt directly in fields, causing air pollution and affecting community health. This study aims to assess the awareness of the environmental and health impacts of straw burning among farmers, students, and managers in the provinces of Tay Ninh, Binh Phuoc, and Dong Nai, Vietnam. We conducted a survey of 686 individuals, divided into 3 main groups: 349 farmers, 250 students, and 87 local government officials. The survey results, analyzed using exploratory factor analysis (EFA), indicate that 55.2% of farmers never engage in straw burning, while 24.4% report infrequent burning. Awareness of the negative impacts, such as ecological imbalance, air pollution, and soil degradation, is prevalent, particularly among students and managers. Statistical analysis revealed significant differences in perception and behavior toward straw burning among the groups. Despite the willingness of farmers to adopt sustainable straw management practices, they require low-cost solutions that do not significantly alter their farming practices. This study proposes a policy framework that includes educational initiatives, community participation, and government support to promote sustainable straw management. By guiding farmers away from straw burning, the framework aims to reduce air pollution and contribute to environmental protection and sustainable agricultural development.

The safety of borehole water is highly questionable, yet most people in the African continent still depend on borehole water as the primary source for everyday use. To investigate the potential health risk of borehole water on the community, this study analyzed the presence and levels of various chemical parameters in borehole water of Ga-Matlala area in Limpopo province, South Africa. Twenty-four water samples were collected from selected eight villages of ga-Matlala during both the dry and rainy seasons. Techniques such as UV/vis spectrophotometric method, EDTA titrimetric method, Cl^- argentometric method and FAAS were used to determine fluoride, nitrate, hardness, calcium, chloride ion and magnesium. In the rainy season, hardness ranged from 146.10 to 1136.49 mg/L, calcium ranged between 252.54 to 448.2 mg/L. In the dry season, hardness ranged between 157.69 to 1003.80 mg/L, calcium concentration ranged between 183.43 and 385.37 mg/L. The recommended limits set by regulatory authorities were exceeded in both seasons. Fewer samples recorded chloride concentration ⩾ 100 mg/L in both seasons. Magnesium concentrations were between 0.72 and 1.35 mg/L in both seasons. Fluoride concentration exceeded the maximum permissible level by regulatory bodies in most samples. In the rainy season, the lowest concentration was 1.94 mg/L, and a maximum was 3.22 mg/L. The nitrate concentration in both seasons was around 0.3 mg/L. Magnesium concentrations were within the acceptable levels. The elevated levels of chemicals in borehole may lead to dental fluorosis, risk of kidney stones and cancer in human beings. It is therefore recommended that risk awareness action should be undertaken, and treatment interventions should be considered.

During anatomy dissection, the release of formaldehyde (FA) from cadavers and embalming fluids can negatively affect the well-being of students and staff. The exposure of students, staff, and technicians to FA in the dissection hall is a concern. To address this issue, a study measured the FA and air quality (CO₂ and Total Volatile Organic Compounds- TVOC) with different ventilation setups: natural, fan-based, and air-conditioned. The FA levels and the indoor air quality at the breathing zone were estimated using an air conditioning (AC), fan-based, and naturally ventilated setup. The FA, CO₂, and TVOC levels were calculated at the cadavers' head and toe ends, in the pathway, and between the dissection tables. The FA, CO₂, and TVOC levels were higher near the cadaver and lower in the pathway and between the tables, regardless of the type of ventilation used. Fan-based ventilation had the lowest mean FA, CO₂, and TVOC levels compared to AC and natural ventilation. However, there was no significant difference in these levels between the ventilation types, except for the toe-ends of the cadavers (P < .05), where the toe-end farther from the AC vents had higher levels. The study suggests that areas away from the source of ventilation in the anatomy dissection hall are at risk of having lower air quality. Therefore, in addition to selecting an appropriate ventilation system, placing the donor bodies near the source of ventilation would help optimize FA levels and improve indoor air quality for better working conditions suitable for students and staff.