Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0708
M. Patience, Roslyn De Braine, N. Dhanpat
Nursing is one of the most trusted professions in society and it is often referred to as the backbone of any healthcare system. However, nursing is also one of the most stressful occupations in the field of healthcare. Factors that influence the work environment include socio-political changes, technological advances and healthcare reforms, all of which affect the way nurses remain engaged in their work. Nurses are expected to deliver quality healthcare amidst a rapidly changing work environment and are therefore required to be resilient and agile. Quantitative, survey study. This study investigated ‘job demands’ (emotional demands, role ambiguity and workplace violence) and ‘job resources’ (autonomy, career advancement opportunities, leader-member exchange and meaningful work) which may impact the work engagement levels of nurses in both public and private hospitals. The sample consisted of 420 nurses working in both public and private hospitals in Johannesburg, South Africa. The findings confirmed that the predictors for work engagement differed between the public and private sector nurses. Emotional demands was the only job demand that predicted work engagement for the public sector nurses. None of the job demands (emotional demands, role ambiguity and workplace violence) influenced the work engagement levels of the private sector nurses. In the public sector, meaningful work and career advancement as job resources predicted work engagement, whereas in the private sector, meaningful work, career advancement and leader-member exchange predicted work engagement.
{"title":"P-178 JOB DEMANDS, JOB RESOURCES, MEANINGFUL WORK AND WORK ENGAGEMENT OF NURSES","authors":"M. Patience, Roslyn De Braine, N. Dhanpat","doi":"10.1093/occmed/kqae023.0708","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0708","url":null,"abstract":"\u0000 \u0000 \u0000 Nursing is one of the most trusted professions in society and it is often referred to as the backbone of any healthcare system. However, nursing is also one of the most stressful occupations in the field of healthcare. Factors that influence the work environment include socio-political changes, technological advances and healthcare reforms, all of which affect the way nurses remain engaged in their work. Nurses are expected to deliver quality healthcare amidst a rapidly changing work environment and are therefore required to be resilient and agile.\u0000 \u0000 \u0000 \u0000 Quantitative, survey study.\u0000 \u0000 \u0000 \u0000 This study investigated ‘job demands’ (emotional demands, role ambiguity and workplace violence) and ‘job resources’ (autonomy, career advancement opportunities, leader-member exchange and meaningful work) which may impact the work engagement levels of nurses in both public and private hospitals. The sample consisted of 420 nurses working in both public and private hospitals in Johannesburg, South Africa.\u0000 \u0000 \u0000 \u0000 The findings confirmed that the predictors for work engagement differed between the public and private sector nurses. Emotional demands was the only job demand that predicted work engagement for the public sector nurses. None of the job demands (emotional demands, role ambiguity and workplace violence) influenced the work engagement levels of the private sector nurses.\u0000 \u0000 \u0000 \u0000 In the public sector, meaningful work and career advancement as job resources predicted work engagement, whereas in the private sector, meaningful work, career advancement and leader-member exchange predicted work engagement.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"19 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0020
Houssine Azeddoug
Leading innovation for excellence in occupational health in Moroccan universities on the eve of major world-class projects involves several key steps and considerations. University leaders are responsible for fostering a culture of innovation within the institution. They should encourage and support innovative teaching methods, research approaches, and administrative practices. A strategic approach to meet this objective can include the following elements: • Form a multidisciplinary task force consisting of experts in occupational health, medicine, public health, environmental science, engineering, and administration. This team will lead and coordinate efforts to innovate and improve occupational health practices. • Conduct a comprehensive assessment of the current occupational health practices and infrastructure in Moroccan universities. • Gather data on prevalent occupational health issues among university staff and students thanks a SWOT analysis. • Engage key stakeholders including university administrators, faculty members, staff representatives, students, and relevant government bodies. • Develop and implement comprehensive policies and guidelines for occupational health and safety tailored to the specific needs and challenges of Moroccan universities. • Ensure compliance with local regulations and international standards. • Invest in infrastructure upgrades and resources necessary for ensuring a safe and healthy working and learning environment. • Establish occupational health clinics or centers within universities equipped with necessary facilities for medical examinations, diagnostics, and treatment. • Revise academic curricula to integrate contemporary concepts of occupational health and safety across relevant disciplines such as medicine, engineering, environmental science, and management. Offer specialized courses, workshops, and training programs to equip students with practical skills and knowledge. • Empower designated personnel to handle emergency situations and administer first aid. • Launch awareness campaigns and initiatives promoting health and wellness among university stakeholders. • Encourage healthy lifestyle choices and provide resources for stress management and mental health support. • Foster research collaborations between academia, industry, and government agencies to address emerging occupational health challenges. • Encourage innovation in the development of new technologies and methodologies for occupational health monitoring and management. • Foster collaboration with international universities, research institutions, and organizations with expertise in occupational health. • Exchange best practices, knowledge, and resources to enhance occupational health standards in Moroccan universities. • Establish mechanisms for continuous monitoring and evaluation of occupational health initiatives. • Collect feedback from stakeholders and make necessary adjustments to improve effectiveness and efficienc
{"title":"SPL09 LEADING INNOVATION FOR EXCELLENCE IN OCCUPATIONAL HEALTH IN MOROCCAN UNIVERSITIES ON THE EVE OF MAJOR WORLD-CLASS PROJECTS","authors":"Houssine Azeddoug","doi":"10.1093/occmed/kqae023.0020","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0020","url":null,"abstract":"\u0000 Leading innovation for excellence in occupational health in Moroccan universities on the eve of major world-class projects involves several key steps and considerations. University leaders are responsible for fostering a culture of innovation within the institution. They should encourage and support innovative teaching methods, research approaches, and administrative practices.\u0000 A strategic approach to meet this objective can include the following elements:\u0000 • Form a multidisciplinary task force consisting of experts in occupational health, medicine, public health, environmental science, engineering, and administration. This team will lead and coordinate efforts to innovate and improve occupational health practices.\u0000 • Conduct a comprehensive assessment of the current occupational health practices and infrastructure in Moroccan universities.\u0000 • Gather data on prevalent occupational health issues among university staff and students thanks a SWOT analysis.\u0000 • Engage key stakeholders including university administrators, faculty members, staff representatives, students, and relevant government bodies.\u0000 • Develop and implement comprehensive policies and guidelines for occupational health and safety tailored to the specific needs and challenges of Moroccan universities.\u0000 • Ensure compliance with local regulations and international standards.\u0000 • Invest in infrastructure upgrades and resources necessary for ensuring a safe and healthy working and learning environment.\u0000 • Establish occupational health clinics or centers within universities equipped with necessary facilities for medical examinations, diagnostics, and treatment.\u0000 • Revise academic curricula to integrate contemporary concepts of occupational health and safety across relevant disciplines such as medicine, engineering, environmental science, and management. Offer specialized courses, workshops, and training programs to equip students with practical skills and knowledge.\u0000 • Empower designated personnel to handle emergency situations and administer first aid.\u0000 • Launch awareness campaigns and initiatives promoting health and wellness among university stakeholders.\u0000 • Encourage healthy lifestyle choices and provide resources for stress management and mental health support.\u0000 • Foster research collaborations between academia, industry, and government agencies to address emerging occupational health challenges.\u0000 • Encourage innovation in the development of new technologies and methodologies for occupational health monitoring and management.\u0000 • Foster collaboration with international universities, research institutions, and organizations with expertise in occupational health.\u0000 • Exchange best practices, knowledge, and resources to enhance occupational health standards in Moroccan universities.\u0000 • Establish mechanisms for continuous monitoring and evaluation of occupational health initiatives.\u0000 • Collect feedback from stakeholders and make necessary adjustments to improve effectiveness and efficienc","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0830
N. Khouja, Emna Bechrifa, S. Ismail, E. Baraketi, Naourez Ben Fatma, Amira Belkahla, Yosra Guitouni, J. Hsinet, A. Benzarti, Asma Marzouk, Asma Bouaziz
Pediatric healthcare workers (HCWs) are exposed to occupational stress factors that may lead to the development of psychiatric disorders such as burnout syndrome. To screen burnout syndrome in HCWs and identify its risk factors. we conducted a descriptive cross-sectional study among HCWs in a pediatric department using a Self-administered questionnaire combined with the Maslach Burnout Inventory (MBI) psychological test. 30 HCWs were included. They were primarily doctors (37%) and paramedical professionals (47%), with an average age of 37±10 years and an average professional seniority of 9years. HCWs reported experiencing certain temporary (80%) and organizational (59%) work constraints. Among the participants, 53% reported being victims of violence, mainly verbal aggression in 87% of cases, which had a significant impact on their psychological health (reported by 97% of victims). Additionally, 39% were under psychiatric care. The MBI test revealed a high emotional exhaustion score in 79% of cases, a high depersonalization score in 37%, and a low personal fulfillment score in 57%. The combination of these three scores revealed a high risk of Burnout in 17% of cases. Emotional Exhaustion was significantly correlated with home-to-work commuting time (p=0.26) and poor working conditions (p=0.008). Depersonalization was associated with job seniority (p=0.33), number of working hours (p=0.003), and absence of breaks (p=0.42). Despite the high risk, few studies have looked at the psychological burden experienced by HCWs in pediatric medicine. the risk of burnout syndrome is not negligible among pediatric HCWs. Targeted preventive action must be taken to eliminate it.
{"title":"P-258 RISK OF BURNOUT SYNDROME AMONG PEDIATRIC HEALTHCARE WORKERS","authors":"N. Khouja, Emna Bechrifa, S. Ismail, E. Baraketi, Naourez Ben Fatma, Amira Belkahla, Yosra Guitouni, J. Hsinet, A. Benzarti, Asma Marzouk, Asma Bouaziz","doi":"10.1093/occmed/kqae023.0830","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0830","url":null,"abstract":"\u0000 \u0000 \u0000 Pediatric healthcare workers (HCWs) are exposed to occupational stress factors that may lead to the development of psychiatric disorders such as burnout syndrome.\u0000 \u0000 \u0000 \u0000 To screen burnout syndrome in HCWs and identify its risk factors.\u0000 \u0000 \u0000 \u0000 we conducted a descriptive cross-sectional study among HCWs in a pediatric department using a Self-administered questionnaire combined with the Maslach Burnout Inventory (MBI) psychological test.\u0000 \u0000 \u0000 \u0000 30 HCWs were included. They were primarily doctors (37%) and paramedical professionals (47%), with an average age of 37±10 years and an average professional seniority of 9years. HCWs reported experiencing certain temporary (80%) and organizational (59%) work constraints. Among the participants, 53% reported being victims of violence, mainly verbal aggression in 87% of cases, which had a significant impact on their psychological health (reported by 97% of victims). Additionally, 39% were under psychiatric care. The MBI test revealed a high emotional exhaustion score in 79% of cases, a high depersonalization score in 37%, and a low personal fulfillment score in 57%. The combination of these three scores revealed a high risk of Burnout in 17% of cases. Emotional Exhaustion was significantly correlated with home-to-work commuting time (p=0.26) and poor working conditions (p=0.008). Depersonalization was associated with job seniority (p=0.33), number of working hours (p=0.003), and absence of breaks (p=0.42).\u0000 \u0000 \u0000 \u0000 Despite the high risk, few studies have looked at the psychological burden experienced by HCWs in pediatric medicine.\u0000 \u0000 \u0000 \u0000 the risk of burnout syndrome is not negligible among pediatric HCWs. Targeted preventive action must be taken to eliminate it.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"38 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0102
Marianne Cloeren, Folashade Omokhodion, Janvier Gasana
There is a global shortage of occupational and environmental medical (OEM) physicians. Many countries, especially LMICs, have no training pathways, certification processes or specialty recognition. In 2019, we conducted a survey of member societies of the International Occupational Medicine Society Collaborative (IOMSC), to understand paths to OEM expertise in their country. Only four of the 54 African nations were members of IOMSC. We conducted an internet search, including ChatGPT assistance, and contacted major OEM networks in Africa to better describe the state of OEM in Africa. We will seek attendee input about the major occupational health challenges and opportunities for OEM education in their country. We will describe the plan for virtual International OEM Grand Rounds, delivered by OEM residents supervised by OEM specialists. There are now six African nations with OEM society membership in IOMSC. One additional country was identified with a specialty society, and one more with an OEM training program. Additional results based on search and interviews will be shared in this session. We are establishing a program for physicians without access to formal OEM education using the hybrid format of e-learning, webinars and field training by a network of African occupational medicine physicians to disseminate training materials and develop specialty training pathways. Increasing access to OEM education in countries without formal pathways will increase competency in delivering occupational healthcare to workers and increase recognition of the need for formal training and certification pathways where none currently exist.
{"title":"SS11-01 BUILDING AN INTERNATIONAL OCCUPATIONAL AND ENVIRONMENTAL MEDICINE (OEM) MUTUAL EDUCATION COMMUNITY – FOCUS ON AFRICA","authors":"Marianne Cloeren, Folashade Omokhodion, Janvier Gasana","doi":"10.1093/occmed/kqae023.0102","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0102","url":null,"abstract":"\u0000 \u0000 \u0000 There is a global shortage of occupational and environmental medical (OEM) physicians. Many countries, especially LMICs, have no training pathways, certification processes or specialty recognition.\u0000 \u0000 \u0000 \u0000 In 2019, we conducted a survey of member societies of the International Occupational Medicine Society Collaborative (IOMSC), to understand paths to OEM expertise in their country. Only four of the 54 African nations were members of IOMSC. We conducted an internet search, including ChatGPT assistance, and contacted major OEM networks in Africa to better describe the state of OEM in Africa. We will seek attendee input about the major occupational health challenges and opportunities for OEM education in their country. We will describe the plan for virtual International OEM Grand Rounds, delivered by OEM residents supervised by OEM specialists.\u0000 \u0000 \u0000 \u0000 There are now six African nations with OEM society membership in IOMSC. One additional country was identified with a specialty society, and one more with an OEM training program. Additional results based on search and interviews will be shared in this session.\u0000 \u0000 \u0000 \u0000 We are establishing a program for physicians without access to formal OEM education using the hybrid format of e-learning, webinars and field training by a network of African occupational medicine physicians to disseminate training materials and develop specialty training pathways.\u0000 \u0000 \u0000 \u0000 Increasing access to OEM education in countries without formal pathways will increase competency in delivering occupational healthcare to workers and increase recognition of the need for formal training and certification pathways where none currently exist.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"2019 2-3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0279
Abdelhamid Bendaha, Abdelhakim Abbaouy, Mohammed El Khaldi
Morocco, a country in full construction, is experiencing significant industrial development in the cement sector. Occupational risks in this industry are numerous and diverse. We have chosen a cement plant in the Oriental region of Morocco as an example to demonstrate, through the continuous improvement of occupational injuries in this industrial unit over three decades, the importance of health and safety management. This is achieved through recognized management frameworks and the involvement of occupational medicine in this management.
{"title":"SS47-02 ROLE OF THE OCCUPATIONAL MEDICAL SERVICE IN DEMONSTRATING THE BENEFIT OF OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT STANDARDS THROUGH FIRST AID FOR INJURIES RELATED TO PROFESSIONAL ACTIVITY","authors":"Abdelhamid Bendaha, Abdelhakim Abbaouy, Mohammed El Khaldi","doi":"10.1093/occmed/kqae023.0279","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0279","url":null,"abstract":"\u0000 Morocco, a country in full construction, is experiencing significant industrial development in the cement sector. Occupational risks in this industry are numerous and diverse.\u0000 We have chosen a cement plant in the Oriental region of Morocco as an example to demonstrate, through the continuous improvement of occupational injuries in this industrial unit over three decades, the importance of health and safety management. This is achieved through recognized management frameworks and the involvement of occupational medicine in this management.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"2004 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0218
Karin Proper
During the COVID-19 pandemic, many people were suddenly forced to work from home. As a result, workers’ daily routine and work environment changed considerably which may have affected the lifestyle and health of these workers. For example, being confined to the house may have resulted in more sedentary behavior, or increased musculoskeletal pain due to multiple factors including an unfavorable working environment at home. Also, working from home might have negatively affected mental health, such as reduced well-being, more feelings of stress and socially isolated. This phenomenon might even be more pronounced among older workers, as they in general are more vulnerable to psychosocial risks, less connected through social media and may experience obstacles in transitioning to remote working. Although the impact of working from home during COVID-19 pandemic has been studied among the general working population, the impact among older workers is still understudied. This special session will present four different studies on the impact of working from home on older workers across a range of areas including their physical activity and sedentary behavior, social isolation and stress and musculoskeletal pain. The studies have applied different and unique methods including large, longitudinal datasets and smartphone-based ecological momentary assessment surveys. The outcomes of the studies will provide starting points for a discussion on potential intervention strategies to reduce the negative impacts of working from home.
{"title":"SS35 THE IMPACT OF WORKING FROM HOME ON OLDER WORKERS","authors":"Karin Proper","doi":"10.1093/occmed/kqae023.0218","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0218","url":null,"abstract":"\u0000 During the COVID-19 pandemic, many people were suddenly forced to work from home. As a result, workers’ daily routine and work environment changed considerably which may have affected the lifestyle and health of these workers. For example, being confined to the house may have resulted in more sedentary behavior, or increased musculoskeletal pain due to multiple factors including an unfavorable working environment at home. Also, working from home might have negatively affected mental health, such as reduced well-being, more feelings of stress and socially isolated. This phenomenon might even be more pronounced among older workers, as they in general are more vulnerable to psychosocial risks, less connected through social media and may experience obstacles in transitioning to remote working. Although the impact of working from home during COVID-19 pandemic has been studied among the general working population, the impact among older workers is still understudied.\u0000 This special session will present four different studies on the impact of working from home on older workers across a range of areas including their physical activity and sedentary behavior, social isolation and stress and musculoskeletal pain. The studies have applied different and unique methods including large, longitudinal datasets and smartphone-based ecological momentary assessment surveys. The outcomes of the studies will provide starting points for a discussion on potential intervention strategies to reduce the negative impacts of working from home.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"58 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The healthcare sector is a risk sector that exposes to a multitude of occupational hazards dominated by the chemical risk. This risk originates from toxic, irritant or corrosive substances. A particular exposure is that to cytostatic drugs. The aim of this study is to assess the practices and health effects on healthcare workers (HCW) handling cytotoxic drugs. A cross-sectional study conducted in January 2023 among HCW of the oncology ward of Gafsa regional hospital in Tunisia. Health effects of cytotoxic drugs, handling practices and cytotoxic waste management were assessed using a face-to-face questionnaire. The chemotherapy preparation rooms were equipped with laminar flow hoods. However, 78% of the participants prepared chemotherapy in the corridor. Personal protective equipment’s (PPE) worn when handling drugs or cytotoxic waste were a pair of latex gloves and a surgical mask. Cutaneous contamination by cytotoxic drugs were reported by 61.9% of participants. Fertility problems and spontaneous abortion concerned 14.3% and 35.7% of female participants respectively. Anticancer drugs are the main hazardous medications to which HCW are exposed. Our study revealed a gap between the practices adopted by the participants and international recommendations. This could explain the relatively high risk of contamination. The use of cytotoxic drugs is rapidly expanding. This study has demonstrated the lack of awareness and training of HCW handling these hazardous drugs. This study is the first step in a preventive approach aimed at protecting the healthcare professionals concerned.
{"title":"P-362 PRACTICES OF THE SAFE HANDLING AND HEALTH EFFECTS OF CYTOTOXIC DRUGS AMONG HEALTH CARE WORKERS OF AN ONCOLOGY DEPARTMENT IN A REGIONAL HOSPITAL IN TUNISIA","authors":"Amira Omrane, Chayma Harrathi, Mouna Mighri, Taoufik Khalfallah, Samia Machghoul","doi":"10.1093/occmed/kqae023.0979","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0979","url":null,"abstract":"\u0000 \u0000 \u0000 The healthcare sector is a risk sector that exposes to a multitude of occupational hazards dominated by the chemical risk. This risk originates from toxic, irritant or corrosive substances. A particular exposure is that to cytostatic drugs. The aim of this study is to assess the practices and health effects on healthcare workers (HCW) handling cytotoxic drugs.\u0000 \u0000 \u0000 \u0000 A cross-sectional study conducted in January 2023 among HCW of the oncology ward of Gafsa regional hospital in Tunisia. Health effects of cytotoxic drugs, handling practices and cytotoxic waste management were assessed using a face-to-face questionnaire.\u0000 \u0000 \u0000 \u0000 The chemotherapy preparation rooms were equipped with laminar flow hoods. However, 78% of the participants prepared chemotherapy in the corridor. Personal protective equipment’s (PPE) worn when handling drugs or cytotoxic waste were a pair of latex gloves and a surgical mask. Cutaneous contamination by cytotoxic drugs were reported by 61.9% of participants. Fertility problems and spontaneous abortion concerned 14.3% and 35.7% of female participants respectively.\u0000 \u0000 \u0000 \u0000 Anticancer drugs are the main hazardous medications to which HCW are exposed. Our study revealed a gap between the practices adopted by the participants and international recommendations. This could explain the relatively high risk of contamination.\u0000 \u0000 \u0000 \u0000 The use of cytotoxic drugs is rapidly expanding. This study has demonstrated the lack of awareness and training of HCW handling these hazardous drugs. This study is the first step in a preventive approach aimed at protecting the healthcare professionals concerned.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"13 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0878
Karina Undem, K. Nordby, J. Stenehjem, Jorunn Kirkeleit, I. Mehlum, Rachel L Hasting
Petroleum workers offshore have a potential for exposure to known and suspected carcinogens. We aimed to assess cancer incidence in a Norwegian register-based cohort of offshore workers. The cohort comprised 6600 men, aged 16-53, employed in offshore work in 1983, and was linked to the Cancer Registry of Norway for follow-up 1984–2020. Calendar period and age-standardised incidence ratios (SIRs) with 95% confidence intervals (CI) were estimated for all cancers combined and for 94 cancer sites using the general working population as the reference group. For all cancers combined, the study showed a SIR of 1.17 (95% CI: 1.11-1.23). Elevated risks were observed for cancer of the kidney (SIR: 1.35, 95% CI: 1.05-1.71), bladder (1.41, 1.14-1.74), larynx (1.92, 1.20-2.90), lung (1.26, 1.09-1.46), mesothelioma (1.90, 1.01-3.25) and oesophagus (all types (1.66, 1.13-2.36) and adenocarcinoma (1.80, 1.07-2.85)). However, no excess risk was observed for acute myeloid leukaemia (1.04, 0.47-1.97) or multiple myeloma (1.15, 0.78-1.63). Apart from the absence of excess risk of lymphohematological neoplasms and the novel finding of excess risk of kidney cancer, the findings corroborate existing research and underscore several cancer types for which offshore workers face increased risks. The available data did not allow for risk assessment of specific carcinogens or control of potential confounding factors such as lifestyle. In this register-based study, offshore workers active in 1983 had increased risk of certain cancers compared to the general working population. Further investigation into length of exposure, period of exposure and job type could yield further valuable insights.
{"title":"O-162 RISK OF CANCER AMONG OFFSHORE PETROLEUM WORKERS","authors":"Karina Undem, K. Nordby, J. Stenehjem, Jorunn Kirkeleit, I. Mehlum, Rachel L Hasting","doi":"10.1093/occmed/kqae023.0878","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0878","url":null,"abstract":"\u0000 \u0000 \u0000 Petroleum workers offshore have a potential for exposure to known and suspected carcinogens. We aimed to assess cancer incidence in a Norwegian register-based cohort of offshore workers.\u0000 \u0000 \u0000 \u0000 The cohort comprised 6600 men, aged 16-53, employed in offshore work in 1983, and was linked to the Cancer Registry of Norway for follow-up 1984–2020. Calendar period and age-standardised incidence ratios (SIRs) with 95% confidence intervals (CI) were estimated for all cancers combined and for 94 cancer sites using the general working population as the reference group.\u0000 \u0000 \u0000 \u0000 For all cancers combined, the study showed a SIR of 1.17 (95% CI: 1.11-1.23). Elevated risks were observed for cancer of the kidney (SIR: 1.35, 95% CI: 1.05-1.71), bladder (1.41, 1.14-1.74), larynx (1.92, 1.20-2.90), lung (1.26, 1.09-1.46), mesothelioma (1.90, 1.01-3.25) and oesophagus (all types (1.66, 1.13-2.36) and adenocarcinoma (1.80, 1.07-2.85)). However, no excess risk was observed for acute myeloid leukaemia (1.04, 0.47-1.97) or multiple myeloma (1.15, 0.78-1.63).\u0000 \u0000 \u0000 \u0000 Apart from the absence of excess risk of lymphohematological neoplasms and the novel finding of excess risk of kidney cancer, the findings corroborate existing research and underscore several cancer types for which offshore workers face increased risks. The available data did not allow for risk assessment of specific carcinogens or control of potential confounding factors such as lifestyle.\u0000 \u0000 \u0000 \u0000 In this register-based study, offshore workers active in 1983 had increased risk of certain cancers compared to the general working population. Further investigation into length of exposure, period of exposure and job type could yield further valuable insights.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0335
A. Modenese, F. Gobba
Hundreds of millions of outdoor workers worldwide are exposed to solar ultraviolet radiation (UVR), determining several adverse effects to their eyes and skin. The presentation is a call to action for the prevention of solar UVR-induced adverse effects in outdoor workers, and in particular of skin cancers. An adequate recognition of the occupational risk related to solar UVR exposure and a specific risk evaluation are needed to improve prevention. Risk assessment is fundamental for the identification of the best interventions available to reduce the risk: the main preventive measures are collective and individual ones. Collective measures include technical interventions, such as shading of the UV-irradiated surfaces at the workplace, and organizational measures, as avoiding to work during the central hours of the days. Individual measures are the personal protective equipment (i.e. specific UV-filtering hats, clothes and sunglasses) to be compulsorily provided to the workers, and also sunscreens, when recommended. Other fundamental interventions for a proper prevention are workers' training and occupational health surveillance. In order to raise the awareness on this important, even if under-recognized, occupational risk and to stimulate more adequate prevention policies, an increase of the number of skin cancers reported to workers' compensation authorities would be extremely important. To prevent the burden of solar UVR-related occupational skin cancers, an adequate risk evaluation with identification of appropriate preventive and protective measures, specific workers' training initiatives and ad-hoc health surveillance programs must be urgently implemented.
{"title":"SS57-04 PREVENTION OF SOLAR UVR RISK AT THE WORKPLACE AND HEALTH SURVEILLANCE","authors":"A. Modenese, F. Gobba","doi":"10.1093/occmed/kqae023.0335","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0335","url":null,"abstract":"\u0000 \u0000 \u0000 Hundreds of millions of outdoor workers worldwide are exposed to solar ultraviolet radiation (UVR), determining several adverse effects to their eyes and skin.\u0000 \u0000 \u0000 \u0000 The presentation is a call to action for the prevention of solar UVR-induced adverse effects in outdoor workers, and in particular of skin cancers.\u0000 \u0000 \u0000 \u0000 An adequate recognition of the occupational risk related to solar UVR exposure and a specific risk evaluation are needed to improve prevention. Risk assessment is fundamental for the identification of the best interventions available to reduce the risk: the main preventive measures are collective and individual ones. Collective measures include technical interventions, such as shading of the UV-irradiated surfaces at the workplace, and organizational measures, as avoiding to work during the central hours of the days. Individual measures are the personal protective equipment (i.e. specific UV-filtering hats, clothes and sunglasses) to be compulsorily provided to the workers, and also sunscreens, when recommended. Other fundamental interventions for a proper prevention are workers' training and occupational health surveillance. In order to raise the awareness on this important, even if under-recognized, occupational risk and to stimulate more adequate prevention policies, an increase of the number of skin cancers reported to workers' compensation authorities would be extremely important.\u0000 \u0000 \u0000 \u0000 To prevent the burden of solar UVR-related occupational skin cancers, an adequate risk evaluation with identification of appropriate preventive and protective measures, specific workers' training initiatives and ad-hoc health surveillance programs must be urgently implemented.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"90 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1093/occmed/kqae023.0901
Soile Jungewelter
Baker’s rhinitis and asthma caused by inhaled cereal flours are among the most common and well-known occupational diseases. Lately, gluten-free or vegan diets have increased in popularity and bakers’ allergens are changing in parallel. We created an information sheet for the workplaces with practical advice on preventive measures. Systemic preventive measures may include easy-to-clean surfaces and sufficient cleaning of workplaces to minimize exposure to dust. Technical measures might include use of local- or area-based exhaust ventilation and dust removal via air filtration. Technical measures need to be planned according to the nature of baking work and the requirements of individual workplaces. Organizational measures should include health and safety information dissemination to workers and training to promote safe working habits. Personal protective measures are focused on clothing, gloves, and respiratory protection, which must be made available at the workplace with workers instructed in their proper use. However, wearing respiratory protection with particulate filters for allergen protection can be difficult due to the working environment, where fine dusts, high temperatures, humidity, physical burden, or food hygiene regulations may all be problematic for their use. Education in identifying important allergens, their avoidance and handling, and early signs of allergy is important. Accurate and timely identification of vegan or gluten-free baker’s allergies may effectively prevent severe and generalized symptoms due to inadvertent exposure. It is important to recognize that contemporary baking may expose to unusual allergens such as buckwheat or psyllium and to consider all these allergens when a work-related disease is suspected.
{"title":"O-179 GLUTEN-FREE TREND CAUSES OCCUPATIONAL RHINITIS, ASTHMA AND DERMATITIS AMONG BAKERS DUE TO MORE UNUSUAL EXPOSURE – HOW TO TACKLE THIS EMERGING PROBLEM?","authors":"Soile Jungewelter","doi":"10.1093/occmed/kqae023.0901","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0901","url":null,"abstract":"\u0000 \u0000 \u0000 Baker’s rhinitis and asthma caused by inhaled cereal flours are among the most common and well-known occupational diseases. Lately, gluten-free or vegan diets have increased in popularity and bakers’ allergens are changing in parallel.\u0000 \u0000 \u0000 \u0000 We created an information sheet for the workplaces with practical advice on preventive measures.\u0000 \u0000 \u0000 \u0000 Systemic preventive measures may include easy-to-clean surfaces and sufficient cleaning of workplaces to minimize exposure to dust. Technical measures might include use of local- or area-based exhaust ventilation and dust removal via air filtration. Technical measures need to be planned according to the nature of baking work and the requirements of individual workplaces. Organizational measures should include health and safety information dissemination to workers and training to promote safe working habits. Personal protective measures are focused on clothing, gloves, and respiratory protection, which must be made available at the workplace with workers instructed in their proper use. However, wearing respiratory protection with particulate filters for allergen protection can be difficult due to the working environment, where fine dusts, high temperatures, humidity, physical burden, or food hygiene regulations may all be problematic for their use.\u0000 \u0000 \u0000 \u0000 Education in identifying important allergens, their avoidance and handling, and early signs of allergy is important. Accurate and timely identification of vegan or gluten-free baker’s allergies may effectively prevent severe and generalized symptoms due to inadvertent exposure.\u0000 \u0000 \u0000 \u0000 It is important to recognize that contemporary baking may expose to unusual allergens such as buckwheat or psyllium and to consider all these allergens when a work-related disease is suspected.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"10 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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