Pub Date : 2024-07-05DOI: 10.1093/occmed/kqae023.0851
Paola Tomao, Antonella Mansi, Anna Maria Marcelloni, Alessandra Chiominto, Roberta Bertani, Michele Zappalorto
Introduction Hospital surfaces play an important role in the transmission of pathogens responsible for healthcare-associated infections (HAIs). In addition to patients, although less frequently, doctors, nurses and other health professionals may also be affected by these infections. The aim of this study is to assess the antibacterial activity of new epoxy resin-based materials (NM1 and NM2) for their possible use as collective protection measures in healthcare settings. Methods To evaluate the in vitro bactericidal activity of NM1 and NM2, the tests were carried out according to ISO 22196:2011. Known concentrations of E. coli ATCC® 8739 and S. aureus ATCC® 6538P were deposited on NM samples. Bactericidal activity was evaluated by calculating the average reduction (R) of the colony forming units (CFU) per cm2 in NM samples compared to controls. Results The results show that the NM1 is effective (R=2.36 Log CFU/cm2) against E. coli but not against S. aureus. As for the NM2, this has bactericidal activity both against E. coli (R=6.68 Log CFU/cm2) and against S. aureus (R=3.75 Log CFU/cm2). Discussion Our preliminary data are extremely promising, particularly those obtained from NM2 tests. Other experimental assays are currently underway on bacteria (Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter Baumanii) responsible for nosocomial infections. Conclusion Several pathogens can persist on hospital surfaces for a long time causing serious infections and epidemic outbreaks. The research in the field of advanced materials could make a significant contribution to the fight against HAIs also limiting the spread of multidrug resistant bacteria.
{"title":"P-279 ADVANCED MATERIALS AND THEIR POSSIBLE USE FOR INFECTIOUS RISK MITIGATION IN HEALTHCARE SETTING","authors":"Paola Tomao, Antonella Mansi, Anna Maria Marcelloni, Alessandra Chiominto, Roberta Bertani, Michele Zappalorto","doi":"10.1093/occmed/kqae023.0851","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0851","url":null,"abstract":"Introduction Hospital surfaces play an important role in the transmission of pathogens responsible for healthcare-associated infections (HAIs). In addition to patients, although less frequently, doctors, nurses and other health professionals may also be affected by these infections. The aim of this study is to assess the antibacterial activity of new epoxy resin-based materials (NM1 and NM2) for their possible use as collective protection measures in healthcare settings. Methods To evaluate the in vitro bactericidal activity of NM1 and NM2, the tests were carried out according to ISO 22196:2011. Known concentrations of E. coli ATCC® 8739 and S. aureus ATCC® 6538P were deposited on NM samples. Bactericidal activity was evaluated by calculating the average reduction (R) of the colony forming units (CFU) per cm2 in NM samples compared to controls. Results The results show that the NM1 is effective (R=2.36 Log CFU/cm2) against E. coli but not against S. aureus. As for the NM2, this has bactericidal activity both against E. coli (R=6.68 Log CFU/cm2) and against S. aureus (R=3.75 Log CFU/cm2). Discussion Our preliminary data are extremely promising, particularly those obtained from NM2 tests. Other experimental assays are currently underway on bacteria (Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter Baumanii) responsible for nosocomial infections. Conclusion Several pathogens can persist on hospital surfaces for a long time causing serious infections and epidemic outbreaks. The research in the field of advanced materials could make a significant contribution to the fight against HAIs also limiting the spread of multidrug resistant bacteria.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576067","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0197
Dingani Moyo
Introduction In recent years, the landscape of policy and legal frameworks on occupational health and safety in southern African countries has experienced important transformations. The development of occupational health and safety is strongly influenced by the maturity of the legal framework. Materials and Methods A systematic and critical appraisal of occupational health and safety policy and legal frameworks of eight southern African countries was done. The eight countries were Angola, Botswana, the Democratic Republic of Congo, Mozambique, Namibia, Tanzania, Zambia and Zimbabwe. A data proforma was used to collect data on the available policies and legislation on occupational health and safety, their comprehensiveness and level of harmonization, and ratification of the International Labour Organization (ILO) Conventions. Results Only 3 (38%) of the countries had a national occupational safety and health policy. Two (25%) of the countries had ratified ILO Conventions 155, 161, 176 and 187. All the countries had fragmented and inadequate legal frameworks related to occupational health and safety. Conclusions Southern Africa has an immature legal framework with a glaring deficit of national occupational health and safety policies. Occupational health and safety legislation in southern Africa is still at an infancy stage. The southern African region urgently requires to take radical and urgent actions to improve its occupational health and safety policy and legislative framework. The current reforms in policy and legal frameworks will significantly alter and improve the landscape of occupational health.
{"title":"SS31-02 LANDSCAPE OF OCCUPATIONAL HEALTH POLICY AND REGULATORY FRAMEWORKS AND REQUIRED REFORMS","authors":"Dingani Moyo","doi":"10.1093/occmed/kqae023.0197","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0197","url":null,"abstract":"Introduction In recent years, the landscape of policy and legal frameworks on occupational health and safety in southern African countries has experienced important transformations. The development of occupational health and safety is strongly influenced by the maturity of the legal framework. Materials and Methods A systematic and critical appraisal of occupational health and safety policy and legal frameworks of eight southern African countries was done. The eight countries were Angola, Botswana, the Democratic Republic of Congo, Mozambique, Namibia, Tanzania, Zambia and Zimbabwe. A data proforma was used to collect data on the available policies and legislation on occupational health and safety, their comprehensiveness and level of harmonization, and ratification of the International Labour Organization (ILO) Conventions. Results Only 3 (38%) of the countries had a national occupational safety and health policy. Two (25%) of the countries had ratified ILO Conventions 155, 161, 176 and 187. All the countries had fragmented and inadequate legal frameworks related to occupational health and safety. Conclusions Southern Africa has an immature legal framework with a glaring deficit of national occupational health and safety policies. Occupational health and safety legislation in southern Africa is still at an infancy stage. The southern African region urgently requires to take radical and urgent actions to improve its occupational health and safety policy and legislative framework. The current reforms in policy and legal frameworks will significantly alter and improve the landscape of occupational health.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576037","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0906
Mohammed Omar Idrissi Kaitouni, Nadia Manar, Omar Laraqui, Frédéric Deschamps, Chakib El Houssine Laraqui Hossini
Introduction: Objective critical analysis of medico-social cover for fishermen: limitations and recommendations. Medical and social cover for fishermen raises a number of issues of a legislative, ethical, deontological and practical nature. Methods A cross-sectional epidemiological survey was carried out among physicians working in the seafarers’ health facilities (ASGM). Results and discussion ASGM physicians, providing both care and prevention activities, infringe the provisions of the law relating to the practice of medicine. We have 20 occupational health physicians for 120,509 fishermen. We need around 70. The Ministry of Health provides the medical staff, which is an aberration because it pays the occupational health physicians who provide preventive care in the private sector. The Labor Code stipulates that medical services and the remuneration of occupational physicians are the responsibility of the company. Wouldn’t it be useful to introduce a compulsory prevention contribution, which would enable occupational health cover to be extended to the entire working population? Should the compulsory maritime insurance required of all shipowners include a contribution to occupational risk prevention? The high turnover of fishermen who change port of registration disrupts the proper monitoring of ASGMs. Wouldn’t it be useful to digitize the medical records and individual maritime booklet of fishermen as part of an intranet? The national reference rate has not been increased since 2006, resulting in quantitative and qualitative shortfalls in care. Shouldn’t a third-party payment system be considered? Conclusion Several actions are needed to improve the health and safety of fishermen
{"title":"O-184 MEDICAL AND SOCIAL COVER FOR FISHERMEN IN MOROCCO: CURRENT SITUATION, CONSTRAINTS AND PROSPECTS","authors":"Mohammed Omar Idrissi Kaitouni, Nadia Manar, Omar Laraqui, Frédéric Deschamps, Chakib El Houssine Laraqui Hossini","doi":"10.1093/occmed/kqae023.0906","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0906","url":null,"abstract":"Introduction: Objective critical analysis of medico-social cover for fishermen: limitations and recommendations. Medical and social cover for fishermen raises a number of issues of a legislative, ethical, deontological and practical nature. Methods A cross-sectional epidemiological survey was carried out among physicians working in the seafarers’ health facilities (ASGM). Results and discussion ASGM physicians, providing both care and prevention activities, infringe the provisions of the law relating to the practice of medicine. We have 20 occupational health physicians for 120,509 fishermen. We need around 70. The Ministry of Health provides the medical staff, which is an aberration because it pays the occupational health physicians who provide preventive care in the private sector. The Labor Code stipulates that medical services and the remuneration of occupational physicians are the responsibility of the company. Wouldn’t it be useful to introduce a compulsory prevention contribution, which would enable occupational health cover to be extended to the entire working population? Should the compulsory maritime insurance required of all shipowners include a contribution to occupational risk prevention? The high turnover of fishermen who change port of registration disrupts the proper monitoring of ASGMs. Wouldn’t it be useful to digitize the medical records and individual maritime booklet of fishermen as part of an intranet? The national reference rate has not been increased since 2006, resulting in quantitative and qualitative shortfalls in care. Shouldn’t a third-party payment system be considered? Conclusion Several actions are needed to improve the health and safety of fishermen","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575809","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0135
Winnie Rabera Makokha
Introduction The World Health Organization, Human Rights Council in 2022 called on stakeholders to frame menstruation as a health issue. It committed to make health facilities, and other workplaces, menstruation responsive. This need became even more urgent at the height of the COVID-19 pandemic where women healthcare workers were required to be in coverall personal protective equipment (PPE) for long hours. Recent anecdotal evidence from the Kenyan media showed a company in the spotlight for harassing women employees on a menstruation related issue. It is against this background that this paper will explore legislation gaps on menstrual health at the workplace in Kenya. Materials and Methods A desktop review of legislation and policies on occupational health, public health and employment in areas that support menstrual health was carried out. Results The Occupational Health and Safety Act, 2007 highlights workers welfare in Part X but is limited to washing and sitting facilities, drinking water, first aid, accommodation for clothing. The Public Health Act only prescribes the ratio of toilets to the number of persons i.e. 1:25. While the Health Act , 2017 only prescribes on lactation stations and the Environmental Coordination Act (EMCA) only prescribes on waste disposal. Conclusions The legislation has glaring gaps in prescribing requirements for menstrual health in workplaces. This poses a challenge in implementation of requirements that are menstruation responsive as envisioned by WHO. Owing to the gaps in legislation with no specified law guiding on menstrual health at the workplace, employers are limited to implement menstruation requirements as they deem fit.
{"title":"SS18-03 MENSTRUAL HEALTH AT WORKPLACES AND THEIR EFFECT ON WOMEN’S WELLBEING AT WORK","authors":"Winnie Rabera Makokha","doi":"10.1093/occmed/kqae023.0135","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0135","url":null,"abstract":"Introduction The World Health Organization, Human Rights Council in 2022 called on stakeholders to frame menstruation as a health issue. It committed to make health facilities, and other workplaces, menstruation responsive. This need became even more urgent at the height of the COVID-19 pandemic where women healthcare workers were required to be in coverall personal protective equipment (PPE) for long hours. Recent anecdotal evidence from the Kenyan media showed a company in the spotlight for harassing women employees on a menstruation related issue. It is against this background that this paper will explore legislation gaps on menstrual health at the workplace in Kenya. Materials and Methods A desktop review of legislation and policies on occupational health, public health and employment in areas that support menstrual health was carried out. Results The Occupational Health and Safety Act, 2007 highlights workers welfare in Part X but is limited to washing and sitting facilities, drinking water, first aid, accommodation for clothing. The Public Health Act only prescribes the ratio of toilets to the number of persons i.e. 1:25. While the Health Act , 2017 only prescribes on lactation stations and the Environmental Coordination Act (EMCA) only prescribes on waste disposal. Conclusions The legislation has glaring gaps in prescribing requirements for menstrual health in workplaces. This poses a challenge in implementation of requirements that are menstruation responsive as envisioned by WHO. Owing to the gaps in legislation with no specified law guiding on menstrual health at the workplace, employers are limited to implement menstruation requirements as they deem fit.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576002","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0429
Marit Slootweg, Yuwei Qi, Patricia Ots, Raun Van Ooijen, Sandra Brouwer
Introduction Due to population ageing, it is essential to prolong working life to safeguard the sustainability of social security systems. However, not everyone is able to work until the rising retirement age due to their health. We aim to estimate healthy working life expectancy (HWLE) of the Dutch working-age population and how it is associated with socioeconomic status and health behaviors (physical activity, smoking and alcohol consumption). Methods Longitudinal data from the Lifelines cohort (2006-2021) on health and health behavior were used, enriched with registry data from Statistics Netherlands on work outcomes. HWLE was defined as the expected number of years working in good health after age 50. HWLE was estimated using a multi-state model, conducting stratified analyses by educational levels and gender. Results Estimated HWLE was 9.6 years. People work 0.8 years in poor health and spend the remaining 4.6 years out of employment. HWLE changed over educational levels from 8.7 years for low to 10.3 for intermediate and to 9.8 years for high education. HWLE was lower for women than for men. Unhealthy physical activity and smoking were associated with working longer in poor health and alcohol consumption was associated with more years out of employment. Discussion HWLE comprises two-thirds of late working life, indicating that a large group of workers experiences difficulties to reach the rising retirement age. Conclusion Health behaviours are potentially underlying mechanisms towards HWLE, and new policies should focus on equitable improvements. A broader set of determinants (e.g. work and living environment) is required to further investigate sustainable employability.
{"title":"O-006 HEALTHY WORKING LIFE EXPECTANCY AND THE ASSOCIATED HEALTH BEHAVIOURS AMONG DIFFERENT SOCIODEMOGRAPHIC GROUPS","authors":"Marit Slootweg, Yuwei Qi, Patricia Ots, Raun Van Ooijen, Sandra Brouwer","doi":"10.1093/occmed/kqae023.0429","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0429","url":null,"abstract":"Introduction Due to population ageing, it is essential to prolong working life to safeguard the sustainability of social security systems. However, not everyone is able to work until the rising retirement age due to their health. We aim to estimate healthy working life expectancy (HWLE) of the Dutch working-age population and how it is associated with socioeconomic status and health behaviors (physical activity, smoking and alcohol consumption). Methods Longitudinal data from the Lifelines cohort (2006-2021) on health and health behavior were used, enriched with registry data from Statistics Netherlands on work outcomes. HWLE was defined as the expected number of years working in good health after age 50. HWLE was estimated using a multi-state model, conducting stratified analyses by educational levels and gender. Results Estimated HWLE was 9.6 years. People work 0.8 years in poor health and spend the remaining 4.6 years out of employment. HWLE changed over educational levels from 8.7 years for low to 10.3 for intermediate and to 9.8 years for high education. HWLE was lower for women than for men. Unhealthy physical activity and smoking were associated with working longer in poor health and alcohol consumption was associated with more years out of employment. Discussion HWLE comprises two-thirds of late working life, indicating that a large group of workers experiences difficulties to reach the rising retirement age. Conclusion Health behaviours are potentially underlying mechanisms towards HWLE, and new policies should focus on equitable improvements. A broader set of determinants (e.g. work and living environment) is required to further investigate sustainable employability.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576003","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0936
Samir Errida
Introduction This study aimed to collect precise data as reported in medical records, including the number of workplace accidents, their causes, types, and severity. It also sought information on the duration of work interruptions and compared them with other types of injuries. Methods The study gathered data on the rates of Permanent Partial Disability (IPP) granted and aimed to understand the assessment of clinical and para clinical care costs, as well as compensation amounts for different reported incidents. Results The digitalization of medical records offered several advantages, such as eliminating the need to physically transfer records between company branches, systematic archiving in the company’s drive with immediate retrieval when needed, and enabling the declaration of changes in job positions and scheduling of medical examinations. The digitalization of medical records led to improved access for authorized personnel, including occupational physicians and nursing staff, with enhanced data privacy protection. Discussion This streamlined data exchange and document sharing exclusively among the company’s occupational physicians, resulting in increased efficiency in accessing healthcare services and improving overall medical care management within the organization. Furthermore, the ability to compare and analyze data on workplace accidents, work interruptions, and compensation rates can aid in identifying trends and implementing preventive measures. Conclusion This digitalization process enhances data accessibility, privacy protection, and the efficiency of medical care management within the organization.
{"title":"P-329 INTEREST OF MEDICAL DIGITALIZATION IN OCCUPATIONAL MEDICINE","authors":"Samir Errida","doi":"10.1093/occmed/kqae023.0936","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0936","url":null,"abstract":"Introduction This study aimed to collect precise data as reported in medical records, including the number of workplace accidents, their causes, types, and severity. It also sought information on the duration of work interruptions and compared them with other types of injuries. Methods The study gathered data on the rates of Permanent Partial Disability (IPP) granted and aimed to understand the assessment of clinical and para clinical care costs, as well as compensation amounts for different reported incidents. Results The digitalization of medical records offered several advantages, such as eliminating the need to physically transfer records between company branches, systematic archiving in the company’s drive with immediate retrieval when needed, and enabling the declaration of changes in job positions and scheduling of medical examinations. The digitalization of medical records led to improved access for authorized personnel, including occupational physicians and nursing staff, with enhanced data privacy protection. Discussion This streamlined data exchange and document sharing exclusively among the company’s occupational physicians, resulting in increased efficiency in accessing healthcare services and improving overall medical care management within the organization. Furthermore, the ability to compare and analyze data on workplace accidents, work interruptions, and compensation rates can aid in identifying trends and implementing preventive measures. Conclusion This digitalization process enhances data accessibility, privacy protection, and the efficiency of medical care management within the organization.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576034","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}
Introduction Post COVID syndrome (PCS) is characterized by polymorphous symptoms of variable duration. The evolution of these symptoms remains unpredictable. Our aim is to assess the prevalence of PCS in healthcare workers (HCW) who have contracted COVID-19 and to study the evolution of persistent symptoms. Methods Cross-sectional descriptive study of HCW at Rabta Hospital who contracted COVID-19 between October 2020 and May 2021. Patients without symptoms when returning to work were not included. Data concerning PCS were collected by telephone contact in June 2021. Results Of the 200 patients included, 170 (85%) completed the questionnaire. Ninety HCW (52.9%) had developed PCS. The population was predominantly female (82.2%), with a mean age of 43.07±10.15 years. Persistent symptoms were mainly exertional dyspnea (33.3%), fatigue (28.9%), memory impairment (11.1%), palpitations (7.8%) and arthralgia (6.7%). A statistically significant relationship was found between the severe form and the onset of PCS (p=0.01). Progression was characterized by the persistence of at least one of the symptoms affecting 31 patients (38%). The persistent symptoms were mainly neuropsychological disorders (65%) requiring psychiatric treatment (29%), exertional dyspnea (61%) requiring pulmonary treatment (26%). Discussion Since the end of the first epidemic wave in May 2020, the persistence of symptoms several weeks or months after the first manifestations has been described in over 20% of patients after 5 weeks or more, and in over 10% of patients after 3 months. Despite the still-limited follow-up, the evolution is generally towards improvement. Conclusion Some patients with PCS should have access to multidisciplinary consultations for better management.
{"title":"P-270 POST COVID SYNDROME IN HEALTH CARE WORKERS","authors":"Amani Dallagi, Jihen Hsinet, Saloua Ismail, Nihel Khouja, Emna Bechrifa, Naourez Ben Fatma, Amira Belkahla, Aida Benzarti","doi":"10.1093/occmed/kqae023.0842","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0842","url":null,"abstract":"Introduction Post COVID syndrome (PCS) is characterized by polymorphous symptoms of variable duration. The evolution of these symptoms remains unpredictable. Our aim is to assess the prevalence of PCS in healthcare workers (HCW) who have contracted COVID-19 and to study the evolution of persistent symptoms. Methods Cross-sectional descriptive study of HCW at Rabta Hospital who contracted COVID-19 between October 2020 and May 2021. Patients without symptoms when returning to work were not included. Data concerning PCS were collected by telephone contact in June 2021. Results Of the 200 patients included, 170 (85%) completed the questionnaire. Ninety HCW (52.9%) had developed PCS. The population was predominantly female (82.2%), with a mean age of 43.07±10.15 years. Persistent symptoms were mainly exertional dyspnea (33.3%), fatigue (28.9%), memory impairment (11.1%), palpitations (7.8%) and arthralgia (6.7%). A statistically significant relationship was found between the severe form and the onset of PCS (p=0.01). Progression was characterized by the persistence of at least one of the symptoms affecting 31 patients (38%). The persistent symptoms were mainly neuropsychological disorders (65%) requiring psychiatric treatment (29%), exertional dyspnea (61%) requiring pulmonary treatment (26%). Discussion Since the end of the first epidemic wave in May 2020, the persistence of symptoms several weeks or months after the first manifestations has been described in over 20% of patients after 5 weeks or more, and in over 10% of patients after 3 months. Despite the still-limited follow-up, the evolution is generally towards improvement. Conclusion Some patients with PCS should have access to multidisciplinary consultations for better management.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141575893","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0288
Geoffrey Calvert
This session will describe the terrorist attacks of September 11, 2001 (9/11) and the resulting exposures to severe psychological stressors and to neurotoxin-containing dust, smoke, and fumes. Described 9/11 exposures appear to increase the risk for various psychiatric illnesses including post-traumatic stress disorder (PTSD), anxiety disorder, substance use disorders, adjustment disorders, and depressive disorders. Evidence of neurocognitive dysfunction, including cortical atrophy, is also beginning to emerge. Together, panel members will summarize the psychiatric and cognitive effects, reflect on the possible role of 9/11 exposures in those outcomes, and discuss the importance of ongoing clinical surveillance and the role of prevention.
{"title":"SS49 NEUROPSYCHIATRIC EFFECTS OF THE 9/11 TERRORIST ATTACKS","authors":"Geoffrey Calvert","doi":"10.1093/occmed/kqae023.0288","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0288","url":null,"abstract":"This session will describe the terrorist attacks of September 11, 2001 (9/11) and the resulting exposures to severe psychological stressors and to neurotoxin-containing dust, smoke, and fumes. Described 9/11 exposures appear to increase the risk for various psychiatric illnesses including post-traumatic stress disorder (PTSD), anxiety disorder, substance use disorders, adjustment disorders, and depressive disorders. Evidence of neurocognitive dysfunction, including cortical atrophy, is also beginning to emerge. Together, panel members will summarize the psychiatric and cognitive effects, reflect on the possible role of 9/11 exposures in those outcomes, and discuss the importance of ongoing clinical surveillance and the role of prevention.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576080","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}
Introduction The aeronautical industry (AI) provides employment for thousands of workers who are exposed to a variety of occupational hazards. Medical prevention is essential, based on periodic medical surveillance (PMS). The aim of our study was to determine the value of PMS for AI employees. Methods This is a descriptive cross-sectional study that interested workers of an AI who consulted the Department of Occupational Pathology in the context of PMS during the period from 1 January to 30 July 2023. Results During the study period eighty employees were seen. The mean age was 34±6 years with a sex ratio of 1.66. The most common job titles were quality controller (35%) and logistics agent (17%). The median job seniority was 5 [2; 9] years. The occupational constraints reported were postural constraints (57.1%), followed by exposure to organic solvents (28.6%). Personal protective equipment was worn by 33.2% of employees. Vision abnormalities were detected in 30% of employees. Biological abnormalities were noted in 23.6% of cases. Eighty-three per cent of employees were declared fit to continue their usual professional activity. A modified workstation was indicated for two workers. A decision on fitness to work, with compliance health rules and biological monitoring, was taken in 17% of cases. Discussion AI employees represent a young population with no risk factors. They are exposed to occupational hazards, including chemicals and noise. Hence the need for different investigations. Conclusion PMS can make a major contribution to prevention in this young population and health promotion overall.
{"title":"P-163 THE INTEREST OF PERIODIC MEDICAL SURVEILLANCE FOR WORKERS IN THE AERONAUTICAL INDUSTRY","authors":"Hiba Ziedi, Ghada Bahri, Mariem Mersni, Najla Mechergui, Dorra Brahim, Hanene Ben Said, Imen Youssef, Nizar Ladhari","doi":"10.1093/occmed/kqae023.0680","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0680","url":null,"abstract":"Introduction The aeronautical industry (AI) provides employment for thousands of workers who are exposed to a variety of occupational hazards. Medical prevention is essential, based on periodic medical surveillance (PMS). The aim of our study was to determine the value of PMS for AI employees. Methods This is a descriptive cross-sectional study that interested workers of an AI who consulted the Department of Occupational Pathology in the context of PMS during the period from 1 January to 30 July 2023. Results During the study period eighty employees were seen. The mean age was 34±6 years with a sex ratio of 1.66. The most common job titles were quality controller (35%) and logistics agent (17%). The median job seniority was 5 [2; 9] years. The occupational constraints reported were postural constraints (57.1%), followed by exposure to organic solvents (28.6%). Personal protective equipment was worn by 33.2% of employees. Vision abnormalities were detected in 30% of employees. Biological abnormalities were noted in 23.6% of cases. Eighty-three per cent of employees were declared fit to continue their usual professional activity. A modified workstation was indicated for two workers. A decision on fitness to work, with compliance health rules and biological monitoring, was taken in 17% of cases. Discussion AI employees represent a young population with no risk factors. They are exposed to occupational hazards, including chemicals and noise. Hence the need for different investigations. Conclusion PMS can make a major contribution to prevention in this young population and health promotion overall.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576001","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 : 2024-07-05DOI: 10.1093/occmed/kqae023.0415
Brahim Mohammed-Brahim, Alain Garrigou
The resumption of research in agriculture (Mohammed-Brahim et al., 1997) and the implementation of the ergotoxicological approach in asbestos removal work (Mohammed-Brahim et al., 1998) has further demonstrated the limitations of a screen-based model (Mohammed-Brahim & Garrigou, 2009), whether prescriptive (through the application of limit values or restrictions on use), based on protection and instructions (around the wearing of personal protective equipment (PPE) and procedures to be followed), or medical (relating to medical aptitudes and indications). This work in the field of agriculture has focused precisely on the lack of effectiveness of protective suits in real-life spraying situations in viticulture (Garrigou et al., 2011). In this vein, the demonstration that the pesticide registration process relies on the ineffective prescription of PPE in certain work situations, reinforces the global questioning of screen-based prevention strategies (Garrigou et al., 2020). The parallel between the ‘screens’ described by Mohammed-Brahim & Garrigou (2009) and the ‘norms’ questioned by Villatte (1985) is unavoidable. This demonstration in the field of pesticides confirms the strength of Villatte's initial proposal. An entire functionalist prevention paradigm promulgated by human factors (Reason, 1990) is now called into question.
{"title":"SS73-01 ERGOTOXICOLOGY: A TRANSDISCIPLINARY APPROACH IN ORDER TO PREVENT EXPOSURE TO CHEMICALS","authors":"Brahim Mohammed-Brahim, Alain Garrigou","doi":"10.1093/occmed/kqae023.0415","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0415","url":null,"abstract":"The resumption of research in agriculture (Mohammed-Brahim et al., 1997) and the implementation of the ergotoxicological approach in asbestos removal work (Mohammed-Brahim et al., 1998) has further demonstrated the limitations of a screen-based model (Mohammed-Brahim & Garrigou, 2009), whether prescriptive (through the application of limit values or restrictions on use), based on protection and instructions (around the wearing of personal protective equipment (PPE) and procedures to be followed), or medical (relating to medical aptitudes and indications). This work in the field of agriculture has focused precisely on the lack of effectiveness of protective suits in real-life spraying situations in viticulture (Garrigou et al., 2011). In this vein, the demonstration that the pesticide registration process relies on the ineffective prescription of PPE in certain work situations, reinforces the global questioning of screen-based prevention strategies (Garrigou et al., 2020). The parallel between the ‘screens’ described by Mohammed-Brahim & Garrigou (2009) and the ‘norms’ questioned by Villatte (1985) is unavoidable. This demonstration in the field of pesticides confirms the strength of Villatte's initial proposal. An entire functionalist prevention paradigm promulgated by human factors (Reason, 1990) is now called into question.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576010","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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