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Occupational disease surveillance

Nicoletta Sias, Elisabetta Cellura, Virginia Mortara, Flavio Giacinti, Antonella Rulfi, Giustina Elena Soru, Attilio Businelli
OBJECTIVES: The operating model of health and safety protection in the workplace is a complex system made up of multiple integrated layers of intervention, achieved by various parties, organizations and institutions. The objective in this study was to verify the congruity and appropriateness of these specific interventions in the Genoa area, starting from a sample of reports of musculoskeletal diseases pursuant to Art. 139 TU 1124/1965 and to Art. 365 CP received in ASL3 between years 2004 and 2014...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Giuseppe Taino, Franco Pugliese, Daniela Bonetti, Rossana Astengo, Marcello Imbriani
OBJECTIVES: The topic of appropriateness was defined as the new frontier of development of health interventions. RH Brook in an Editorial published in the BMJ in 1994 defines the appropriateness "… an intervention for which the expected benefits are greater (with a sufficient margin) the possible negative consequences … excluding economic considerations". In workplaces the goal of appropriateness should cover not only the actions of health surveillance and health protocols, but also and primarily all stages of the risk assessment process...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Anna Ruggieri, Elisabetta Straface, Eugenio Sorrentino
OBJECTIVES: Gender medicine is a multi-faceted field of investigation integrating various aspects of psycho-social and biological sciences but it mainly deals with the impact of the gender on human physiology, pathophysiology, and clinical features of diseases. In Italy, the Decree Law 81/2008 recently introduced the gender issue in the risk assessment at the workplaces. METHODS: This review briefly describes our current knowledge on gender medicine and on the Italian legislation in risk management...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Francesca Larese Filon, Francesca Rui
OBJECTIVES: Occupational contact dermatitis are the second occupational diseases in industrialized countries and the preventive action and/or early diagnosis done by occupational physician (OP) is of paramount importance. METHODS: OP in the process of risk evaluation must suggest products, detergents and personal protective equipment with low irritant or sensitization potential. During work, the use of skin creams has to be promoted to prevent irritation that is the first step towards impairment of the skin barrier and sensitization...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Caterina Ledda, Paola Senia, Venerando Rapisarda
Malignant pleural mesothelioma (MM) is a highly aggressive tumor characterized by a poor prognosis. Although its carcinogenesis mechanism has not been strictly understood, about 80% of MM can be attributed to occupational and/or environmental exposure to asbestos fibers. The identification of non-invasive molecular markers for an early diagnosis of MM has been the subject of several studies aimed at diagnosing the disease at an early stage. The most studied biomarker is mesothelin, characterized by a good specificity, but it has low sensitivity, especially for non-epithelioid MM...
June 15, 2018: Cancers
Aleksandra Fucic, Karen S Galea, Radu Corneliu Duca, Mounia El Yamani, Nadine Frery, Lode Godderis, Thórhallur Ingi Halldorsson, Ivo Iavicoli, Sophie Ndaw, Edna Ribeiro, Susana Viegas, Hanns Moshammer
Endocrine disruptors (EDs) belong to large and diverse groups of agents that may cause multiple biological effects associated with, for example, hormone imbalance and infertility, chronic diseases such as diabetes, genome damage and cancer. The health risks related with the exposure to EDs are typically underestimated, less well characterized, and not regulated to the same extent as, for example, carcinogens. The increased production and utilization of identified or suspected EDs in many different technological processes raises new challenges with respect to occupational exposure settings and associated health risks...
June 11, 2018: International Journal of Environmental Research and Public Health
Laura C Roberts, Geoffrey T Fosgate
Foot-and-mouth disease (FMD) prevention and control is a challenge worldwide but the situation in southern Africa is particularly complex because the virus is endemic in wild African buffalo (Syncerus caffer). The objective of this study was to compare stakeholder perceptions of the FMD control methods employed to restrict FMD virus to the infected zone of South Africa. Data collection was performed using an online questionnaire distributed to FMD experts, government veterinarians, private livestock veterinarians, people involved within the wildlife sector, and "other" occupation groups including the general public...
August 1, 2018: Preventive Veterinary Medicine
Alessandro Marinaccio, Alessandra Binazzi, Michela Bonafede, Antonella Altimari, Roberto Boscioni, Marisa Corfiati, Marta Clemente, Adelina Brusco
BACKGROUND: The aim of this study was to evaluate the occupational health risks in the Italian National Priority Contaminated Sites (NPCSs). METHODS: Established cases of occupational diseases in 2010-2014 were extracted from the Italian National Institute for Insurance against Accidents at Work (INAIL) archives. Standardized incidence ratios with 95% confidence intervals were estimated by site and by disease group separately for genders. RESULTS: In the 44 NPCSs evaluated, 11 015 cases of occupational diseases (8877 in men and 2138 in women) were ascertained...
June 11, 2018: American Journal of Industrial Medicine
Vivienne C Bachelet
OBJECTIVE: To characterise work-related fatal events that occurred in Chile in 2014 and 2015 in workers covered by the Occupational Accidents and Professional Disease No 16.744 Act. DESIGN: Cross-sectional on registries of the Chilean Worker's Health and Safety National Information System, specifically focusing on the Fatal Work Accidents Registry of the Social Security Superintendence. STUDY POPULATION: Secondary data analysis on all 815 cases of occupational injury-related deaths registered in 2014 and 2015 in Chile and that were accredited by the Social Security Superintendence up to March 2016...
June 9, 2018: BMJ Open
J Fan, N Wang, L W Fang, Y J Feng, S Cong, H L Bao, L H Wang, B H Wang
Objective: To understand the awareness of knowledge about COPD and related factors in residents aged ≥40 years in China. Methods: Through multi-stage stratified cluster sampling, residents aged ≥40 years were selected from 125 sites of COPD surveillance (2014-2015) in 31 provinces of China for a face to face questionnaire survey. The demographic characteristics and awareness rate of knowledge about COPD among 75 082 subjects were described as frequency and percentage. The awareness rate of knowledge about COPD and its 95 % confidence interval ( CI ) among the residents aged ≥40 years were estimated with complicated sampling weights...
May 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
L W Fang, L H Wang
The first national surveillance of COPD in mainland China was carried out in 2014, with the nationally representative data obtained. The national surveillance was significantly important for the monitoring of prevalence, risk factors, and changing trend of COPD among Chinese adults aged ≥ 40. The surveillance was also important in the development of national COPD prevention and control policy, the evaluation of prevention and control progress, the establishment of COPD comprehensive surveillance system, and the building of a professional COPD monitoring and prevention team...
May 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
Winifred L Boal, Jia Li, Aaron Sussell
Lack of health insurance has been associated with poorer health status and with difficulties accessing preventive health services and obtaining medical care, especially for chronic diseases (1-3). Among workers, the prevalence of chronic conditions, risk behaviors, and having health insurance has been shown to vary by occupation (4,5). CDC used data from the 2013 and 2014 Behavioral Risk Factor Surveillance System (BRFSS) to estimate the prevalence of having no health care coverage (e.g., health insurance, prepaid plans such as health maintenance organizations, government plans such as Medicare, or Indian Health Service) by occupation...
June 1, 2018: MMWR. Morbidity and Mortality Weekly Report
Mojgan Mamani, Mohammad Mehdi Majzoobi, Fariba Keramat, Nesa Varmaghani, Abbas Moghimbeigi
BACKGROUND: Brucellosis is a zoonotic disease caused by Brucella species via infected domestic animals. In endemic areas, certain occupations such as veterinarians, butchers, and slaughterhouse workers are considered high risk regarding brucellosis. We evaluated the seroprevalence of brucellosis in high-risk occupations in Hamadan, West of Iran. STUDY DESIGN: a cross-sectional study. METHODS: Overall, 218 participants from 2014 to 2015 were enrolled...
February 10, 2018: Journal of Research in Health Sciences
Elisabetta Chellini, Francesca Battisti, Maura Pellegri, Maurizio Baldacci, Domenico Sallese, Alfonso Cristaudo, Pietro Sartorelli, Giulio Arcangeli, Massimo Paoli, Sandra Fani, Gianluca Festa, Piergiuseppe Calà
Asbestos-related diseases are characterized by a long latency time since exposure. This accounts for a health surveillance programme addressed to asbestos workers to be performed for decades after the cessation of occupational exposure. We describe the health surveillance programme for former asbestos-exposed workers in Tuscany Region (Central Italy), with particular attention to organization and related critical issues. The Deliberation of the Regional Administration of Tuscany (No. 396/2016) supports the programme, defined by a regional group of experts, and defines the public health services where the programme has to be implemented...
March 2018: Epidemiologia e Prevenzione
Dana Loomis, Neela Guha, Amy L Hall, Kurt Straif
The recognition of occupational carcinogens is important for primary prevention, compensation and surveillance of exposed workers, as well as identifying causes of cancer in the general population. This study updates previously published lists of known occupational carcinogens while providing additional information on cancer type, exposure scenarios and routes, and discussing trends in the identification of carcinogens over time. Data were extracted from International Agency for Research on Cancer (IARC) Monographs covering the years 1971-2017, using specific criteria to ensure occupational relevance and provide high confidence in the causality of observed exposure-disease associations...
May 16, 2018: Occupational and Environmental Medicine
Dahabo Adi Galgallo, Zeinab Gura Roka, Waqo G Boru, Khalumi Abill, James Ransom
AIM: Typhoid fever is a vaccine-preventable bacterial disease that causes significant morbidity and mortality throughout Africa. This paper describes an upsurge of typhoid fever cases in Moyale Sub-County (MSC), Kenya, 2014-2015. METHODS: We conducted active hospital and health facility surveillance and laboratory and antimicrobial sensitivity testing for all patients presenting with headache, fever, stomach pains, diarrhea, or constipation at five MSC health facilities between December 2014 and January 2015...
May 15, 2018: Journal of Health, Population, and Nutrition
Pinky N Manana, Lazarus Kuonza, Alfred Musekiwa, Hendrik Koornhof, Ananta Nanoo, Nazir Ismail
INTRODUCTION: Health Care Workers (HCWs) are among the highest risk groups for contracting tuberculosis (TB), which is ranked the third most common occupational health disease in South Africa. Little is known about the true extent of the burden of TB among South African HCWs and current surveillance approaches are inadequate. The study aimed to determine the feasibility of using postal and web-based surveys accessed through registries of registered professionals to estimate the prevalence of TB among HCWs in South Africa...
2018: PloS One
James K H Jung, Saul G Feinstein, Luis Palma Lazgare, Jill S Macleod, Victoria H Arrandale, Christopher B McLeod, Alice Peter, Paul A Demers
BACKGROUND: The Occupational Disease Surveillance System (ODSS) was established in Ontario, Canada by linking a cohort of workers with data created from Workplace Safety and Insurance Board (WSIB) claims to administrative health databases. The aim of this study was to use ODSS to identify high-risk industry and occupation groups for lung cancer in Ontario. METHODS: Workers in the WSIB lost time claims database were linked to the Ontario Cancer Registry using subjects' health insurance numbers, name, sex, birthdate and death date (if applicable)...
May 7, 2018: Occupational and Environmental Medicine
Marina Grégoris, Frédéric Deschamps, Julie Salles, Stéphane Sanchez
Objectives This study's objective was to assess the morbidity of self-employed workers in the food service industry, an industry with a large amount of occupational health risks. Methods A cross-sectional study, consisting of 437 participants, was conducted between 2011 and 2013 in Champagne-Ardenne, France. The health questionnaire included an interview, a clinical examination, and medical investigations. Results The study population consisted of 146 self-employed workers (not working for an employer) and 291 employees (working with employment contracts for an employer)...
July 2017: International Journal of Occupational and Environmental Health
Maria Elena Remoli, Cristiano Fiorentini, Antonella Marchi, Simona Di Renzi, Nicoletta Vonesch, Maria Vittoria Peri, Lucia Bastianini, Sonia Rossi, Giulia Bartoccini, Maya Lissa Kuttappasery, Maria Grazia Ciufolini, Paola Tomao
BACKGROUND: Arthropod-borne viruses (Arbovirus) play an important role among emerging and re-emerging infectious diseases and in the spreading of infections in new geographic areas. Although some arboviral infections may be asymptomatic or mild flu-like illnesses, many occur as severe forms of meningitis and meningoencephalitis. OBJECTIVES: To assess whether arboviral infections may be associated with occupational risk, in a population of agricultural and forestry workers potentially at high risk for arthropods bite and sting...
January 30, 2018: La Medicina del Lavoro
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