scholarly journals Farm worker injuries on Western Cape fruit farms: The role of the Lay Health Worker

Curationis ◽  
2005 ◽  
Vol 28 (4) ◽  
Author(s):  
S Marais ◽  
A Kritzinger

Aim and method: An exploratory and descriptive study to obtain basic data on the extent, nature, sources and severity of injuries sustained on fruit farms was conducted. The possibility of utilizing lay health workers (LHWs) on farms to document routine information on injuries was also investigated. Descriptive information of all injuries occurring on selected farms, both occupational and other, needing some form of treatment, were documented over a one-year period from June 1999 to May 2000. A purposive non-probability sampling method was used. Forty-eight fruit farms with a history of trained LHWs were purposefully selected. Injuries were documented using a one-page questionnaire. Results: A total of 500 injuries were recorded, giving an average of 10.4 injuries per farm per year. Half of these injuries were work-related. Workers aged 20-39 were most at risk. Injuries sustained were related to routine activities of fruit farming, occurred mostly in the orchards and involved cuts, bruises and abrasions to the hands, including the fingers, and the eyes. Most of the non-work related injuries occurred in and around the home. A third of these injuries were sustained by persons <20. A large percentage of the non-work related injuries were violence- and alcohol related. Most of the injuries required basic primary health care that could be managed by the LHW. Injury severity caused people to take time off for one third of the cases. Conclusion: A relatively high occupational injury rate in comparison to high-income countries. Occupational Health and Safety legislation needs to be institutionalized and adhered to. Alcohol and violence on farms is a serious public health problem. LHWs could potentially play an important role in documenting injury data.

2021 ◽  
pp. 216507992096196
Author(s):  
Sandra J. Domeracki

Background: Tennis leg (TL), a musculotendon injury to the gastrocnemius, has been associated with the eponymous sport since 1883. This article examines the historical context of TL as a sports compared with an occupational injury. This was juxtaposed with the history of tennis elbow, a tendon injury to the upper extremity also associated with sport. Methods: Bibliometric databases (PubMed, Web of Science [WOS], Hathi Trust) were keyword-searched; relevant citations were investigated in depth. Results: The search yielded 71 citations for TL (PubMed). The majority ( n = 43) were key word linked to sport terms; only one was linked to work-related search terms. Furthermore, none of the top four cited publications (Web of Science) alluded to work-related risk factors in TL in full textual analysis. Hathi Trust yielded the earliest work-related case, reported in a non-biomedical source. Tennis elbow was more frequently reported ( n = 189 citations in PubMed) and more frequently linked ( n = 193; 9.7%) to occupational search terms. Conclusion/Application to Practice: The history of TL, juxtaposed with tennis elbow, demonstrates how nosology can influence but does not wholly explain disease attribution, potentially to the detriment of taking into account occupational causality. The lack of recognition of occupational factors revealed in this literature search was notable because TL occurred most commonly in males of working age. By providing perspective on how historical context and nosology can affect the conceptualization of disease, this review may help inform prevention, treatment, and regulatory policy.


Author(s):  
Simone Sehnem

This research aimed to identify the level of innovation of sustainable practices by industrial companies. This is a descriptive study that made use of a questionnaire answered by 50 industrial companies. The results show that environmental practices at full level by 68% of businesses are monitoring the risks and opportunities for the organization's activities due to climate change; 56% of companies surveyed are waste separation; followed by the realization of related health and safety training at work in 52% of cases surveyed; and 48% monitoring and recording of injuries, the injury rate, the rate of occupational diseases, lost days, absenteeism and number of work-related fatalities for all workers. Among the practices adopted not stand out incineration (burning mass) (80% of companies surveyed); hiring indigenous and tribal employees (68%); composting (64%) and use of surface water in the process. Therefore, the study contributed to the disclosure cleaner called production innovations and also pipe end technologies. Some social practices that signal a commitment of the organizations with human resources and the humanization and also economical focused on continuous improvement.


1988 ◽  
Vol 16 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Bo Jacobsson ◽  
Lothar Schelp

The aim of this study was to investigate occupational injuries among teenagers in a defined population and geographical area with regard to incidence and severity and to compare our registration system with that of the Swedish Occupational Injury Information System. All occupational accidents in the age group 15–19 years were registered at public health centres. We found a higher incidence compared to school accidents in the same age group as well as in relation to occupational accidents in the older population. Part-time work, lack of experience, temporary employment, unskilled work, and age-specific behavioural patterns are factors that might explain the higher incidence rate. The highest rates were found in service, military and unspecified occupations. Only 25 % of the work-related accidents in our study were registered by the Swedish Occupational Injury System (ISA). It seems possible to reduce the number of accidents through the instigation of fairly simple measures. The coverage of the registration by the ISA seems to be incomplete.


2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016. Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under the supervision of physicians. Implement a family physician program is recommended in the health system.


2019 ◽  
Vol 9 (1) ◽  
pp. 13-18
Author(s):  
Firoz Ahmed Mamin ◽  
Ganesh Dey ◽  
Shazal Kumar Das

Background: Bangladesh is a rapidly developing country. Lots of infrastructures are set up every year. A large number of people are working in the construction industry.  Work related injuries and deaths of construction workers are common. The aim of this study was to find the health and safety awareness of informal construction workers. Methodology: This study was a cross sectional study by using a preset questionnaire among the construction workers in Bangladesh. Results: Participants of this study had lower income and education. About 87% of participants did not receive any health and safety training and did not wear safety equipment when they were working. About 57% of the participants had a history of injury. This study also found that the main reasons for the non-use of safety equipment were lack of safety equipment, motivation and training. Conclusion: Construction workers are not adequately aware about health and safety issues that relate to them.


2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016.Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under supervision of physicians. Implement a family physician program is recommended in the health system.


2021 ◽  
pp. 216507992110169
Author(s):  
Era Mae Ferron ◽  
Agnieszka Kosny ◽  
Sabrina Tonima

Background: Flagging is a standardized way to communicate the risk of patient violence to workers. We add to the limited body of research on flagging by describing hospitals’ approaches to and challenges with flagging patients with a history of violent behavior. Methods: We used a qualitative case study approach of hospitals in Ontario, Canada and their patient flagging practices. Key informants and our advisory committee identified 11 hospitals to invite to participate. Hospitals assisted in recruiting frontline clinical and allied health workers and managers to an interview or focus group. A document analysis of hospitals’ flagging policies and related documents was conducted. Thematic analysis was used to analyze interview and focus group data. Findings: Five hospitals participated. Of the five hospitals, four had a flagging policy where frontline clinical workers ( n = 58), frontline allied health workers ( n = 31), and managers ( n = 42) participated in an interview ( n = 43) or focus group ( n = 15). Participants described three challenges: patient stigmatization, patient privacy, and gaps in policy and procedures. Conclusion/Application to practice: Flagging patients with a history of violent behavior is one intervention that hospitals use to keep workers safe. While violence prevention was important to study participants, a number of factors can affect implementation of a flagging policy. Study findings suggest that hospital leadership should mitigate patient stigmatization (real and perceived) and perception of patient rights infringement by educating all managers and frontline workers on the purpose of flagging and the relationship between occupational health and safety and privacy regulations. Leadership should also actively involve frontline workers who are the most knowledgeable about how policies work in practice.


2021 ◽  
Vol 1 (56) ◽  
pp. 32-37
Author(s):  
Galina Jaxybekova ◽  
◽  
Gazima Bermagambetova ◽  
Berik Tuleubayev ◽  
◽  
...  

The aim of the study. To conduct a comparative analysis of the indicators of industrial injuries in Karaganda region for 2015-2019. Methods. The article analyzes the data on industrial injuries in Karaganda region for 2015-2019 years by the method of descriptive statistics, as well as the material consequences of accidents. Results. In Karaganda region, the number of victims in accidents related to labor activity per 100 thousand adult populations is 2.5 times, and the number of deaths is 2.2 times higher than the national indicator. Over the 5-year period, there has been a slight decrease in the number of work-related fatalities from 9.9% in 2015 to 9% for 2019. At the same time, there was a 1.2-fold increase in material costs. Conclusions. In Karaganda region for 2015-2019, the number of people injured at work decreased. Nevertheless, the level of industrial injuries remains quite high, indicating the need to improve the procedure of certification of production facilities on working conditions, as well as the regulatory framework on compliance with working conditions in the mining industry. Keywords: occupational injury rate, fatality rate, disability rate, Karaganda region, Kazakhstan


2020 ◽  
Author(s):  
Wodaje Gietaneh ◽  
Muluye Molla Simieneh ◽  
Muluneh Alene ◽  
Moges Agazhe Asemie ◽  
Daniel Shitu

Abstract BackgroundGlobally, work related injury has been continued as a major public health problem. In Ethiopia there are few fragmented empirical studies particularly among workers of fast growing sectors and there is no a national representative study on work related injury. Therefore, this study aims to determine the magnitude of occupational injury and to identify its predictors among construction, textile and municipal solid waste management workers in Ethiopia.Objectiveto determine magnitude of Work related injury and its disparity across selected occupations in EthiopiaMethod:Both published and unpublished articles conducted in Ethiopia on work related injury were searched between the periods 12 October, 2019 to 15 December, 2019. Random effect model was employed to estimate the overall magnitude of occupational injury and its predictors.ResultsThe overall magnitude of work related injury was 39.35% (95% CI: 27.40, 51.30%). Subgroup analysis revealed that there was slight disparity across occupations and regions. Drinking alcohol, smoking cigarette, khat chewing habit, work related stress, level of education and utilization of PPE were significantly associated with work related injury.ConclusionThis study found that more than 1 in 3 workers had at least one occupational injury at work. There was slight disparity across occupations and regions. It is strongly recommend that health education programs about the risk of substance use on occupational injury and apply strict occupational safety practices regulations should be strengthened.


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