HAZARD IDENTIFICATION OF CLIMATE RISK FACTORS ON HEALTH OF THE FAR NORTH POPULATION

Author(s):  
Nina Zaitseva ◽  
Kristina Chetvertkina ◽  
Anna Khasanova
Author(s):  
I. A Pogonysheva ◽  
D. A Pogonyshev ◽  
I. I Lunyak

The cardiac activity of students who have been born and live in the territory equated to regions of Far North was assessed. In total, 132 students of Nizhnevartovsk State University were examined using the CardioVisor-06c analyser that helps to diagnose dysfunctions of the cardiovascular system at preclinical level. The authors conducted a questionnaire survey to identify risk factors associated with cardiovascular diseases in students and analyzed the results of ECG dispersion mapping. The deterioration of the functional state of the myocardium was more pronounced among students with a high risk of developing cardiovascular diseases. The young men and women with pre-pathological characteristics of electrophysiological indicators were referred for additional examination and cardiology consultation.


2021 ◽  
Vol 26 (10) ◽  
pp. 4586
Author(s):  
N. Yu. Khorkova ◽  
T. P. Gizatulina ◽  
A. V. Belokurova ◽  
E. A. Gorbatenko ◽  
E. I. Yaroslavskaya

Aim. To analyze thromboembolic risk factors and identify additional predictors of left atrial appendage (LAA) thrombosis, which are not included in the CHA2DS2VASc scale, in long-term Far North residents with nonvalvular atrial fibrillation (AF).Material and methods. The study included 162 patients (men, 108; women, 54; mean age, 55,3±8,7 years) with non-valvular AF, living in the Far North, and 684 patients (men, 408; women, 276; mean age, 56,9±9,3 years), living in the temperate latitudes, hospitalized for catheter ablation. All patients underwent transthoracic and transesophageal echocardiography. According to transesophageal echocardiography, Far North patients were divided into two groups: group 1 — 21 patients with LAA thrombosis, group 2 — 141 patients without LAA thrombosis.Results. Compared to patients living in the temperate latitudes, Far North patients were younger (p=0,021) and were more likely to have type 2 diabetes (14,2% vs 8,3%, p=0,022), class ³II obesity (29,6% vs 21,1%, p=0,019), persistent AF(47,5% vs 33,2%, p=0,0019), LAA thrombosis (13% vs 6,6%, p=0,006), and severe structural and functional cardiac abnormalities (biatrial and right ventricular enlargement, lower left ventricular ejection fraction). In Far North patients, using logistic regression, independent predictors of LAA thrombosis were identified: an increase in left ventricular mass index (odds ratio (OR), 1,029; 95% confidence interval (CI), 1,011-1,048; p=0,001), persistent AF (OR, 3,521; 95% CI, 1,050-11,800; p=0,041).Conclusion. In Far North patients with nonvalvular AF, scheduled for catheter ablation, compared with patients from temperate latitudes, with a similar profile of cardiovascular diseases at a younger age, type 2 diabetes, grade ³II obesity, persistent AF, and LAA thrombosis were more common. The presence of persistent AF and an increase in left ventricular mass index are independent predictors of LAA thrombosis in Far North patients with nonvalvular AF.


2021 ◽  
Vol 21 (2) ◽  
pp. 457-465
Author(s):  
Bitinsun Botinggo ◽  
Khamisah Awang Lukman ◽  
Sahipudin Saupin ◽  
Chee Fong Tyng ◽  
Mohammad Saffree Jeffree

Uncontrolled use of pesticides in agriculture may result in increased health risks. Organophosphate (OP) pesticides are widely used among vegetable farmers to control pests and increase productivity. The aim is to determine the organophosphate exposure, associated risk factors, and exposure risk assessment among vegetable farmers in Sabah. A cross-sectional study design in Kundasang, Sabah, Malaysia. We took a blood sample from participants for blood cholinesterase concentration measurements of pesticide exposure using the rapid test kit model Lovibond AF267. A validated questionnaire was used to collect the associated risk factors of vegetable farmers. The Hazard Identification, Risk Assessment, Risk Control (HIRARC) guidelines were used for exposure risk assessment of OP exposure. The response rate was 91.1%. About 23.3% (38 out of 163) have abnormal blood cholinesterase. The significant associated risk factors were age [aOR=1.07, 95%CI (1.02,1.13)], Body Mass Index [aOR=8.60, 95%CI (2.80,26.51)], frequency of exposure a month [aOR=5.99, 95%CI (1.29,27.76)], had not attended pesticide safety training [aOR=9.08, 95%CI (2.97,27.74)], no designated pesticide storage [aOR=6.92, 95%CI (1.70,28.25)] and low practices scores on pesticide handling [aOR=6.01, 95%CI (1.97,18.36)]. The exposure risk assessment level for vegetable farmers was at low-medium risk. Organophosphate exposure among the vegetable farmers in Kundasang was higher than in other settings. The risk factors associated with organophosphate exposure were related to inadequate compliance to the standard occupational safety and health practices in agriculture. Exposure assessment revealed the opportunity for improvement by implementing the recommended control measures. Vegetable farmers need continuous support from relevant authorities. Further research is required to understand better the health risks among vegetable smallholder farmers in Sabah.


2004 ◽  
Vol 23 (3) ◽  
pp. 149-161 ◽  
Author(s):  
David L. McCormick ◽  
Robert Kavet

Leukemias are the most common pediatric malignancies diagnosed in western industrialized societies. In spite of the substantial incidence of childhood leukemia in the United States and other countries, neither epidemiology studies conducted in human populations nor hazard identification studies conducted using traditional animal models have identified environmental or other factors that are directly linked to increased risk of disease. Molecular biology data and mathematical modeling of incidence patterns suggest that pediatric leukemogenesis may occur through a multistage or “multihit” mechanism that involves both in utero and postnatal events. The authors propose that pediatric leukemias can be modeled experimentally using a “multihit” paradigm analogous to the “initiation-promotion” and “complete carcinogenesis” models developed for tumor induction in mouse skin and rat liver. In this model for childhood leukemia, an initial genetic alteration occurs during in utero or early postnatal development, but clinical disease develops only upon additional genetic or nongenetic events that occur during the postnatal period. Application of this multistage or “multihit” model to hazard assessment studies conducted in transgenic or knockout mice carrying relevant molecular lesions may provide a sensitive approach to the identification of environmental agents that are important risk factors for childhood leukemia.


2021 ◽  
Author(s):  
Lea Uebelhoer ◽  
William Koon ◽  
Mitchell D. Harley ◽  
Jasmin C. Lawes ◽  
Robert W. Brander

Abstract. The majority of drowning deaths on Australian beaches occur significant distances away from lifeguard services. This study uses results of 459 surveys of beachgoers at five beaches unpatrolled by lifeguards in New South Wales, Australia to improve understanding of who visits these beaches and why, and to identify risk factors associated with their beach safety knowledge and behaviour. Many unpatrolled beach users were infrequent beachgoers and weak swimmers, with poor rip current hazard identification skills, who did not observe safety signage that was present, and yet intended to enter the water to swim despite being aware that no lifeguards were present. The survey found that the main reasons beachgoers visited unpatrolled beaches were because they were conveniently close to their holiday accommodation, or they represented a quieter location away from crowds. Future beach safety interventions in Australia need to extend beyond the standard ‘swim between the flags’ message in recognition that people will always frequent unpatrolled beaches. Future beach safety interventions for unpatrolled beaches should be tailored towards the varied types of demographic beach users, such as domestic tourist families, males, and day visitors attracted by social media.


2018 ◽  
Author(s):  
Françoise Raïssa Ntentie ◽  
Ousmane Mfopou Mboindi ◽  
Gérald Dama ◽  
Maxwell Wandji Nguedjo ◽  
Boris Ronald Tonou Tchuente ◽  
...  

AbstractObjectivesHypertension (HTN) is the major risk factor of cardiovascular diseases. Its prevalence is still in perpetual increase worldwide. The aim of this study was to evaluate the prevalence and risk factors of HTN among Kaele dwellers, in the Far North Region of Cameroon where less attention seems to be paid on awareness and sensitization against overnutrition related diseases.MethodsTwo hundred and four participants were recruited during free health campaign on cardiovascular diseases organized from 10-15th February 2017 in kaele. Anthropometric and clinical parameters (weight, height, waist circumference, body mass index, blood pressure and heart rate) were measured. A blood sampling was done for lipid profile analysis. HTN and subtypes were diagnosed according to WHO and IDF definitions respectively meanwhile hypercholesterolemia and hypertriglyceridemia were diagnosed with IDF criteria.ResultsThe overall prevalence of the HTN was 29.9%. Men were more affected than women (35% vs 22.6%, p<0.05). Participants aged between 50-59 years and > 60 years were more exposed (p<0.05). Forty-one percent (41%) of the hypertensive subjects of the study had systo-diastolic sub-type of HTN meanwhile 31.6% had isolated systolic HTN vs 23% with isolated diastolic HTN. Risk factors associated to HTN were : male gender (OR=2.236; p<0.05); absence of education (OR= 24.296; p<0.05); primary education level (OR=1.933; p<0.05); marital status “married” (OR=3.117; p<0.05), increased age (30-39, 50-59, and > 60 years, respectively with OR=4.113, p<0.05; OR=31.405, p<0.05 and OR=18.694, p<0.05), abdominal obesity (OR= 2.476; p<0.05) and low milky products consumption (OR=2.031, p<0.05).ConclusionsHTN is quite present in Kaele locality and many non-modifiable, modifiable and socioeconomic risk factors significantly contributed to its development.


Author(s):  
NA Lebedeva-Nesevria ◽  
AO Barg ◽  
VM Chechkin

Introduction: The objective of the study was to characterize subjective perception of environmental, climatic and anthropogenic health risk factors by indigenous and non-indigenous urban population of the Far North. Materials and methods: In summer–autumn 2019, we conducted a questionnaire-based survey (n=446) in two cities of the Russian Far North to establish the main features of public perception of environmental, climatic and anthropogenic health risk factors. Results: We established that one third of the respondents described northern climatic conditions as “severe” or “rather severe” without any marked differences in opinion between groups of respondents formed by criteria of age, sex, and nativity. The specific local features perceived as having the most adverse health effects included the polar night, atmospheric pressure and temperature fluctuations, and strong winds. A significantly more negative perception and harder adaptation to the climate of the Far North were typical of all women and non-indigenous people. They were also more persevering in self-preservation to minimize adverse health effects of the local factors and practiced compliance with daily living routines, diet control, vitamin intake, etc. Conclusions: We found that adverse climatic conditions, high levels of anthropogenic contamination in the northern urban areas, and the resulting worries about children’s health were the leading “push-out” factors of migration. Pronounced migration intentions were noted among both the locally born and bred people and the migrants. We also observed no significant differences between those groups in ranking the importance of climatic and anthropogenic factors in decision to leave.


2021 ◽  
Vol 105 (4) ◽  
pp. 896-902
Author(s):  
Roberta Lugo-Robles ◽  
Eric C. Garges ◽  
Cara H. Olsen ◽  
David M. Brett-Major

ABSTRACT. Health events emerge from host, community, environment, and pathogen factors—forecasting epidemics is a complex task. We describe an exploratory analysis to identify economic risk factors that could aid epidemic risk assessment. A line list was constructed using the World Health Organization Disease Outbreak News (2016–2018) and economic indicators from the World Bank. Poisson regression employing forward imputations was used to establish relationships with the frequency with which countries reported public health events. Economic indicators demonstrated strong performance appropriate for further assessment in surveillance programming. In our analysis, three economic indicators were significantly associated to event reporting: how much the country’s urban population changed, its average forest area, and a novel economic indicator we developed that assessed how much the gross domestic product changed per capita. Other economic indicators performed less well: changes in total, female, urban, and rural population sizes; population density; net migration; change in per cent forest area; total forest area; and another novel indicator, change in percent of trade as a fraction of the total economy. We then undertook a further analysis of the start of the current COVID-19 pandemic that revealed similar associations, but confounding by global disease burden is likely. Continued development of forecasting approaches capturing information relevant to whole-of-society factors (e.g., economic factors as assessed in our study) could improve the risk management process through earlier hazard identification and inform strategic decision processes in multisectoral strategies to preventing, detecting, and responding to pandemic-threat events.


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