Occupational health

Occupational health is the ‘promotion and maintenance of the highest degree of physical, mental, and social well-being of workers in all occupations’. Work-related ill-health and injuries cause considerable mortality and morbidity to workers worldwide, and are a major cause of disability, lost productivity, and sickness absence. In the occupational setting, workers may suffer from occupational diseases (those directly caused by workplace hazards); ‘work-related diseases’ (those that are multifactorial in origin with occupational exposures contributing to part of the aetiology); and non-occupational diseases that affect the general population. Primary, secondary, and tertiary preventive measures can be used to reduce the burden of disease at the workplace. Prevention of occupational ill-health requires an understanding of the work processes, the range and extent of exposures to hazards, and the steps that may be available to reduce exposure. It also requires recognition of vulnerable occupational groups such as workers in developing nations, migrant workers, child labour, women workers, and impaired workers. The standard hierarchy of control strategies for reducing exposure to workplace hazards includes elimination, substitution, isolation, engineering measures, administrative procedures, and personal protective equipment. The workplace can be a suitable venue for health promotion activities although this should not be at the expense of elimination and control of exposure to occupational hazards. As occupational health practice has evolved to consideration of health issues beyond the ‘factory gate’, the discipline now has much in common with environmental health and encompasses the philosophy and principles of good public health practice.

COMMON OCCUPATIONAL LUNG DISORDERS IN CURRENT INDIAN POPULATION AND PRINCIPLES OF AYURVEDIC MANAGEMENT

Occupational lung diseases are caused primarily as a result of exposure to risk factors arising from the work envi- ronment. Persons with few weeks of exposure to workplace hazards may experience mild symptoms, whereas long term exposure results in a complicated presentation like severe respiratory debilitation and even death. Occupational lung diseases may be misdiagnosed as COPD or other diseases, which leads to delay in the identification of the etiological factors. There is no treatment for any of the occupational lung diseases that can reverse the damage already done. So, prevention of occupational exposure is the primary strategy in these ailments. In the present era, people are turning towards Ayurveda for chronic disease management, so a long-term approach to these could be beneficial in the management of occupational lung diseases. So, it's the need of the hour for an Ayurvedic physician to be accustomed to occupational diseases and their management through Ayurveda. Keywords: Occupational lung disorders, Ayurveda for OLD, Yoga and Pranayama.

Occupational Characteristics in the Outbreak of the COVID-19 Delta Variant in Nanjing, China: Rethinking the Occupational Health and Safety Vulnerability of Essential Workers

The risk of contracting COVID-19 varies by occupation. Clarifying the occupational disparity in the infection risk is crucial to the prevention and control of the epidemic in the workplace. In late July, some new cases of COVID-19 were confirmed among cleaners working in Lukou International Airport in Nanjing, China. The infected cases rapidly increased and spread to many domestic cities in the following days. The present study traces the brief reports of epidemiological investigations among the confirmed cases released by the Nanjing government from 20 July to 2 August, and offers a descriptive analysis on the occupational distribution of these cases. Cleaners and other staff working in the airport were found to make up more than 40% of all cases. The overwhelming majority of the cleaner cases were confirmed in the first 7 days. The present study statistically ascertains that the airport cleaners were the initial sufferers and transmitters in this outbreak. They experienced occupational health and safety vulnerability on both individual and contextual levels, including workplace hazards, workplace safety policies, and lack of awareness and empowerment. Effective protection for essential workers and the strict surveillance of occupational health in the workplace is urgently needed.

Workplace hazards in forensic mortuaries in Saudi Arabia: A survey of forensic mortuary personnel

Forensic mortuaries have always presented a potential threat to workers who come into contact with dead bodies. This research aims to identify hazards faced by forensic mortuary personnel, including forensic pathologists and technicians working in forensic mortuaries in forensic medicine centres throughout Saudi Arabia, to recognise the prevalence of exposure to workplace hazards and to discover the degree of awareness and use of safety practices. A descriptive, cross-sectional study was conducted in a total of 20 forensic medicine centres, using an online questionnaire distributed among forensic mortuary personnel. A total of 113 participants responded to the questionnaire. Just over half (53%) of workplaces always provided personal protective equipment, and 75% of participants always used them. The most common hazards were needle-prick wounds and accidental slips or falls. Almost two thirds (64%) of participants witnessed or experienced a work-related accident in the forensic mortuary. The lack of previous studies concerning hazard exposure among forensic mortuary personnel in Saudi Arabia means that this study provides foundational evidence for future research concerning forensic autopsy-related work accidents in Saudi Arabia.

Safety Performance and Occupational Injuries of Workers (OIW): A DEA Efficiency Analysis

The rapid pace of industrialization and sectoral transformation have not only induced rapid economic progress yet also engaged policy think tanks to consider the safety performance due to the increasing rate of injuries. These increasing workplace hazards have affected occupational efficiencies as well as worker’s performance. Hence, a comprehensive analysis of occupation injuries of workers (OIW) is crucial to determine the safety performance of high and low-risk industries in Pakistan. This study aims to incorporate the OIW for the estimation of the safety performance of industries employing Data Envelopment Analysis (DEA). This non-parametric technique allows calculating relative efficiencies incorporating inputs and outputs (both desirable and undesirable). The findings of the SBM-DEA model and sensitivity analyses pointed out improvements in the farm sector and demanded more comprehensive analyses for the non-farm sectors.

Immigration, Working Conditions, and Compensating Differentials

The large inflow of less-educated immigrants into the United States in recent decades may have affected US natives’ labor market outcomes in many ways, including their working conditions. Although the general consensus is that low-skilled immigrants tend to hold “worse” jobs than US natives, the impact of immigration on natives’ working conditions has received little attention. This study examines how immigration has affected US natives’ occupational exposure to workplace hazards and the compensating differential paid for such exposure from 1990 to 2018. Results indicate that immigration causes less-educated natives’ exposure to workplace hazards to fall, and instrumental variables results show a larger impact among women than among men. The corresponding compensating differential appears to fall among men, but not after accounting for immigration-induced changes in the financial returns to occupational skills.

How Will the Future of Work Shape OSH Research and Practice? A Workshop Summary

Growth of the information economy and globalization of labor markets will be marked by exponential growth in emerging technologies that will cause considerable disruption of the social and economic sectors that drive the global job market. These disruptions will alter the way we work, where we work, and will be further affected by the changing demographic characteristics and level of training of the available workforce. These changes will likely result in scenarios where existing workplace hazards are exacerbated and new hazards with unknown health effects are created. The pace of these changes heralds an urgent need for a proactive approach to understand the potential effects new and emerging workplace hazards will have on worker health, safety, and well-being. As employers increasingly rely on non-standard work arrangements, research is needed to better understand the work organization and employment models that best support decent work and improved worker health, safety, and well-being. This need has been made more acute by the SARS-CoV-2 global pandemic that has resulted in dramatic changes in employment patterns, millions of lost jobs, an erosion of many economic sectors, and widespread disparities which further challenge occupational safety and health (OSH) systems to ensure a healthy and productive workplace. To help identify new research approaches to address OSH challenges in the future, a virtual workshop was organized in June 2020 with leading experts in the fields of OSH, well-being, research methods, mental health, economics, and life-course analysis. A paradigm shift will be needed for OSH research in the future of work that embraces key stakeholders and thinks differently about research that will improve lives of workers and enhance enterprise success. A more transdisciplinary approach to research will be needed that integrates the skills of traditional and non-traditional OSH research disciplines, as well as broader research methods that support the transdisciplinary character of an expanded OSH paradigm. This article provides a summary of the presentations, discussion, and recommendations that will inform the agenda of the Expanded Focus for Occupational Safety and Health (Ex4OSH) International Conference, planned for December 2021.

“I Want to Know How to Protect Myself without Scaring Our Patients”

Drawing on union convention proceedings, reports, newspapers, speeches, and internal memoranda, this article uses the American Federation of State, County and Municipal Employees (AFSCME) as a case study to explore organized labor’s response to the HIV/AIDS crisis. One the one hand, it shows that AFSCME eventually embraced an ambitious, two-pronged program that fought both for strong workplace safety measures for its members and against discrimination toward those most affected by HIV/AIDS. On the other, it highlights the ways in which the union’s campaign was constrained by a narrow focus on workplace hazards. Prioritizing workers’ protections over patients’ demands for privacy in diagnosis and treatment, AFSCME ultimately subsumed its rhetorical commitment to working-class solidarity beneath what many members saw as a practical need for somatic surveillance and segregation—marginalizing the very communities that the union claimed to protect.

Are There Ethnic Disparities in Exposure to Workplace Hazards Among New Zealand Migrants to Australia?

Disparities in exposure to workplace hazards exist between Māori and non-Māori workers in New Zealand, with Māori workers generally incurring poorer conditions. This study aimed to determine if these ethnic disparities are similar after migration to Australia. A national cross-sectional telephone survey asked participants what tasks they undertook in their job to assess exposure to carcinogens as well as whether they experienced ethnic discrimination, bullying, job precariousness, or job strain. A total of 389 New Zealand Caucasians and 152 Māori/Pasifika workers were recruited. After adjustment, 79% of Māori/Pasifika compared with 67% of New Zealand Caucasian workers were assessed as being exposed to at least one carcinogen at work (adjusted prevalence ratio [aPR] = 1.2, 95% confidence interval [CI] = 1.1-1.4). Māori/Pasifika workers were also more likely to report ethnic discrimination (aPR = 6.9, 95% CI = 2.6-18.3) and fair or poor current health (aPR = 1.9, 95% CI = 1.1-3.2) than New Zealand Caucasians. Some ethnic disparities in exposure to workplace hazards in New Zealand are apparent after migration to Australia.

FORMATION OF ENTERPRISE EMPLOYEES’ RISK-ORIENTED THINKING OF SAFE WORK

Purpose – to create online-content from cascading tasks for developing the skill of rapid hazard identification in the workplace. The analysis and generalization of information sources is used, method of situational analysis, method of content analysis and comparative method of psychological security of an individual are applied. Findings. It is established that for the formation of competencies for providing enterprise employees’ safety it is necessary to stimulate the development of appropriate psychomotor processes related to the instinct of self-preservation. which involves the formation of a conscious attitude to safety during manufacturing activities; formation of prospective employees’ skills to identify potential workplace hazards. Scientific novelty is that to change the attitude of employees to safety regulations during manufacturing activities, it is necessary to ensure the formation of employees’ conscious attitude to the safety of the production process through the formation of situational awareness of potential hazards of the production process. Practical value. The essence of the approach of situational awareness of potential dangers of the production process. Training employees’ on the developed online-content from cascading tasks will allow meaningfully and with an understanding of the development of the situation to determine possible cumulative actions during the production process. Originality of the work consists in developing the online content aimed at finding and identifying hazards in the workplace through understanding and awareness of the situation to shape the worldview of risk- oriented thinking.