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High-risk Occupations (high-risk + occupation)
Selected AbstractsExposure to hazardous workplace noise and use of hearing protection devices among US workers,NHANES, 1999,2004,,AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 5 2009SangWoo Tak ScD Abstract Background To estimate the prevalence of workplace noise exposure and use of hearing protection devices (HPDs) at noisy work, NIOSH analyzed 1999,2004 data from the National Health and Nutrition Examination Survey (NHANES). Methods A total of 9,275 currently employed workers aged ,16 years were included in the weighted analysis. Hazardous workplace noise exposure was defined as self-reported exposure to noise at their current job that was so loud that the respondent had to speak in a raised voice to be heard. Industry and occupation were determined based on the respondent's current place and type of work. Results Twenty-two million US workers (17%) reported exposure to hazardous workplace noise. The weighted prevalence of workplace noise exposure was highest for mining (76%, SE,=,7.0) followed by lumber/wood product manufacturing (55%, SE,=,2.5). High-risk occupations included repair and maintenance, motor vehicle operators, and construction trades. Overall, 34% of the estimated 22 million US workers reporting hazardous workplace exposure reported non-use of HPDs. The proportion of noise-exposed workers who reported non-use of HPDs was highest for healthcare and social services (73.7%, SE,=,8.1), followed by educational services (55.5%). Discussion Hearing loss prevention and intervention programs should be targeted at those industries and occupations identified to have a high prevalence of workplace noise exposure and those industries with the highest proportion of noise-exposed workers who reported non-use of HPDs. Am. J. Ind. Med. 52:358,371, 2009. Published 2009 Wiley-Liss, Inc. [source] Career counsellors and occupational contact dermatitisCONTACT DERMATITIS, Issue 4 2003Helen Saunders Career counsellors are in a unique position to provide timely preventive advice to young people at risk of developing occupational contact dermatitis. Career counsellors need to be aware of risk factors for this condition, including atopic eczema, and of high-risk occupations, such as hairdressing. A cross-sectional survey of 82 career counsellors was conducted at an Australian career counsellors' conference. 24 (29%, 95% confidence interval (95% CI) 19,40%) correctly identified eczema as a risk factor. 25 (30%, 95% CI 21,41%) indicated consideration of past skin problems during career counselling. 30 (36%, 95% CI 25,47%) correctly reported at least 1 high-risk occupation, with hairdressing being most frequently identified. Only 3 of the 82 (4%, 95% CI 0,7%) correctly answered all 3 questions. [source] Differences between the sexes with regard towork-related skin disease ,CONTACT DERMATITIS, Issue 2 2000Birgitta Meding Work-related skin disease is common and usually presents as hand eczema. From the Occupational Injury Information System in Sweden, as well as from registers of industrial injuries in other countries, it is evident that females report skin disease more often than males. Epidemiological studies of hand eczema also show that women are more often affected than men, in particular young women. The most common type of hand eczema is irritant contact dermatitis, which is often caused by wet work. Many female-dominated occupations involve extensive wet work, e.g., hairdressing, catering, cleaning and health-care work. These occupations are also high-risk occupations for hand eczema. Experimental studies of skin irritation have not confirmed differences between the sexes; thus, the higher prevalence of irritant contact dermatitis among females is most likely due to exposure, occupational and non-occupational. Nickel allergy is the most common contact allergy, which is most frequent in young females, and in 30,40% results over time in hand eczema. Hand eczema has an impact on quality of life and females seem to report a higher degree of discomfort than males. To achieve the optimal effect of preventive efforts regarding occupational skin disease, the focus for prevention should aim at reducing wet exposure. [source] Anthrax: the challenges for decontaminationJOURNAL OF CHEMICAL TECHNOLOGY & BIOTECHNOLOGY, Issue 10 2006Richard J Sharp Abstract Anthrax remains endemic in many parts of the world with regular infections of livestock presenting a consequent risk to public health. In the United Kingdom anthrax has diminished as a significant threat to human health with only sporadic outbreaks in farm animals derived from ingestion of spores from soil at sites associated with previous outbreaks and the burial of carcasses. Occupationally-derived anthrax, associated with industries involved in the processing of animal products, has historically had an impact on the occurrence of outbreaks of infection. The introduction, in 1965, of vaccination for workers in high-risk occupations contributed significantly to the eradication of the disease from the UK. During 2001 the deliberate release of anthrax spores in the USA, disseminated through the postal system, resulted in the infection of 22 people, five of which resulted in death through inhalational anthrax. At that time anthrax was unheard of in many clinical practices and there was a lack of training and preparedness to handle such incidents; the emergency resulted in medical and public health personnel across the world having a significantly raised awareness of both the organism and the clinical symptoms of infection, and the new threat posed by bioterrorism. In the USA, the immediate public health emergency was followed by the legacy of contaminated buildings and facilities. There had been little previous systematic study of the issues surrounding sampling and decontamination of areas contaminated with Bacillus anthracis. The decontamination of large complex buildings and the equipment they contained required the urgent development and validation of new procedures for both sampling and decontamination. Copyright © 2006 Society of Chemical Industry [source] Risk factors of new-onset asthma in adults: a population-based international cohort studyALLERGY, Issue 8 2010J. M. Antó To cite this article: Antó JM, Sunyer J, Basagaña X, Garcia-Esteban R, Cerveri I, de Marco R, Heinrich J, Janson C, Jarvis D, Kogevinas M, Kuenzli N, Leynaert B, Svanes C, Wjst M, Gislason T, Burney P. Risk factors of new-onset asthma in adults: a population-based international cohort study. Allergy 2010; 65: 1021,1030 Abstract Background:, The occurrence of new-onset asthma during adulthood is common, but there is insufficient understanding of its determinants including the role of atopy. Objective:, To assess the risk factors for the development of new-onset asthma in middle-aged adults and to compare them according to atopy. Methods:, A longitudinal analysis of 9175 young adults who participated in two surveys of the European Community Respiratory Health Survey (ECRHS) conducted 9 years apart. Findings:, We observed 179 cases of new-onset asthma among 4588 participants who were free of asthma and reported at the beginning of the follow-up that they had never had asthma (4.5 per 1000 person-years). In a logistic regression, the following risk factors were found to increase the risk of new-onset asthma: female gender (OR: 1.97; 95% confidence interval (CI): 1.38,2.81), bronchial hyperresponsiveness (3.25; 2.19,4.83), atopy (1.55;1.08,2.21), FEV1 < 100 % predicted (1.87;1.34,2.62), nasal allergy (1.98;1.39,2.84) and maternal asthma (1.91;1.13;3.21). Obesity, respiratory infections in early life and high-risk occupations increased the risk of new-onset asthma although we had limited power to confirm their role. Among the atopics, total IgE and sensitization to cat were independently related to the risk of new-onset asthma. The proportion of new-onset asthma attributable to atopy varied from 12% to 21%. Conclusion:, Adults reporting that they had never had asthma were at a substantial risk of new-onset asthma as a result of multiple independent risk factors including lung function. Atopy explains a small proportion of new-onset adult asthma. [source] Occupational skin exposure to water: a population-based studyBRITISH JOURNAL OF DERMATOLOGY, Issue 3 2009I. Anveden Berglind Summary Background, Occupational exposure to skin irritants, in particular to water, is an important risk factor for hand eczema. Objectives, To assess occupational skin exposure to water in the general population. Methods, As part of a public health survey in Stockholm, Sweden, 18 267 gainfully employed individuals aged 18,64 years completed a questionnaire with previously validated questions regarding occupational skin exposure to water. Results, Altogether 16% reported exposure to water for ½ h or more a day, and 13% reported exposure to water more than 10 times a day. Furthermore, 7% reported water exposure of more than 2 h and 6% of more than 20 times a day. Women reported more water exposure than men and many female-dominated occupations were seen to comprise water exposure. Women were also more exposed than men within the same jobs. Young adults were more exposed than older. A total of 18% were employed in high-risk occupations for hand eczema. Fifty-nine per cent of individuals employed in high-risk occupations reported water exposure at work, compared with 11% in low-risk occupations. Conclusions, A total of 20% of the population of working age acknowledged occupational skin exposure to water, which was found to be more common in young adults and women. Using job title as a proxy for water exposure gives an underestimation due to misclassification. In assessing occupational skin exposure to water, both exposure time and frequency should be considered. [source] | ||||||||||