Assessing Occupational Stress and Preparedness among Campus Safety Officers and Dental School Employees at an Academic Medical Center during COVID-19

Job stress can lead to adverse physical and emotional health effects in employees and is worse during an emergency or pandemic. The complexity of the coronavirus disease 2019 (COVID-19) pandemic is taking a toll on the healthcare systems and their employees. This cross-sectional study looked at two different groups of academic medical center employees, Campus Safety Officers and Dental School employees, who’s work puts them at risk for COVID-19 exposure. We hypothesized that Campus Safety Officers and Dental School employees who felt adequately trained to conduct COVID-19 related work would not feel more stressed during the COVID-19 pandemic than they did before the pandemic. We provided a self-administered questionnaire to 148 employees between April and July 2020. Of the 148 questionnaires that were administered, 147 were included in our study, which showed elevated levels of stress during the COVID-19 pandemic (47.6%). Campus Safety Officers accounted for 42 (28.6%) and Dental School employees accounted for 105 (71.4%) of the total responses included in the study. Most study participants were younger than 40 years of age (75 [51.1%]), and 32 (21.8%) study participants were 60 and over. Males accounted for 77 (52.4%) responses. A total of 44 (29.9%) study participants had over 20 years of work experience. We found a significant association (p≤0.05) between employee perception of stress during the pandemic, perception of adequate training to conduct pandemic work (p=\u3c0.0001), and gender (p=0.022). Although most study participants felt adequately trained to conduct work relating to COVID-19 (60.9%), they still felt more stressed during the COVID-19 pandemic than before the pandemic (47.6%). Mental health training should be provided to healthcare workers during the COVID-19 pandemic to reduce the impact of stress and adverse mental health effects. Special attention should be paid to ensure the well-being of female healthcare workers during COVID-19

Evaluating occupational hazards and personal protective equipment use on farms in Kyrgyzstan

Objectives – The purpose of this study was to identify occupational hazards and personal protective equipment use on farms operating in Kyrgyzstan. Methods – We recruited 20 farmers in Kyrgyzstan. They completed a questionnaire and responded to interview questions to determine their occupational hazards, personal protective equipment use, and work-related injuries. We measured noise levels using the National Institute for Occupational Safety and Health sound level meter application for Apple iOS. Results – Most farmers reported knowing how and when to use personal protective equipment, however 95 percent had not received training on how to use them. Observation of farmers revealed gaps in protective equipment use. Farmers reported workplace injury (15 percent) and one farmer reported time off due to the injury. Farmers reported suffering from one or more heat-related health symptom (30 percent). In six farms (30 percent), noise levels, originating from animal and equipment sources, exceeded 85 decibels on an A-weighted scale. Conclusion – Farmers in Kyrgyzstan are potentially exposed to workplace hazards. While stated farmer knowledge of personal protective equipment use was high, the implementation of personal protective equipment appeared to be low. Providing low to no cost personal protective equipment along with training to farmers and their colleagues may be an effective strategy in reducing barriers to increase protective equipment use and reduce workplace injuries

Characterization of Environmental Levels of Pesticide Residues in Household Air and Dust Samples near a Bioenergy Plant Using Treated Seed as Feedstock

Exposure to neonicotinoid insecticides is associated with adverse human health outcomes. There is environmental contamination in Saunders County, Nebraska, due to the accumulation of fungicides and insecticides from a now-closed ethanol plant using seed corn as stock. A pilot study quantified environmental contamination in nearby houses from residual pesticides by measuring dust and air (indoor/outdoor) concentrations of neonicotinoids and fungicides at the study site (households within two miles of the plant) and control towns (20–30 miles away). Air (SASS® 2300 Wetted-Wall Air Sampler) and surface dust (GHOST wipes with 4 × 4-inch template) samples were collected from eleven study households and six controls. Targeted analysis quantified 13 neonicotinoids, their transformation products and seven fungicides. Sample extracts were concentrated using solid phase extraction (SPE) cartridges, eluted with methanol and evaporated. Residues were redissolved in methanol–water (1:4) prior to analysis, with an Acquity H-Class ultraperformance liquid chromatograph (UPLC) and a Xevo triple quadrupole mass spectrometer. We compared differences across chemicals in air and surface dust samples at the study and control sites by dichotomizing concentrations above or below the detection limit, using Fisher’s exact test. A relatively higher detection frequency was observed for clothianidin and thiamethoxam at the study site for the surface dust samples, similarly for thiamethoxam in the air samples. Our results suggest airborne contamination (neonicotinoids and fungicides) from the ethanol facility at houses near the pesticide contamination

Operational, water quality and temporal factors affecting impingement of fish and shellfish at a Texas coastal power plant

AbstractThe Barney M. Davis Power Plant in Corpus Christi, Texas, withdraws large quantities of water from the Laguna Madre for non-contact cooling. As a result, fish and shellfish may be harmed when impinged against screens intended to remove debris and wrack (floating sea grass). To reduce impingement it is important to understand related factors and their interrelationships. Several operational, water quality, and temporal factors were correlated with the total number of impinged organisms when the plant is pumping water. In this study, operational factors included hourly average flow and the number of screens in operation during sampling. Water quality factors included temperature, dissolved oxygen, pH, conductivity and salinity. Temporal factors included month and time of day of impingement sampling. Over the course of a year, fish and shellfish impinged on Passavant traveling drum screens were collected, classified, and counted. Multiple regression analyses were conducted and the number of organisms impinged was the response variable. Total impingement was most associated with dissolved oxygen concentration, sampling month and sampling time. For fish, sampling month and dissolved oxygen were most associated with impingement, while for shellfish, sampling month and sampling time were most important. Hourly flow and number of operating screens were not significant predictors of impingement

Exposure to Toxicants Associated With Use and Transitions Between Cigarettes, e-Cigarettes, and No Tobacco

Importance: Transitions between e-cigarettes and cigarettes are common among tobacco users, but empirical evidence on the health outcomes of switching tobacco products is scarce. Objectives: To examine changes in urinary biomarkers between baseline and 1-year follow-up among adult tobacco users switching between e-cigarettes and cigarettes. Design, Setting, and Participants: This cohort study used data from wave 1 (baseline, September 2013 to December 2014) and wave 2 (1-year follow-up, October 2014 to October 2015) of the Population Assessment of Tobacco and Health Study. A subset of the probability sample of US adults who voluntarily provided biospecimens at 2 waves was analyzed. Participants were divided into 3 mutually exclusive groups at baseline: exclusive cigarette smokers, exclusive e-cigarette users, and dual users. Data analysis was performed in 2021. Exposures: Harmful and potentially harmful constituents included nicotine metabolites, tobacco-specific nitrosamines (TSNAs; including 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol [NNAL]), metals, polycyclic aromatic hydrocarbons (PAHs), and volatile organic compounds (VOCs). Main Outcomes and Measures: Within-participant changes in 55 urinary biomarkers of exposure (BOEs) to harmful and potentially harmful constituents were examined using multivariable regression models. Results: Among 3211 participants (55.6% women, 68.3% White, 13.2% Black, and 11.8% Hispanic) at baseline, 21.9% of exclusive cigarette users, 42.8% of exclusive e-cigarette users, and 62.1% of dual users changed product use at follow-up (all percentages are weighted). There was a significant reduction in urine concentrations of TSNAs, PAHs, and VOCs when users transitioned from exclusive cigarette to exclusive e-cigarette use, with a 92% decrease in NNAL, from a mean of 168.4 pg/mg creatinine (95% CI, 102.3-277.1 pg/mg creatinine) to 12.9 pg/mg creatinine (95% CI, 6.4-25.7 pg/mg creatinine; P \u3c .001). A similar panel of BOEs decreased when dual users transitioned to exclusive e-cigarette use; NNAL levels decreased by 96%, from a mean of 143.4 pg/mg creatinine (95% CI, 86.7-237.0 pg/mg creatinine) to 6.3 pg/mg creatinine (95% CI, 3.5-11.4 pg/mg creatinine; P \u3c .001). Nicotine metabolites, TSNAs, PAHs, and VOCs significantly increased when baseline exclusive e-cigarette users transitioned to exclusive cigarette use or dual use. Switching from exclusive cigarette use to dual use was not associated with significant decreases in BOEs. Conclusions and Relevance: This national cohort study provides evidence on the potential harm reduction associated with transitioning from exclusive cigarette use or dual use to exclusive e-cigarette use. e-Cigarettes tend to supplement cigarettes through dual use instead of cessation at the population level. Continuous monitoring of BOE at the population level and assessment of BOE change by product transition are warranted, as well as defined adverse health outcomes

Exploring First Responders\u27 Use and Perceptions on Continuous Health and Environmental Monitoring

First responders lose their lives in the line of duty each year, and many of these deaths result from strenuous physical exertion and exposure to harmful environmental agents. Continuous health monitoring may detect diseases and alert the first responder when vital signs are reaching critical levels. However, continuous monitoring must be acceptable to first responders. The purpose of this study was to discover first responders\u27 current use of wearable technology, their perceptions of what health and environmental indicators should be monitored, and who should be permitted to monitor them. The survey was sent to 645 first responders employed by 24 local fire department stations. A total of 115 (17.8%) first responders answered the survey and 112 were used for analysis. Results found first responders perceived a need for health and environmental monitoring. The health and environmental indicators that respondents perceived as most important for monitoring in the field were heart rate (98.2%) and carbon monoxide (100%), respectively. Overall, using and wearing monitoring devices was not age-dependent and health and environmental concerns were important for first responders at any stage of their career. However, current wearable technology does not seem to be a viable solution for first responders due to device expense and durability issues

Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT

Need for Aeromedical Evacuation High-Level Containment Transport Guidelines

Circumstances exist that call for the aeromedical evacuation high-level containment transport (AE-HLCT) of patients with highly hazardous communicable diseases. A small number of organizations maintain AE-HLCT capabilities, and little is publicly available regarding the practices. The time is ripe for the development of standards and consensus guidelines involving AE-HLCT

Exposure to toxicants associated with use and transitions between cigarettes, e-cigarettes, and no tobacco.

Question: Does exposure to tobacco-related toxicants change when users transition between cigarette, e-cigarette, dual use, and no use? Findings: In this large-scale, longitudinal cohort study, transitions from cigarettes or dual use to e-cigarettes or no use were associated with reduced exposure to toxicants. Switching from exclusive cigarette use to dual use of cigarettes and e-cigarettes was not associated with a decrease in levels of toxicant biomarkers in urine. Meaning: These findings may inform regulatory strategies and public health policies to guide tobacco users toward harm reduction transition patterns

Review and Meta-analysis of Emerging Risk Factors for Agricultural Injury

<p>Agricultural injury is a significant public health problem globally. Extensive research has addressed this problem, and a growing number of risk factors have been reported. The authors evaluated the evidence for frequently reported risk factors earlier. The objective in the current study was to identify emerging risk factors for agricultural injury and calculate pooled estimates for factors that were assessed in two or more studies. A total of 441 (PubMed) and 285 (Google Scholar) studies were identified focusing on occupational injuries in agriculture. From these, 39 studies reported point estimates of risk factors for injury; 38 of them passed the Newcastle-Ottawa criteria for quality and were selected for the systematic review and meta-analysis. Several risk factors were significantly associated with injury in the meta-analysis. These included older age (vs. younger), education up to high school or higher (vs. lower), non-Caucasian race (vs. Caucasian), Finnish language (vs. Swedish), residence on-farm (vs. off-farm), sleeping less than 7–7.5 hours (vs. more), high perceived injury risk (vs. low), challenging social conditions (vs. normal), greater farm sales, size, income, and number of employees on the farm (vs. smaller), animal production (vs. other production), unsafe practices conducted (vs. not), computer use (vs. not), dermal exposure to pesticides and/or chemicals (vs. not), high cooperation between farms (vs. not), and machinery condition fair/poor (vs. excellent/good). Eighteen of the 25 risk factors were significant in the meta-analysis. The identified risk factors should be considered when designing interventions and selecting populations at high risk of injury.</p