Paper versus Practice: Occupational Health and Safety Protections and Realities for Temporary Foreign Agricultural Workers in Ontario

Over 20,000 temporary foreign agricultural workers come to Ontario each year, primarily from Mexico and the Caribbean. Agricultural workers are exposed to a number of occupational health and safety (OHS) risks. This article discusses the various OHS protections available to workers and their limitations, and analyzes the specific challenges that temporary foreign workers face in accessing rights, such as language and cultural barriers, information gaps, and precarious employment and immigration status. It also analyzes the limitations with respect to OHS training and the provision and use of personal protective equipment, arguing that these protections are under-regulated and inconsistent. The article concludes with recommendations to improve shortcomings, including standardized and specific OHS training, random OHS inspections, and full inclusion of agricultural workers in provincial legislations. Findings are based primarily on interviews with 100 migrant farmworkers who reported injuries or illness, as well as with key stakeholders such as employers and government officials

L’écart entre la théorie et la pratique : les protections en santé et en sécurité au travail et la réalité de la main-d’œuvre étrangère temporaire du domaine agricole en Ontario

Plus de 20 000 travailleurs étrangers temporaires en agriculture affluent chaque année en Ontario, la plupart en provenance du Mexique ou des Caraïbes. Ils sont exposés à de nombreux risques en santé et en sécurité au travail (SST). Les diverses protections en SST disponibles aux travailleurs, ainsi que leurs limites, sont décrites dans l’article. Les problèmes d’accès aux droits auxquels fait face la main-d’œuvre étrangère, à cause, entre autres, des barrières linguistiques ou culturelles, des lacunes dans l’information, de la précarité d’emploi et du statut d’immigrant y sont analysés, ainsi que les faiblesses dans la formation en SST, la disponibilité et l’utilisation de l’équipement de protection personnelle, résultat d’une sous-réglementation et d’incohérences. En conclusion, des recommandations sont apportées pour remédier à ses problèmes : une formation uniforme et propre à la SST, des inspections aléatoires, et la pleine intégration de la main-d’œuvre agricole dans les lois provinciales. Les conclusions sont basées, pour la plupart, sur le résultat d’entrevues menées auprès de 100 travailleurs agricoles migrants ayant déclaré une blessure ou une maladie, et de principaux intervenants tels que les employeurs et les représentants de l’État.Over 20,000 temporary foreign agricultural workers come to Ontario each year, primarily from Mexico and the Caribbean. Agricultural workers are exposed to a number of occupational health and safety (OHS) risks. This article discusses the various OHS protections available to workers and their limitations, and analyzes the specific challenges that temporary foreign workers face in accessing rights, such as language and cultural barriers, information gaps, and precarious employment and immigration status. It also analyzes the limitations with respect to OHS training and the provision and use of personal protective equipment, arguing that these protections are under-regulated and inconsistent. The article concludes with recommendations to improve shortcomings, including standardized and specific OHS training, random OHS inspections, and full inclusion of agricultural workers in provincial legislations. Findings are based primarily on interviews with 100 migrant farmworkers who reported injuries or illness, as well as with key stakeholders such as employers and government officials.Cada año, más de 20.000 trabajadores agrícolas temporales extranjeros vienen a Ontario, principalmente de México y el Caribe. Los trabajadores agrícolas están expuestos a una serie de riesgos de seguridad y salud en el trabajo (SST). Este artículo analiza las diversas formas de protección en SST de las que disponen los trabajadores así como sus limitaciones y analiza los retos específicos que enfrentan los trabajadores extranjeros temporales en el acceso a sus derechos como por ejemplo : las barreras lingüísticas y culturales, la falta de información, y el estatus migratorio y de empleo precario. También se analiza las limitaciones con respecto a la formación en SST y el suministro y uso de equipos de protección individual, con el argumento de que estas formas de protección están insuficientemente reguladas y son inconsistentes. El artículo concluye con recomendaciones para mejorar las deficiencias, estas recomendaciones incluyen : la formación estandarizada y específica en SST, inspecciones de SST de manera aleatoria y la plena inclusión de los trabajadores agrícolas en las leyes provinciales. Los resultados se basan fundamentalmente en entrevistas con 100 trabajadores agrícolas migrantes que han reportado accidentes o enfermedades así como en entrevistas con las principales partes interesadas : empleadores y funcionarios del gobierno

Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: findings from a US cohort study

<p>Abstract</p> <p>Background</p> <p>Excessive gestational weight gain promotes poor maternal and child health outcomes. Weight misperception is associated with weight gain in non-pregnant women, but no data exist during pregnancy. The purpose of this study was to examine the association of misperceived pre-pregnancy body weight status with excessive gestational weight gain.</p> <p>Methods</p> <p>At study enrollment, participants in Project Viva reported weight, height, and perceived body weight status by questionnaire. Our study sample comprised 1537 women who had either normal or overweight/obese pre-pregnancy BMI. We created 2 categories of pre-pregnancy body weight status misperception: normal weight women who identified themselves as overweight ('overassessors') and overweight/obese women who identified themselves as average or underweight ('underassessors'). Women who correctly perceived their body weight status were classified as either normal weight or overweight/obese accurate assessors. We performed multivariable logistic regression to determine the odds of excessive gestational weight gain according to 1990 Institute of Medicine guidelines.</p> <p>Results</p> <p>Of the 1029 women with normal pre-pregnancy BMI, 898 (87%) accurately perceived and 131 (13%) overassessed their weight status. 508 women were overweight/obese, of whom 438 (86%) accurately perceived and 70 (14%) underassessed their pre-pregnancy weight status. By the end of pregnancy, 823 women (54%) gained excessively. Compared with normal weight accurate assessors, the adjusted odds of excessive gestational weight gain was 2.0 (95% confidence interval [CI]: 1.3, 3.0) in normal weight overassessors, 2.9 (95% CI: 2.2, 3.9) in overweight/obese accurate assessors, and 7.6 (95% CI: 3.4, 17.0) in overweight/obese underassessors.</p> <p>Conclusion</p> <p>Misperceived pre-pregnancy body weight status was associated with excessive gestational weight gain among both normal weight and overweight/obese women, with the greatest likelihood of excessive gain among overweight/obese underassessors. Future interventions should test the potential benefits of correcting misperception to reduce the likelihood of excessive gestational weight gain.</p

Designing a Planetary Health Watch: A System for Integrated Monitoring of the Health Effects of, and Responses to, Environmental Change

In the new geological epoch of the Anthropocene impacts of human activity on the Earth’s systems may pose major risks to human health. We propose the development of a Planetary Health Watch (PHW) system for integrated monitoring of health effects of, and responses to, global environmental changes. The PHW system will harness new capabilities emerging from the digital revolution to motivate and enable effective responses to threats posed by the transgression of planetary boundaries. It will build on the existing monitoring initiatives as a system aimed at integrated monitoring of environmental change, health effects, and intermediating factors along with the drivers of change and policy responses to protect health. In July 2019, we held a two-day engagement workshop at the Wellcome Trust in London, UK. We convened 59 experts, representatives of existing monitoring initiatives, and potential users of the system to discuss and make recommendations on key aspects of the design of such a system, particularly its scope, opportunities for building on existing initiatives, target users and use cases, strategies for generating impact and key communities for engagement. The scope of monitoring was defined by a framework integrating eight planetary boundaries (climate change, ocean acidification, atmospheric aerosol loading, novel entities, freshwater use, biogeochemical flows, land system change and biosphere integrity) with human health outcomes. (Discussion of the ninth boundary – ozone layer depletion – was omitted because the ozone hole is now healing as a result of the implementation of the Montreal protocol.) As the initial crosscutting areas for the prototype development of PHW, we selected cities, food systems, and links between land use change and human health (emerging diseases and air pollution) to act as foci for the discussion. To build on the existing monitoring efforts, PHW will purse three levels of integration: (1) across health and environmental monitoring, (2) across top down and bottom up monitoring approaches, (3) between advancing knowledge and action that can be taken to protect planetary health. Existing data platforms, large-scale initiatives and networks such as the Multi-Country Multi-City Collaborative Research Network, INDEPTH network of health and demographic surveillance sites in low- and middle-income countries, Resource Watch, Global Burden of Disease project, C40, Global Covenant of Mayors, Sustainable Development Solutions Network and many others will be essential to this process. PHW will aim to add to - the evidence on the emerging risks for human health and the most effective solutions by engaging researchers as a key user community; - awareness of the evidence on impacts and solutions by investing in an outreach strategy that includes clear messages, narratives, and strategically selected messengers; - action to protect planetary health by motivating and enabling decision-makers who influence relevant policies and their implementation across sectors to incorporate planetary health as a priority. The strategies for generating impact will include generation of clear messages comprised of both data and narratives compelling to the individual users, proposing solutions and engaging with those in power to implement them. Scientific oversight and inclusive governance processes will ensure the system’s credibility and legitimacy. The next steps involve engagement with key stakeholders, facilitation of new partnerships, and development of a long-term funding strategy

Understanding the transmission dynamics of Leishmania donovani to provide robust evidence for interventions to eliminate visceral leishmaniasis in Bihar, India.

Visceral Leishmaniasis (VL) is a neglected vector-borne disease. In India, it is transmitted to humans by Leishmania donovani-infected Phlebotomus argentipes sand flies. In 2005, VL was targeted for elimination by the governments of India, Nepal and Bangladesh by 2015. The elimination strategy consists of rapid case detection, treatment of VL cases and vector control using indoor residual spraying (IRS). However, to achieve sustained elimination of VL, an appropriate post elimination surveillance programme should be designed, and crucial knowledge gaps in vector bionomics, human infection and transmission need to be addressed. This review examines the outstanding knowledge gaps, specifically in the context of Bihar State, India.The knowledge gaps in vector bionomics that will be of immediate benefit to current control operations include better estimates of human biting rates and natural infection rates of P. argentipes, with L. donovani, and how these vary spatially, temporally and in response to IRS. The relative importance of indoor and outdoor transmission, and how P. argentipes disperse, are also unknown. With respect to human transmission it is important to use a range of diagnostic tools to distinguish individuals in endemic communities into those who: 1) are to going to progress to clinical VL, 2) are immune/refractory to infection and 3) have had past exposure to sand flies.It is crucial to keep in mind that close to elimination, and post-elimination, VL cases will become infrequent, so it is vital to define what the surveillance programme should target and how it should be designed to prevent resurgence. Therefore, a better understanding of the transmission dynamics of VL, in particular of how rates of infection in humans and sand flies vary as functions of each other, is required to guide VL elimination efforts and ensure sustained elimination in the Indian subcontinent. By collecting contemporary entomological and human data in the same geographical locations, more precise epidemiological models can be produced. The suite of data collected can also be used to inform the national programme if supplementary vector control tools, in addition to IRS, are required to address the issues of people sleeping outside

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The Long-Baseline Neutrino Experiment: Exploring Fundamental Symmetries of the Universe

The preponderance of matter over antimatter in the early Universe, the dynamics of the supernova bursts that produced the heavy elements necessary for life and whether protons eventually decay --- these mysteries at the forefront of particle physics and astrophysics are key to understanding the early evolution of our Universe, its current state and its eventual fate. The Long-Baseline Neutrino Experiment (LBNE) represents an extensively developed plan for a world-class experiment dedicated to addressing these questions. LBNE is conceived around three central components: (1) a new, high-intensity neutrino source generated from a megawatt-class proton accelerator at Fermi National Accelerator Laboratory, (2) a near neutrino detector just downstream of the source, and (3) a massive liquid argon time-projection chamber deployed as a far detector deep underground at the Sanford Underground Research Facility. This facility, located at the site of the former Homestake Mine in Lead, South Dakota, is approximately 1,300 km from the neutrino source at Fermilab -- a distance (baseline) that delivers optimal sensitivity to neutrino charge-parity symmetry violation and mass ordering effects. This ambitious yet cost-effective design incorporates scalability and flexibility and can accommodate a variety of upgrades and contributions. With its exceptional combination of experimental configuration, technical capabilities, and potential for transformative discoveries, LBNE promises to be a vital facility for the field of particle physics worldwide, providing physicists from around the globe with opportunities to collaborate in a twenty to thirty year program of exciting science. In this document we provide a comprehensive overview of LBNE's scientific objectives, its place in the landscape of neutrino physics worldwide, the technologies it will incorporate and the capabilities it will possess.Comment: Major update of previous version. This is the reference document for LBNE science program and current status. Chapters 1, 3, and 9 provide a comprehensive overview of LBNE's scientific objectives, its place in the landscape of neutrino physics worldwide, the technologies it will incorporate and the capabilities it will possess. 288 pages, 116 figure

Enablers and Barriers to Implementing ICU Follow-Up Clinics and Peer Support Groups Following Critical Illness: The Thrive Collaboratives

OBJECTIVES: Data are lacking regarding implementation of novel strategies such as follow-up clinics and peer support groups, to reduce the burden of postintensive care syndrome. We sought to discover enablers that helped hospital-based clinicians establish post-ICU clinics and peer support programs, and identify barriers that challenged them. DESIGN: Qualitative inquiry. The Consolidated Framework for Implementation Research was used to organize and analyze data. SETTING: Two learning collaboratives (ICU follow-up clinics and peer support groups), representing 21 sites, across three continents. SUBJECTS: Clinicians from 21 sites. MEASUREMENT AND MAIN RESULTS: Ten enablers and nine barriers to implementation of "ICU follow-up clinics" were described. A key enabler to generate support for clinics was providing insight into the human experience of survivorship, to obtain interest from hospital administrators. Significant barriers included patient and family lack of access to clinics and clinic funding. Nine enablers and five barriers to the implementation of "peer support groups" were identified. Key enablers included developing infrastructure to support successful operationalization of this complex intervention, flexibility about when peer support should be offered, belonging to the international learning collaborative. Significant barriers related to limited attendance by patients and families due to challenges in creating awareness, and uncertainty about who might be appropriate to attend and target in advertising. CONCLUSIONS: Several enablers and barriers to implementing ICU follow-up clinics and peer support groups should be taken into account and leveraged to improve ICU recovery. Among the most important enablers are motivated clinician leaders who persist to find a path forward despite obstacles