Global and regional burden of disease and injury in 2016 arising from occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016

Objectives This study provides an overview of the influence of occupational risk factors on the global burden of disease as estimated by the occupational component of the Global Burden of Disease (GBD) 2016 study. Methods The GBD 2016 study estimated the burden in terms of deaths and disability-adjusted life years (DALYs) arising from the effects of occupational risk factors (carcinogens; asthmagens; particulate matter, gases and fumes (PMGF); secondhand smoke (SHS); noise; ergonomic risk factors for low back pain; risk factors for injury). A population attributable fraction (PAF) approach was used for most risk factors. Results In 2016, globally, an estimated 1.53 (95% uncertainty interval 1.39–1.68) million deaths and 76.1 (66.3–86.3) million DALYs were attributable to the included occupational risk factors, accounting for 2.8% of deaths and 3.2% of DALYs from all causes. Most deaths were attributable to PMGF, carcinogens (particularly asbestos), injury risk factors and SHS. Most DALYs were attributable to injury risk factors and ergonomic exposures. Men and persons 55 years or older were most affected. PAFs ranged from 26.8% for low back pain from ergonomic risk factors and 19.6% for hearing loss from noise to 3.4% for carcinogens. DALYs per capita were highest in Oceania, Southeast Asia and Central sub-Saharan Africa. On a per capita basis, between 1990 and 2016 there was an overall decrease of about 31% in deaths and 25% in DALYs. Conclusions Occupational exposures continue to cause an important health burden worldwide, justifying the need for ongoing prevention and control initiatives

Adaptation of Poa alpina to altitude and land use in the Swiss Alps

Current land use and climate change are prompting questions about the ability of plants to adapt to such environmental change. Therefore, we experimentally addressed plant performance and quantitative-genetic diversity of the common Alpine Meadow Grass Poa alpina. We asked how land use and altitude affect the occurrence of P. alpina in the field and whether its common-garden performance suggests adaptation to conditions at plant origin and differences in quantitative genetic diversity among plant origins. Among 216 candidate grassland sites of different land use and altitude from 12 villages in the Swiss Alps, P. alpina occurred preferentially in fertilized and grazed sites and at higher elevations. In a common garden at 1,500 m asl, we grew two plants of >600 genotypes representing 78 grassland sites. After 2 years, nearly 90% of all plants had reproduced. In agreement with adaptive advantages of vegetative reproduction at higher altitudes, only 23% of reproductive plants from lower altitudes reproduced via vegetative bulbils, but 55% of plants from higher altitudes. In agreement with adaptive advantages of reproduction in grazed sites, allocation to reproductive biomass was higher in plants from grazed grasslands than from mown ones. For 53 grasslands, we also investigated broad-sense heritability H2, which was significant for all studied traits and twice as high for grazed as for mown grasslands. Moreover, possibly associated with their higher landscape diversity, H2 was higher for sites of villages of Romanic cultural tradition than for those of Germanic and Walser traditions. We suggest promoting diverse land use regimes to conserve not only landscape and plant species diversity, but also adaptive genetic differentiation and heritable genetic variation