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Table of Contents
May-August 2017
Volume 21 | Issue 2
Page Nos. 43-97
Online since Tuesday, February 13, 2018
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GUEST EDITORIAL
Developing spirituality at workplace: Boon or bane
p. 43
Radha Saini
DOI
:10.4103/ijoem.IJOEM_161_17
PMID
:29540964
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ORIGINAL ARTICLES
Occupational health and role of gender: A study in informal sector fisheries of Udupi, India
p. 45
Pooja Tripathi, Ramachandra Kamath, Rajnarayan Tiwari
DOI
:10.4103/ijoem.IJOEM_170_16
PMID
:29540965
Background:
Fisherwomen are informal sector workers involved in post-harvest operations and are mostly engaged in peeling, trading, and processing of fish. High degree of wage disparity and gender inequalities results in different socioeconomic status of fisherwomen and fishermen. This study aimed to identify gender issues and their effect on the health status of fisherwomen.
Materials and Methods:
The present cross-sectional included 171 fishermen and fisherwomen. Interview technique was used to collect information using a predesigned proforma. Data was analyzed using SPSS Version 15.0.
Results:
Fifty-five percent of the participants complained of work-related health problems. A total of 63.9% of women had occupational health problems compared to 48.5% of the men (
P
< 0.05). Merely 1.2% of participants used any protective equipment. None of the workers reported receiving any kind of benefits at their workplace. A total of 53.8% were paid on piece-rate basis.
Conclusion:
This study identified many occupational and gender issues in the informal sector.
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Correlates of stone quarry workers' awareness of work-related ocular health hazards and utilization of protective eye devices: Findings in southeastern Nigeria
p. 51
CN Ezisi, BI Eze, O Okoye, O Arinze
DOI
:10.4103/ijoem.IJOEM_171_16
PMID
:29540966
Objective:
To assess the awareness of work-related ocular health hazards and utilization of personal protective eye devices (PPEDs) among stone quarry workers in Abakaliki, southeastern Nigeria.
Materials and Methods:
In a cross-sectional survey of stone quarry industry workers in Abakiliki, conducted between March and April, 2012, data on participants' socio-demographics, job characteristics, PPED awareness, and utilization were collected. Descriptive and analytical statistics were performed. For intergroup comparisons,
P
< 0.05 was considered statistically significant.
Results:
All workers were aware of the need for utilization of eye protective devices; however, 98.7% declined its use for various reasons. About 74.6% attributed nonutilization to nonavailability while 10.4% attributed it to high cost and 10.2% declined its utilization due to discomfort associated with its use.
Discussion:
Usage of PPEDs was associated with job specification, educational level, duration of work experience, awareness of work hazards, and knowledge about the purpose of PPEDs. Nonusage was associated with unavailability, high cost of procurement, and ocular discomfort from poor fitting and misty/cloudy vision with use. Users were more numerous among blasters and crushers whose jobs were most predisposed to work related accidents and workers with formal education.
Conclusions:
Findings from the study reveal high level of awareness yet nonutilization of eye protection. Barriers to the utilization of these eye protective devices should be addressed to ensure greater compliance of its use.
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Hazard identification, risk assessment, and control measures as an effective tool of occupational health assessment of hazardous process in an iron ore pelletizing industry
p. 56
BK Rout, BK Sikdar
DOI
:10.4103/ijoem.IJOEM_19_16
PMID
:29540967
Background:
With the growing numbers of iron ore pelletization industries in India, various impacts on environment and health in relation to the workplace will rise. Therefore, understanding the hazardous process is crucial in the development of effective control measures. Hazard Identification, Risk Assessment, and Control measures (HIRAC) acts as an effective tool of Occupational Health Assessment.
Objective:
The aim of the study was to identify all the possible hazards at different workplaces of an iron ore pelletizing industry, to conduct an occupational health risk assessment, to calculate the risk rating based on the risk matrix, and to compare the risk rating before and after the control measures.
Materials and Methods:
The research was a cross-sectional study done from March to December 2015 in an iron ore pelletizing industry located in Odisha, India. Data from the survey were collected by inspecting the workplace, responses of employees regarding possible hazards in their workplace, reviewing department procedure manual, work instructions, standard operating procedure, previous incident reports, material safety data sheet, first aid/injury register, and health record of employees.
Results:
A total of 116 hazards were identified. Results of the paired-sample's
t
-test showed that mean risk rating differs before taking control measures (M = 9.13, SD = 5.99) and after taking control measures (M = 2.80, SD = 1.38) at the 0.0001 level of significance (
t
= 12.6428, df = 115, N = 116,
P
< 0.0001, 95% CI for mean difference 5.34 to 7.32). On an average, risk reduction was about 6.33 points lower after taking control measures.
Conclusion:
The hazards having high-risk rating and above were reduced to a level considered As Low as Reasonably Practicable (ALARP) when the control measures were applied, thereby reducing the occurrence of injury or disease in the workplace.
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Effective office ergonomics awareness: Experiences from global corporates
p. 77
Kishore P Madhwani, PK Nag
DOI
:10.4103/ijoem.IJOEM_151_17
PMID
:29540968
Background:
Use of laptops and hand-held devices increase the risk of musculoskeletal disorders (MSDs). More time spent on this activity adopting faulty postures, higher the risk of developing such injuries. This study addresses training on office ergonomics with emphasis on sustainable behavior change among employees to work in safe postures, as this is a top priority in the corporate environment, today.
Aim:
To explore training intervention methods that ensure wider coverage of awareness on office ergonomics, thereby promoting safer working and suggesting sustainable programs for behavior change and job enrichment.
Materials and Methods:
A cross-sectional study was conducted (2012 - 2017), encompassing corporate office employees of multinational corporations selected from India, Dubai (U.A.E), Nairobi (East Africa), Durban (South Africa), South East Asian countries (Philippines, Vietnam, Indonesia, Singapore, Malaysia, Thailand and Sri Lanka).Participant employees (
n
= 3503) were divided into two groups to study the effect of interventions'; i.e., (a) deep training: 40 minute lecture by the investigator with a power point presentation (
n
= 1765) using a mock workstation and (b) quick training: live demonstrations of 10 minutes (
n
= 1738) using a live workstation.
Results:
While deep training enhanced awareness in 95.51% and quick training in 96.59% globally, the latterwas much appreciated and educated maximum employees. From statistical analysis, quick training was found superior in providing comprehensive training and influencing behavior modification in India, but all over the world it was found highly superior in knowledge enlargement, skills enrichment in addition to providing comprehensive training (
P
< 0.05). In countries, located to West of India, it significantly influenced behavior modification.
Conclusion:
As because few employees attend deep training lectures, the quick 10-minute program is highly promising as it is practical, replicable, yields increased awareness with wider employee coverage in a much shorter time, instilling a feeling of caring and confidence amongst them towards a robust office ergonomics program. This could lead to propose as a best practice for corporate offices globally.
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Are police personnel in puducherry healthy? findings from “Partners in Prevention” Programme in puducherry, India
p. 84
TS Ravikumar, R Kanagarethinam, Divya Nair, Sitanshu S Kar
DOI
:10.4103/ijoem.IJOEM_105_17
PMID
:29540969
Background:
Prevalence of cardiovascular diseases are reported to be high in police force, which constitute a special occupational group. “Partners in Prevention” was a special surveillance activity carried out among the personnel of the Department of Police, Government of Puducherry by JIPMER, Puducherry. The present study reports the prevalence of metabolic syndrome and other cardiovascular risk factors in this group.
Materials and Methods:
The design was cross-sectional analytical study covering 1618 policemen during 2013–15. A pre-tested questionnaire was used for collecting data. Anthropometric and biochemical measurements were carried out using standard techniques. Metabolic syndrome was diagnosed using the International Diabetes Federation (IDF) consensus worldwide definition. Statistical analysis was performed using the IBM- SPSS 21 software.
Results:
The mean (SD) age of the participants was 45.7 (10.1) years. Majority (90%) of the participants were males and were in the age group of 30–59 years. Metabolic syndrome was observed in two-fifth (42%) of the study population. We found the prevalence as: hypertension (45.2%), abnormal HDL levels (62.3%), diabetes (34.7.1%), and high body mass index of >=25 kg/m
2
(60.5%).
Conclusion:
Our study identified that police personnel were having high CVDs and risk factors. It calls for an urgent need to initiate screening and secondary prevention programmes.
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Effectiveness of awareness package on occupational health hazards among ragpickers of New Delhi, India
p. 89
Rashmi Agarwalla, Rambha Pathak, Mitasha Singh, Farzana Islam, Mamta Parashar
DOI
:10.4103/ijoem.IJOEM_52_17
PMID
:29540970
Background:
Ragpickers are informal workers who collect recyclable materials to earn a small wage on daily basis. They work in vulnerable conditions and awareness regarding occupational and environmental hazard is essential for them.
Objective:
To study the effectiveness of awareness program on various occupational health hazards among the ragpickers.
Materials and Methods:
This interventional study was conducted from May through October 2016 among the ragpickers living near field practice area of Department of Community Medicine and those living in slum areas around HAHC Hospital, New Delhi, India. The awareness regarding occupational and environmental health hazards was assessed using a pretested and predesigned pro forma. Snowball sampling technique was used to select the ragpickers from the various areas. Health awareness and education package was designed for the ragpickers. The package was delivered by medical officers and health workers. A posttest assessment was done 2 weeks after the awareness activity.
Result:
Among 150 ragpickers, there was significant improvement in knowledge immediate post training on knowledge of occupational hazard and hygiene.
Conclusion:
Efforts should be put to develop training materials on occupation and environmental health and injury issue relating to waste management.
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CASE REPORT
Erasmus syndrome: Silicosis and systemic sclerosis
p. 94
Shubhra Jain, Vinod Joshi, Yogendra S Rathore, Narendra Khippal
DOI
:10.4103/ijoem.IJOEM_120_17
PMID
:29540971
Several occupational hazards, especially exposure to silica, have been implicated as causal factors for the development of scleroderma-like disorders. Compared to other connective tissue disorders, silica-associated systemic sclerosis (SA-SS) is relatively rare. Silica-induced scleroderma is indistinguishable from idiopathic systemic sclerosis. However, the former expresses a high predisposition of pulmonary involvement and anti-Scl-70 antibody. We report the case of a 42-year-old male, stone cutter by occupation, who was diagnosed as simple chronic silicosis and developed systemic sclerosis.
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LETTER TO EDITOR
Ensuring sound mental health in the workplace
p. 97
Saurabh R Shrivastava, Prateek S Shrivastava, Jegadeesh Ramasamy
DOI
:10.4103/ijoem.IJOEM_149_17
PMID
:29540972
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© 2005 - Indian Journal of Occupational and Environmental Medicine
Published by Wolters Kluwer -
Medknow
Online since 1
st
April '05