Metal Interactions in carcinogenesis†

Mixed exposures to a number of metallic compounds may give rise to a carcinogenic response in humans.

An interaction between occupational exposure to arsenic and cigarette smoking has been documented epidemiologically. A multiplicative effect was indicated concerning the occurrence of lung cancer when both of the exposures were present. Several experimental studies have been reported in the literature concerning interactions between benzo(a)pyrene and Fe₂O₃ as well as some other metallic compounds like Ni₃S₂, PbO, MgO and TiO₂ in relation to respiratory carcinogenicity. There is also limited evidence of a positive interaction between arsenic trioxide and benzo(a)pyrene. Particles containing V and Ni were obtained from the flue gases of power plants burning heavy fuel oil. Such particles were not carcinogenic themselves but enhanced the carcinogenicity of benzo(a)pyrene even more efficiently than Fe₂O₃.

Increased dietary selenium intakes can decrease the carcinogenicity of several organic carcinogens in animals and dietary zinc can effectuate both enhancement and inhibition of carcinogenicity depending on dietary concentration.     

Occupational accident: An example of fatalistic beliefs among medical waste workers in Bangladesh

This study was conducted to see whether fatalism is an important factor in explaining occupational accidents among medical waste operatives in Dhaka, Bangladesh. Data were collected using a variety of qualitative techniques and included observation, formal and informal dialogue. Sampling strategies included formal representative sampling, purposive and authoritative sampling. Employers did not supply PPE or offer training to their staff. Most workers (73%) did not wear PPE regularly, and a further 18% wore only insufficient PPE. Consequently, most waste workers (95%) reported that they had experienced occupational accidents, mostly (75%) from used needles and other sharps. These observations were associated with fatalistic beliefs among the participants, both managers and employees, who attributed these events to “fate” reflecting their perceived lack of control over such accidents. This study reveals many examples of a lack of organisational awareness that can occur within a culture of fatalism.     

Cultural influences on workplace safety: An example of hospital workers’ adoption of patient lifting devices

Aims

A sociological and anthropological view of culture was used to investigate how work culture, independent of “safety culture”, may affect safety in the workplace. We explored how work cultures of nurses and physical/occupational therapists (PT/OTs) in two acute care hospitals are related to the adoption of patient lifting devices.

Methods

Focus groups were conducted between 2006 and 2009, seven with nurse staff (n = 39) and two with PT/OT staff (n = 17), to explore issues concerning a Minimal Manual Lift Environment policy, initiated in 2004, and subsequent use of patient lift equipment. Audio recordings of the sessions were transcribed; text data were analyzed using N6-QSR. Cultural facilitators and barriers to the adoption of patient lift equipment were examined.

Results

Data revealed cultural similarities and differences between these healthcare professions. Both displayed a “patient first” approach to care-giving which may promote lift device use for patients’ benefits, not necessarily for staff safety. Also, the implied purpose of patient lifting devices clashes with the nurses’ cultural emphasis on compassion, and with PT/OTs’ cultural emphasis on independence except when use increases patients’ independence.

Conclusions

Cultural expressions regarding the nature of care-giving among healthcare professionals may affect the propensity to adopt safety measures in complex ways. The workers’ understanding of the purpose of their work, and acceptable means of conducting it, should be understood before implementing safety interventions. The utilization of lift assist teams, who are not socialized into the cultures of nursing or PT/OT, may be one means of circumventing cultural barriers to lift equipment use.     

An evaluation of occupational accidents in the wooden furniture industry - A regional study in South East Asia

Studies on the rate of occupational accidents among workers in the wooden furniture industry is sparse, although the industry is deemed to be highly accident prone. Therefore, the rate of occupational accidents among workers in the wooden furniture industry in Malaysia, Thailand, Indonesia and Vietnam were studied, in 240 furniture manufacturing factories, using a structured questionnaire. The findings of the study suggest that contract workers are less prone to occupational accidents compared to their permanent counterparts, and hence, are more productive. Further, the results also revealed that the contract workers have a more positive attitude towards the work, and hence, pick up the essentials of safe working practices quickly. It must therefore be recognized that the “production oriented mentality” prevalent in the wooden furniture industry, which has been argued to compromise occupational safety and health standards in the industry may be debatable. In this context, it is essential for the policy makers to re-examine the employment of contract workers for the furniture manufacturing industry, as changing the psycho-economic parameters of the industry may be warranted before the industry is deemed attractive to a permanent workforce.     

美国粮仓农工的安全风险识别与防护

本文通过谷物装卸设备存在危险的实例,强调了储粮仓内农工存在淹埋及窒息风险,重点介绍了美国职业安全和健康署（OSHA）提出的标准和相关法规,以及粮仓农工的安全风险识别与防护经验,以对我国粮仓农工的安全与防护提供帮助。     

Political drivers of epidemic response: foreign healthcare workers and the 2014 Ebola outbreak

This study demonstrates that countries responded quite differently to calls for healthcare workers (HCWs) during the Ebola epidemic in West Africa in 2014. Using a new dataset on the scale and timing of national pledges and the deployment of HCWs to states experiencing outbreaks of the virus disease (principally, Guinea, Liberia, and Sierra Leone), it shows that few foreign nations deployed HCWs early, some made pledges but then fulfilled them slowly, and most sent no HCWs at all. To aid understanding of such national responses, the paper reviews five theoretical perspectives that offer potentially competing or complementary explanations of foreign government medical assistance for international public health emergencies. The study systematically validates that countries varied greatly in whether and when they addressed HCW deployment needs during the Ebola crisis of 2014, and offers suggestions for a theory‐driven inquiry to elucidate the logics of foreign interventions in critical infectious disease epidemics.     

石油钻井工人护耳器防护效果的评价

从实验室筛选出的７种护耳器，经９９名钻井工人现场使用作了主观评价。通过现场工人噪声防护效果的评价，推选出４种护耳器作为石油勘探工人首先使用的个人防护用品。     

我国女职工劳动保护立法问题研究

在多年从事妇女劳动问题研究的基础上 ,对我国企业执行女职工劳动保护法律、法规和政策的状况 ,从不同的角度进行描述和评价。分析各类所有制企业在女职工劳动保护方面存在的突出问题 ,并探讨修正现行女职工劳动保护立法的可能性 ,特别是对国务院的行政法规———《女职工劳动保护规定》提出比较具体的修订建议。这些建议包括对妇女进入劳动或工作过程之前的平等就业机会的保护 ,但主要侧重妇女就业之后 ,在工作场所中的劳动保护问题     

Age differences in safety attitudes and safety performance in Hong Kong construction workers

PROBLEM: Safety in the construction industry is a major issue in Hong Kong, representing about 46% of all occupational injuries in 1998. This study explored linear and curvilinear relations between age and safety performance (accident rates and occupational injuries), as well as safety attitudes, in construction workers in Hong Kong. METHOD: A Chinese version of the Safety Attitude Questionnaire (SAQ by Donald & Canter) was developed and administered to a sample of Chinese construction workers (N=374, 366 males, 8 females) from 27 construction sites. RESULTS: Accident rates were not related to age. Occupational injuries were related to age in a curvilinear manner, with injuries at first increasing with age, then decreasing. Two safety attitude scales were related to age with older workers exhibiting more positive attitudes to safety. If age and tenure are controlled, some attitude scales are predictors of safety performance. IMPACT ON INDUSTRY: Management/supervisors, team leaders, and workers are all responsible for safety, and any negative bias toward older construction workers is unfounded.     

Using public procurement to achieve social outcomes

The use of public procurement to achieve social outcomes is widespread, but detailed information about how it operates is often sketchy and difficult to find. This article is essentially a mapping exercise, describing the history and current use of government contracting as a tool of social regulation, what the author calls the issue of ‘linkage’. The article considers the popularity of linkage in the 19^th century in Europe and North America, particularly in dealing with issues of labour standards and unemployment. The use of linkage expanded during the 20^th century, initially to include the provision of employment opportunities to disabled workers. During and after World War II, the use of linkage became particularly important in the United States in addressing racial equality, in the requirements for non‐discrimination in contracts, and in affirmative action and set‐asides for minority businesses. Subsequently, the role of procurement spread both in its geographical coverage and in the subject areas of social policy that it was used to promote. The article considers examples of the use of procurement to promote equality on the basis of ethnicity and gender drawn from Malaysia, South Africa, Canada, and the European Community. More recently, procurement has been used as an instrument to promote human rights transnationally, also by international organizations such as the International Labour Organisation. The article includes some reflections on the relationship between ‘green’ procurement, ‘social’ procurement, and sustainable development, and recent attempts to develop the concept of ‘sustainable procurement.’