Personal protective equipment use during industrial hog operation work activities and acute lung function changes in a prospective worker cohort, North Carolina 2014–2015

Author(s):  
Vanessa R. Coffman ◽  
Devon J. Hall ◽  
Nora Pisanic ◽  
Maya Nadimpalli ◽  
Meredith McCormack ◽  
...  
2016 ◽  
Vol 14 (2) ◽  
pp. 57
Author(s):  
Sri Slamet Mulyati ◽  
Onny Setiani ◽  
Mursid Raharjo

Background: Byssinosis is still health problems associated with exposure to cotton dust. High risk of health problems in Environmental Health Risk Assessment is expressed as a Risk Quotenit (RQ) .Work activities, the use of personal protective equipment, and psychological disorder may also affect the incidence of byssinosis. Methods: This was an observational research with cross sectional design. The population in this research are all employees of PT.Grandtex.Eighty workers from morning shifts only were randomly selected. Each worker was examined of the FEV1 and FVC. Questionnaires structured was another tools for collecting data.Total dust measured in the working environments and ambient air.Results: The results by Chi-Square test showed significant relation between the Risk Quotenit (RQ) with byssinosis (p-value 0.043; PR 1,8 (95%CI : 0.95-3.52),have a significant relationship between work activities with byssinosis (p-value 0.035; PR 2.2 (95%CI : 0.86-5.85)have a significant relationship between the use of personal protective equipment with byssinosis (p-value 0.001; PR 2.9 (95%CI : 1.21-6.81) and have a significant relationship between psychological disorders with byssinosis (p-value 0.023; PR 1,7 (95%CI : 1.28-2.14)Conclusion: The number of worker with positive Byssinosis symptoms and abnormal lung function 15 people(18.75%) , positive Byssinosis symptoms and normal lung function 35people(43.75%) Keywords : Byssinosis, cotton dust, risk assessment


2020 ◽  
Author(s):  
Vanessa R. Coffman ◽  
Devon J. Hall ◽  
Nora Pisanic ◽  
Maya Nadimpalli ◽  
Meredith McCormack ◽  
...  

ABSTRACTIntroductionAs occupational activities related to acute industrial hog operation (IHO) worker lung function are not well defined, we aimed to identify IHO work activities associated with diminished respiratory function and the effectiveness, if any, of personal protective equipment (PPE) on IHOs.MethodsFrom 2014-2015, 103 IHO workers were enrolled and followed for 16 weeks. At each bi-weekly visit, lung function measurements were collected via spirometry and work activities and PPE use were self-reported via questionnaire. Generalized linear and linear fixed-effects models were fitted to cross-sectional and longitudinal data.ResultsAt baseline, increasing years worked on an IHO were associated with diminished lung function, but other activities were less consistent in direction and magnitude. In longitudinal models, only reports of working in feeding/finisher barns, showed a consistent association. However, a −0.3 L (95% confidence interval: −0.6, −0.04) difference in FEV1 was estimated when workers wore PPE consistently versus those weeks they did not. In post-hoc analyses, we found that coveralls and facemasks were worn less consistently when workers experienced worse barn conditions and had more contact with pigs, but coveralls were worn more consistently as cleaning activities increased.ConclusionsSimilar to past studies, baseline estimates were likely obscured by healthy worker bias. Also making it challenging to disentangle the effect of work activities on lung function was the discovery that IHO workers used PPE differently according to work task. These data suggest that interventions may be targeted toward improving barn conditions so that workers can consistently utilize IHO-provided PPE.KEY MESSAGESWhat is already known about this subject?Working on industrial hog operations may be deleterious to long- and short-term respiratory health due to airborne bacteria, endotoxin, hazardous gases, dust, and dander in barns. In efficacy studies PPE has been shown to be protective, but studies have shown that PPE utilization among hog workers has historically been sub-optimal.What are the new findings?As barn conditions worsened and contact with pigs increased, workers in this cohort reported wearing coveralls and face masks less often; however, they reported increased PPE use as they conducted more cleaning activities at work. During weeks when workers wore PPE their lung function declined, a possible cause being the improper use of the equipment leading to a false sense of protection or re-exposure to hazardous contaminants.How might this impact on policy or clinical practice in the foreseeable future?Given COVID-19, the H1N1 “swine flu” pandemic, our knowledge of antimicrobial resistant pathogens, and increasing awareness about how food systems are linked to the spread of emerging infectious diseases, occupational health intervention research and workplace policies may focus on creating barn environments that are more conducive to PPE use which could help protect workers and consequently the community.


2012 ◽  
Vol 22 (2) ◽  
pp. 175-190 ◽  
Author(s):  
Joseph G. Grzywacz ◽  
Sara A. Quandt ◽  
Thomas Mills ◽  
Antonio Marín ◽  
Phillip Summers ◽  
...  

2014 ◽  
Vol 35 (3) ◽  
pp. 259-264 ◽  
Author(s):  
JaHyun Kang ◽  
David J. Weber ◽  
Barbara A. Mark ◽  
William A. Rutala

Objective.To explore the range of hospital policies for visitor use of personal protective equipment (PPE) when entering the room of patients under isolation precautions.Design.Survey using an online questionnaire.Setting.Acute care hospitals registered in the North Carolina Statewide Program for Infection Control and Epidemiology (SPICE).Methods.A total of 136 North Carolina hospitals were invited to participate in an online survey. The survey questionnaire was developed, reviewed, and pilot tested, and then it was distributed through SPICE listserv registered e-mail addresses. The survey was conducted from February 6 to March 30, 2012.Results.Among 93 respondent hospitals (response rate, 68.4%), 82 acute care hospitals (60.3%) were included in the analyses. Substantial variation was observed with regard to hospital policies for visitor PPE use when visiting patients under isolation precautions. A total of 71% of hospitals had a hospital visitor policy, and 96% of respondents agreed that hospitals should have a visitor policy. Only 14% of hospitals monitored visitor compliance with PPE. Reported compliance rates varied from “very low” to 97%. Many hospitals (28%) reported difficulties related to visitor compliance with isolation precautions, including hostility and refusal to comply.Conclusions.Our study results illuminated hospital policy variations for visitor isolation precautions. Reported problems with hospital visitor policies (eg, different policies across departments or facilities) suggest the need for standard guidelines and for enhanced public awareness about the importance of visitor compliance with isolation precautions.


2017 ◽  
Vol 7 (1) ◽  
pp. 01
Author(s):  
Allan Dillammary Araújo Barbosa ◽  
Allan Martins Ferreira ◽  
Edmara da Nóbrega Xavier Martins ◽  
Anne Milane Formiga Bezerra ◽  
Juliana de Almeida Leandro Bezerra

<p>Biossegurança ou segurança biológica é um conjunto de ações voltadas à prevenção e proteção do trabalhador. Uma estratégia utilizada como forma de evitar contaminação no ambiente de trabalho se dar a partir do uso de Equipamentos de Proteção Individual (EPIs). Objetivou-se analisar a percepção do enfermeiro sobre o uso e importância do EPI diante da assistência aos pacientes. O trabalho trata-se de um estudo do tipo exploratório-descritivo, com abordagem quantiqualitativa, foi realizado com enfermeiros plantonistas do setor de urgência e emergência de um Hospital Regional paraibano. Conforme os dados observa-se que a maioria dos enfermeiros é do gênero feminino, com faixa etária entre 20 e 30 anos de idade, são especialistas e atuam há dois anos no serviço de emergência. Todos os enfermeiros mostraram conhecimento sobre a importância do uso do EPI, relatando as principais doenças que podem acometê-los caso ocorram episódios de contaminação durante a execução das suas atividades laborais. Alguns dos profissionais afirmaram já se contaminar, sendo o material perfurocortante o que mais causou acidentes. Afirmaram que a instituição oferece a maioria dos EPIs necessários para proteção individual, porém só em algumas circunstâncias fazem uso desses equipamentos. Portanto, pôde-se concluir que tais contaminações poderiam ser evitadas se todos os profissionais fizerem uso dos EPIs em todas as situações que envolvam riscos, pondo em prática o conhecimento relatado, conferindo proteção não só ao profissional como a clientela que procura o serviço.</p><p><strong><em>Nurses perception about the use of personal protective equipment in a hospital in parabian</em></strong></p><p>Abstract: Biosafety or security biological is a set of actions aimed at the prevention and protection of the worker. One strategy used in order to avoid contamination in the work environment it's given from the use of Personal Protective Equipment (PPE). The work it is a study of exploratory-descriptive, with a quantiqualitative approach, was conducted with nurses in the sector of urgency and emergency in a Regional Hospital Paraiba, aiming analysis on the use and importance of PPE when providing patient care.  According to data was realized that most nurses are female, aged between 20 and 30 years old, are experts and acting for two years in the emergency department. All nurses showed knowledge about the importance of using PPE, reporting major diseases that can affect them in case occur contamination episodes during the execution of their work activities. Some professionals said they already been contaminated, being the material pierce cutter which caused more accidents. They stated that the institution offers the majority of PPEs required for personal protection, but only in some circumstances they make use of such equipment. Therefore, it was concluded that such contamination could be avoided if all professionals make use of PPE in all situations involving risk, putting into practice the knowledge reported, providing protection not only to the professional as customers seeking service.</p>


2015 ◽  
Vol 20 (1) ◽  
pp. 43-54 ◽  
Author(s):  
Gregory D. Kearney ◽  
Xiaohui Xu ◽  
Jo Anne G. Balanay ◽  
Daniel L. Allen ◽  
Ann P. Rafferty

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