Dusty trades and associated rheumatoid arthritis in a population-based study in the coal mining counties of Appalachia

ObjectivesWe previously showed increased coal mining-associated risk of rheumatoid arthritis (RA). Using additional survey data, we sought to delineate this risk further.MethodsWe used data from two cross-sectional, random-digit-dial, population-based surveys (males;≥50 years) in selected counties in the Appalachian region of the inland, mid-Atlantic USA with elevated pneumoconiosis mortality. Surveys ascertained age, smoking, coal mining and non-coal silica exposure jobs. In a subset, we surveyed ergonomic exposures, scored by intensity. We queried diagnosis of RA, corticosteroid use, and, in a subset, use of disease modifying antirheumatic drugs (DMARDs). Multivariable logistic regression modelled RA risk (defined by glucocorticoid or DMARDs use) associated with coal mining employment, other silica exposure, smoking status, and age and ergonomic exposures.ResultsWe analysed data for 2981 survey respondents (mean age 66.6 years; 15% current, 44% ex-smokers). The prevalence of glucocorticoid-treated and DMARD-treated RA was 11% and 4%, respectively. Glucocorticoid-treated RA was associated with coal mining (OR 3.5; 95% CI 2.5 to 4.9) and non-coal mining silica exposure (OR 3.2; 95% CI 2.4 to 4.4). For DMARD-treated RA, the odds associated with coal mining and other silica remained elevated: OR 2.3 (95% CI 1.18, 4.5) and OR 2.7 (95% CI 1.51, 5.0), respectively. In the same model, the highest intensity ergonomic exposure also was associated with increased odds of RA (OR 4.3; 95% CI 1.96 to 9.6).ConclusionsWe observed a strong association between coal mining and other silica-exposing dusty trades and RA. Clinicians and insurers should consider occupational histories in the aetiology of RA.

Workability in the Ageing Workforce—A Population-Based Cross-Sectional Study

Background: The purpose of this study was to investigate the impact of age, musculoskeletal pain and ergonomic exposure on workability in the oldest group of workers. Methods: The study was a population based cross-sectional survey. The study population comprised citizens born between 1952–1966, living in Esbjerg municipality ultimo 2016 (n = 23,463). A questionnaire was sent electronically or by mail. The analysis included the working population only. A stereotype logistic regression was used with the primary dependent variable being workability and independent variables included age, musculoskeletal pain, and ergonomic exposure. Results: The response rate was 58% and the data demonstrated a significant negative association between age and workability. With excellent workability as a reference, the odds for poor workability increased by 97% being 60+ y compared to 50–55 y. Both moderate intensity and severe musculoskeletal pain in the back, shoulder and knee/hip all showed significantly higher odds for poor workability. Ergonomic exposures, such as standing/walking, working with back bent or twisted and carrying or lifting had a significant negative impact on workability. Conclusion: Age, musculoskeletal pain and ergonomic exposures showed a significant negative impact on workability in the oldest group of workers and should be targeted with preventive initiatives.

Development of an observation-based tool for ergonomic exposure assessment in informal electronic waste recycling and other unregulated non-repetitive work

Most existing ergonomic assessment tools are intended for routine work. Time- and cost- efficient observational tools for ergonomic assessment of unregulated work are lacking. This paper presents the development of an observation-based tool designed to investigate ergonomic exposures among informal electronic waste workers that could be applied to other unregulated jobs/tasks. Real-time coding of observation is used to estimate the relative duration and intensity of exposure to key work postures, forceful exertions, movements, contact stress and vibration. Time spent in manual material handling activities such as carrying, lifting and pushing/pulling of working carts are also estimated. A preliminary study conducted with 6 e-waste workers showed that the tool can easily be used with minimal training and good inter- observer agreement (i.e., 89% to 100%) for most risk factors assessed. This new assessment tool provides effective and flexible options for quantifying ergonomic exposures among workers engaged in unregulated, highly variable work.

Musculoskeletal disorders within the carpentry trade: analysis of timber flooring subtasks

PurposeCarpenters are constantly vulnerable to musculoskeletal disorders. Their work consists of subtasks that promote nonfatal injuries and pains that affect different body segments. The purpose of this study is to examine ergonomic exposures of carpentry subtasks involved in floor framing, how they lead to musculoskeletal injuries, and how preventive and protective interventions around them can be effective.Design/methodology/approachUsing wearable sensors, this study characterizes ergonomic exposures of carpenters by measuring and analyzing body movement data relating to major subtasks in carpentry flooring work. The exposures are assessed using Postural Ergonomic Risk Assessment classification, which is based on tasks involving repetitive subtasks and nonstatic postures.FindingsThe findings of this paper suggest severe risk impositions on the trunk, shoulder and elbow as a result of the measuring and marking and cutting out vent locations, as well as in placing and nailing boards into place.Research limitations/implicationsBecause of the type and size of wearable sensor used, only results of risk exposures of four body-parts are presented.Practical implicationsThis study draws insights on how to benchmark trade-specific measurement of work-related musculoskeletal disorders. Safety efforts can be targeted toward these risk areas and subtasks. Specifically, results from these will assist designers and innovators in designing effective and adaptable protective interventions and safety trainings.Originality/valueExtant studies have failed to provide adequate evidence regarding the relationships between subtasks and musculoskeletal disorders; they have only mimicked construction tasks through laboratory experimental scenarios. This study adds value to the existing literature, in particular by providing insights into hazards associated with floor carpentry subtasks.