Gender and health in occupational epidemiology

There has been limited attention to gender as a wider structural influence on either working conditions or health outcomes in occupational epidemiology.1 2 From an analytic perspective, gender is often treated as an individual characteristic that may either confound or modify an exposure–outcome relationship.3 This is despite the awareness in epidemiology that expressions of gender relations, such as gendered segregation of the workforce and gender discrimination in wages, are important public health issues.4

The article by Buscariolli and colleagues5 uses a national data set to interrogate the influence of both the gendered working environment and gender on antidepressant use in Finland. As the authors point out in the rationale for the study, there has been a lack of longitudinal research on this topic. The current study is based on a 19-year follow-up of over 752 683 women and men working in human service...

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IJERPH, Vol. 15, Pages 821: A System Based on the Internet of Things for Real-Time Particle Monitoring in Buildings

IJERPH, Vol. 15, Pages 821: A System Based on the Internet of Things for Real-Time Particle Monitoring in Buildings

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040821

Authors: Gonçalo Marques Cristina Roque Ferreira Rui Pitarma

Occupational health can be strongly influenced by the indoor environment as people spend 90% of their time indoors. Although indoor air quality (IAQ) is not typically monitored, IAQ parameters could be in many instances very different from those defined as healthy values. Particulate matter (PM), a complex mixture of solid and liquid particles of organic and inorganic substances suspended in the air, is considered the pollutant that affects more people. The most health-damaging particles are the ≤PM10 (diameter of 10 microns or less), which can penetrate and lodge deep inside the lungs, contributing to the risk of developing cardiovascular and respiratory diseases, as well as of lung cancer. This paper presents an Internet of Things (IoT) system for real-time PM monitoring named iDust. This system is based on a WEMOS D1 mini microcontroller and a PMS5003 PM sensor that incorporates scattering principle to measure the value of particles suspended in the air (PM10, PM2.5, and PM1.0). Through a Web dashboard for data visualization and remote notifications, the building manager can plan interventions for enhanced IAQ and ambient assisted living (AAL). Compared to other solutions the iDust is based on open-source technologies, providing a total Wi-Fi system, with several advantages such as its modularity, scalability, low cost, and easy installation. The results obtained are very promising, representing a meaningful tool on the contribution to IAQ and occupational health.

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IJERPH, Vol. 15, Pages 822: Projection of Future Mortality Due to Temperature and Population Changes under Representative Concentration Pathways and Shared Socioeconomic Pathways

IJERPH, Vol. 15, Pages 822: Projection of Future Mortality Due to Temperature and Population Changes under Representative Concentration Pathways and Shared Socioeconomic Pathways

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040822

Authors: Jae Young Lee Ejin Kim Woo-Seop Lee Yeora Chae Ho Kim

The Paris Agreement aims to limit the global temperature increase to below 2 °C above pre-industrial levels and to pursue efforts to limit the increase to even below 1.5 °C. Now, it should be asked what benefits are in pursuing these two targets. In this study, we assessed the temperature–mortality relationship using a distributed lag non-linear model in seven major cities of South Korea. Then, we projected future temperature-attributable mortality under different Representative Concentration Pathway (RCP) and Shared Socioeconomic Pathway (SSP) scenarios for those cities. Mortality was projected to increase by 1.53 under the RCP 4.5 (temperature increase by 2.83 °C) and 3.3 under the RCP 8.5 (temperature increase by 5.10 °C) until the 2090s, as compared to baseline (1991–2015) mortality. However, future mortality is expected to increase by less than 1.13 and 1.26 if the 1.5 °C and 2 °C increase targets are met, respectively, under the RCP 4.5. Achieving the more ambitious target of 1.5 °C will reduce mortality by 12%, when compared to the 2 °C target. When we estimated future mortality due to both temperature and population changes, the future mortality was found to be increased by 2.07 and 3.85 for the 1.5 °C and 2 °C temperature increases, respectively, under the RCP 4.5. These increases can be attributed to a growing proportion of elderly population, who is more vulnerable to high temperatures. Meeting the target of 1.5 °C will be particularly beneficial for rapidly aging societies, including South Korea.

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IJERPH, Vol. 15, Pages 819: Aerobic Mesophilic, Coliform, Escherichia coli, and Staphylococcus aureus Counts of Raw Meat from the Formal and Informal Meat Sectors in South Africa

IJERPH, Vol. 15, Pages 819: Aerobic Mesophilic, Coliform, Escherichia coli, and Staphylococcus aureus Counts of Raw Meat from the Formal and Informal Meat Sectors in South Africa

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040819

Authors: Ishmael Festus Jaja Ezekiel Green Voster Muchenje

Foodborne disease (FBD) is a global public health concern, and foods from animal sources have been associated with outbreaks of food-related illness. In this study, animal carcasses from the two abattoirs (HT1 and HT2) in the formal meat sector (FMS) and slaughter points in the informal meat sector (INMS) were examined at two stages of slaughter (before washing and after washing) for aerobic colony counts (ACC) and total viable count (TCC), as well as Escherichia coli and Staphylococcus aureus count. At each stage, carcasses were sampled by swabbing at the neck, brisket, flank, and rump. ACC for beef, mutton, and pork carcasses at HT1 and HT2 before washing were between 2.5–5.8, 2.2–4.7, and 2.7–3.7 mean log CFU/cm2, respectively, and TCC count before washing was highest on the neck of cattle (6.3 ± 2.4) and after washing was highest on the perineal of sheep (5.7 ± 6.9). In the INMS, TCC count was highest on the brisket (6.9 ± 3.2) and in the neck (5.5 ± 2.4). Higher ACC values of 6.2–6.7 mean log CFU/cm2 were obtained in the INMS. The highest count for E. coli (4.2 mean log CFU/cm2) after washing was in the neck, while the highest count for S. aureus (4.0 mean log CFU/cm2) was in the flank. All bacteria count in the INMS exceeded acceptable limits, and washing did not significantly reduce microbial load in meat in the FMS and INMS. Bacteria count in the FMS and INMS exceeded acceptable standards. However, meat processed in the INMS poses a more significant risk of FBD to consumers.

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IJERPH, Vol. 15, Pages 820: Detection of the Invasive Mosquito Species Aedes (Stegomyia) albopictus (Diptera: Culicidae) in Portugal

IJERPH, Vol. 15, Pages 820: Detection of the Invasive Mosquito Species Aedes (Stegomyia) albopictus (Diptera: Culicidae) in Portugal

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040820

Authors: Hugo Costa Osório Líbia Zé-Zé Maria Neto Sílvia Silva Fátima Marques Ana Sofia Silva Maria João Alves

The Asian tiger mosquito Aedes albopictus is an invasive mosquito originating from the Asia-Pacific region. This species is of major concern to public and veterinary health because of its vector role in the transmission of several pathogens, such as chikungunya, dengue, and Zika viruses. In Portugal, a National Vector Surveillance Network (REde de VIgilância de VEctores—REVIVE) is responsible for the surveillance of autochthonous, but also invasive, mosquito species at points of entry, such as airports, ports, storage areas, and specific border regions with Spain. At these locations, networks of mosquito traps are set and maintained under surveillance throughout the year. In September 2017, Ae. albopictus was detected for the first time in a tyre company located in the North of Portugal. Molecular typing was performed, and a preliminary phylogenetic analysis indicated a high similarity with sequences of Ae. albopictus collected in Europe. A prompt surveillance response was locally implemented to determine its dispersal and abundance, and adult mosquitoes were screened for the presence of arboviral RNA. A total of 103 specimens, 52 immatures and 51 adults, were collected. No pathogenic viruses were detected. Despite the obtained results suggest low abundance of the population locally introduced, the risk of dispersal and potential establishment of Ae. albopictus in Portugal has raised concern for autochthonous mosquito-borne disease outbreaks.

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IJERPH, Vol. 15, Pages 818: Fine Particulate Matter Pollution and Risk of Community-Acquired Sepsis

IJERPH, Vol. 15, Pages 818: Fine Particulate Matter Pollution and Risk of Community-Acquired Sepsis

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040818

Authors: Elisa J. Sarmiento Justin Xavier Moore Leslie A. McClure Russell Griffin Mohammad Z. Al-Hamdan Henry E. Wang

While air pollution has been associated with health complications, its effect on sepsis risk is unknown. We examined the association between fine particulate matter (PM2.5) air pollution and risk of sepsis hospitalization. We analyzed data from the 30,239 community-dwelling adults in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort linked with satellite-derived measures of PM2.5 data. We defined sepsis as a hospital admission for a serious infection with ≥2 systemic inflammatory response (SIRS) criteria. We performed incidence density sampling to match sepsis cases with 4 controls by age (±5 years), sex, and race. For each matched group we calculated mean daily PM2.5 exposures for short-term (30-day) and long-term (one-year) periods preceding the sepsis event. We used conditional logistic regression to evaluate the association between PM2.5 exposure and sepsis, adjusting for education, income, region, temperature, urbanicity, tobacco and alcohol use, and medical conditions. We matched 1386 sepsis cases with 5544 non-sepsis controls. Mean 30-day PM2.5 exposure levels (Cases 12.44 vs. Controls 12.34 µg/m3; p = 0.28) and mean one-year PM2.5 exposure levels (Cases 12.53 vs. Controls 12.50 µg/m3; p = 0.66) were similar between cases and controls. In adjusted models, there were no associations between 30-day PM2.5 exposure levels and sepsis (4th vs. 1st quartiles OR: 1.06, 95% CI: 0.85–1.32). Similarly, there were no associations between one-year PM2.5 exposure levels and sepsis risk (4th vs. 1st quartiles OR: 0.96, 95% CI: 0.78–1.18). In the REGARDS cohort, PM2.5 air pollution exposure was not associated with risk of sepsis.

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De Gruyter launches new Ancient Studies open access projects

 

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