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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022&#13;
Cross-cultural adaptation, reliability and validity of the Portuguese version of the Brief Norwegian Safety Climate Inventory (Brief NORSCI) </text>
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                <text>Cross-cultural adaptation,  reliability, validity, Portuguese , Brief Norwegian Safety Climate Inventory</text>
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                <text>The aim of this study was to translate and validate the Portuguese version of the 11-item Brief Norwegian Safety Climate Inventory (Brief NORSCI) to Portuguese language and test its validity and reliability in a Portuguese LPG plant. The validity was assessed by an Exploratory Factorial Analysis (EFA). The test-retest reliability and internal consistency were determined by using the Intraclass Correlation Coefficient (ICC) and Cronbach’s Alpha, respectively. The Brief NORSCI was translated into the Portuguese language using a forward-backward translation design. The Portuguese version was then applied to a sample of 80 workers. After a 2-week period, workers were asked to fill out a second questionnaire to assess the psychometric properties of the Portuguese version of Brief NORSCI. In the test-retest, the ICC for the Brief NORSCI total score was moderate (0.70) and the Cronbach’s Alpha showed an acceptable internal consistency (=0.80). In addition, from the EFA resulted three dimensions according to the theoretical assumptions. The Portuguese version of Brief NORSCI was found to be a valid and a reliable tool to assess safety climate.</text>
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                <text>Raquel Monteiro, Manuela V. Silva, Pedro Arezes, Matilde A. Rodrigues</text>
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                <text>Sri Wahyuni</text>
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Training on health and safety at work: a priority of educational policy in Bulgaria</text>
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                <text>Introduction: The EU Strategic Framework sets out requirements in the field of training and education: social dialogue, awareness raising, law enforcement. EU funds and the European Employment and Social Innovation Program support occupational health training.&#13;
Materials and methods: To study the knowledge and the skills of the&#13;
workers to protect and strengthen health in the work environment&#13;
and the effective recovery, there was conducted a questionnaire and a documentary survey of 364 workers and 40 employers and officials in health and safety at work in economic activities related to administrative services, production incl. construction and retail outlets for the period 2017–2019. An assessment of the level of awareness about the risks of health damage, an assessment of training and ability to work was performed. An analysis of the psychological attitude towards these trainings by employers and employees was made.&#13;
Results: The study found reliable information about the knowledge&#13;
of employees about the risks of their own workplace, the compliance&#13;
with the rules of safe work, the study of legislation harmonized with&#13;
European laws, the company policy in occupational medicine, incl.&#13;
training methods and educational levels.&#13;
Conclusions: The facts and the data obtained point to the need to update the legislation to include new requirements for the functioning, the disabilities and the health of the workers, to objectify the relationship “working conditions – health – ability to work.”</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022&#13;
Improvement activities for canteen at workplace using action checklists for changing the behavior of workers</text>
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                <text>Introduction: Our company is implementing health management with a purpose of improving workers’ health literacy. During the period from 2019 to 2021, we are promoting activities focused on the primary prevention of lifestyle-related diseases. We thought that by intervening in the canteen of the workplace, we could provide many workers with opportunities to change their behavior. As information on a healthy canteen to aim for, we referred to the items required to obtain third-party certification in Japan.&#13;
Methods: First, we conducted a semi-structured interview with canteens, at the workplaces regarding healthy meals. As a result,&#13;
provision and promotion of healthy meals was insufficient in many&#13;
canteens. In order to improve this situation, we have developed the&#13;
action checklist by adding good practices obtained from the canteen&#13;
survey to the items of third-party certification. Secondly, Using the&#13;
action checklist, we proceeded with improvement activities for each&#13;
workplace.&#13;
Results: We have got the third-party certification at 9 canteens in 7&#13;
workplaces. The number of healthy meals eaten and the eating rate&#13;
vary depending on the canteen, but the average is around 10%, and in&#13;
best workplace it is around 20% per day on average. In one canteen, the eating rate of healthy meals increased from 6% to 11% after the&#13;
certification was obtained.&#13;
Conclusion: To improve the canteen for workers, which is used by&#13;
many workers, it is expected that health literacy will be improved.&#13;
In fact, it is shown that the health literacy of workers is gradually&#13;
improving, although it is the effect of overall health measures.</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022&#13;
Preventive approach to workplace suicide: an exploratory analysis of mortality and use of open data surveys in Brazil</text>
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                <text>Occupational health needs to search for tools, data to adopt effective&#13;
preventive health measures. Suicide is an important cause of mortality&#13;
worldwide, with about 1 death every 40 seconds, according to the WHO. Identifying and monitoring indicators of suicide, especially in times of absence caused by the pandemic, is a relevant action for public policies and can be triggered in the work environment. Information technology and the search for health information on the internet is increasing. The tool “Google Trends” (GT) can contribute to know the behavior about suicide. Can exploratory analyzes of the “GT” guide or optimize measures in collective health? This paper aims to analyze the behavior of research and consultations with the GT, together with data from the Ministry of Health – DATASUS (Brazil) on suicide mortality. Methodology: Descriptive and exploratory study. Period from 2018&#13;
to 2020. Analysis of searches carried out on the internet with the word suicide and mortality due to Suicide in ICD 10: X60-X84. Use of Excel® spreadsheets and Pearson correlation. The following were analyzed: year of occurrence, place of occurrence.&#13;
Results: In Brazil Mortality rates in the years 2018 (12,733), 2019 (13,522) and 2020 (12,751) were similar. The household was the main&#13;
place of occurrence (62%). In an analysis with data search google trends, there was no strong correlation in the years 2018 (-0.22) and 2019 (0.15), but in 2020 the correlation found was: -0.42 &#13;
Conclusion: Thus, we believe that a preventive approach based on&#13;
analysis of data from internet trend surveys – google trend – can be&#13;
used. </text>
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                <text>Telma de Cássia dos Santos Nery, Felipe Fonseca Martins Costa Martins, &#13;
Eric Kiyoshi Mochizuki Hara, Daniel Cardoso</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022&#13;
Association between reported work in cold environments and stroke occurrence in the CONSTANCES cohort</text>
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                <text>Introduction: Cold environments are a potential risk factor for stroke.&#13;
The aim of this study was to investigate the association between performing work tasks in cold environments and the occurrence of&#13;
a first stroke event.&#13;
Methods: From the French population-based cohort CONSTANCES,&#13;
we collected data from baseline questionnaires along with medical&#13;
interviews on cardiovascular risk factors and reported exposure to&#13;
cold temperatures (&lt;10°C) at work. Exposures were categorized as&#13;
rare (&lt;2 h/day), often (≥2 and &lt;4 h/day), and almost always (≥4 h/day). Incidence of stroke was retrieved from the French National Health database. Bivariate and multivariable logistic regression models were used to assess the association between working in cold environments and the incidence of stroke. Stratified analysis on stroke types were also conducted.&#13;
Results: There were 160 782 participants and 224 strokes (168 ischemic, 76 hemorrhagic) included in our study. No significant increase of stroke was found for working in cold environments; the adjusted odds ratio (OR) for often or almost always exposed was 1.14 (95% CI, 0.46–2.82). &#13;
Conclusions: This study did not reveal a significant excess risk of stroke&#13;
for occupational exposures to low temperatures. Further studies are&#13;
needed to better assess the effect of preventive measures and very low&#13;
temperature on the occurrence of cardiovascular diseases.</text>
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                <text>Marc Fadel, Grace Sembajwe, Dominique Tripodi, Vincent Bonneterre, &#13;
Annette Leclerc, Yves Roquelaure, Audrey Petit, Alexis Descatha</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022&#13;
The health profile of Indonesian election voting officers in 2019: study at Java Island</text>
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          <element elementId="49">
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                <text>Introduction: The 2019 General Election was the first held simultaneously in the legislative and presidential elections. The illness of officers Voting Organizing Group (KPPS) officers during the general election were a matter of public concern. This study aims to a description of risk factors.&#13;
Methods: The design of the study was cross-sectional involving 80 KPPS officers from three provincial election commissions. Data were collected by interviews of sick KPPS and healthy KPPS officers during the preparation for voting, during voting, and recapitulation. The dependent variable was health conditions. The questionnaire has been validated with loading factors and reliability are 0.4 and 0.904 respectively.&#13;
Results: KPPS officers were over 30 years old (65, [81.25%]) with most&#13;
of the education was low (61, [76.25]). The most history of illness was&#13;
ulcer disease (17, [21.25%]). Most of the workstations were in tents&#13;
(40 [50%]) and there were differences in getting detailed information&#13;
between Healthy KPPS and sick KPPS officers (p=0.003). During the election, many KPPS officers sleep less than 6 hours (30–40%) and had long working hours up to 18 hours. Healthy KPPS did not work according to the guidelines. Sick KPPS officers also felt more pressured by the election process. Psychosocial factors obtained were miscommunication between Team, especially with Vice KPPS. Vice KPPS was less nurturing, less willing to listen, and imposing their will.&#13;
Conclusion: The majority of KPPS officers were over 30 years and&#13;
had low education. Risk factors during the election were heat stress,&#13;
workload, long working hours, and weak leadership. </text>
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                <text>Muhammad Ilyas, Dewi Sumaryani Soemarko, Yusleli Usman, Dewi Yunia Fitria, Nuri Purwito Adi, Marsen Isbayu Putra, Muchtarrudin Mansyur</text>
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                <text>Sri Wahyuni</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022 &#13;
Occupational inhalation accidents in the UK: findings from the Surveillance of Work Related Occupational Respiratory Diseases (SWORD) scheme 1999–2018</text>
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                <text>Occupational inhalation accidents, UK, Surveillance of Work Related Occupational Respiratory Diseases (SWORD)</text>
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                <text>Introduction: Although inhalation accidents are important occupational cause of preventable lung injuries, little is known about their cause and epidemiology. This study aimed to investigate changes in the incidence of medically reported occupational inhalation accidents and their potential causes over time in the UK.&#13;
Methods: Data on incident cases of occupational inhalation accidents&#13;
reported to SWORD surveillance scheme between 1999 and 2018&#13;
(inclusive) were extracted and analysed in groups of four 5-year time periods. Descriptive analyses of causative exposure, occupation and industrial sectors were conducted and incidence rates were estimated.&#13;
Results: A total of 172 cases were reported. The average annual incidence rate (1999–2018) was 0.9 cases/million employed, with&#13;
estimates falling from 1.7/million employed in 1999–2003 to 0.5 in&#13;
2014–2018. Cases were reported most frequently from the public&#13;
administration and defence sector (13%), followed by the medical&#13;
sector (9%), with domestic cleaners (4%) and fire service officers (4%)&#13;
the most frequently reported occupations. Certain historic causative&#13;
exposures (e.g. smoke inhalation) were no longer reported by the end&#13;
of the study period, while many known causes (e.g. cleaning agents)&#13;
were persistently linked to reported cases over the study period.&#13;
Conclusions: Whilst the incidence of inhalation accidents appears&#13;
to have fallen, certain established causative exposures appear to be persistently linked to reported cases. Awareness of current causative exposures is necessary in order to define evidence-based interventions to reduce their occurrence.</text>
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                <text>David Fishwick, Melanie Carder, Ireny Y.K. Iskandar, Beth C. Fishwick, Martie J. van Tongeren</text>
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                <text>Sri Wahyuni</text>
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                  <text>Safety and Health at Work Vol. 13 Supplement 1 2022</text>
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                <text>Safety and Health at Work Vol. 13 Supplement 1 2022&#13;
Canadian salmon aquaculture: the absence of antimicrobial resistance from hazard designation in an industry with high reporting of occupational injuries</text>
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                <text>Introduction: Antimicrobial resistance (AMR) exposures can adversely affect the health of workers and their communities, particularly in animal production, but are unlikely to be captured by compensation claims data outside of clinical occupations. Salmon aquaculture is an important industry in Canada that reports high occupational injury rates linked to exposures to diverse hazards. Aquaculture reports antimicrobial use (AMU), yet AMR is not designated as a biological occupational hazard. &#13;
Methods: Occupational claims data from Atlantic Canadian aquaculture were analyzed to describe injury characteristics. Trends in aquaculture AMU and relevant policy were reported to contextualize barriers that prevent surveillance for occupational exposures to AMR factors.&#13;
Results: Injured workers most frequently reported injuries attributed&#13;
to physical and ergonomic hazards leading to soft tissue damage and&#13;
open and superficial wounds to the back, legs, and fingers. AMR&#13;
designation as an occupational hazard is hindered at three distinct&#13;
levels: i) Surveillance program for AMR emergence in aquaculture&#13;
is absent. ii) Latent onset of symptoms linked to occupational AMR&#13;
exposures mitigate against related compensation claims. iii) Data&#13;
reporting gaps impede correlative analyses of AMU and clinical AMR.&#13;
Conclusions: AMR surveillance requires an iterative and One Health approach. Currently, occupational claims data facilitate only retrospective analyses biased towards observable physical injuries&#13;
with clear occupational origins. Surveillance requires a paradigm&#13;
shift that promotes prospective analyses to guide health protective&#13;
strategies.</text>
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                <text>Cory Ochs, Barbara Neis, Kimberley Cullen, Edgar McGuinness, Kapil Tahlan, Atanu Sarkar</text>
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                <text>Sri Wahyuni</text>
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ICOH-Saudi Arab Chapter contribution and history of activities of health and safety in the Kingdom of Saudi Arab</text>
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                <text>The Kingdom of Saudi Arab due to the influence of oil and energy industry has been proactive and leading the region in Health &amp; Safety. In 1936 medical services related to safety at Saudi Aramco commenced. This leads to a number of achievements both for the company and the country including: &#13;
• 1947 Development of malaria surveillance program, by 1956 malaria was eradicated&#13;
• 1950 Smallpox Eradication Program undertaken&#13;
• 1955 Research Project on Trachoma with Harvard School of Public&#13;
Health The Saudi Arabian Chapter of ICOH was established 55 years after the first Occupational Medicine Specialist arrived in the Kingdom in 1963. To mark this launch of the local chapter, a technical symposium&#13;
entitled “Recognizing mental health concerns at the workplace” was&#13;
organized. The chapter has conducted three technical symposiums&#13;
and two half day workshops. The local chapter has been able to bring more than 100 professionals on one platform, developed an interactive website, provided a number of educational activities and focusing on sharing the local experience and international expertise on how to improve the health, safety and wellbeing of workers in the Middle East.</text>
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