Ahmed Afaal completed his MA in Healthcare Management from University of Manchester UK. He has over 25 years of experience in managing healthcare. He is also the editor of ADK Journal of Health and Medicine in the Maldives
Jim Barnes is CEO for Global OSHA, which providesoccupational safety and health training programs and courses on a global basis. He served as a Senior Advisor for the Department of Labor - OSHA. He previously served as Director of the Office of Training Programs and Administration for OSHA, where he directed the OSHA Training Institute (OTI) Education Centers Program and the OSHA Outreach Training Program. Jim was responsible for accreditation and evaluation for all OSHA training programs, and directed the development and implementation of new training courses and programs. Heearned numerous DOL Secretary's Exceptional Achievement awards and received the Assistant Secretary's Commendation Coin, which is the Agency's highest employee honor. Jim earned a BSBA in Marketing and an MBA in Management (cum laude) from Roosevelt University. He is an Excellence in Government Senior Fellow and attended the Harvard Kennedy School of Government. Jim currently serves as an officer on the Board of Directors for the International Association for Continuing Education and Training (IACET).
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Ahed Al Najjar serves as the Director of Life Support Training, Director of Community Services unit, EMS Faculty and Researcher of Prince Sultan Bin Abdulaziz College – King Saud University. He is currently Adjunct Instructor in Rehabilitation Science and Technology in School of health and Rehabilitation Science Program in Emergency Medicine, University of Pittsburgh-United States and International Paramedic Advisor at Department of Community Emergency Health and Paramedic Practice, Monash University-Australia. International Committee Vice Chairman - The National Association of EMS Educators (NAEMSE). International Editorial Board Journal of Emergency Medical Services (JEMS) l Multi National Region. Also a BCVS-Fellow of AHA and Senior Regional Faculty. Lifetime Associate Member of National Association of EMT (NAEMT) and Training Officer - National Registry of Emergency Medical Technicians: NREMT. An AREMT EMS Board Director MEA & Indonesia. Established AHA Training Sites in Middle East, Africa, Asia and remote locations. He was the first to initiate AED Access in Public locations (Hotels) in Dubai. Appointed as EMS Consultant in Puerto Princesa, Philippines on 2007 by city Mayor. He was EMS Consultant in United Nations – UNOPS on 2005. He has several publications in peer-reviewed journals and researches in EMS, remote medicine, Inflight Medical Emergencies, Simulation based medical education and selected specializes conferences/forums locally, nationally and international presentations. Ahed may be Reached by email@example.com. Twitter: @ahedNajjar
A new systems approach to diseased states and wellness result in a new branch in the healthcare services, namely, personalized and precision medicine (PPM). To achieve the implementation of PM concept, it is necessary to create a fundamentally new strategy based upon the subclinical recognition of biopredictors of hidden abnormalities long before the disease clinically manifests itself. Each decision-maker values the impact of their decision to use PPM on their own budget and well-being, which may not necessarily be optimal for society as a whole. It would be extremely useful to integrate data harvesting from different databanks for applications such as prediction and personalization of further treatment to thus provide more tailored measures for the patients resulting in improved patient outcomes, reduced adverse events, and more cost effective use of health care resources. A lack of medical guidelines has been identified by the majority of responders as the predominant barrier for adoption, indicating a need for the development of best practices and guidelines to support the implementation of PPM! Implementation of PPM requires a lot before the current model “physician-patient” could be gradually displaced by a new model “medical advisor-healthy person-at-risk”. This is the reason for developing global scientific, clinical, social, and educational projects in the area of PPM to elicit the content of the new branch.
Dr Sergey V. Suchkov, MD, PhD Sergey Suchkov was born in the City of Astrakhan, Russia. In 1980, graduated from Astrakhan State Medical University and was awarded with MD. In 1985, maintained his PhD at the I.M. Sechenov Moscow Medical Academy and Inst of Med Enzymology. In 2001, and then his Doctor Degree at the Nat Inst of Immunology in Russia. From 1989 through 1995, was being a Head of the Lab of Clin Immunology, Helmholtz Eye Research Inst in Moscow. From 1995 through 2004 - a Chair of the Dept for Clin Immunology, Moscow Clin Research Institute (MONIKI). In 1993-1996, was a Secretary-in-Chief of the Editorial Board, Biomedical Science, an international journal published jointly by the USSR Academy of Sciences and the Royal Society of Chemistry, UK. At present, Dr Sergey Suchkov, MD, PhD, is: ● Professor, Director, Center for Personalized Medicine, Sechenov University and Dept of Clinical Immunology, A.I.Evdokimov Moscow State Medical and Dental University; ● Professor, Chair, Dept for Translational Medicine, Moscow Engineering Physical Institute (MEPhI), Russia ● Secretary General, United Cultural Convention (UCC), Cambridge, UK. DrSuchkov is a member of the: ● New York Academy of Sciences, USA ● American Chemical Society (ACS), USA; ● American Heart Association (AHA), USA; ● European Association for Medical Education (AMEE), Dundee, UK; ● EPMA (European Association for Predictive, Preventive and Personalized Medicine), Brussels, EU; ● ARVO (American Association for Research in Vision and Ophthalmology); ● ISER (International Society for Eye Research); ● Personalized Medicine Coalition (PMC), Washington, DC, USA DrSuchkov is a member of the Editorial Boards of “Open Journal of Immunology”,EPMA J., American J. of Cardiovascular Research and “Personalized Medicine Universe”
Ergonomic Risk Assessment is a professional work which should be implemented as comprehensively as possible, within a complete protocol of identification, evaluation, control/intervention steps. There are essential questions around ergonomic risk assessment as the success rate of ergonomic risk assessment project, its relevant feedback from the industries, the professionality and diversity of these assessment, and the interventional programs as the main and very important output of these projects. In this article we tried to classify the pitfalls in ergonomic assessment within six main categories and descript each with more logic and evidence. The main categories are included: Ergonomic Problem / Risk, Micro/Macro Ergonomic Approach, No Ergonomic Assessment Protocol, No Job Analysis & Measurements, General Assessments, Not specific, Common suggestions in Ergonomic Intervention. At last, the author tried to have some practical recommendations within 7 steps to consider all the pitfalls and control the likely impacts of each pitfall for an efficient and comprehensive ergonomic risk assessment.
Dr. Adel MAZLOUMI has completed his Ph.D at University of Occupational and Environmental Health (UOEH), Japan on 2009 and postdoctoral studies from Toyota Motor Corporation. He has published more than 34 papers in reputed journals and serving as an editorial board member of several scientific journals.
1.1. Studies show that about 90% of accidents occur because of unsafe behavior and human errors. Even if workers do not have the right knowledge toward safety measures in a safe workplace, all efforts for an accident-free workplace will be in vain. Maintaining a safe working environment is reflected on a healthy worker. Some reasons for not implementing the safety policy by most developing countries is lack of basic professional training in occupational health and safety. The purpose of the study is to assess the impact of the Occupational Health Education Program on the worker’s knowledge. A quasi-experimental, nonequivalent control group pretest-posttest design was used to assess the impact of the Occupational Health Education Program (OHEP) on the worker knowledge. A convenience sample of a total of 38 workers participated in the study, with 20 in the experimental group and 18 in the control group. The findings from the study indicate that OHEP did have significant positive impact on the Jordanian worker’s knowledge, but it didn’t have comparable impact on the Foreigner worker’s knowledge. A comparison of means for the Jordanian experimental group pretest (M =14.25) and posttest (M =18.60) revealed a significant improvement in mean scores (df = 9, Tukey a = 2.98), whereas the control group pretest (M = 14.40) and posttest (M = 14.90) did not statistically significantly (df = 9, t =.64). Findings show that both the Jordanian and Foreigner experimental and control groups were comparable in relation to their occupational health knowledge before the implementation of the OHEP. The findings support the need for implementation of the OHEP within this population. This study shows that nurses can design, implement and evaluate Health Education Programs for targeted population.
Rateb Abuzeid has completed his Ph.D at the age of 45 years from Harvey University. He serves working as the Director of Simulation Labs Unit, EMS Faculty and Researcher at Prince Sultan Bin Abdul-Aziz College – King Saud University since 2014. In 2000 – 2005 assigned as a paramedic program coordinator & instructor in Jordan. Also, 2005 – 2013 worked as a director of the National Emergency Medical Services Education Center (NEMSEC). Part time Lecturer at Jordan University of Science & Technology (JUST) for period 2008-2010 & 2013. AHA / (TCF) 2017, Flight Paramedic Assessor (FPA) 2018, PHTLS & AMLS Instructor 2017, Tactical Combat Casualty Care Course (TCCC / 2012. USAF). Also, he was assigned in different committees e.g. integrating disaster nursing program in nursing curricula / School of nursing (Undergraduate) / Jordan Nursing Council (JNC). In cooperation with WHO & Faculties from Jordan Universities / 2007. RMS disaster Committee 2009, Infection Control Committee 2002-2010, Establishing & Developing Paramedic Profession committee. Scientific Research was published, e.g. assessing the Impact of Tactical Medic Course for Individual Soldiers and Frontline Commanders on Operations in the Jordan Royal Medical Services. Bridging the Science and Art of Simulation Education, CAE Healthcare, HPSN Europe, 2014. Presented research papers at scientific conferences e.g. The 6th European Congress in Emergency & 12th annual meeting/ 2010 / Sweden. Rateb may be reached by firstname.lastname@example.org. Achievements: 1. Princess Muna Al-Hussein Award for Excellence, 2013 / Jordan
While ensuring OSH Compliance through laws, regulations and enforcement has helped to mitigate the level of exposure to hazards to as low as reasonably practicable (ALARP), inorder to ensure the safety and Health of the worker, the current Global approach of vision zero hazard has deemed it more essential for OSH practice in the Workplace to expand her scope beyond just the tailored practice of Safe work on Job tasks. In recent times, it’s been discovered that several factors have contributed to accidents in the workplace which is most likely to be on the increase as a result of environmental factors such as Climate Change, Earthquakes, Floods, Hurricanes, Tsunamis’ and even the increase of Kidnaps/insurgencies at from Militants and Terrorists. Recent studies from the American Meteorological Society show that workplace accidents and deaths have been traced to impact of storms, hurricanes and Tsnamis. The 2010 Copiapo Chilean mining accident, the 2018 Thai soccer boys stuck in a cave, the kidnap of construction expatriates and foreign aid workers by Boko -Haram Islamic terrorists and Militant Killing of Oil workers in Nigeria are all pointers that other external factors need to be considered as potential hazards to the Safety and Health of both the Employer and the Employee in the Workplace. An effective recommended approach would include the consideration, articulation and integration of these other external factors as potential hazards of Safe work practices by Safety consultants, professionals, scientists to ensure an achievable vision zero.
Emmanuel Abayowa is a HSE Consultant with a sound Environmental background. He belongs to various recognized Environmental and Safety bodies such as The World Safety Organization(WSOAbuja Chapter),Institute of Safety Professionals of Nigeria (ISPONAbuja Chapter), Nigerian Environmental Society(NES Abuja Chapter), He is currently the Administrative head of World Safety Organization (WSO)Nigeria for the North Central Region (Abuja, FCT, Nigeria) where coordinates the organization’s efforts in the areas of awareness, advocacy, programs, representation, certification and training.
This presentation will cover the pivotal role of culture for improvement of aspects of health, safety, and environment in workplace. The historical progression from safety engineering to culture change will be examined and holistic view of accidents and control measures. The role of OSHA will provide framework of making workplace safe by using hazard communication, container labeling and Safety Data Sheets (SDSs). The strategy of ILO OSH profiles informs national OSH profiles by a way of serving as diagnostic tool that summarizes existing OSH situation, including national data on occupational accidents and diseases, high-risk industries and occupations and description of national OSH systems its current policy. The area of occupational safety and health is related to the “health” Sustainable Development Goal (SDG), namely its target 3.9: “by 2030 substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water, and soil pollution and contamination”; the “jobs” SDG, namely its target 8.8: “protect labor rights and promote safe and secure working environments of all workers, including migrant workers, particularly women migrants, and those in precarious employment”; and the “institutions” SDG, namely its target 16.6: “develop effective, accountable and transparent institutions at all levels”. Addressing OSH gaps can turn the vicious circle into a virtuous circle of healthier lives and increased productivity which maximizes decent work and sustainable development outcomes. Vision Zero’s proactive approach to promoting a prevention culture in the workplace is based on belief that all accidents, diseases and harm at work are preventable through the “Seven Golden Rules” (1. Leadership to demonstrate commitment, 2. Identification of Hazards to control risks, 3. Definition of targets to develop programmes, 4. Safe/healthy system to be well-organized, 5. Safety/health in machines, equipment, and workplaces, 6. Improvement of qualifications to develop competence, and 7. Investment in people to motivate by participation).
Janvier Gasana who holds an MD degree from the Rwandan Medical School and MPH and PhD degrees in environmental and occupational health (EOH) sciences from the University of Illinois at Chicago, is associate professor and inaugural chair of Department of EOH at Kuwait University Faculty of Public Health since January of 2016. He also holds a one-day-per-week secondment at Dasman Diabetes Institute in Kuwait City, Kuwait where he is investigating the mounting evidence of the link between occupational and environmental exposures and Diabetes. He is currently organizing a workshop on systematic reviews and meta-analysis of EOH studies on Diabetes for junior researchers. For 20 years, he was professor of EOH at Florida International University in Miami, Florida, USA. He has been a Consulting Expert in Health, Safety, and Environment (HSE) for The World Bank, British Department For International Development, and USAID. He has 300+ scientific publications, presentations, and technical reports.
Heartsaver First Aid CPR AED is a video-based, instructor-led course that teaches students critical skills needed to respond to and manage an emergency until emergency medical services arrives. Skills covered in this course include: • First Aid ( bleeding control, respiratory emergencies, fractures, burns,chest pain, asthma, heat stroke….) • Choking relief in adults, children, and infants with concious and unconcious patients. • Management of sudden cardiac arrest in adults, children, and infants • High quality CPR for all ages • AED usage ( Automated External Defibrilator). This course teaches skills with the American Heart Associations (AHA) research-proven practice-while-watching technique, which allows instructors to observe the students, provide feedback, and guide the students’ learning of skills. Students will practice with different type of manikins that shows them the effectivness of their performance. Also students will receive a manuals that is yours to take home for reference during and after the class. At the end of the course, each student will receive a certification card
Rami has completed his Bacheor degree in Nursing from the Faculty of Health, Lebanese University 2001,Lebanon, and his Master Degree in Health Professional Education(MHPE) from Maastricht University the Netherlands in collabration with Suez Canal University, Egypt2017.He is the Supervisor of Life Support and Trauma Training Center at king Saud Universitys Clinical Skills and Simulation Center.
Computers are an essential part of our everyday life. Ergonomics at workplace is a very important factor that cannot be over looked in the information technology working environment. This study was undertaken to assess reporting of occupational health among Desktop and Laptop users including children. A personal survey and a TV LIVE programs was carried out among computer users including children. Hundreds of calls were attended from various media channels and those were invited to the computer injury prevention research centre for studying their pains and learning their style of working. The main findings from the present work showed symptoms such as eye strain, neck pain, back pain, shoulder pain and pain in the carpal tunnel region were common among computer users including children. Severity of pain increased with number of hours of computer use at work which was found only among unscientific styled workers. Materials and methods : Cross sectional study was conducted among the computer users like software professionals, Government officers of various departments and were interacted through a LIVE tv programme and were asked several questions to know the strains while working with computers and were also invited to the research center for further study and guided them towards safety. Results : The prevalence of the computer related occupational injuries were reported by morethan 90% of the callers on LIVE tv show in our study. Association of the duration of the computer use, typing techniques while using them and the furniture used was also noted. Very few were aware of the seriousness of computer related injuries. Symptoms were with more in people who were not working on 10 fingers touch typing skill and non ergonomically designed furniture and its placements. Conclusions : Visual strains and physical strains constitute an important part of computer related injuries. This warrants vigilance in identifying and effectively guiding them. The study has also thrown light on various ergonomic factors contributing to its occurrence. Effective management requires a multidirectional approach combining health education, introduction of ergonomics, touch typing skill training and more awareness programmes from the Governments and computer manufacturers too will help in preventing them. Keywords: eye strain, neck pain, headaches, back pain, carpal tunnel syndrome, repetitive strain injury, musculoskeletal disorders and mental strain.
Dr. H.M.Arun Kumar has been honoured with honorary PhD by World Records University, U.K. and is a researcher in Computer Injury Prevention techniques in India, who is passionate about Occupational Health and Safety of computer users at Workplace and Community Health. He is currently Founder of Computer Injury Awareness and Prevention Society., Bangalore. He is an inventor of Supersonic Safe Typing techniques, Inventor of Ergonomic Furniture specially designed for computer users. He is also a World Record Holder for working on computers in various styles like in Cross-hand and to type by Sitting behind the Laptop. He has more than 22 years of professional experience and has advised on computer safety in various Televisions including CNNIBN, Doordarshan, Udaya tv, Zee News, Suvarna News, Amrita News, Kairali News, and many more. He was featured in various leading Daily Newspapers like The Times of India, The Deccan Herald, The Hindu, The New Indian Express, Khaleej Times and many more. He has advised on pc ergonomics to various Government top officers including bureaucrats like District Judges, IAS Officers, Commissioners of various departments including Police, Income Tax, Customs, Film Stars, and Doctors, Engineers, Advocates and students too. People have come from all over India and even from Dubai, USA, London, and Singapore to undergo his special training in computer touch typing and ergonomics personally from him. He was honored by various organizations including Rotary International Rajyotsava Award, Air India, and many more. He is an Expert Committee Member in Bureau of Indian Standards, The National Standards Body of India, under the Ministry of Consumer Affairs and Food Distribution, Ergonomics Sectional Committee, PGD 15, Life-member of Indian Society of Ergonomics., Kolkota and Life-member of Association of Occupational Health (AOHK), Karnataka. He is now willing to spread awareness worldwide and to help the governments in modifying the present safety policy by becoming International Computer Safety Advisor or a Brand Ambassador to spead the awareness, as computer injuries are spreading at an alarming rate. His computer safety guidelines are currently published in National Safety Council 2018 Diary.
Hundreds of lives are being lost in the Nigerian Electricity Supply Industry as a result of three critical safety factors (unsafe behaviors of the utility workers, poor public perception of safety and the unsafe network conditions in terms of the electrical infrastructure). This presentation reviews the accident scenarios and looks at the innovative prevention strategy, "Harm to Zero" (H2O) concept developed and implemented at Ikeja Electric PLC, the largest Electricity Distribution Company in Nigeria and has transformed the ground zero state (with multiple fatalities) into a state with Vision Zero Philosophy Data was retrieved through survey, past accident reports, Regulators' report and annual HSE Performance reports. These records were analyzed to form the baseline records. The "Harm to Zero" (H2O) strategy which comprises iSAFE Mobile App, Power Play Safety Game, Network Safety Monitor, i-Empower, Safety Watchdog, Safety Counseling and videos, Hazards Identification Competition, Safety Huddle, IE Safety Code, Public Sensitization Program and Mandate4 was then developed based on the identified gaps, implemented in four years (2015, 2016, 2017 and 2018) and yielded positive and outstanding business performance Analysis of the results in 2016 shows that staff injury has reduced by 40%, third party injury (non staff) by 56.25% and third party fatality by 25% when compared with 2015 while the Fatality was reduced by 60% in 2015 compared to 2014. Above all, Analysis of the results in 2017 shows that staff and Non-staff fatality is reduced by 90% compared to 2016; this value is unprecedented in the history of the company and the industry at large In addition to the above, the company received several prestigious awards in Nigeria and Africa at large as a result of the innovations and creativity integrated into the operational strategies of the business. Finally, this presentation further presents how implementation of the recently published ISO 45001:2018 standard and the use of balanced scorecard for measuring OHS Performance are applied to transform OHS strategy into reality.
Engr. Jamiu Badmos is a registered Engineer and a passionate QHSSE Professional with International certifications in Environmental Law, Quality, Health, Safety, Security, Environment, Business Continuity, Business Process, Enterprise Risk Management, ISO Management System Standards (ISO 9001, ISO 14001 and ISO 45001). He has translated QHSE strategies into profitability and operational excellence for over forty two (42) companies including Multi-nationals in Oil & Gas, Telecommunications, Manufacturing (FMCG), Logistics, Construction and Power sectors of the Nigerian economy. He won the two most prestigious Awards in HSSE & Risk Management in Nigeria, Business Day Risk Manager and the World Safety Organization (WSO-NG) Occupational Safety/Environmental Person of the year in 2018 He is presently the Executive Director, Safety Advocacy & Empowerment Foundation (SAEF), the leading NGO on HSE in Nigeria.
In the United States alone, approximately 475,000 people die from cardiac arrest, annually. Worldwide, cardiac arrest takes more lives than breast cancer, colorectal cancer, human immunodeficiency virus, firearm-related deaths, house fires, influenza, motor vehicle crashes, and prostate cancer, collectively. Nearly, 90% of all out-of-hospital cardiac arrest (OHCA) results in death. In a relatively recent study published in the Indian Journal of Critical Care Medicine (July, 2017), data from North Jordan suggest that merely 2.9% of people survived an OHCA event. Further information tells us that the majority of OHCA take place in public locations, which includes the workplace. According to the U.S. Occupational Safety & Health Administration, there are nearly 10,000 deaths a year at work, which results from cardiac arrest. Throughout different industries, it has been noted that the majority of employees do not receive CPR & AED training. Moreover, employees of non-health related organizations that do provide training are unable to locate an AED at work. Even in the healthcare environment, more than half of all employees are unable to find and utilize an AED. Nevertheless, approximately 33% of employees that were trained and had a CPR & AED program in place stated that people at work or home had survived an OHCA due to the training provided by their employers at the workplace. For those employees that have not received training, 33% indicated that a CPR & AED program would be extremely beneficial and valuable. Thus, it is clear that a workplace CPR & AED program is significantly important for the well-being of all, and should be instituted at the workplace.
Mr. Louis A. Velasquez earned a Master of Science in Healthcare Administration from the Southern New Hampshire University in Manchester, New Hampshire. He has two decades of healthcare practice and management experience in pre-hospital and in-hospital settings. He functioned as an EMT-Paramedic for the Detroit Fire Department and as a critical care transport paramedic at the King Faisal Specialist Hospital & Research Center (KFSH&RC). Additionally, Mr. Velasquez worked as the Operations Officer for the KFSH&RC Ambulance Services. Presently, he is the Section Head of the Life Support Training Center at KFSH&RC where he has led several national emergency cardiovascular care training events.
In order to approach new resources and mineral deposits for oil and gas extraction and for mining other commodities, major international companies are exploring more and more remote sites.Particularly during construction phases of theselarge-scale plants, thousands of workers are deployed in very remote and underserviced areas. In addition to the increased occupational health risks at these industrial sites, very often they are located in a harsh and / or hostile environment. Remote site clinics have to face the challenge, not only to deal with the routine Occupational Health needs, but to put also a profound emergency response system in place. Following the immediate response at the site, the next challenge is managing an emergency stabilisation unit to receive the patient for resuscitation, initial assessment / basic diagnostic and emergency stabilisation, prior to aeromedical evacuation to the next higher level of care or into the nearest centre of medical excellence.Limitations due to the remoteness of the site are inevitable and will always be there when time is of the essence, e.g. for the narrow time window to perform a lifesaving surgical intervention for a massive hemorrhage, caused by a work-related accident or for a Cath Lab intervention after a myocardial infarction or after a stroke.Limitations and challenges are seen for the logistical settings for a 24/7 operational aeromedical evacuation service and for the management of appropriately trained medical resources and equipment at these remote sites. This presentation will look into different optionsto mitigate these risks and to professionally manage the challenges for a high-end medical emergency response at remote sites.
Dr Thomas Walz, is a Germany trained Senior Consultant for Anaesthesia and for Intensive Care. He has a PhD in Medical Science and an additional University degree in Medical Hospital Management (MHM).After more than 15 years working in different major German hospitals, more than 10 years in leading positions, focusing on Critical Care andPrehospital Emergency Medicine / HEMS, he started to work in the international field. First for Emergency Medical Services linked to German Government projects and for the UN in Iraq and Afghanistan, since 2004 for International SOS in different roles and positions,in Middle East, Africa, Asia and since 2015 in Papua New Guinea. During this time he has worked at and managed many remote site industrial clinics for major Oil& Gas and Mining companies.
The burden of accident prevention at work is indeed of a global magnitude as according to the International Labor Organization (ILO 2018) there are currently more than 2.78 million deaths a year as a result of occupational accidents or work related diseases, in addition to the 374 million non- fatal injuries and illnesses. Zimbabwe is not an exception to the myriad of OSH problems facing workers globally as over the years,it has been experiencing its own lion’s share of occupational accidents and diseases as evidenced by an unpleasant OSH performance of an average Lost Time Frequency Rate (LTIFR) of 2.2 over a period of ten years from 2008 to 2017against the international standard of less than 1. It’s a reality that the continued entertainment of such a negative OSH performance trajectory by Zimbabwe, has the propensity to curtail the decent work agenda and ultimately the sustainable development agenda for the country. The unabated occupational accidents and diseases at workplaces worldwide and their impacts thereof precipitated the birth of the Vision Zero Philosophy. Vision Zero strategy is a transformational approach embracing the three dimensions of safety, health and wellbeing. It is a concept founded on a firm believe that human life is sacrosanct and non-negotiable and that every occupational accident, disease and harm is preventable if the appropriate measures are put in place. The ultimate goal for Vision Zero strategy is a world without occupational accidents and diseases. The Vision Zero concept is highly flexible and can be adjusted to the specific safety, health or wellbeing priorities for prevention in any given context. The concept is premised on seven golden rules namely; Taking leadership- demonstrate commitment; Identify hazards- control risks; Define targets- develop programmes; Ensure a safe and health system- be well organised; Ensure safety and health in machines, equipment and workplaces; Improve qualification- develop competence and Invest in people- motivate by participation. The zero ambition is linked to business excellence which makes safety an integrated part of doing business and an investment rather than a cost. It is indeed a strategic challenge that requires leadership,commitment and total participation of workers at all levels of work. In the Vision Zero strategy leading performance indicators are important for promoting proactive safety.This Vision Zero concept if fully embraced in Zimbabwe is expected to transform positively, the negative OSH landscape of the country.
1Corresponding author: Johanes Mandowa, Msc degree in Safety, Health and Environmental Management, NSSA P Bag 7009, Mutare, Zimbabwe, Cell: 00263777914975, Email; email@example.com or firstname.lastname@example.org, Department of Occupational Safety and Health, National Social Security Authority, Zimbabwe 2Department of Geography and Environmental Studies, Midlands State University, Gweru, Zimbabwe. 3University of Witwatersrand, School of Public Health, Faculty of Health Sciences, Parktown, Johannesburg, South Africa 3Midlands State University, Department of Environmental Studies, Gweru, Zimbabwe
Zimbabwe has over the years been recording unpleasant Occupational Safety and Health (OSH) performance as evidenced by an average national injury frequency rate of 2.2 during the ten year period from 2008 to 2018. Worldwide, there is a long held conviction that implementation of Occupational Safety and Health Management Systems (OSHMSs) at workplaces plays an essential role in the creation of decent work. The purpose of this study was to evaluate the status of OSHMSs’ implementation by Mutare urban timber processing factories. Methods: A descriptive cross sectional survey method was utilized in the study. Questionnaires, interviews and direct observations were employed to extract primary data from the respondents. Secondary data was also reviewed to augment data obtained from primary sources. Analysis of data collected was conducted using statistical and descriptive methods. Results: Results revealed a low uptake rate (16%) of OSHMSs by Mutare urban timber processing factories. Low implementation levels were more pronounced in small timber processing factories than in large factories. It emerged from the study that the top motivators to implementation of safety systems are provision of adequate resources (76%), strong employee involvement (64%) and strong senior management commitment (60%). Results also demonstrated that OSHMSs implementation motivators affect all Mutare urban timber processing factories irrespective of size. Conclusion:From the study findings, it can be concluded that commitment to OSH by both employees and management is a key ingredient to the effective articulation of OSH in the timber industry. The study recommends Ministry of Public Service, Labour and Social Welfare and National Social Security Authority (NSSA) to devise incentives for good OSH performance so as to bolster positive change in OSH management at workplaces. The study also recommends the incorporation of an OSH module in the academic curriculums of all programmes offered at tertiary institutions so as to ensure that graduates who later end up assuming influential management positions in industry are abreast with knowledge on the necessity of OSHMSs that is vital in making decisions that are pro-prevention of occupational injuries and diseases. Keywords: Occupational safety and health, Occupational Safety and Health Management System, Accident, Mutare Urban Timber Processing Factories, National Social Security Authority
1Corresponding author: Johanes Mandowa, Msc degree in Safety, Health and Environmental Management, NSSA P Bag 7009, Mutare, Zimbabwe, Cell: 00263777914975, Email; email@example.com or firstname.lastname@example.org, Department of Occupational Safety and Health, National Social Security Authority, Zimbabwe 2Department of Geography and Environmental Studies, Midlands State University, Gweru, Zimbabwe. 3University of Witwatersrand, School of Public Health, Faculty of Health Sciences, Parktown, Johannesburg, South Africa 3Midlands State University, Department of Environmental Studies, Gweru, Zimbabwe
Aim: to explore the level of CPR knowledge among AMS students and identify the factors associated with their knowledge. Methods: A cross sectional study using a specifically designed survey. The survey was designed by an expert panel and the piloted to 20 potential participants. Descriptive statistics are reported. Univariate and multivariate regression analyses were conducted to identify the factors associated with knowledge. Results: The study included 883 students with a mean age of 21 years (±1.6) and the majority (72.86%) being females. Only 190 (21.6%) students had previous CPR training. Participants had a median CPR knowledge score of three (Q1-Q3: 2-4) out of eight maximum potential points. Trained individuals had a higher median score compared to the untrained group (3 [2-4] vs. 2 [1-3], p<0.001). Previous training was the only factor to be independently associated with higher knowledge (Adjusted β = 0.79; 95% CI: 0.57, 1.02, p<0.001). Conclusion: To our best knowledge this the first and largest study assessing CPR knowledge among allied medical students in Jordan and the Middle East. There is a poor knowledge of CPR among AMS students. However, higher knowledge scores were associated with previous CPR training. Top reported barriers to obtain training were unawareness of training locations and lack of time. Compulsory university courses as well as short workshops and self-directed training are recommended to improve level of CPR and knowledge and overcome reported barriers. The poor knowledge level among students may indicate a poor knowledge among AMS professionals. Therefore, future studies to examine professionals level of CPR knowledge is highly recommended.
Alaa Oteir is currently an Assistant Professor and Assistant Dean at the Faculty of Applied Medical Sciences, Jordan University of Science and Technology (JUST). Alaa is a Monash graduate and currently holds an adjunct lecturer position in the Department of Community Emergency Health and Paramedic Practice, Monash University. Alaa is the first paramedic to have a PhD degree in Jordan. He has research interests include prehospital management of traumatic spinal cord injury, prehospital trauma care, the association between prehospital care and patient outcomes, cardiopulmonary resuscitation, health and safety among paramedics and evidence based practice. He has published more than papers 10 (published and under review) in reputed journals and serving as an editorial board member of repute.
Hazard Identification is one of the most important roles that any employer has to perform to ensure safe work place and also healthy work environment as well safe practices. To perform this task many skills are required to spot the different clear & hidden hazards. Those who have participated hazard assessment know that this task is time consuming and require knowledge of both legal requirements and not seldom technical specification and standards. Many people rely on templates and previous studies and assessments and try to do this task as quickly as possible leaving behind many potential risk especially in areas of non-routine activities or those related to others like neighbors or contractors. The identification itself is not the big load on teams. Moreover is the correct and accurate association of the hazards to potentials risks. This process does need a great deal of care and special consideration to certain details that are key in defining the impact of the defined risk. Many hazards are producing several risks that need to be analyzed individually assessed. If both steps related to identification of hazards and association are correct then it’s easy to assign likelihood and impact or severity based on historical data and other judgment tools. The rest of the risk assessment process relies again on a set of qualitative and quantitative criteria that would help assigning the proper controls to ensure that identified risks are addressed and mitigated. In the area of health and safety risk can reach to acceptable levels despite the likelihood of their occurrence. Step by step the risk assessment process will be highlighted and skills and competence requirements needed elaborated. Not every risk assessment deserve the name and the outcome of a good risk assessment help employees and employers as well as all stakeholder to achieve highest levels of safety at work, and this is exactly what everyone is aiming when conducting these risk assessment in the area of health and safety.
Ashraf Amro has completed his Master in sciences in safety engineering from Wuppertal University in German and 20 years of experience in the area of health and safety. He worked in Germany and the UAE as a consultant, lead engineer, lead senior auditor for management systems in the area of QHSE and business continuity. He worked as Head of the risk assessment section in the civil defense in Dubai and then as lead senior auditor for a reputed international certification body. He also worked as organization development manager and health and safety manager in Abu Dhabi quality and conformity council and his latest position is the internal audit manager in the Department of culture and tourism in Abu Dhabi.
Emergency Medical Services provide that critical link in the care from community (out-of-hospital) to definitive care and never exist in isolation. The integrated care with other services and systems intends to maintain and ensure health and safety of both the patient and the provider. As part of the high-risk, fast-paced, dynamic environment of the healthcare industry, EMS workers face many potential occupational hazards including but not limited to biological, chemical and psychological hazards. The physical and psychological demands of the job and the unique work environment of the EMS personnel pose varied and, oftentimes, uncontrolled scenarios from extreme weather conditions, disaster situations and exposure to violence in responding to daily emergencies. The Philippines have similar issues confronting the EMS providers as seen globally but compounded by the fact that it is classified as a low-middle class income country where resources are constantly challenged. Moreover, there is yet a pending legislation to professionalize the EMS health workforce and further define the scopes of practice and standards. As a nation constantly visited by natural calamities, however, a sense of volunteerism and the culture of resilience is manifest among the EMS workforce. Paradoxically, the Philippines was listed by We Are Social in its Digital 2018 report as the world leader in social media usage despite its lagging behind most regional neighbors and the internet speed global average. As Filipinos generally value connectivity and relationships, the rise of the social media age has also presented itself with unique challenges and opportunities that the EMS workforce need to confront. Debates have surfaced on the use of the Personal Electronic Devices (PEDs) at work for both personal and professional use. Inadvertent disclosure of patientconfidentiality and healthcare worker-shaming are just 2 of the many other issues revolving around us of social media in the workplace.
Dr. Pauline Convocar had once been a doctor-volunteer in a geographically-disadvantaged island in the Philippines and has developed strong interest in community health care administration and management, health promotion and education and inter-facility critical care transports. She finished her post-graduate studies on Magistratum Sanitatis Communitatis Administrationis from the Ateneo Professional Schools and proceeded to finish her training in emergency medicine specialty from the University of the Philippines-Philippine General Hospital. She is now a fellow and board member of the Philippine College of Emergency Medicine (PCEM) where she is Chair of the Committee on Constitution and By-Laws and Chair of the Committee on Research. She also heads PCEM’s Section on Advocacy with collaborative work on violence and injury prevention specifically on drowning, the establishment of networks for STEMI, organ donation, improving resuscitation outcomes and EM/EMS continuing education and research. As a diplomate of the Philippines College of Occupational Medicine, her other advocacies include promotion of occupational safety and health among emergency healthcare workers. She is currently Training Program Director of the Corazon Locsin Montelibano Memorial Medical Hospital and Training Officer of the Southern Philippines Medical Center - Department of Emergency Medicine.
The rapid globalization and industrialization has taken the country by storm in the recent years and has left the nation to deal with a newer challenge - The emergence of occupational health related issues. The statistics for the overall incidence/prevalence of occupational disease and injuries for the country is not available. India accounts for around 27% of the total natural stone production of the World (ICN 2005). India’s major mining quarries are spread over the states of Rajasthan, Jharkhand, Karnataka, Tamil Nadu, and Andhra Pradesh. In Rajasthan alone, there are 2.5 million mineworkers employed in over 30,000 small and large mines. Mining has always been among the most hazardous of occupations. The hazards of working in mines vary greatly depending on factors such as the type of mineral that is mined, related geological formations, the mining techniques used, and the general health of the workers. Most of the occupational diseases are incurable and, therefore, the best course of action in dealing with them is their prevention. The economic benefits and incurable nature of occupational diseases must be the torchbearer in carrying out any occupational health and safety policies or programs. Therefore it is the need of the hour to adopt various strategies such as promoting evidence based policy and programs that specifically addresses the occupational health and safety of the labours, for which we need creation of epidemiological databases, training of healthcare workers and inter-sectoral coordination.
Dr Renu John is a public health professional and is currently working as a research assistant at The George Institute for Global Health, Hyderabad. She is currently involved in various projects dealing with women’s health, prevention of NCDs and health promotion. She has done her Bachelor’s degree in Dental Surgery (B.D.S) from Dr. NTR University of Health Sciences and Master of Public Health (MPH) from Jodhpur National University. During her career as a public health professional, she had worked for more than 2 years as an occupational health & safety officer and this experience has always kept her intrigued about the vast scope and need of research in this area. Her research interests are Health Promotion, Occupational & Environmental Health and Women’s Health.
EMS workers occupational injuries, EMS personnel experience injuries at a higher rate than workers in many other occupations. In addition to suffering the immediate pain of an injury, personnel may lose time at work and be forced to limit activities outside work. Injuries with long-term effects, such as chronic pain or physical disability, can have more serious impacts on the worker. These impacts can include wage or job loss, strains on relationships with family and friends and psychological issues such as depression or anxiety. Beyond the effects faced by the injured worker themselves, the workforce can suffer from decreased productivity, inadequate staffing levels and other increased costs. It is vital that injuries to workers be prevented to protect and preserve the workers and the workforce. However, we can’t prevent what we don’t understand. Therefore, the first step in being able to prevent injuries is to know how many there are and what is causing them. Which needs studies and researchs.
Emergency Physician : Graduated from Allepo University 1991 , recently working as Medical Director of Training Programs, Saudi Red Crescent Authority.International Speaker Mass Gathering Medical Management SAPCON 2019 India. ITLS Instructor & SRCA Chapter Medical Director ) . NAEMT Center Medical Director 2015. AHDR Instructor .ACLS &BLS Instructor ( Advanced Cardiac Life Support AHA / SHA ) 2012 .Airway Instructor ( American Heart Association AHA ) 2012 . BLS Instructor & Basic Life Support AHA / SHA ) 2010 . EMT- Basic & Paramedic Instructor ( Emergency Medicine Institue ) 2004 . Disaster planing and Mangement Instructor ( SRCA ) 2008 . EMT basic Pennsylvania state ,USA 2006 . EMT Basic Evaluator Pittsburgh, USA 2006 . Supervisor of Advance Life support Units During Hajj .
Overweight and/or obesity is a growing problem over the world. The cause of the overweight and obesity increase in the present population is energy intake non-adapting to its issue. In western countries an energy intake has stagnated over the past two decades, the energy expenditure for the same period drop down by 30%. The decisive tool for affecting the overweight and obesity is a regular physical activity. The study goal was to assess the effect of movement intervention in women differing in the BM. Study was carried out in 52 normal BM women (mean age=42.3±2.4 years; BM=64.3±3.1kg; body height=167.2±3.0cm; %BF=23.9±2.2%, BMI=23.0±1.6kg.m-2), in 49 overweight (42.0±2.9; 75.2±3.1; 167.1±2.6; 28.9±2.2, 26.9±2.0) and 38 obese (43.0±3.0; 87.4±4.6; 166.3±3.2; 32.1±3.4, 31.6±2.1). All subjects were without regularly movement training before the starting of intervention. Body composition was assessed by bioimpedance method, functional variables were assessed on a treadmill. The energy content of weekly movement program for women with normal BM ranged from 1150 kcal to 2450 kcal (mean 1670±350 kcal), in overweight from 1391 kcal to 2290 kcal (1810±270 kcal) and in obese from 1780 kcal to 2450 kcal (2030±330 kcal). Reduction in %BF ranged from 15.6% in obese to 16.4% in normal BM of starting value, ECM/BCM relationship decreased from 11.0% in subjects with normal BM to 12.2% in obese, and in VO2peak increased from 14.3% in normal BM to 16.7% in obese. In middle aged women differing in BM are absolute changes in adiposity and aerobic fitness like a result of imposed movement intervention substantively and statistically significant. On the contrary, differences in percentages of pre-intervention values are non-significant. We can conclude that an exercise program with a similar energy content, form and intensity causes the similar changes in adiposity and in motor and functional performance in women, differing in BM.Hospitals and health services aim to prevent harm by: understanding what contributes to these errors. A medication safety program should not be segregated from a hospital’s overall patient safety and quality program. The success of a collaborative and comprehensive medication safety program is dependent on a hospital-wide culture of patient safety, including a safety infrastructure, led by an empowered medication safety officer and supportive pharmacy director. Developing a strategic medication safety plan is essential to ensure patients receive the safest and most effective care during their hospital stay. Medication safety is an essential component of hospital wide safety program that requires team spirit. Objectives •Identify the Key Elements of Medication Use for implementing Medication Safety Program •How to improve reporting (from Good catch to Great catch) and building a safe culture •Turning data into wisdom” Lessons learned from Reported Incidents” •Sharing Medication Safety Initiatives to improve Patient Safety toward Zero harm •Sharing a range of potential methodologies for measuring medication-related harm in the hospital setting
Václav Bunc – earned the PhD from Technical University Prague, professor in the Exercise Physiology from Charles University Prague Main topics: exercise physiology, obesity reduction, body composition, BIA methods, moving regimes for prevention in cardiac and obese patients. He is member of Czech and International scientific societies, head of many research projects, author of the great numbers of research reports.Patient safety advocate with over 21 years of combined experience in Medication Safety, Quality, Pharmacy informatics and Senior Pharmacist. Received her Master’s degree in Patient Safety and the Post Graduate Certificate in Medication Safety from the Massachusetts College of Pharmacy and Health Sciences University (MCPHS) Boston, USA in addition to her Bachelor’s degree in Pharmacy from Petra University, Amman, Jordan. Certified Professional in Healthcare Quality (CPHQ) from the National Association of Healthcare Quality, Certified Quality Improvement Associate (CQIA) from American Society for Quality, Certified Manager from the Institute of Certified Professional Manager (CM) and Certified in Just Culture from the Outcome Engenuity,LLC. Participated as a speaker in different Medication Safety and Quality events nationally & internationally. Awarded for the Best poster during the 5th Medication Safety Conference held in Abu Dhabi. Also, been awarded as one of the best hospital colleagues 2007 & received the Stars of Nursing Excellence Award 2011 for Exemplary contribution to Professional Development.
DR. YOUSUF MAJEED MBBS, MCPS, EMBA (HRM), NEBOSH IGC (UK), NEBOSH Int. Diploma of OHS NEBOSH IOG (UK), IOSH MANAGING SAGELY (UK), LEAD AUDITOR 18001 FIIRSM (UK), FRSPH (UK), Grad IOSH (UK) Medical doctor and Occupational health specialist with 29 plus years of profound experience and proven track record of Medicine, Occupational Health, Anesthesiology, and management, along with Auditing, consultation, trainings and development, and Leadership skills are key areas. The CORE EXPERTISE: • Professional General Medical consultation: • Occupational health and Safety: Pre-employment, Health Screenings, Occupational Health Risk Assessment, Hazard Identifications and Control measures, Kitchen and Food Safety, Diseases Analysis, Fit For Job Analysis, Accident and Incident investigations, Occupational Hygiene, Ergonomics, Waste management, Vaccinations, Blood Borne Pathogens, Fumigations, safety talk, Health Talk, and implementation of legislations etc. • Trainer of Occupational Health and Safety- Medic First Aid Instructor/ Ergonomics. • Lead Auditor 18001. • Behavioral Change Agent. • Business Development & Strategic Planning. • Visiting Faculty - IOHBM of Jinnah Sind Medical University Karachi. PROFESSIONAL AFFILIATIONS • Pakistan Medical and Dental Council of Pakistan • NEBOSH- England. • IOSH- Grad IOSH-England • Fellow member of International Institute of Risk and Safety Management (FIIRSM), England. • Fellow Royal Society of Public Health (FRSPH), England. • Certified Lead Auditor 18001, IRCA certified, 2012. • Medic First Aid Instructor-UAE EDUCATIONAL ATTAINMENTS: • MBBS • MCPS: • NEBOSH IGC: International General Certificate in Occupational Health and Safety – UK in 2010. • Lead Auditor 18001: IRCA certified. • EMBA (HRM): with 3.6 GPA. • NEBOSH INT. DIPLOMA of OHS (UK) • IOSH Managing Safely: Passed in 2014. • NEBOSH IOG: NEBOSH Oil and Gas Technical Safety Certificate.
Diabetes mellitus (DM) is a common chronic disease with an increasing prevalence, affecting general and oral health, with several oral manifestations. A bidirectional effect of diabetes and periodontal diseases has been reported by many researchers. Aim This study aimed to evaluate public awareness and knowledge of the association between DM and oral health among public living in Saudi. Methodology: A cross-sectional survey was done in Saudi Arabia to determine knowledge, attitudes, and awareness to assess public regarding knowledge of DM-related oral health. Questionnaire was designed and distributed in local Language to a convenient sample group through social media outlets. Results: One hundred-ninety completed questionnaires. Our study findings indicated a general awareness of the association between DM and oral health but demonstrated a lack of awareness concerning some oral diseases related with DM. 134 out 190 participants (70.5 per cent) of the respondents confirmed that DM had a negative effect on oral health, and 46.9 per cent considered periodontal disease to have a negative effect on glycemic control. There was a reasonable knowledge concerning DM-related oral manifestations. In contrast, one third of the respondents considered it possible to treat patients with DM and with a blood glucose below 3.9mmol/Which indicated that they think a low blood glucose level has good prognosis and 43.7 per cent agreed that patients with DM should take antibiotics after tooth extraction, while 33.7 per cent of respondents agreed that antibiotics should be administered prior to tooth extraction. These are important considerations for early diagnosis and onset management of oral disease. Conclusion: These findings indicate the need for targeted and specific health information education. They also support a greater need for collaboration between physicians and dentists.
*Intern Dental students at King Saud University (KSU) collage of dentistry
Emergency medical services (EMS) providers are always in the forefront to provide care for victims of disasters and disease outbreaks. Those first responders are at significant high risk of injury and death. This study, therefore, aims to assess the perception and attitude of EMS providers to work during disease outbreaks. Method: This is a cross-sectional study assessing the perception of EMS providers to work during disease outbreaks. A paper-based survey questionnaire was especially developed for EMS providers in Jordan. Descriptive and inferential statistics were performed to assess willingness to work and the factors influencing reporting for duty. Logistic regression model was constructed to determine the independent predictors of attitude toward working during disease outbreaks. Results: Of the 500 surveys distributed, 466 (93.2%) were complete and included for analysis. The majority (71.1%) of participants are willing to come to work during disease outbreaks. Concern for family safety found to be the major predicted barrier for coming to work (OR = 0.41; 95% CI = .22-.77). On the other hand, confidence that employer will provide adequate protective gear and vaccines found to be the major predictor of willingness to work (OR = 4.10; 95% CI = 2.31-7.26). Conclusion: The strict disciplinary actions were not a factor to enhance reporting for duty. Rather, trust relationship and confidence in employer in providing adequate supplies of protective gear is main predictor of willingness to come and work, while concern for family found to be the major barrier.
Mahmoud Alwidyan has completed his PhD in disaster science and management from the Disaster Research Center at the University of Delaware, USA. Dr. Alwidyan is an assistant professor in the paramedic program at Jordan University of Science and Technology (JUST) since 2017. His current research interests include disaster health, EMS/Paramedics roles in disasters, and EMS work during disease outbreaks.
HSSE In Frame (Implementation Framework) is a framework for HSSE implementation that involves all parts/layers of company (BOD and leaders of company, employees, and contractors/third parties), each part is interrelated and influence each other. HSSE In Frame contains of: 1. Clearly job and responsibilities segregations for HSSE implementation and 2. Monitoring and Evaluation procedures (IPOOE: Input, Process, Output, Outcome, and Effect). By using HSSE In Frame, a company will knows 4 important aspects related to HSSE implementation: Failed parts/layers (BOD and leaders of company/employees/contractors/third parties), root causes/gaps, fast solutions, and continuous improvement. HSSE In Frame has two tools to measure and find the failures for 4 importants aspects, those are Involvement Matrix Table and Evaluation Table, as described by following information: A. Indicators: 1. Work accidents root causes by investigation 2. Non conformity findings by internal audit 3. Safety maturity level evaluation results 4. Communication path (between each part/layer) evaluation results
Kemas Ferri Rahman has been Graduated from Environmental Engineering Master Degree Program in Bandung Institute of Technology, Indonesia, and Civil and Environmental Engineering Bachelor Degree Program in Bogor Agricultural University. Presently he is working at the PT PLN (Persero) Head Office, Jakarta, Indonesia as a Staff of OHS Sub Division in Health, Safety, Security, and Environment Division.
The number and type of medical devices implanted in people of working age is increasing, since they are effective treatments for many conditions (i.e. pacemakers, implantable defibrillators, metallic implants, orthopaedic prostheses). Simultaneously, the exposure to electromagnetic fields (EMF) in workplaces is increasing. This conjunction may result in potential risk for workers. Implanted devices must be compliant with specific product standards. As for electromagnetic compatibility, the requirement of implanted devices covers commonly encountered electromagnetic environment for the general public and demands for uninfluenced function during exposure. The requirements are derived from the reference levels of Recommendation 1999/519/EC for general public without taking into account any peak or localisation factors. Nevertheless these lower levels cover almost all known fields too, since these values will be exceeded in very rare situations restricted to short duration and local spots. However, occupational environment may expose workers above the public limits. Such exposure may occur from electrolytic cells, electric furnaces, arc and resistance welders, induction heaters, radiofrequency (RF) welders and sealers, industrial microwave ovens, communication masts and towers, radar and navigation systems, powerful two-way radios, etc. Taking into account the most common implanted devices, we analyzed the regulatory framework and we conduct measurement campaigns to in-vitro investigate the potential risks of a worker implanted with a pacemaker or a defibrillator in 3 occupational situations: working in a magnetic resonance environment, using an arc welders and utilizing a transcranial magnetic stimulator. We found that very often a case-by-case evaluation is useful in assessing the risk, conducting in-vitro or even in-vivo trial (with the patient’s informed consent and providing all reasonable precautions), by real-time monitoring the device while the worker performs usual tasks at the worksite.
Cardiovascular disease (CVD) is the leading cause of on-duty death among firefighters (45% of on-duty fatalities) and a major cause of morbidity. CVD in the fire service also has adverse public safety implications as well as significant cost impacts on government agencies. Over the last two decades, our understanding of CVD among firefighters has significantly enhanced providing important insight into the potential preventive strategies. The physiology of cardiovascular arousal and other physiological and psychological changes that occur in association with acute firefighting activities have been well-characterized. However, despite the strenuous nature of emergency duty, firefighters’ prevalence of obesity, low cardiovascular fitness, and other CVD risk factors remain high. Recent studies have documented that on-duty CVD events do not occur at random in the fire service. Firefighters’ events are observed more frequently at certain times of day, certain periods of the year, and are overwhelmingly more frequent during strenuous duties compared with non-emergency situations. Moreover, as expected on-duty CVD events occur almost exclusively among susceptible firefighters with underlying CVD. These findings suggest that preventive measures with proven benefits should be applied aggressively among firefighters to improve cardiorespiratory fitness and reduce associated CVD risks. Furthermore, all fire departments should have entry-level medical evaluations, institute periodic medical and fitness evaluations, and require rigorous return to work evaluations following any significant illness in firefighters. Finally, on the basis of the overwhelming evidence supporting markedly higher relative risks of on-duty death and disability among firefighters in association with established and emerging cardiovascular disease risk factors and particularly coronary heart disease, most firefighters with clinically significant coronary heart disease should be restricted from participating in strenuous emergency duties.
Dr. Soteriades is an Occupational Medicine Consultant. He also holds a specialty in Preventive Medicine, a Master of Science in Epidemiology and a Doctoral degree in Environmental Health with concentration in Occupational Health from the Harvard T.H. Chan School of Public Health. Following completion of training in the US, Dr. Soteriades served as a Public Health Officer at the Hellenic Center for Infectious Diseases Control, Greek Ministry of Health and Social Solidarity within the project of the Athens 2004 Olympic Games. In 2005 he returned back to his home country Cyprus and practiced Occupational Medicine as a private consultant for 13 years at different municipalities, semi-governmental organizations, private hospitals, and other private organizations such as oil companies, accounting firms, and small-medium enterprises. Since January of 2019 he is an Assistant Professor at the Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University. Dr. Soteriades has published more than 70 scientific articles in international journals, he is an author of several books and book chapters and continues to be active in state-of-the-art research in the fields of cardiovascular diseases, occupational health, infectious diseases and public health in general.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services which treat illnesses and injuries that require an urgent medical response, providing out-of-hospital treatment and transport to definitive care. People believe that ambulance is only respond to emergency scenes. But actually, they take patients from convalescent hospitals to doctor visits and treatment centres, also for any bedridden patient. Ambulance should be a well-equipped and efficiently organized vehicle with advanced communications and technology that can bring needed medical supplies, personnel, and advanced life support care to the emergency scene. In Malang city, form 23,747 patients, 3160 (11%) were brought by ambulance, without proper pre-hospital management, and 348 (11%) died as they arrived in the hospital. EMS system should accommodate the Right Patient, to the Right Place at the Right Time. EMS is a multi-sectoral and and multi-professional coordination in the service of daily emergency and whenever there is an escalation, disaster. Comprising of pre-hospital care, hospital care, emergency in-hospital care, & inter-facility transfer. The EMS system is the entire system in place to provide care to emergency patients from the initial call to definitive care; extension of emergency medical care into the community. No single EMS system in Indonesia, mostly are hospital-based EMS system, Only Jakarta (capital city of Indonesia) has the EMS system (established in 2010, run by the Provincial Health Office). And this topic will cover the perspectives of the development of EMS System in Indonesia.
Dr. Haedar has completed his clinical fellowship in emergency medicine at Singapore General Hospital in 2007. Graduated as Emergency Medicine Specialist form Universitas Brawijaya Indonesia in 2010, Dr. Ali Haedar joined the Department of Emergency Medicine as Clinical Lecturer and Emergency Medicine Physician. Only 1 year later, he has been awarded as Outstanding Lecturer of the Year 2011. To focus with his interest in the field of prehospital emergency care and emergency medical services, in 2017 he continued his study by taking fellowship at Singapore General Hospital and at National Taiwan University Hospital in 2018. He holds some licenses as international instructors, 2 of them are AHA’s BLS & ACLS and AHLS. He has awarded 8 international awards. He has a position as the South-East Asia Vice-Chair of the Asian Association for Emergency Medical Services (AAEMS). In 2018, he has been entitled as Fellow of the American Heart Association (FAHA).
Objective: This study purposed to assess ultrafine particle, chemical, and metal emissions from real 3D printing rooms. Methods: Measurements were implemented in real 3D printing rooms. Several types of 3D printers were selected such as FDM, Meal, DLP, inkjet, SLA, polyjet 3D printers. My object of 3D printer was FDM and other printers were compared with FDM. Material of FDM were ABS, PLA, Meatl was aluminium powder, DLP was liquid ABS, inkjet was plaster powder, etc. Measured concentrations were particle number concentration(PNC), particle surface area concentration(PSAC) using real time samplers and particle shape and composition were sampled using Mini Particle Sampler(MPS) and analyzed by a transmission electron microscopy with energy dispersive spectroscopy. Volatile organic compounds(VOCs) sampled by Tanax TA and analyzed by TD-GC/MS. Metal sampled by MCE filter and analyzed by ICP-MS. Both of them were collected at a personal breathing zone. Additionally, TVOC, CO, CO2, temperature, relative humidity were measured with a real time monitors. Results: Size distribution of PLA from FDM-3D printer was 31.6∼42.2nm, of ABS was 100∼133.4nm. Other 3D printer’s materials were respectively 75∼100, 100∼133.5nm). PNC of inexpensive FDM was higher than other type of 3D printers. PNC from FDM was rapidly increased in a warm-up process, but other 3D printers were not similar patten. PNC of PLA in FDM was higher than ABS in FDM(143,510 vs 5,029 #/cm3). Chemical (ethanol, acetone, IPA, MIBK, toluene, ethylbenzene, xylene, cyclohexanone) and metal(Na, Mg, Al, K, Ca, Cr, Fe, etc) were detected at a low concentration. Concentration for NO2, CO, CO2 were lowly detected, but NO was not detected. Conclusions: Size distribution of PLA, ABS filaments were nano-particle size (less than 100nm), but aluminium powder was not nano-particle size. During a warm up process, particle emission would be higher than other processes so that we strongly suggest that local exhaust ventilation will be set in this phase.
This study investigated the applicability of an HY-differential mobility analyzer with an optical particle counter (HY-DMA/OPC), named as KOFAM, for counting fibrous matters in real time. Fibers separated from particles by the HY-DMA were counted with an OPC. To assess the KOFAM performance, the proposed method and the conventional gold standard phase contrast microscopy (PCM) method were compared in terms of variables such as recovery, relative difference, coefficient of determination, and conformity. The optimal sheath-to-aerosol (outlet) flow ratio of the internal flow in the HY-DMA was determined to be 1.6:1. In terms of recovery of the HY-DMA, the highest recovery was obtained at a voltage of 500 V regardless of which type of asbestos was tested. The recovery rate for serpentines was 45.5% and that for amphiboles was 34.9%. The coefficients of determination of serpentine (R2 = 0.89) and amphibole (R2 = 0.87) were highly correlated. With respect to the coefficient of variation (CV), the KOFAM demonstrated superior performance over the M7400AD and F-1 methods and showed almost no difference from the PCM method (KOFAM: 22.5%, M7400AD: 32.4%, F-1: 88.8%, and PCM: 21.9%). There was no statistically significant difference between concentration measurements of the KOFAM and PCM analyses. Accordingly, it was concluded that the KOFAM can be used as a superior alternative to conventional fiber measurement methods. The preliminary results support the use of the KOFAM for constant measurement of airborne asbestos concentrations in real time.
Kwangmyung JANG has completed his MpH from The Catholic University of Korea, He is researcher of Occupational Safety and Health Research Institute, KOSHA Sungwon CHOI has completed his PhD from The Catholic University of Korea, He is Dept. of Research for Occupational Health, Institute of Occupation and Environment, KCOMWEL Kyunghoon PARK has completed his MpH from The Catholic University of Korea, He is officer in charge of Student Health Policy Division, Ministry of Education Hyunwook KIM has completed PhD from The West Virginia University, USA, He is professor of The Catholic University of Korea
Disability resulting from military service is a major contributor to morbidity among military veterans. Increased disability risk among selected military occupations has been relatively under studied. We present three cases, all males, underscoring the association between chronic back-related disability among U.S. Army Airborne veterans from multiple parachute jumps during prior military service. U.S. Army Airborne veterans. All three cases were evaluated under the US Veterans Benefits Administration compensation and pension scheme. Case 1 was s a 28-year old male with a diagnosis of lumbar strain, treated while in the service for low back pain. Currently, his back pain is intermittent and worsened with bending, exercise or when seated for extended periods of time. Case 2 is a 38-year old with complaints of low back pain that began after airborne operations five years prior to examination. Currently, he has moderate to severe back pain with associated stiffness, worsened with prolonged standing, ambulation, repetitive lifting, and bending. Symptoms progressed to involve right anterolateral calf and dorsal foot numbness, with radicular pain radiating laterally down the thigh and terminating at the knee. MRI: showed right L4-5 paracentral disc extrusion and compression of L5 nerve root leading to neuroforaminal stenosis. Case 3 is a 71-year old with lumbar spine strain and DJD. He had been a paratrooper,decades before and received treatment for low back pain while in military service. Imaging documented deterioration of lumbar spine with degenerative disc disease. These cases illustrate the association between previous parachuting history and strain, spondylosis and degenerative changes of the lumbar spine. Early recognition and specialty spine evaluation in such cases is important for improved pain management and better quality of life. Disability assessment should focus on the occupational risk of later back impairment form parachuting activity.
Alan M. Ramos, Adult Nurse Practitioner, Master of Science in Nursing from San Francisco State University. Musculoskeletal Compensation and Pension Examiner, Veterans Medical Center, San Francisco, CA, USA
Background: Exposure to phthalates is reported to be associated with increased incidence of microalbuminuria and low-grade albuminuria in children and adolescents. However, this phenomenon of phthalate-related nephrotoxicity is unknown in adults. Methods: Urine samples of 1663 adults from the 2012 Shanghai Food Consumption Survey (SHFCS) were measured for 10 metabolites of 6 phthalates and for renal function parameters. Their associations were explored by linear and logistic regression models. Results: Multivariate linear regression analysis showed that all three renal function parameters (albumin-to-creatinine ratio (ACR), β2-microglobulin (B2M), and N-acetyl-β-d-glucosaminidase (NAG)) are positively associated with six metabolites, including mono-benzylphthalate (MBzP), mono-2-ethylhexylphthalate (MEHP), mono-2-ethyl-5-oxohexyphthalate (MEOHP), mono-2-ethyl-5-hydroxyhexylphthalate (MEHHP), mono-2-ethyl-5-carboxypentylphthalate (MECPP), and mono-2-carboxymethyl-hexyl phthalate (MCMHP) (P < 0.05). Logistic analysis showed that the prevalence of hyperALBuria, hyperB2Muria, hyperNAGuria, or potentially impaired renal function (PIRF) were positively associated with urinary levels of MBzP, MEOHP, and MECPP, respectively (P < 0.05). Co-exposure to identified risk metabolites monoethylphthalate (MEP), MBzP, MEHP, MEOHP, MECPP, MEHHP, and MCMHP increased the risk of having impaired renal function. Conclusion: Certain metabolites of phthalates, including bis (2-ethylhexyl) phthalate (DEHP) and benzyle butyl phthalate (BBzP), were associated with impaired renal function in Shanghai adults.
Jingsi Chen is a Ph.D candidate from Fudan Univerisity, China. She has published more than 10 papers in reputed journals.
Ambulance Victoria recognize that great patient care can only be provided by a safe, engaged and operationally ready workforce. We also acknowledge that all employees must take ownership for our safety performance and be responsible for their own safety and the safety of their workmates. Over a sustained period of time the AV workforce experienced an unacceptable level of physical injury, violence and psychological distress which impacts on the health and wellbeing of our staff to deliver a superior health service to the Victorian community. The implementation of the AV Health & Safety Strategy in 2016 was recognition that a targeted approach to increase the safety culture across the entire organization would improve our safety outcomes. The delivery of this strategy was a consistent and recurring message from the Board of Directors and Executive to all staff. Cultural change within an organization takes time and involves significant engagement and focus. The Strategy we implemented was a roadmap that enabled AV to move into a proactive safety culture via targeted investment in specific safety initiatives across a three year period. The three significant cohorts of injuries sustained by our staff historically are manual handling injures, psychological injury and occupational violence and aggression. Over the course of the strategy we have developed and implemented pilot programs and scopes of works to tackle these issues. The sustained focus on Safety across this period has resulted in a 28% reduction in our workers compensation premium whilst remuneration has increased by 32% during the same period. The health, safety and wellbeing of our staff is paramount at AV and will always continue to be an area of sharp focus moving forward.
Tony Walker ASM is Chief Executive Officer of Ambulance Victoria. He has is Registered Paramedic with over three decades experience working in a range of senior clinical, operational and leadership roles within the ambulance sector. Over past four years Tony has led significant transformation at Ambulance Victoria to improve the health and wellbeing of their workforce and the response they provide to the community. Tony holds an adjunct appointment as Associate Professor in the College of Health and Biomedicine at Victoria University and is a Fellow of Paramedics Australasia, a Fellow of the Australian Institute of Managers and Leaders, and a Board Director of the Emergency Services Foundation, the Australasian Council of Ambulance Authorities and the Prostate Cancer Foundation of Australia. Tony is a recipient of the Ambulance Service Medal (ASM) for his contribution to the development of ambulance services at a state and national level.
Current days, mental illness imposed significant effects to workers, especially healthcare workers. Studies that had been done in several parts on the worlds showed different percentage affected. This study will review its significance in Kedah, Malaysia General hospital. Later, it will cover all general hospitals in Kedah state and some Peripheral healthcare facilities. The research focused on both scientific and ethical approaches. The scientific goals underscore the advantages of using DASS 21 scoring to early identify mental impact, identifying factors that contribute to the condition, rehabilitating and curing mental illness. Ethically, however, the project raises serious questions about the confidentiality. To handle both the medical opportunities and ethical dilemmas posed by the project, scientists need to develop clear set instructions about the process that will take place. The study is a cross sectional study in which involves some numbers of samples in all workers categories namely, Specialist, medical officers and house officers. The samples were gathered within a year duration in 2018 and some in early quarter 2019.
DR. NURUL AZRI BIN MAT REJAB @ MD REJAB has completed his MBBS and later subspecialized in Occupational Medicine at the age of 26 years from international Islamic University. He is the currently hold post as Head Unit in Occupatioanl and Safety in State hospital in Kedah, Malaysia. Apart from thas, he is also director of AZRA AZZAHRA MEDICARE AND Executive Chairman of Poliklinik Bakti Group, a premier Occupational Medical services organization. He has presented in numerous prestigious International Conference pertaining to his expertise.
Orofacial pain (OFP) is a unique field in dentistry with focus on prevention, evaluation, diagnosis, and treatment of non-odontogenic disorders affecting mouth, jaws and face. The American Academy of Orofacial Pain defines OFP as a group of disorders of different entities including temporomandibular joint disorders, masticatory musculoskeletal pain, cervical musculoskeletal pain, neurovascular pain, neuropathic pain, sleep disorders related to OFP, orofacial dystonias, headaches, intraoral, intracranial, extracranial, and systemic disorders that cause OFP. The international annual reported new cases of OFP disorders continue to increase, the role of dental practitioners is expected to expand in parallel and include management of such cases. In addition, pain in general is a subjective finding, comprehensive assessment with detailed history and clinical examination are mandatory skills for practitioners to serve the same purpose of helping OFP patients who suffers. Therefore, these conditions represent a challenge to the clinician since the orofacial pain is complex and pain can arise from many sources. To fulfill this task, the knowledge and understanding OFP of healthcare provider including dental practitioner should be at an optimum level to provide standard of care to patients in need. The objective of this course is to provide the participants the opportunity to acquire the required skills and knowledge to properly diagnose and treat orofacial pain cases. The participants will also discuss clinical cases (standardized patients), generating a differential diagnosis and treatment plan.
Emad M. Hadlaq is an Assistant Professor and Consultant of Oral Medicine and Orofacial Pain at College of Dentistry, King Saud University, Riyadh, Saudi Arabia. He received his dental degree from King Saud University in 2002. He completed a fellowship in Oral Medicine in 2009, and a fellowship in Orofacial Pain with Master of Science in dentistry in 2010, at the University of Medicine and Dentistry of New Jersey, USA. Dr. hadlaq is a Diplomate of the American Board of Orofacial pain and Diplomate of the American Board of Oral Medicine. In 2012, he earned a Fellowship in Dental Surgery from Royal College Of Surgeons Of Edinburgh
Children are not little adults, and neonates are not just small children. Neonates often require specialized care only provided in specialized neonatal intensive care units. Transporting the patient to these units is usually done by specialized transport teams. But, as emergency responders, would you know what to do? This session will give you some basic understanding on the special needs neonates have. At the end of this lecture, participants will: ● List the elements of STABLE patient. ● Describe at least three common neonatal respiratory problems. ● Describe the elements of a successful critical care transport.
Dr. Gustavo Flores is the Director and Chief Instructor at Emergency & Critical Care Trainings LLC, a company that provides continuing education to healthcare providers. He is also an air medical crewman for REVA Air Ambulance, and a volunteer member of FREMS Fire Rescue, both in Puerto Rico. Gustavo has been involved in EMS for more than 20 years as a field provider and an educator in Puerto Rico. Gustavo is the Associate Editor for Revista EMS World, a Spanish-language magazine, sits on the Editorial Board of EMS1.com, and is a former member of the American Heart Association's Educational Science and Program Subcommittee. For the National Association of Emergency Medical Technicians, he is the State Advocacy Coordinator and State Educational Coordinator for Puerto Rico, a member of the NAEMT Emergency Pediatric Care Committee, and an international faculty member for many of the AHA's and NAEMT's education programs.
The aim of this study is to assess the health effects focusing on cardiovascular system in workers exposed to night-shift work using retrospective cohort constructed by linking two national level of health databases from National Health Insurance Service (NHIS) and Korea Occupational Safety and Health Agency (KOSHA) in Korea. It consisted of workers aged from 20 to 69 years in companies with more than 300 employees registered in KOSHA between 2014 and 2017. Enrolled employees were classified into two groups with night and day work based on their work experiences.Information on cardiovascular diseases were obtained from the NHIS database.Age and sex specificincidence rateand standardized incidence ratio (SIR) were calculated based on the data. The results showed that day and night-shift workers were 344,241 and 608,735, respectively. SIR of hypertensive disease was 92.4(95%CI, 89.0-96.0), SIR of ischemic heart disease was 95.2(95%CI, 90.4-100.3), SIR of conduction disorders and cardiac arrhythmias was 104(95%CI, 95.9-112.9), SIR of cerebrovascular disease was 99.1(95%CI, 93.0-105.6), SIR of diabetes was 102.5(95%CI, 98.8-106.4), and SIR of total cardiovascular disease was 96.1(95%CI, 93.7-98.5). In age and sex specific incidence rate, female night-shift workers aged 30-39, below 40,and 40-49 had significantly high hypertensive disease, ischemic heart disease and diabetes compared to day workers, respectively.In total cardiovascular disease, female night-shift workers aged below 40 had significantly high risk, whether male aged above 40 had low risk compared to day workers. In overall,female night-shift workersmight have high risk of cardiovascular disease compared today workers.
Minjoo Yoon majored in statistics and master's degree in public health. After graduation, she worked at the National Cancer Center in Korea analyzing the National cancer detection data as a biostatistician, and is currently working in the field of occupational health epidemiology at Occupational Safety and Health Research Institute (OSHRI) in Korea.
Morarji Desai National Institute of Yoga, New Delhi
The construction sector remains a relatively high risk segment in India. Construction workers experience a higher number of accidents and occupational disease like back pain or musculoskeletal due to falling from height and lifting of construction materials. Work related conditions that are more prevalent in construction workers include falling from height, slips, trips and falls and lifting of overweight construction materials like cement, bricks, iron rods and plates etc. Indian Construction industry employ a work force of nearly 40 million. This workforce comprises 55% unskilled labor, 27% skilled labor and rest are the technical and support stuff. As per the study1 out of 1,000 workers, 165 workers get injured during construction activities in India In every workplace we have started to put strain on our system that is way beyond what our system can bear, which is against the nature and misuse or abuse of modern technology,. The moment a worker stood up, he invited a host of problems. There is a huge list of occupational disorders that exist because worker stood up, because our body, just like an animal body, was meant to crawl around on all fours, and when we stood up, we stood up a bit faster than all the other changes could happen. And so our vertebral column is not really able to withstand the stresses of just standing or just sitting. Musculoskeletal disorders and diseases are common occupational problem all over the world. The objective of the study is to design an effective program to manage Back pain and Musculoskeletal problems of construction workers by using different postures of Yoga. Yoga and Meditation is a philosophy and practice that connects the body, breath, and mind to energize and balance the whole system in our body. This physical and mental therapy involves physical postures, breathing exercises, stimulation of mind for physical fitness, mental stability and thought and to improve overall well-being. Yoga is one of the strategies that can be used to meet the nationally established guidelines for muscle strengthening, flexibility, and balance activities in older adults. The result of our previous research “Health hazards in construction industries in India” has been taken for this further study. The study was conducted in Delhi from August-2016 to October-2017. The database and result of the study with respect to Indian population has been chosen for this further study. The study revealed that musculoskeletal problems (34%) were the commonest occupational problem among construction workers in India. The same target group has been considered for the study after intervention by yoga and meditation therapy between December 2017 to May,2018. The intermediate result shows that more than 50% construction workers suffering from MSD problem have been cured totally after the Yoga therapy. Final result is awaited.
Introduction: The Industrial fire accident is a sudden and unforeseen event, attributable to any cause. Accidents are preventable, but steps must be taken to prevent them. It is a legal obligation of an organization to comply with the provisions of law, standard practises, and safety observations to avoid fire accidents. This paper investigated reasons of industrial fire accidents in Delhi, India and alternative ways to resolve them. Methods:. In study information were collected from purposively selected Five (05) major fire accidents took place in Delhi in between 2015 to 2018.The entire study is based on the accident investigation report of Directorate of Industrial Safety and Health (DISH), First Information Report (FIR) and forensic report of Delhi Forensic Science Laboratory. Result: It was found that 78% of industrial fire accidents took place in SMEs located in residential/non- industrial areas in Delhi. The cause of fire accidentwas found to be electric short circuit, improper handling and storage of flammable substances and ignorance of workers. Discussion: It was concluded from the study that unsafe electrical wiring, lack of proper training to the workers were two main reasons for increase in no. of fire accidents.It was also concluded that the industries located in industrial areas were better placed in terms of workplace compliances. The managements who were running their operations from residential/non/industrial areaswere found to be less aware on health and safety issues. Lack of enforcement by government agencies in such areas has escalated this problem. Prevention of accident: By addressing issues like carelessness, stress and fatigue, unsafe acts, design of workplace, and safety committee, adequate training to workers, managing safe & healthy workplace and sustained enforcement can reduce fire accidents in such industries.