Taking on the job of Editor in Chief of Occupational and Environmental Medicine is a challenge, especially during a pandemic with enormous societal as well as environmental and occupational consequences. While we cannot fully anticipate the extent of these consequences, some lessons relevant for our research field and Occupational and Environmental Medicine are emerging. Rapidly executed research on the effects of the pandemic has already shed light on the occurrence of occupational and environmental...
Objectives To examine the impact of workplace injury on opioid dependence, abuse and overdose (opioid-related morbidity) and if severity of injury increases the hazard of these health effects. Methods We used MarketScan databases to follow injured and propensity score matched non-injured workers, both without prior opioid-related diagnoses. Using a Cox proportional hazard model, we examined the impact of workplace injury on opioid-related morbidity. Results The hazard of opioid-related...
Decreasing socioeconomic health inequalities is considered an important policy priority in many countries. Workplace health promotion programmes (WHPPs) have shown modest improvements in health behaviour. This systematic review aims to determine the presence and magnitude of socioeconomic differences in effectiveness and the influence of programme characteristics on differential effectiveness of WHPPs. Three electronic databases were searched for systematic reviews published from 2013 onwards and...
Objectives Daily numbers of COVID-19 in Singapore from March to May 2020, the cause of a surge in cases in April and the national response were examined, and regulations on migrant worker accommodation studied. Methods Information was gathered from daily reports provided by the Ministry of Health, Singapore Statues online and a Ministerial statement given at a Parliament sitting on 4 May 2020. Results A marked escalation in the daily number of new COVID-19 cases was seen in early...
Objectives To investigate the potential of deep learning in assessing pneumoconiosis depicted on digital chest radiographs and to compare its performance with certified radiologists. Methods We retrospectively collected a dataset consisting of 1881 chest X-ray images in the form of digital radiography. These images were acquired in a screening setting on subjects who had a history of working in an environment that exposed them to harmful dust. Among these subjects, 923 were diagnosed with...
We would like to thank Dr Boffetta for his comment on potential overlaps in the selection of cohorts. As we tried to keep the principle of examining all the available publications in the systematic review and avoiding the double count in the meta-analysis, we have re-examined the materials of the study again. Even though different aspects in the follow-ups of five cohorts were noted in the original review of 12 studies, we agree with Dr Boffetta that, on re-examination, there could be a potential...
Objectives Women have a higher incidence of mental health problems compared with men. Psychosocial stressors at work are associated with mental health problems. However, few prospective studies have examined the association between these stressors and objectively measured outcomes of mental health. Moreover, evidence regarding potential differences between women and men in this association is scarce and inconsistent. This study investigates whether psychosocial stressors at work are associated...
Objectives To investigate the relation between changes in working conditions and exit from paid employment among workers with a chronic disease. Methods Six waves from the longitudinal Study on Transitions in Employment, Ability and Motivation (2010–2016), enriched with tax-based employment information from Statistics Netherlands (2011–2017), were available for 4820 chronically ill workers aged 45–63 years (mean 55.3 years, SD 5.1). A change in working conditions (physical workload, psychological...
Objectives Chronic obstructive pulmonary disease and silicosis are associated with exposure to crystalline silica. We determined the exposure to respirable crystalline silica and estimated exposure–response relationships between cumulative exposure and pulmonary function in outdoor rock drillers. Methods 136 rock drillers and 48 referents were recruited from three heavy construction companies. 98 air samples were collected by personal sampling for determination of respirable particulate...
Objectives The objective of this historical cohort study was to determine the claimant and prescriber factors associated with receiving opioids at first postinjury dispense compared with non-steroidal anti-inflammatory drugs (NSAIDs) and skeletal muscle relaxants (SMRs) in a sample of workers’ compensation claimants with low back pain (LBP) claims between 1998 and 2009 in British Columbia, Canada. Methods Administrative workers’ compensation, prescription and healthcare data were linked....
Objective We studied the associations of working in occupations with high asthma trigger exposures with the prevalence and incidence of asthma, and with ever reporting an asthma diagnosis throughout working life. Methods We used the nationally representative Panel Study of Income Dynamics (1968–2015; n=13 957; 205 498 person-years), with annual reports of occupation and asthma diagnoses across 48 years. We compared asthma outcomes in occupations likely to have asthma trigger exposures with...
I read with interest the review by Kwak et al1 on exposure to asbestos and the risk of colorectal cancer. However, I was concerned about the choice of the cohorts included in the meta-analysis (table 1 of the original publication). The authors failed to recognise that some of the publications included in their review referred to the same cohorts, and their inclusion resulted in double-counting (table 1). Overall, seven publications (16% of the total) were included by mistake, since they referred...
Objectives A historical cohort study of cancer mortality is being conducted among workers in a chrysotile mine and its enrichment factories in the town of Asbest, Russian Federation. Because individual-level information on tobacco use is not available for Asbest Chrysotile Cohort members, a cross-sectional survey of smoking behaviours was conducted among active and retired workers. Methods Self-administered questionnaires were completed by active workers during meetings organised by occupational...
Occupational allergic contact dermatitis (ACD) caused by sensitisation to hexavalent chromium in wet cement has a notoriously poor prognosis. The ensuing dermatitis can be debilitating and persistent postoccupational dermatitis is common.1 Furthermore, there are significant adverse effects on quality of life, as well as marked economic consequences.2 Over the past four decades, several European countries have introduced legislation to limit the amount of hexavalent chromium in cement, which has successfully...
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