Volume: 43 Issue: Supplementary 1
Year: 2023, Page: 1-7, Doi: https://doi.org/10.51248/.v43i1.2562
Introduction and Aim: Several studies showed that exposed health care workers are prone to numerous workplace hazards. Safety measure implementation in high-income countries, mostly neutralize these risks. But in low- and middle-income countries (LMICs), lack of resources and by-passing essential safety measures mostly increase the risk of occupational exposure to these hazards. This study attempts to map and synthesize the available research activities on occupational hazards among health care workers in India (LMIC) and to identify the research gaps and information policy.
Methods: Amongst 190 female health care workers including nursing staff and other caregivers, this humble work attempts to quantify observational and/or experimental studies in various categories of different parameters namely, physical, physiological, biochemical, ergonomic and chronobiological aspects.
Results: Several specific biological hazards including blood-borne pathogenic disease, psychological hazards (workplace violence, burn-out, job dissatisfaction), ergonomic hazards including musculo-skeletal disorders and chemical hazards including biochemical abnormalities (example, exposure to latex and anti-neoplastic drugs) were observed. Several unique cross-talks between parameters of different categories were observed. Implementation of risk reduction strategies was found to be sub-optimal.
Conclusion: Most of the recorded hazards are of biological type (more than 52%). Occupational safety needs to become a priority public health issue for protection of health care workers in India and other LMICs. Much more research activities are needed to understand the magnitude and the cross-talks between different hazards of the concerned profession.
Keywords: Occupational hazards; biological hazards; ergonomic hazards; healthcare workers; cross-talks
1. Huei,L.C.,Wen,L. Y., Ming,Y. C.,Chen,H.L.,Yi,W. J.,Hung,L.M.Occupationalhealth and safety hazards faced by healthcare professionals in Taiwan: A systematic review of risk factors and controlstrategies. SAGE Open Medicine. 2020 May;8:2050312120918999.
2. Schulte,P.A., Pandalai,S., Wulsin,V., Chun,H. Interaction of occupational andpersonal risk factors in workforce health and safety. American journal of public health. 2012 Mar;102(3):434-448.
3. Occupational health and safety –chemicalexposure. www.sbu.se. Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU). Archived from the original on 2017-06-06.
4. 1988 OSHA PEL Project -Carbon Tetrachloride |NIOSH | CDC".www.cdc.gov. 2020-02-25.
5. "CDC -Seasonal Influenza (Flu) in the Workplace -Guidance -NIOSH Workplace Safety and Health Topic".www.cdc.gov.
6. CDC -Insects and Scorpions-NIOSH Workplace Safety and Health Topic. www.cdc.gov.
7. Fry,J.P., Ceryes,C.A.,Voorhees,J.M., Barnes,N.A., Love,D.C., Barnes,M.E. Occupational safety,and health in US aquaculture: a review. Journal of Agromedicine. 2019 Oct 2;24(4):405-423.
8. CDC -Poisonous Plants -NIOSH Workplace Safety and Health Topic. www.cdc.gov.
9. McArthur,D.B. Emerging infectious diseases. Nursing Clinics. 2019 Jun 1;54(2):297-311.
10. Yoon,N., Ari,M., Yorio,P., Iskander,J., D’Alessandro,M. Applying the CDC Science Impact Framework to the results of the National Institute for Occupational Safety and Health and the Bureau of Labor Statistics 2001 Survey of Respirator Use and Practices. Journal of Occupational and Environmental Hygiene. 2022 Apr 7(just-accepted):1-31.
11. Berríos-Torres,S.I., Umscheid,C.A., Bratzler,D.W., Leas,B., Stone,E.C., Kelz,R.R., etal.,Centers for disease control and prevention guideline for the prevention of surgical site infection. JAMA surgery. 2017 Aug 1;152(8):784-791.
12. Herman,A.M. Futurework:Trends and Challenges for Work in the 21st Century: Labor Day 1999: a Report of the UnitedStates Department of Labor, Alexis M. Herman, Secretary.
13. Schwarz,E., Teleky,L. Some Facts and Reflections on the Problem of Poisoning by Benzene and its Homologs.Journal of Industrial Hygiene and Toxicology. 1941;23(1):1-9.
14. Darling,R.G., Catlett,C.L., Huebner,K.D., Jarrett,D.G. Threats in bioterrorism I: CDC category A agents. Emergency Medicine Clinics. 2002 May 1;20(2):273-309.
15. Pegula,S., Kato,A. Fatalinjuries and nonfatal occupational injuries and illnesses involving insects, arachnids,and mites.Beyond the Numbers.August 2014; 3(17).
16. Bekele,T., Gebremariam,A., Kaso,M., Ahmed,K.Attitude, reporting behavior and management practice of occupational needlestick and sharps injuries among hospital healthcare workers in Bale zone, Southeast Ethiopia: a cross-sectional study. Journal of occupational Medicine and Toxicology. 2015 Dec;10(1):1-7.
17. Lee,R. Occupational transmission of bloodborne diseases tohealthcare workers in developing countries: meeting the challenges. Journal of hospitalinfection. 2009;72(4):285-291.
18. Garner,J.S.Hospital Infection Control Practices Advisory Committee. Guideline for isolation precautions inhospitals. Infection Control& Hospital Epidemiology. 1996 Jan;17(1):54-80.
19. Phillips,J.P. Workplace violence against health care workers in the United States. New England Journal of medicine.2016 Apr 28;374(17):1661-1669.
20. Kisa,A., Dziegielewski,S.F., Ates,M. Sexual harassment,and its consequences: a study within Turkish hospitals. Journal of Health & Social Policy. 2002 Jul 3;15(1):77-94.
21. Hacer,T.Y., Ali,A. Burnout in physicians who are exposed to workplace violence. Journal of Forensic and Legal Medicine. 2020 Jan 1;69:101874.
22. Lanctot,N., Guay,S. The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences. Aggression and violent behavior. 2014 Sep 1;19(5):492-501.
23. Maslach,C., Jackson,S.E.,Leiter,M.P.Maslach Burnout Inventory Manual 4th ed. Mind Garden.
24. Ingersoll,G.L., Olsan,T., Drew-Cates,J., DeVinney,B.C., Davies,J. Nurses’ job satisfaction, organizational commitment, and career intent. JONA: The Journal of Nursing Administration. 2002 May 1;32(5):250-263.
25. Rai,R.,El-Zaemey,S., Dorji,N., Rai,B.D., Fritschi,L. Exposure to occupational hazards among health care workers in low-and middle-income countries: a scoping review. International Journal of Environmental Research and Public Health. 2021 Mar 5;18(5):2603.
Carol Sharma BGH, Sugata Das (Kumar), Subrata Ghosh. Prospects and retrospects of occupational hazards amongst healthcare workers. Biomedicine: 2023; 43(1) Supplementary issue: 1-7