Sociodemographic Determinants of Occupational Risks of Exposure to COVID‐19 in Canada

The activities performed by Canadian workers in some occupations may increase the risk of exposure to infectious diseases such as COVID‐19. This research note explores how occupational exposure risks vary by labor force characteristics using publicly available Canadian data in combination with a data set providing information on the level of physical proximity and frequency of exposure to infections or diseases faced by workers in different occupations. The results show important sociodemographic differences. First, women work in occupations associated with significantly higher average risks of exposure to COVID‐19 than men. This is driven by their overrepresentation in high‐risk broad occupational categories such as health occupations. Second, older workers (65 years or more), a group vulnerable to COVID‐19, appear to work in occupations requiring performing activities characterized by a lower level of physical proximity than their younger colleagues, with minimal differences in the frequency of exposure to diseases or infections. Finally, workers in low‐income occupations are employed in occupations that put them at greater risk of exposure to COVID‐19 than other workers. This is especially the case for women, immigrants, and members of visible minority groups in low‐income occupations. More broadly, this research note provides insights into the health‐related dimension of the literature on occupational tasks and labor market stratification.     

How Does a “Risk Group” Perceive Risk?

Abstract

Throughout the HIV/AIDS epidemic, female sex workers have been identified as a “risk group” and interventions developed to reduce their behavioral risk-taking. Both individual and structural level programs continue to target “risks” such as multiple partners and lack of condom use. Sex workers themselves, however, are likely to view their experiences more holistically, perceiving a range of risks within their work. This paper presents qualitative data from a participatory study conducted with brothel-based migrant Vietnamese sex workers in Cambodia, illuminating one community's perceptions of the sex industry. It argues that design and implementation of effective HIV prevention activities must be based on sex workers' own interpretations and responses to risk, using them as a realistic entry point for effecting change. Actively engaging with sex workers through participatory research and projects offers the first step in shifting the current epidemiological focus toward identifying feasible, context-specific risk-reduction strategies.     

Risk evaluation and exposure control of mineral dust containing free crystalline silica: a study case at a quarry in the Recife Metropolitan Area

During the production of aggregates at quarry sites, elevated quantities of micro-particulate mineral dust are produced in all stages of the process. This dust contains appreciable amounts of free crystalline silica in a variety of forms which, if maintained suspended in the air in the work environment, expose the workers to the risk of developing occupational silicosis, which causes reduced ability to work and potential shortening of lifespan. This study was conducted to qualitatively and quantitatively evaluate workers' exposure to mineral dust containing free crystalline silica at a midsized quarry in the Recife metropolitan area, in the State of Pernambuco. It involved evaluation of the industrial process, collection and analysis of representative dust samples, and interviews with the management team of the company with the intent to assess the compliance of the company with Regulatory Standard (NR) 22--Occupational safety and health in mining. In order to assist the company in managing risks related to dust exposure, three protocols were developed, implemented and made available, the first based on NR 22, from which the company was also given an economic safety indicator, the second based on the recommendations and requirements of Fundacentro to implement a Respiratory Protection Program and, finally, an assessment protocol with respect to the guidelines of the International Labor Organization to implement a health and safety management system. This study also showed the inadequacy of the formula for calculating tolerance limits in Brazilian legislation when compared with the more strict internationally accepted control parameters. From the laboratory results, unhealthy conditions at the quarry site were confirmed and technical and administrative measures were suggested to reduce and control dust exposure at acceptable levels, such as the implementation of an occupational health and safety management system, integrated with other management systems. From these assessments it is hoped that the proposals can assist the company in developing mechanisms for management and control of dust exposure risks that may improve environmental quality and the well-being of workers.     

Investigating the quality of social work. An experience of self-assessment with Italian social workers

Evaluating the quality of social work practice is becoming increasingly important for various reasons, among which are changes in the welfare system and the reduction of resources. Meanwhile, it is acknowledged that evaluating the quality of social work is a highly complex task. Different meanings are attributed to the concept of quality and the concept of quality in itself is linked to the notion of social work identity, nature and aims, which is an object in transition. Although performance appraisal systems are spreading, a common understanding about what is ‘good social work practice’ is lacking, also within the professional community. In Italy, social workers seem missing in the arena of investigating and indicating which criteria can be used to evaluate social work practice. To counteract this weakness, a participative research-intervention project was developed from 2006 to 2011, aimed at supporting social workers in evaluating their work. During workshops with practitioners a self-evaluation tool was designed by means of asking social workers for the possible criteria to be used to define ‘good social work practice’. This paper presents the structure and methods adopted throughout such project, focusing on both the self-assessment questionnaire and the emerging notions of quality of social work.     

Biomechanical analysis of loading/unloading a ladder on a truck

Loading/unloading a ladder on vehicles are frequent tasks and involve overhead handling that may expose workers to risk factors of shoulder musculoskeletal disorders. The objective of the present study was to evaluate posture, forces required and perceived exertion when loading and unloading the ladder on a utility truck. Thirteen male overhead line workers from an electric utility in Brazil participated in this study. Shoulder elevation angle was measured using inclinometers. The required force to load/unload the ladder was measured by dynamometer. Subjective assessment of the perceived exertion was recorded to compare the exertion reported during the test conditions to the field conditions. The task of loading/unloading the ladder presented risks of shoulder musculoskeletal disorders (MSDs) to workers because it requires high levels of force (approximately 60% of the maximal force) combined with overhead posture of the shoulders (more than 100° from the neutral posture). Age and height presented to interfere in biomechanical risks presented in load/unload task. There was no significant difference between the subjective exertion during the test conditions and handling the ladder in the field. Ergonomic intervention is recommended to reduce these risks for shoulder MSDs.     

Ergonomic analysis of the work conditions of porters and owners of the Supply Center of Campinas, SP

Transforming work conditions is part of the ergonomic action that should help to improve work situations that brings risks to the workers health. six workers were observed in different locations of the supply center (Central Free Market, Free Market 2, Flowers Market and Permanent Shed 4). During the observation of workers to the Ergonomic Analysis of Work - AET (Rohmert and Landau) was performed. The workers were divided into two groups: porters and owners. The porters were the most susceptible to the risks of work and minor accidents with sharp wood from boxes or even risk of traffic accidents as pedestrians. However, regarding the use of mental ability for negotiations, use of computers and organizing and planning the establishment of work, the owners were the ones that most time played these activities. The ergonomics advocates work that can be transformed and that favors employee and employer. It is, therefore, intended to redefine the strategies that are embedded into the organizational structure of work.     

Multi dimensional system for evaluating preventive program for upper extremity disorders among computer operators

Typing is associated with musculoskeletal complaints (MSCs), caused by multiple risk factors. Although a wide variety of ergonomic intervention programs were conducted to reduce risk factors and MSC's, only few of them were found evidence based. This study aimed to test the efficacy of a workplace intervention in reducing MSC's among computer workers. 66 computer workers were assigned randomly to one of three intervention programs: ergonomic intervention including biofeedback, intervention without biofeedback and control group without intervention. The efficacy was tested by advanced assessment including; pain location and severity, posture at work, upper extremity 3D kinematics, muscle activity and psychosocial status. Working hypothesis; significant score differences will be found between the study groups which underwent ergonomic intervention and the control group on the following measures: pain complaints, upper extremity kinematics, muscle activity and psychosocial status. Significant differences were found between pre and post intervention and between research groups and the control group in pain, posture and motion. The ergonomic intervention with biofeedback had no unique contribution in comparison to other interventions. In conclusion; the proposed intervention program was found efficient for reducing pain among computer workers.     

Analysis of the workload imposed on the workers of the imprint and cutting/welding sectors of a flexible packaging manufacturer

This article presents a study on the evaluation of the workload imposed to workers of two sectors of a flexible packaging manufacturer that operates in three shifts. The workers are allocated in one of the shifts (morning, evening and night shifts) without evaluation of their chronotype and/or social needs. The Imprint sector has a more dynamic work, which is done only by man due to the effort demanded by handling loads. The work in the Cutting/Welding sector is static, done mainly by women. The results showed that the overall workload was the same in the Imprint and Cutting/Welding sectors, because physical effort for load handling is higher in the former but the latter involves high static load. The levels of urinary catecholamines and salivary cortisol were consistent with the workers biological clock showing that none of the workers changed his/her biological cycle to accommodate to the time of the shift schedule.     

Ergonomic risks on the operational activities of firefighters from Rio de Janeiro

The Fire Brigade of the State of Rio de Janeiro (CBMERJ) is Brazil's most ancient and is one of the military forces of the state. It has the primary function of activities related to civil defense of the state. This study aims to contribute to the improvement of the current situation by proposing a solution of eliminating totally or at least mitigating risks of ergonomic injury, since all operating activities are based on the performance of man, applying techniques and equipment with intensive use of hands, teamwork, extended shifts and living with stressful situations, which enhance the occurrence of awkward postures among other ergonomic risk factors. This is a quantitative study. The fields of study were five operational units with the highest statistical service of the Corporation. The following items were analyzed: profile of the firemen, work environment, activity performed, adequacy of training received and epidemiological assessment of pain. In total, 208 questionnaires were answered. Data analysis was performed by frequency and presented in tables, charts and graphs. It is important to implement procedures aimed at occupational health and safety of firefighters in the light of ergonomic concepts, so that crews activities are carried out with increased safety and quality.     

Workload composition of the organic horticulture

This project aimed the characterization of the physical workload of the organic horticulture by determining the frequency of exposure of operators to some activity categories. To do this, an adaptation of the PATH method (Posture, Activities, Tools and Handling) was done to be used in the context of agriculture work. The approach included an evaluation of physical effort demanded to perform the tasks in the work systems from an systematic sampling of work situations from a synchronized monitoring of the heart rate; a characterization of posture repertoire adopted by workers by adapting the OWAS method; an identification of pain body areas using the Corlett diagram; and a subjective evaluation of perceived effort using the RPE Borg scale. The results of the individual assessments were cross correlated and explained from an observation of the work activity. Postural demands were more significant than cardiovascular demands for the studied tasks, and correlated positively with the expressions of bodily discomfort. It is expected that, besides the knowledge obtained of the physical effort demanded by organic horticulture, this project will be useful for the development of new technologies directed to minimize the difficulties of the human work and to raise the work productivity.     

Ports of Mucuripe and Pecém, Ceará, Brazil: restructuring process and its impact on workers' health

This paper presents a comparative study of working conditions and health hazards of two ports in the state of Ceará: Mucuripe and Pecém, focusing workers in the various categories involved in the operational activities of the two ports. The aim is to investigate changes implemented by the restructuring process of ports arising from the Port Modernization Act. In the case of Ceará, the organization and control of work at the mentioned ports occur differently: Mucuripe, the oldest port, had to adapt to the changes enforced by the Modernization Act and Pecém, called Port Terminal, inaugurated in 2001, "was born modern". To achieve our objective, we carried out field work, using Ergonomic Work Analysis. Systematic observations were made of the various activities carried out by workers, as well as interviews with managers, workers and trade unionists. Container operations and other activities of the two ports were recorded in film and presented to groups of workers (focus groups) in order to better understand work organization and the main differences in tasks carried out in the two ports. Each reality presents different characteristics regarding port operations, type of work and labor control. Results indicate that due to the technological innovations, the restructuring process reduced some risks, but brought new occupational hazards and intensification of work.     

Risk and Social Work Practice

Abstract

Risk assessment and risk management have emerged as central organising principles for an increasing number of health and welfare programs. As a consequence, the language, technologies and imperatives of risk have assumed considerable prominence in the practice of many social workers. The present paper addresses three significant and contemporary explanations for the rise of risk in the day-to-day work of many social workers. In the context of these approaches, the paper examines some of the challenges risk presents to professional and ethical social work practice. Four issues with particular meanings and impacts for social work are discussed, namely the priority of risk over need, changing professional roles, relocation of responsibility to individuals, and the culture of blame.     

Quality of life and comparative risk in Houston

Houston Environmental Foresight, an urban region comparative risk assessment, demonstrated the importance of process as well as analytic methodology. These features are best illustrated in the work of its Socioeconomic Subpanel, which assessed environmental risks to economic well-being and quality of life. Several issues are raised by the process and methods used by the subpanel. Some of these issues could be addressed through national research on comparative risk methods; other issues are most likely to be addressed through the incremental improvements of future projects.     

Ergonomic evaluation of the preparation of cuttings and minicuttings for eucalyptus seedling production, with the use of scissors

This study was conducted in a nursery for eucalyptus seedling production in a forest Company, located in the southern state of Bahia, Brazil. It aimed to evaluate the ergonomic conditions of the preparation of cuttings and mini-cuttings with scissors for Eucalyptus seedling production to increase well-being, satisfaction and safety and minimizing the occurrence of occupational diseases, also improving the process efficiency and final product quality. Environmental conditions, levels of noise, postures, RSI risk and physical workload were assessed. The environmental conditions complied with the recommended norms, except at certain times of day, when workers should make compensation breaks. The workers that collect minicuttings presented postures classified as normal by OWAS. On the other hand, the posture of workers dealing with cutting preparation requires corrections in a short run. The workers were subjected to moderate RSI risk due to the high degree of repeatability found. The physical workload was classified as mild, with no need for ergonomic interventions.     

Risk,Recovery and Capacity: Competing or Complementary Approaches to Mental Health Social Work

Mental health social workers have a central role in providing support to people with mental health problems and in the use of coercion aimed at dealing with risk. Mental health services have traditionally focused on monitoring symptoms and ascertaining the risks people may present to themselves or others. This well-intentioned but negative focus on deficits has contributed to stigma, discrimination, and exclusion experienced by service users. Emerging understandings of risk also suggest that our inability to accurately predict the future makes risk a problematic foundation for compulsory intervention. Therefore it is argued that alternative approaches are needed to make issues of power and inequality transparent. This article focuses on two areas of practice: the use of recovery-based approaches, which promote supported decision-making and inclusion; and the assessment of a person's ability to make decisions, their mental capacity, as a less discriminatory gateway criterion than risk for compulsory intervention.     

The Effects of Prevailing Wage Laws: A Comparison of Individual Workers'' Wages Earned on and off Prevailing Wage Construction Projects

I evaluate the effects of prevailing wage laws using a unique data set that shows the wages paid to workers on prevailing wage projects and the wages paid to the same workers during the same time period for work on projects not covered by prevailing wage regulations. The wage comparison shows that workers are generally paid more for work on prevailing wage projects than they are for work on non-prevailing wage projects. Thus, prevailing wage laws likely do increase the cost of public construction. In addition, to the extent that the quality of construction is improved, prevailing wage laws appear to be an inefficient mechanism by which to achieve additional quality, as the regulations often result in workers being paid more than they earn in the private market.     

Evaluation of selected ergonomic assessment tools for use in providing job accommodation for people with inflammatory arthritis

Inflammatory arthritis (IA) is a leading cause of work disability, especially for those with jobs involving repetitive, hand-intensive or manual work. Ergonomic interventions may mediate against job loss. Our objective was to identify desirable features of an ergonomic tool for use in providing job accommodation for people with IA, and to evaluate a selection of ergonomic and rehabilitation tools against these features. Eight desirable features were compared across 16 assessment tools. None of the tools met all the pre-determined features. Ergonomic assessment tools should incorporate objective assessment of risk factors together with subjective perceptions of symptom aggravation, and identify risk factors that may not currently be causing problems, but may increase risk of aggravation or injury in the future. To accommodate the needs of people with IA, the tool should allow for evaluation of risks and generation of solutions without a worksite visit in situations where the client does not want to disclose their illness. Finally, an assessment tool needs to be applicable to a wide range of worksites, easy to use, valid, and reliable. Against these criteria, it appears that there is a lack of appropriate ergonomic assessment tools for use in people with IA.     

Applying health determinants and dimensions in social work practice

Dimensions and determinants related to physical health, mental health and well-being can be used as tools in social work practice. These frameworks are useful for assessment, planning and intervention activities in complex client situations, alerting social workers to consider diverse features and processes that influence well-being in people's lives. They can be applied in social work with individuals, families, groups, and communities. In our view health and well-being need to be viewed holistically, broadly and in each unique situation, changing over time over the life course. Literature based on key word searches of concepts we use in our teaching and research and that has informed our conceptualisation of dimensions and determinants in physical health, mental health and well-being, is reviewed. A case illustration is presented to illustrate how the dimensions and determinants are used to inform practice and compare and apply alternative frameworks. Finally, the implications of these and other frameworks for social work, not only in health care settings, but also in other fields of social work practice, are discussed.     

Long periods with uninterrupted muscle activity related to neck and shoulder pain

The aim was to analyze the relationship between periods with uninterrupted neck muscle activity for ≥ 4 min and neck and shoulder pain. The trapezius muscle activity was recorded bilaterally on 40 young workers and students during a full shift. Neck and shoulder pain, mechanical work load and decision control were reported at the same time as the muscle activity recording and 6 months later. A dose-response relationship was found between uninterrupted muscle activity and neck and shoulder pain, with a ten-fold higher risk for the group with more than half, compared to less than a third, of the shift with uninterrupted muscle activity. Self-reported mechanical work load showed a small but protective effect related to pain. Gender and decision control did not emerge as important risk factors in this model. In conclusion, this study indicates that work or other exposures that contains long periods with uninterrupted neck muscle activity of 4 min duration or longer should be minimized to reduce risk of neck and shoulder pain.