Day1: April 23, 2019
MD, Ph D, Professor, Specialist in Occupational and Sports Medicine | Health Centre Rijeka and Medical Faculty University Rijeka, Croatia
09:00 - 09:45 AM
Hrvoje Lalic was born in Rijeka, Croatia in 1960. Medical school University Rijeka finished in 1983 and worked as the general practitioner in the Health Center Rijeka for ten years. Specialization in Occupational Medicine has done partially in Zagreb, Croatian capital city, in internationally famous School “Andrija Štampar” that is under the WHO patronage and partially in Bologna, Italy at “Policlinic S´Orsola Malpighi, OM school for specialization. Scientific and educational career he built parallel with his practical work in OM surgery. He participated World Congresses, OM Congress in Moscow – plenary lecture, San Marino Italy, Dubrovnik and Hvar in Croatia etc. Invited lecturer in Trieste – Italy – 10 hours of Lectures for medical students, doctors, and professors, an active participant in Erasmus+ Program, speaker – 10 hours of lectures in Umeä, Sweden, 10 hours in Bologna, Italy. In the 2017 University of Vienna – 10 hours of lectures. In 2018 invited “Key Note” lecturer at EuroSciCon Conference in London, U.K. First author of the papers published and cited in international journals, tracked in Pub Med Medline, CC, SCI and Open Access.
Now is working at the Dpt of OM Medicine Rijeka like a specialist in Occupational Medicine and Sports Medicine and regular professor of OM at Medical School University of Rijeka, Croatia. In 2018 received permanent title of regular professor.
The Occupational Medicine specialist has a key role in the assessment of one’s capacity to work, as well as their incapacity, temporary or permanent. This assessment is a very responsible task and there is always an unsatisfied party, the patient or the authorities, as well as the lawyers. The aim of this paper is to demonstrate the importance of the expert witnesses’ complete neutrality. They have to assess the patient’s work capacity completely objectively and in doing so have to cancel out their emotions and the potentially uncomfortable feeling whilst confronting the team of experts representing Croatian Institute for Health or Pension Insurance.
Here are presented 4 cases of expert witnesses where unsatisfied patients pressed charges against the Croatian Institute for Pension Insurance. The first is the case of a person with dual nationality Bosnian and Herzegovinian and Croatian, the resident of Austria, who sued the Croatian Institute for not being granted pension for the disabled. The second is a 37 years old woman, a shop assistant who suffers from lumbar disc hernia and claim she cannot lift weight in the grocery shop. The third is the case of a 27 years old woman who has no forearm and two toes on each foot but was proclaimed capable of independent living. The fourth is the case of a fashion tailor who suffers from a severe case of epidermolysis bullosa hereditary, she states she is fighting for her life, but was proclaimed capable of working. They too sued the authorities.
In the first two cases, the expert witness for occupational medicine decided that the Croatian Institute made a correct decision and the last two cases were won by the patients. Such law battles are fought daily and courts are overburdened by them. On one side the patients (the claimants) are too subjective and think that their state is the heaviest and on the other side the Croatian Institute for Pension and Health Insurance with very limited means, is laden with applications for the pension for the disabled. However, the limited means must not be the reason for a truly ill disabled person who cannot work anymore, not to be able to retire. On the other side, those who can still work or would like to gain undeserved benefits must be refused their applications. Incomplete medical examinations are another frequent cause for such claims being rejected by the Croatian Pension and Health Institute.
To conclude, the Occupational Medicine specialist as an expert witness successfully solves all the unclear cases of work in/capacity. The Occupational Medicine experts should be included in Croatian Institute for Pension teams in order to avoid unnecessary court expense and to adequately assess the patients.
Deputy Director | Professor | Semmelweis University Department of Public Health | Hungary
09:45 - 10:30 AM
University: Semmelweis University Faculty of Medicine 1964-1970.
Institute of Pathology and Cancer Research: Assistant Professor: from 1970 to 1979.
Eppley Institute Omaha NE. visiting scientist: from1976 to1978.
National Institute of Occupational Health: chief scientist, from 1979 to 1998.
DKFZ, Heidelberg: visiting scientist (annually one or two months) from 1986 to 1989.
National Institute of Chemical Safety: director from1998 to 2005. At present: Research Director.
Semmelweis University Department of Public Health: professor and director from 2005 to 2010. At present, she is now the Deputy Director, Professor Emeritus.
Formaldehyde (FA) is a widely used chemical, what is classified by IARC, as a human carcinogen based on several sufficient scientific pieces of evidence. Several studies concluded FA is mutagenic and genotoxic in different experimental settings and also cause cancer to human during long-term Occupational exposure. In our study, we have examined 73 individuals (59 women and 14 men) worked for the pathology department in different hospitals as a pathologist or histological assistants. FA ambient air concentration level was measured in only in one unit of four, what was ranged from 0.4 mg/m3 to 1.1 mg/m3, with a mean formaldehyde level of 0.9 mg/m3. The average exposure time varied between 12-20 yrs. Blood samples were collected by venipuncture. The donors took part in a routine clinical laboratory check-up and were interviewed by a physician to take up an anamnesis data sheet on age, medication, smoking, drinking habits, medical and working histories. The end-points of the genotoxicology monitor included the determination of the frequencies of Chromosome Aberrations (CA) and Sister-Chromatid Exchanges (SCE) and the measurement of UV-induced unscheduled DNA repair synthesis (UDS). The percentages of Premature Centromere Separation (PCD ) and high-frequency SCEs (HF/SCE) were also scored. Apoptosis, immune-phenotype and cell proliferation parameters were determined by flow cytometry. The average age of exposed donors was 43 yrs, compared to 146 (34 years old) historical controls and 86 industrial controls (34 yrs old).
In the exposed groups the results showed elevation in chromosomal aberrations, DNA repair, and SCE value, although the apoptotic rate of peripheral blood lymphocytes was decreased especially among men, after in vitro PHA stimulation of PBL cells. Immunotoxic effect of FA was also demonstrated and immune suppression varied on cytotoxic T cells and NK cells in the different rate of exposed groups.
In our study demonstrated the early genotoxic and immunotoxic effect on different occupationally FA-exposed groups, giving an evidence for intervention and improve the working conditions. Based on our study we are going on to force the Hungarian hospital management to replace the FA with other less harmful fixatives in pathology units.
10:30 AM - 11:15 AM
Lorenzo is the CEO of NextWave Safety Solutions, Inc. known as a safety and risk management expert who has drafted safety regulations for the City of Philadelphia, the fracking industry, fire and building codes for the City of New York as well as the first active shooter trainer curriculum.
He manages site safety managers and coordinators who help promote job safety and meet required building codes and has revolutionized the construction safety tech industry leading with real-time data analytics, geo-located wearables, and virtual reality training.
Additionally, Lorenzo directs several probation and parole projects for at-risk and recent release youths known as Rising Up and Man Up as well as several veteran training, employment, and career programs. Prior to his role at NextWave, Lorenzo was the managing director at Lehman Brothers and holds an MBA from Wharton and a BA in business finance from Pace University.
Workplace violence, including incidents of mass shootings, is unfortunately on the rise. Given the increase in frequency and lethality of these events, employers, Health and Safety professionals and the businesses that they represent must take a proactive approach to keep their workers safe. We must collectively develop a new baseline and best practices to act as the first comprehensive workplace violence action plan.
The frequency of active shooter and workplace violence incidents are on the rise; it is our fiduciary responsibility as business owners and human beings to provide the safest work environment that we can for our employees. Emergency preparedness and active shooter survivor scenarios lack a consistent, standardized training.
The Health and Safety Industry needs to evolve to counter this unfortunate new normal. Workplace violence is unique as a job hazard because unlike other hazards it does not involve a specific work process or function. Workplace violence, because it begins and ends with people themselves, is much harder to engineer away than falls, slips, trips, caught bys, struck-bys, or electrocutions, the "Focus Four."
To begin, our industries require new workforce and workplace training, an investment in safety leadership, and consistent reinforcement. Comprehensive emergency preparedness and workplace violence prevention and response training must include a 'Stop the Bleed' component to provide essential content covering event aftermath. Topics such as emergency medical assistance, CPR/AED, crisis communication, grief counseling, and corporate strategies to continue working operations deem inclusion in a workplace violence action plan.
HOD of Occupational Medicine in Qatar Airways Clinic in Doha | Honorary Clinical Lecturer as the University of Glasgow | Scotland
11:15 AM - 12:00 PM
Dr. Gallagher-Alagha has completed his membership of the Faculty of Occupational Medicine of the Royal College of Physicians of London in 2015. He is the Head of the Department of Occupational Medicine in Qatar Airways Clinic in Doha. He is an Honorary Clinical Lecturer at the University of Glasgow.
This study aimed to establish whether the results of repeat Health Surveillance (HS) for Hand Arm Vibration Syndrome (HAVS) are predictive of the development of new cases and the progression of existing cases of HAVS amongst exposed employees.
A secondary objective is to evaluate the effectiveness of control measures for Hand-Transmitted Vibration (HTV) exposure. The study describes and analyses trends of HS scores over 10 years. The use of previous HS records allows for the retrospective analysis trends of annual HS results and scores.
The aim of this presentation is to demonstrate that the number of new cases of HAVS in the exposed population declined sharply between 2003 and 2007 and continued to decline, albeit it at a lesser rate between 2007 and 2012, Using HS scores as a linear function of time, the results suggest that scores consistently decreased over time and that the influence of time on the scores was highly significant in all cases.
Annual HS for HAVS is, to an extent, predictive of the development of new cases and the progression of existing ones amongst exposed employees. Furthermore, it can be demonstrated that control measures are relatively effective for Hand-Transmitted Vibration exposure.
Day2: April 24, 2019
HOD Occupational Safety Health and Environment | Manchester Metropolitan University, Department of Health Professions, Cavendish Building, Manchgester | United Kingdom
09:00 - 09:45 AM
Dr. Haruna Musa Moda has completed his Ph.D. from Glasgow Caledonian University, Glasgow United Kingdom. He is the head Occupational Safety Health and Environment postgraduate degree programme. He has published several papers in reputed journals.
Hair care professionals are seen as not high at risk job however the job can lead to varied form of occupational diseases that include skin conditions, musculoskeletal diseases (arthritis and tendonitis) and work-related asthma as a result of Occupational Exposure to varied potential Health Hazards within the work environment that include vapors, solvents, perfumes, dust. An online survey was used to measures Occupational Hygiene and Safety awareness among Afro-Caribbean hair salon operators in the UK. In addition, 5 salons indoor air quality were measured for selected environmental pollutants; temperature, humidity, CO, CO2 and Total Volatile Organic Compounds (TVOCs) using Graywolf Direct Sense IAQ (IQ-610). Different forms of hair treatment that include perming, dying, blow out, haircut, hair styling alongside manicure and pedicure dominates the participant’s response as the most common form of activities carried out daily at work.
Use of extraction fan was not common, only 28 (18.3%) of the respondents said, they have the extraction fan installed in their business premise. One of the salon air quality measured a very high amount of TVOC with an average reading of 8215.9 ppb and 5316 ppb (STEL) and Time-weighted Average (TWA) reading of 6955 ppb. The study outcome has demonstrated that activities types and hair products used plays important role in the level of pollutants found in the work indoor environment.
Hence, the need to substitute hair products considered more harmful with another that has lower classification and enlighten salon operators on the dangers of prolonged exposure to airborne pollutants at work.
Lecturer | School of Geography, Archaeology and Environmental Studies | University of the Witwatersrand, South Africa
09:45 - 10:30 AM
Dr. Raeesa Moolla attained her Ph.D. at the age of 30, at the University of the Witwatersrand, where she is now a tenured lecturer. Her research interests lie in hotspot monitoring and modeling of urban-scale air pollution and its impacts on human health; specifically related to VOC emissions and pollution from the transport sectors.
She is also involved in surface and tropospheric ozone research and is a part of the International Global Atmospheric Chemistry project (a non-profit organization). Dr. Moolla currently has over 25 publications and conference proceedings to her name, with an additional five publications being reviewed.
I am currently involved in research related to air quality and human health impacts, as well as modeling climatic variability and its influence on air pollution and health; specifically involving organic compounds, both in the Occupational and Public Health domain.
The airport industry is developing at an expeditious rate and plays a significant role in boosting a country’s economy. Although airports create employment opportunities; they are also known as pollution hotspots. Pollutants released from airports (amongst other pollutants); include a range of volatile organic compounds (VOCs), which are a highly reactive and toxic; namely the BTEX group (i.e. benzene, toluene, ethylbenzene, and xylenes).
Due to the high level of toxicity, an occupational health risk assessment was conducted at an international airport in South Africa to determine ambient BTEX concentrations and the potential health risks of employees. The sampling campaign was conducted during the winter season, as studies have shown a prevalence of BTEX concentrations during this season in South Africa.
The campaign adopted the use of Radiello Passive Samplers, with a sample group from ten different departments within the airport. Indoor concentrations of individual BTEX compounds (Figure 1) were above international air quality guidelines, indicating an Occupational Risk. Furthermore, high levels of BTEX concentrations were revealed in specific departments outside the main airport wing (viz. the paint shop, aircraft main apron, and waist area).
In general, the lifetime cancer risk (based on the US EPA standard of 1×10−6) was exceeded for all full-time airport employees. In addition, the hazard quotient risk was also exceeded in specific departments within the airport. Thus, the research recommends essential modifications within the airport departments be made to reduce future potential Occupational Health Risks for employees.
MBBS, MBA, CTQM, CSSGB, CPHQ Medical Director & Director Quality VMIH | United Arab Emirates
10:30 AM - 11:15 AM
Dr. Muhammad Wasif Rashid Chaudhary has 15 years of experience in Healthcare Executive Management and Leadership in the UAE. His role at Via Medica International Healthcare LLC is Medical Director with additional assignment as Director Quality. VMIH is American owned facility and head office is in DC Washington. VMIH has multidivisional services and CARF Accredited Facility.
Dr. Wasif has occupied many diverse roles in hierarchy Healthcare management in the past. UAE licensed General Physician and practicing medicine. Proactive and strong role in strategic Leadership, he has. He is a Certified Six Sigma Green Belt, Total Quality management and also holding a Prestigious credential i.e. Certified Professional in Healthcare Quality (CPHQ).
Dr. Wasif has achieved MBA degree from Delaware University, USA. His passion for Healthcare is to improve existing/current processes and systems by utilizing Quality Improvement tools which lead to Safe, Timely and high quality, effective care of the patients. He is the keynote speaker of many International Conferences, including USA and Canada.
Healthcare Champions role to prevent and control infections in healthcare facilities by using advanced strategies and to decrease the transmission of infectious diseases from healthcare workers to patients and vice versa is very crucial.
We shall discuss evidence-based practices to understand why Hand hygiene, Isolation, standard Precautions and correct use of personal protective equipment (PPE) during the patient care are important, to reduce Healthcare-associated infections and Occupational Health Hazards.
Role of Quality improvement methodologies (FOCUS-PDCA & FMEA) and importance of implementations in healthcare facilities. Our focus will be on post-exposure Interventions to infectious disease in the Healthcare field and how to prevent and treat employee and also share guidelines for work restrictions to employees suffering from infectious diseases like Meningococcal Meningitis, HAV, HBV, HCV, HIV, MDRO, RSV, Varicella, TB, and Influenza.
According to the Centers for Disease Control and Prevention (CDC), results of a project known as the HAI Prevalence Survey (2014 Data) were published in 2016. The Survey described the burden of HAIs in U.S. hospitals and reported that, in 2011, there were an estimated 722,000 HAIs in U.S. acute care hospitals. Additionally, about 75,000 patients with HAIs died during their hospitalizations.
HOD of Medical Unit of the Philippine Merchant Marine Academy | Philippines
11:15 AM - 12:00 PM
Hence, this study aimed to assess the shipboard safety culture among cadet seafarers in relation to specific seafaring vessel types (tanker or bulk). This study primarily followed a cross-sectional research design. It aimed to assess and compare shipboard safety culture from the cadet seafarers’ perspective thru prevalence school-based survey using a Likert scale, and qualitative probing thru key informant interviews and a focus group discussion were conducted.
The cadet seafarer participants were chosen from the PMMA fourth year students enrolled for the academic year 2015-2016. Survey data gathered were treated with chi-square test (critical value of 0.05) while data gathered from KIIs and FGD were presented and analyzed by themes. Data gathered revealed differences in the survey scores; however, the bar graph of all the safety factors surveyed revealed a positive similar trend of shipboard safety culture onboard in both tanker and bulk vessel types.
Computed chi-square scores revealed no significant difference between the tanker and bulk shipboard safety cultures in all eight safety factors, although more unsafe work conditions/ acts and onboard Health Injuries/ accidents were reported among bulk respondents.