Journal of Health and Safety at Work

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Introduction: The COVID-19 pandemic has been a significant global health challenge. Primary care services, such as screening health centers, were crucial in identifying infected individuals. However, these centers were often crowded and posed a high risk to staff and non-COVID-19 patients. This study aims to assess the risk of airborne transmission of SARS-CoV-2 in such settings through simulation.
Material and Methods: In this study, waiting and sampling rooms of a COVID-19 healthcare center were simulated using different scenarios. Then, the Quanta emission rate was estimated using the viral load in the sputum of infected individuals. Finally, the airborne transmission risk of SARS-CoV-2 was determined using the Wells-Riley method for scenarios of wearing and without masks.
Results: The study showed that the Quanta emission rate in an unmodulated speaking activity was higher than other expiratory activities in both units (p <0.001). Also, the total amount of Quanta was slightly higher in the sampling room than in the waiting room, which was not statistically significant. On the other hand, the calculation of transmission risk showed that the probability of airborne virus transmission in the sampling room was higher (about 2 to 8%). In addition, wearing masks reduced the possibility of airborne transmission of the virus significantly (77 to 81%).
Conclusion: This study shows that the level of risk in the sampling and waiting rooms is moderate. Masks also significantly reduce the possibility of airborne transmission of SARS-CoV-2. Taking appropriate health and safety measures such as avoiding crowds, wearing masks, whispering, and monitoring social distancing can reduce the plausibility of airborne transmission of the SARS-CoV-2 virus.
 

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Introduction: VOCs are harmful air pollutants that must be detected, monitored and eliminated. Adsorber tubes are standard tools for this task, specifically activated carbon tubes with high adsorption and selectivity. This research aims to compare the structural and functional characteristics of domestically produced activated carbon tubes with the conventional commercial ones for sampling toluene, a volatile organic compound.
Material and Methods: The characteristics of each adsorbent, such as structure, morphology, porosity, and element composition, were examined by SEM photography, BET testing, and EDAX analysis. The central composite design (CCD) method was employed to investigate the adsorption properties of the adsorbents. The input concentration and readsorption time of the samples were the variables considered in this study. Additionally, a field phase of personal air sampling was performed to evaluate the effectiveness of adsorbent tubes.
Results: SEM and BET analyses indicated that the porous structure of domestic activated carbon was comparable to the model produced by SKC. EDAX analysis detected a minor impurity (1%) in the domestic activated carbon adsorbent. The adsorption performance was significantly influenced by the variations in readsorption time and pollutant input concentration. The accuracy and precision of the performance of the domestic adsorbent tube were obtained as 90.77% and 91.76%. The field phase results demonstrated that the amount of pollutant adsorbed in the SKC-activated charcoal adsorber did not differ significantly during 0 to 30 days. However, the domestic adsorber showed a significant difference in the same period. The overall performance of the two adsorbers did not exhibit a significant difference between 0 and 30 days.
Conclusion: Despite minor structural differences, the adsorption efficiency of toluene by domestic adsorbent tubes in sampling high concentrations is very similar to its commercial type. However, it is not recommended for use in low-concentration environments (10 ppm and less).

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Introduction: The purpose of occupational health is to maintain and improve the health of employees and improve their physical, mental and social well-being through the prevention, control and elimination of occupational hazards. It is necessary to integrate educational, research and health service activities to prevent and control potential occupational health hazards in the community. This study aimed to develop a Joint Comprehensive Plan Of Action (JCPOA) for occupational health at Tehran University of Medical Sciences (TUMS).
Material and Methods: In this participatory action research, a strategic planning committee was established, whose members were professors of the occupational health department in the school of public health and managers of the occupational health department in the health deputy of TUMS. The strategic planning committee carried out a strategic evaluation of the internal and external environments of both occupational health deprtments of TUMS and identified the strengths, weaknesses, opportunities and threats. Then, the strategic direction of JCPOA including the vision, mission, values, goals and objectives was determined. Also, the strategies and actions to achieve the goals and objectives were identified. Finally, the action plan to achieve these objectives was developed.
Results: This applied research led to the strategic evaluation of the internal and external environments of the occupational health depratment of the School of Public Health and the occupational health depratment of the Health deputy of TUMS, determining the strategic direction, and finally, developing an action plan to achieve the goals and objectives.
Conclusion: The JCPOA for occupational health was developed using a collaborative and systemic approach. The proper implementation of this plan can lead to the improvement of occupational health indicators in the community. Cooperation between university and industry is necessary for the sustainable development of society.

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Introduction: Protection of the respiratory system has been a vital, and for this purpose, various solutions have been proposed, including the use of masks. One of the most important parameters to measure the effectiveness of the mask against the penetration of microbial agents. The present study was conducted with the aim of evaluating the bacterial and particle filtration of medical masks.
Material and Methods: To assess bacterial performance, the national standard 6138, compliant with EN14683, and Type I medical masks were utilized. Staphylococcus aureus bacterial suspension was prepared and passed through the mask using a nebulizer and through an impactor with a flow rate of 28.3 l/min. Plates containing soy agar were placed in the impactor. Subsequently, all plates were incubated, and the bacterial filtration efficiency (BFE) of the masks was determined by counting the bacterial colonies that passed through the mask’s media as a percentage of the total bacteria. It is worth noting that the pressure drop and particle filtration efficiency were also determined for all masks
Results: Based on the results of the particle removal performance for the particle size of 3 µ, the masks were categorized into three groups with efficiency above 99%, above 95% and 90%. According to the standard, all masks had an acceptable pressure drop below 40 Pa. The acceptable bacterial filtration rate for type I masks should be above 95%. The results showed that type A and B masks have an acceptable bacterial filtration rate and there is a significant correlation between the types of masks examined in terms of bacterial and particle efficiency.
Conclusion: The results showed that different types of masks under investigation have significant differences in terms of particle capture efficiency and bacterial filtration performance. In addition, there is a significant correlation between bacterial and particle filtration efficiency.
 

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Introduction: Improving health and the environment is one of the components of development, social welfare, and economic growth. Another influential factor in increasing health costs and reducing social welfare is work-related accidents and diseases, which impose high costs on individuals, industries, and the national economies of countries. Therefore, using multi-criteria decision-making methods, the present study provided a conceptual model to identify and rank work-related diseases’ environmental and health costs.
Material and Methods: The present study was conducted in 2023. A classification model for the economic evaluation of environmental and health costs of occupational diseases was developed to achieve the study’s aim. In the current research, the Delphi method was used to identify health and environmental criteria, and the Analytic Network Process (ANP) was used to weight the sub-criteria. Finally, the cost of health and the environment was estimated based on the available information. Naft Tehran Hospital (NSHT) was also selected as a case study site.
Results: The results showed that the drug and medical equipment cost factor, with a weight of 0.312 in the treatment sector, and the particular and infectious waste cost factor, with a weight of 0.085, were the most critical factors in the economic evaluation. Also, the parametric model results showed that 99.84% of the total costs are related to health costs, and 0.16% are related to environmental costs. In general, the results of this research showed that 61.3% of the costs of the health sector are related to the two sectors of medicine and medical equipment and the cost of service personnel, and 91.7% of the costs of the environmental sector are related to wastewater treatment and the cost of electricity consumption.
Conclusion: This study presented a semi-quantitative model to estimate health and environmental costs caused by occupational diseases. The results can create a novel scientific insight into implementing control measures using the optimal point of cost-benefit parameters. Implementing this integrated model can be a practical and effective step in allocating resources and prioritizing interventions.
 

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Introduction: In recent years, exposure to nanomaterials has been known as a challenge among occupational health experts. In this line, personal protective equipment has been considered as a solution to reduce the worker’s exposure. Since respiratory and skin tracts represent the most common workplace exposure routes, knowledge of the efficiency of respiratory and skin protection equipment is particularly important. So, the aim of this study is the assessment of the efficiency of respiratory and skin protection equipment toward controlling nanoparticles in the workplace with a scoping review approach.
Material and Methods: This study was conducted in 2022 with a scoping review approach. Arksey and O’Malley’s five-step framework was chosen as the research method. The search strategy was followed in the databases necessary to access the research data, including PubMed, Google Scholar, Science Direct, Web of Science, and Scopus. Also, EndNote X9® and Microsoft Excel software were used to collect and analyze studies, respectively.
Results: In the first step, 1014 articles were identified. Finally, 38 articles were included in the study to examine quantitative and qualitative information about the efficiency of respiratory and skin protective equipment. Twenty-five articles were related to breathing masks, and six studies were about protective gloves, and seven other articles were devoted to protective clothing. According to the studies of breathing masks, the mean total penetration of nanoparticles was estimated at 2.27%. Also, based on the studies of protective clothing, the maximum penetration of nanoparticles was 30nm for protective clothing made of polypropylene and polyethylene with different layers.
Conclusion: Although the efficiency of existing personal protective equipment showed a good result for controlling nanoparticles, the size of nanoparticles is one of the essential parameters in determining the efficiency of the equipment, which should be considered the workplaces. So, it is recommended that more studies be considered to improve their efficiency, and standard tests should be developed to evaluate them.

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Introduction: The use of antineoplastic drugs in cancer treatment, while essential, poses risks due to their non-selective action on both cancerous and healthy cells. Assessing and controlling environmental contamination with these drugs in workplaces is crucial. This study aimed to evaluate the efficacy of various commercial wipes in sampling the antineoplastic drug 5-fluorouracil from surfaces to develop standardized sampling methods.
Material and Methods: This study assessed the efficiency of commonly used commercial wipes (Whatman cellulose filter, cotton swab, Millipore™ filter, sterile gauze pad, and alcohol pad) for sampling 5-fluorouracil from different surfaces (stainless steel, vinyl, and ceramic). The sampling area was defined using disposable cardboard frames, and 1000 microliters of a 1 µg/mL 5-fluorouracil solution were applied to each surface. Sampling and extraction were conducted following NIOSH guidelines. The frame dimensions were 10 × 10 cm, limiting the sampling area to 100 square centimeters. Analysis was performed using high-performance liquid chromatography (HPLC), and results were analyzed using Prism GraphPad software, version 8.
Results: The sampling efficiency varied across wipes and surfaces, ranging from 11.2% to 86.2%. Alcohol pads showed the highest efficiency on stainless steel surfaces, while the Millipore™ filter had the lowest efficiency across all surfaces. Extraction efficiency ranged from 43.8% to 98.8%, with alcohol pads providing the highest recovery. Sample stability was maintained over 15 days.
Conclusion: Alcohol pads were most effective in collecting and extracting 5-fluorouracil, particularly from hard, smooth surfaces such as stainless steel and ceramic. These findings may improve sampling methods, thereby reducing occupational exposure to antineoplastic drugs. Further research on different wipes and extraction parameters could refine drug analysis techniques. 

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Introduction: Workers who work in warm situations need clothes with better thermal regulation. Nowadays, improving the thermal regulation properties of cotton fabric by treating it with phase change materials (PCMs) has been considered. The type of fabric plays an important role in providing thermal comfort. Cotton fabric is the most popular raw material in the textile industry due to its distinctive features. Therefore, this systematic review aims to investigate the effects of PCM nanoencapsulation in commonly used cotton fabrics, including morphology, thermal properties, thermal stability, tensile strength, abrasion resistance, leakage, water absorption, washing ability, and breathability of the fabric, related challenges, and future research trends.
Material and Methods: This research was conducted with the papers obtained from the systematic search in Science Direct, Web of Sciences, Scopus, and PubMed databases. Keywords “nanoencapsulated phase change materials”, “nanoenhanced phase change materials”, “cotton”, “cotton fabric”, and “cotton textiles” were used.
Results: Of the 1251 studies identified through search databases, 13 were selected according to the entry criteria. The results revealed that in all the studies, PCM nanocapsules were successfully synthesized and inserted into the cotton fabric, improving the fabric’s thermal properties. Most studies used in situ polymerization and mini-emulsion polymerization for nanoencapsulation. The pad-dry-cure method was also widely used for applying nanocapsules to cotton fabric.
Conclusion: This systematic review showed that synthesized nanocapsules of phase change materials and applied them to cotton fabric can improve the thermoregulating properties of the fabric. It is suggested to expand the research to design thermoregulating clothes made from treated fabrics and investigate their cooling performance.

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Introduction: Volatile organic compounds (VOCs) are hazardous toxic pollutants in the air, which are released from various industrial sources. Due to the adverse effects of xylene on health, the effective removal of VOCs from the air by nano sorbents is crucial. In this study, nanographene (NG) and nanographene oxide (NGO) were used as adsorbents to investigate the efficiency of xylene removal.
Material and Methods: In this study, in order to investigate the absorption efficiency of nanographene and nanographene oxide after the synthesis of nano absorbents in a dynamic system, xylene vapor was produced in a chamber in pure air and stored in a Tedlar sampling bag and then transferred to the adsorbent. Subsequently, the effect of various parameters such as xylene concentration, inlet air flow rate, and absorbent mass values at 32% humidity and 25°C temperature on the absorption rate and performance of the desired absorbents was investigated. Finally, the gas chromatographic flame ion detector (GC-FID) determined the concentration of xylene in air after the adsorption-desorption process.
Results: The average adsorption efficiencies for NG and NGO were found to be 96.8% and 17.5%, respectively. The characteristics of the NG and NGO adsorbents indicated that the particle size range was less than 100 nanometers.
Conclusion: The results demonstrated that the adsorption efficiency of NG for the removal of xylene from the air is higher than that of NGO. The GC-MS method validated the proposed approach in real air samples.