Wet W Wet Work in ork in Austra Australian lian work workplace - - PowerPoint PPT Presentation

▶
wet w wet work in ork in
SMART_READER_LITE
LIVE PREVIEW

Wet W Wet Work in ork in Austra Australian lian work workplace - - PowerPoint PPT Presentation

Jan 30, 2024 144 likes •546 views

Wet W Wet Work in ork in Austra Australian lian work workplace places Dr Tessa Keegel Miss Kristen Benke A/Prof Rosemary Nixon A/ Prof Tony LaMontagne Prof Malcolm Sim Bac Backg kground ound Wet work is one of the main exposures

slide-1
SLIDE 1

Wet W Wet Work in

  • rk in

Austra Australian lian work workplace places

Dr Tessa Keegel Miss Kristen Benke A/Prof Rosemary Nixon A/ Prof Tony LaMontagne Prof Malcolm Sim

slide-2
SLIDE 2

Bac Backg kground

  • und

Wet work is one of the main exposures for occupational contact dermatitis (OCD)

slide-3
SLIDE 3

Background Background

Information regarding patterns of exposure to wet work is required by workers, unions, employers & policy-makers for the development of work health and safety policy

slide-4
SLIDE 4

Pr Project summar

  • ject summary

The Wet Work project will look at:

  • 1. Wet work exposure
  • 2. Diagnosed disease
  • 3. Successful workers’

compensation claims

slide-5
SLIDE 5

Occupational contact dermatitis: wet work exposure and disease pyramid.

slide-6
SLIDE 6

Study question Study question

What are the patterns of exposure to wet work, occupational contact dermatitis, and accepted workers’ compensation claims amongst Australian workers?

slide-7
SLIDE 7

Methods Methods

  • The first dataset has information about self-reported

Australian wet work exposure data

  • The second dataset consists of de-identified diagnosed

disease data from a Victorian dermatology clinic

  • The final dataset consists of de-identified Victorian

Workers’ Compensation claims data We will compare the patterns across

these three datasets

slide-8
SLIDE 8

Preliminary findings Preliminary findings

slide-9
SLIDE 9

Study Study design & design & sample sample

In 2008, Safe Work Australia conducted the National Hazard Exposure Worker Surveillance (NHEWS) study

slide-10
SLIDE 10

Wet work Wet work exposu exposure re

Two separate outcomes: 1) frequency of hand washing at work 2) time spent with hands in liquids at work

slide-11
SLIDE 11

Wet work Wet work exposu exposure re

Workers were also asked what types of liquids they were exposed to at work Workers could nominate more than one liquid

slide-12
SLIDE 12

Wet work exposure Wet work exposure

For hand washing: Less than/=20 times= unexposed/ low More than 20, less than/= 100 = high More than 100 = v high

slide-13
SLIDE 13

Wet wo Wet work rk exposure exposure

For duration of hands in liquids: Less than 1 hr = low 1 hr up to 2 hrs = medium More than 2 hrs = high

slide-14
SLIDE 14

Co Co-variates variates

Employment arrangements Number of employees at workplace Occupational skill level (5 levels) Industrial sector Self-reported chemical exp Age group Gender

slide-15
SLIDE 15

Results Results

slide-16
SLIDE 16

Overall the NHEWS survey had: 4500 Australian workers Across 17 industries (5 priority) 42.3% response rate

slide-17
SLIDE 17

When asked to nominate the types

  • f liquids:

Water 64% Detergents, disinfectants, cleaning products Oils, solvents, thinners, degreasers Concrete/cement Paint Fuel, petrol, kerosene Bodily fluids

slide-18
SLIDE 18

Handwashing

Overall, 9.8% (95% CI: 8.9-10.7%) washed their hands more than 20 times/day at work

slide-19
SLIDE 19

6.6 6.3 2.6 2.1 1.3 17.6 23.8 4.2 5.7 5 10 15 20 25 Accommodation, cafes & restaurants … Health & community services (956) Mining (38) Cultural, recreational & personal … Agriculture, forestry & fishing (317) … % workers exposed to hand-washing

Handwashing

slide-20
SLIDE 20

Handwashing

Odds ratio (95% CI) Gender Females 1.97 (1.49-2.61) Number of emps at wrkplce Less than 5 (ref)

  • 20 to 199

1.49 (1.05-2.11) 200 or more 1.44 (1.00-2.08) Chemical Exposure High exposure 3.68 (2.91-4.66) Occupational skill level Level one (highest) (ref)

  • Level five (lowest)

0.58 (0.37-0.92) Industry Transport & storage (ref)

  • Health & Comm service

6.02 (3.38-10.70) Accommodation, cafes & restaurants 5.70 (2.71-12.02) Observations 4309

slide-21
SLIDE 21

Hands in liquids

Overall, 7.3% (95% CI: 6.5-8.0%) hands in liquids more than 1 hr 4.5 % (95% CI: 3.9-5.1%) more than 2 hrs

slide-22
SLIDE 22

Hands in liquids

14.3 7.7 6.3 5 4.9 4.1 9.9 4.5 7.4 3.5 2 2 4 6 8 10 12 14 16 Accommodation, cafes & restaurants (91) Health & community services (956) Cultural, recreational & personal services (95) Agriculture, forestry & fishing (317) Manufacturing (714) % workers exposed to hands in liquids

slide-23
SLIDE 23

Odds ratio (95% CI) Occupational skill level Level one (highest)

  • Level two

2.03 (1.07-3.88) Level three 4.07 (2.37-7.00) Level four 2.40 (1.48-3.89) Level five (lowest) 6.41 (3.78-10.88) Industry Transport & storage (ref)

  • Health & community

services 2.92 (1.46-5.84) Accommodation, cafes & restaurants 2.97 (1.24-7.15) Chemical exposure High exposure 4.09 (2.92-5.74) Observations 4337

Hands in liquids

slide-24
SLIDE 24

This study is one of the first to suggest differences in the profiles for: frequency of hand washing and hands immersed in liquids

slide-25
SLIDE 25

Exposure to chemicals & exposure to wet work was highly correlated: 3 and a half times for hand washing Four times for immersion of hands in liquids

slide-26
SLIDE 26

Pr Preliminar eliminary findings y findings

slide-27
SLIDE 27

Study Study design & design & sample sample

Compensation Research Database Victorian workers’ compensation data from 1986-2009

slide-28
SLIDE 28

Results Results

  • 14, 709 unique claims, from 13,980

workers

  • Includes 729 repeat claims
  • Many more males than females,

76% vs 24%

slide-29
SLIDE 29

Employer Employer segmen segment

Females Males Government 17 % 11% Large 40% 25% Medium 33% 50% Small 10% 14%

slide-30
SLIDE 30

Selected Selected

  • ccupations
  • ccupations
  • Meat processing 524
  • Poultry processing 27
  • Smallgoods 52
  • Seafood 3
  • Printing 62
slide-31
SLIDE 31

Selected Selected

  • ccupations
  • ccupations
  • Motor vehicle manufacturing 354
  • Automotive repair 166
  • Construction 781
  • Plumbing 75
slide-32
SLIDE 32

Selected Selected

  • ccupations
  • ccupations
  • Psych hospitals 95
  • Dental services 55
  • Ambulance 215
  • Building and industrial cleaners 77
  • Hospitals 760
slide-33
SLIDE 33

Selected Selected

  • ccupations
  • ccupations
  • Aged care 204
  • Other res care 50
  • Other social assistance 145
slide-34
SLIDE 34

Discussion Discussion

slide-35
SLIDE 35

Policy implications

Success of the German policy Technical standards1 and Technical Rules 530 Hairdressing2

  • 1. BAuA German Federal Institute for Occupational Safety and Health. Technical standard for hazardous

substances: Skin damage from work in wet environments (TRGS 531: wet work). Translation jointly prepared by NIOSH and BAuA,1996. Available at: http://www.cdc.gov/niosh/topics/skin/recommendations.html (last accessed 08 April 2011)

  • 2. Dickel H, Kuss O, Schmidt A, Diepgen TL. Impact of preventive strategies on trend of occupational skin

disease in hairdressers: population based register study. BMJ 2002 15 June 2002:324:1422-3.

slide-36
SLIDE 36

Annual incidence (± 95% confidence intervals) of hairdressers with a stated occupational skin disease 1990-1999. From BMJ 2002; 324:1422-1423 (Dickel et al. 2002)

slide-37
SLIDE 37

Questions Questions

  • 1. Is wet work an issue for your

members?

  • 2. Do employers think wet work is a

potential OHS problem?

  • 3. What liquids are workers exposed

to in the workplace?

slide-38
SLIDE 38

Questions Questions

  • 4. Do your members have access to

MSDS in the workplace?

  • 5. Are your members consulted

before new liquids are used in the workplace?

  • 6. Are there any workplace

interventions for wet work that you would like to see in your workplace?

slide-39
SLIDE 39

Questions Questions

  • 7. What sort of policy interventions

for wet work would you like to see in your workplace?

  • 8. Are your members involved in

OHS decision making?

slide-40
SLIDE 40

Safe Work Australia, Dr Fleur Champion de Crespigny, Prof Thomas Diepgen, Prof Tove Agner, Ms Stella Gwini NHMRC Post-Doctoral Fellowship to TGK (#540114)

Keegel T, Nixon R, LaMontagne AD. Exposure to wet work in working Australians. Accepted for publication 2/8/2011 Contact Dermatitis

Acknowledg Acknowledgements ements & & publications publications details details