A guideline on Basic Occupational Health Services (BOHS) has been established jointly by ILO/WHO/ICOH in response to poor achievements of the Occupational Health Services (OHS), especially among workers in small and medium enterprises at the global level. Malaysia. The international guideline describes competent and skilled human resources as an essential strategy for BOHS implementation. This commentary will discuss the challenges faced by current occupational health personnel providing OHS in Malaysia and proposes improvements of human resource development for future BOHS in Malaysia to ensure fair and better OHS coverage for Malaysian workers.
Matched MeSH terms: Occupational Health Services; Occupational Health
We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). This database is analyzed according to its content as of May 22, 2020. In addition, the notifiable cases of SARS-CoV-2 infections from personnel in medical institutions (e.g., clinics and doctor's office) and social welfare institutions (e.g., nursing homes, shelters and refugee camps) following the German Infection Protection Act are analyzed. The report from Malaysia is based on personal experience and publications of the government. In Germany at present, 4398 suspected case reports for the diagnosis of SARS-CoV-2 infections among health and social workers have been filed. This figure is four times the number of all reported infections normally received per year. The majority of claims, regardless of being a confirmed infection, concerned nurses (n = 6927, 63.9%). The mortality rate for workers infected with SARS-CoV-2 is 0.2% to 0.5%. Doctors are affected by severe illness more frequently than other occupational groups (8.1% vs. 4.1%). In Malaysia, work-related infection of health workers (HW) occurred mainly when COVID-19 was not suspected in patients and no adequate personal protective equipment (PPE) was worn. Although knowledge on the spread of SARS-CoV-2 infections among workers remains limited, the impact appears to be substantial. This is supported by the mortality rate among infected workers. Occupational health check-ups carried out at the present time should be systematically analyzed in order to gain more information on the epidemiology of COVID-19 among HW. Since the supply and use of PPE improved, the infection risk of HW in Malaysia seems to have decreased.
Legislation that governs the health and safety of communities near major-hazard installations in South Africa is largely based on existing legislation that had been developed in the United Kingdom and other European Union countries. The latter was developed as a consequence of several major human-induced technological disasters in Europe. The history of the evolution of health-and-safety legislation for the protection of vulnerable communities in European Union (EU) countries, France, Malaysia and the USA is explored through a literature survey. A concise comparison is drawn between EU countries, the USA and South Africa to obtain an exploratory view of whether current South-African legislation represents an optimum model for the protection of the health-and-safety of workers and communities near major-hazard installations. The authors come to the conclusion that South-African legislation needs revision as was done in the UK in 2011. Specific areas in the legislation that need revision are an overlap between occupational health and safety and environmental legislation, appropriate land-use planning for the protection of communities near major-hazard installations, the inclusion of vulnerability studies and the refinement of appropriate decision-making instruments such as risk assessment. This article is the first in a series that forms part of a broader study aimed at the development of an optimised model for the regulatory management of human-induced health and safety risks associated with hazardous installations in South Africa.
Local exhaust ventilation (LEV) is used in industries to capture contaminants such as gases, dusts, mists, vapours or fumes out of workstations to protect occupants’ exposure to contaminants. LEV is allocated and installed by employers, however it doesn’t work accordingly. LEV design is often overlooked and underappreciated. Effectiveness of LEV system can be achieved if more attention is focused to proper design of LEV system. To solve this issue, computational fluid dynamics (CFD) can be performed. CFD is a software tool to predict and simulate fluid dynamic phenomena. CFD is used to forecast or reconstruct the behaviour of an engineering product under assumed or measure boundary conditions. However, CFD is just a prediction tool, which can lead to inaccuracy of predicting airflow due to problems with pre-processing, solver and post-processing with parameter from actual experimental results. Therefore, validation is needed to help minimizing percentage error of CFD methods. In this research, measurements of airflow parameter of LEV system at National Institute of Occupational Safety and Health (NIOSH) Bangi, Selangor were conducted. Control Speed panel found at NIOSH Bangi, which is used to increase or decrease speed of fan, was performed using Control Speed of 20%, 40% 60% and 80%. Upon validation, average absolute error obtained from four different control speeds ranges from 3.372% to 4.862%. Validity of CFD modelling is acceptable, which is less than 5% and good agreement is achieved between actual experimental results and CFD simulation results. Therefore, it can be concluded that CFD software tool can be performed to simulate air velocity in LEV system. CFD methods can save labour costs and time consumption when it is used during earliest stage of LEV design, before actual construction is implemented. The outcome of this paper can be used as a baseline for factories equipped with LEV system to protect occupants’ exposure to contaminants.
Laboratory workers exposed to diverse occupational exposures to accidents. Evidently, extant, yet very limited em- pirical underpinnings suggest that knowledge, practices and awareness of safety precautions are uncharacteristically poor among laboratory workers. As such, their demonstration of safety-related attitudes and practices have remained questionable. This paper, thus presents a systematic search of the literature on laboratory workers’ safety-related knowledge, attitudes, and practices. Specifically, literature published between 2007 and 2017 that characteristically attempted to evaluate knowledge, attitudes and practices among laboratory workers on Occupational Safety and Health were reviewed. Evidently, results from the review indicate poor knowledge, attitude and practice among the laboratory workers. It is critical that strategies be put in place by the management of the health facilities to institute and undertake activities in the form of training, improved safety management practices, organizational commitment and improved safety culture.
A study was undertaken to evaluate the human energy consumption of various field operations involved in lowland rice cultivation in Malaysia. Based on recorded average heart rates, fertilizing was found to be the most strenuous operation, with an average heart rate of 138 beats min(-1). There were no significant differences in the average heart rates of the subjects among the individual tasks within the first plowing, second plowing, and harvesting operations, with the average heart rates for these three tasks being 116, 106, and 106 beats min(-1), respectively. The corresponding energy expenditures were 3.90, 3.43, and 3.35 kcal min(-1). Loading the seed into the blower tank and broadcasting the seed were the most critical tasks for the seed broadcasting operation, with average heart rates of 124 and 136 beats min(-1), respectively. The highest energy expenditure of 418.38 kcal ha(-1) was observed for seed broadcasting, and the lowest energy expenditure of 127.96 kcal ha(-1) was for second plowing. The total seasonal human energy expenditure for rice cultivation was estimated to be 5810.71 kcal ha(-1), 55.7% of which was spent on pesticide spraying. Although the sample size in this study was relatively small, the results indicated that human energy expenditure per unit area (kcal ha(-1)) was positively linked to the average heart rate of the subjects and negatively linked to the field capacity. Thus, mechanization of certain tasks could decrease worker physical effort and fatigue and increase production.
Healthcare workers (HCWs) play a central role in global tuberculosis (TB) elimination efforts but their contributions are undermined by occupational TB. HCWs have higher rates of latent and active TB than the general population due to persistent occupational TB exposure, particularly in settings where there is a high prevalence of undiagnosed TB in healthcare facilities and TB infection control (TB-IC) programmes are absent or poorly implemented. Occupational health programmes in high TB burden settings are often weak or non-existent and thus data that record the extent of the increased risk of occupational TB globally are scarce. HCWs represent a limited resource in high TB burden settings and occupational TB can lead to workforce attrition. Stigma plays a role in delayed diagnosis, poor treatment outcomes and impaired well-being in HCWs who develop TB. Ensuring the prioritization and implementation of TB-IC interventions and occupational health programmes, which include robust monitoring and evaluation, is critical to reduce nosocomial TB transmission to patients and HCWs. The provision of preventive therapy for HCWs with latent TB infection (LTBI) can also prevent progression to active TB. Unlike other patient groups, HCWs are in a unique position to serve as agents of change to raise awareness, advocate for necessary resource allocation and implement TB-IC interventions, with appropriate support from dedicated TB-IC officers at the facility and national TB programme level. Students and community health workers (CHWs) must be engaged and involved in these efforts. Nosocomial TB transmission is an urgent public health problem and adopting rights-based approaches can be helpful. However, these efforts cannot succeed without increased political will, supportive legal frameworks and financial investments to support HCWs in efforts to decrease TB transmission.
Matched MeSH terms: Occupational Health Services/organization & administration
The agriculture sector is a traditional economic pillar of many emerging economies. However, it is facing greater occupational health and safety (OHS) challenges in Pakistan, and its performance is continuously decreasing. An effective OHS implementation provides better control over OHS challenges and may help to restore its former glory. Therefore, this study aims to explore different organizational decision-making styles and safety accountability to put OHS into practice in this sector. Based on institutional theory, a theoretical framework was developed. Two hundred and eighty-seven agriculture farms in Punjab, Pakistan were surveyed and analyzed using SmartPLS 3.3.7. The findings revealed that implementation styles (rational and incremental) and safety accountability positively impact OHS implementation. Similarly, the moderating role of mimetic motives was found positively significant in the relationship between rational style and OHS implementation, and negatively significant in the relationship between incremental style and OHS implementation. While no moderating effect of mimetic motive was found between safety accountability and OHS implementation. This study suggested that OHS implementation should not be viewed as a social or technical issue alone. Strategic arrangements should be made at the organizational level to gain better control over OHS challenges by considering the institutional environment in which the organization operates.
The occupational safety and health of workers are aimed to protect employees.. Safety at workplace is a crucial aspect in a company’s organization. Safety in workplace is important in guaranteeing the worker’s wellbeing. The Malaysia Government has taken the required steps by introducing the Occupational Safety and Health Act 1994 on 25th of February 1994. The responsibilities in enforcing Occupational Safety and Health Act is given to the Occupational Safety and Health Department (OSHD) which is under the Ministry of Human Resource.
Background: Sewage workers have a higher risk of exposure to various potential occupational respiratory hazards found in sewage plants. Although previous studies discuss occupational respiratory hazard concentration impacting sewage workers' respiratory health, the results are scarce and mixed. Hence, there is a need to identify the potential respiratory hazards in sewage plants so as to clarify the short- and long-term respiratory health effects. Therefore, this systematic review (SR) aims to critically review previous studies investigating potential respiratory hazards found at sewage plants and their effects on sewage workers' respiratory health. Methods: An SR was conducted using PubMed, EBSCO Medline, Web of Science, Scopus, and Google Scholar on peer-reviewed studies published between January 1994 and October 2020 evaluating the impact of potential exposure to respiratory hazards and its effects on respiratory health among sewage workers. "Sewage treatment plant," "respiratory hazards," and "respiratory health effects" were the three main search terms chosen in this SR. The inclusion criteria were (1) studies on potential occupational respiratory hazard exposure among sewage workers, (2) manuscripts written in English, and (3) studies published in the peer-reviewed literature. The human observational studies' quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool. Results: We identified 5,660 articles through an initial database search. Only 26 items met the inclusion criteria and were included in this review; 15 human observational studies and 11 environmental assessment studies were conducted in the sewage industries. Most of the human observational studies were rated as moderate quality, two studies were rated as weak quality, and one study with strong quality was identified. Hydrogen sulfide, bioaerosols, particulate matter 2.5 (PM 2.5), and volatile organic compounds (VOC) were found to be potential respiratory hazards. Most of the risks contributed to adverse outcomes on the sewage workers' respiratory health with some inconsistent findings on the relationship between respiratory hazard exposure and respiratory health effects. Conclusion: Our review finds that, although this area is of great importance, quality studies are still lacking. There is a need for additional studies to clarify the effects of respiratory hazard exposure on sewage workers and respiratory health, especially PM 2.5 and VOC.
Occupational diseases are one of the major health problems related to workplace hazards.
However, the epidemiological data for this problem is scarce especially among Small and
Medium Industry (SMI) workers. These workers are vulnerable to occupational health problem
due to lack of knowledge and implementation of health and safety in the workplace. In Malaysia,
most of the SMI workers have limited coverage for basic occupational health services which
may worsen their health. Thus, this article aims to provide a review on the burden of
occupational health problems among them. The electronic and library searches were used to
extract the information from both published and unpublished articles that were not limited to any
year of publication until 2017. One hundred and ninety-six published articles and 198
unpublished articles were retrieved from the database. Only 19 published articles and 25
unpublished articles met the eligibility criteria. Prevalence data of occupational
diseases/poisoning, including overall and body specific (musculoskeletal disorders) was
extracted in raw data from the eligible studies. Prevalent statistics on occupational
musculoskeletal diseases (1.3% - 97.6%), noise-induced hearing loss (29.4% - 73.3%),
occupational skin diseases (10.5% - 84.3%), respiratory (1.9% - 92.2%) and occupational
poisoning (14.9% - 17.7%) among the working population is different within published papers
compared to unpublished ones. In Malaysia, there are no specific statistic that give a true picture
of the burden of occupational diseases in the SMI. However, this review concludes that
musculoskeletal diseases are significant occupational problems among SMI workers.
Matched MeSH terms: Occupational Health Services; Occupational Health
Occupational safety and health (OSH) in Small and Medium Enterprises (SMEs) have not received the proper
attention not only in Malaysia, but also in most countries all over the world, in terms of research or support for
implementation. In Malaysia, many agencies such as the Department of Occupational Safety and Health (DOSH),
Social Safety Organization (SOCSO), National Institute of Occupational Safety and Health (NIOSH) and many more
agencies related to OSH have been in collaborations to conduct and promote a safety working environment and to
protect human rights economically, morally and legally. This research mainly focuses on the implementation of the
occupational safety and health in small and medium industries in the southern region of peninsular of Malaysia. This
exploratory study will be based on conducting a survey to 500 SMEs owners and workers throughout the southern
region of Malaysia to get the in-depth knowledge on how the implementation of safety and health management system
in the SMEs will affect them both morally and economically. A site visit will also be conducted in order to enhance
and to get to know the real situation happening in the real working environment. The results of this study will be used
to make and initial evaluation of the implementations of OSH management system in SMEs and hopefully will help
for future interventions and researches.
Occupational safety and health (OSH) in Small and Medium Enterprises (SMEs) have not received the proper
attention not only in Malaysia, but in most of the countries globally, in terms of research or support for implementation.
This research focuses on the implementation of the occupational safety and health in small and medium industries in
the southern region of peninsular of Malaysia. The objective of this research is to determine the level of awareness of
SME owners and also their employers towards the importance of implementing OSH in their daily tasks. This study
will be based on conducting a survey to 200 SMEs owners and workers throughout the southern region of Malaysia.
The results from this research can be use as a benchmark for other researchers to further enhance the research in this
area.
Lifestyle modification is effective in the prevention of cardiovascular diseases. This study aimed to promote healthy lifestyle behaviours to prevent cardiovascular disease. This study was a quasi-experimental trial with a follow up of two years. The intervention group (n = 102) received intensive individual and group counselling on diet and physical activity. The comparison group (n = 84) was given minimal education through mail and group counselling. Following the intervention, both groups reduced their total fat intake through a replacement in carbohydrate intake. The saturated fat and cholesterol intake was also reduced with a larger magnitude in the intervention group. Fruits and vegetables consumption was increased within the intervention group. The intervention group showed a statistically significant reduction in their mean total cholesterol levels with an intervention effect of -0.38 (95% C.I. = -0.63, -0.14) mmol/l. This study has achieved moderate improvement in dietary intakes as well as the total cholesterol of the participants.
Matched MeSH terms: Occupational Health Services/methods*
The worksite is one of the key channels for the delivery of interventions to reduce chronic diseases among adult populations. It provides easy and regular access to a relatively stable population and it encourages sustained peer support. This paper reports a 2-year follow-up of the impact of a worksite health promotion programme on serum cholesterol and dietary changes among employees in a city in Malaysia. A quasi-experimental study was conducted among Malay-Muslim male security guards, with those working in a public university in Kuala Lumpur comprising the intervention group, and those working in the teaching hospital of the same university as the comparison group. They were comparable in socio-demographic characteristics. The intervention group received intensive individual and group counselling on diet, physical activity and quitting smoking. The comparison group was given minimal education on the same lifestyle changes through mail and group counselling. The intervention group showed a statistically significant reduction in their mean total cholesterol levels as compared with the comparison group, with an intervention effect of -0.38 (95% CI = -0.63, -0.14) mmol/l. The intervention group also reported a reduction in the amount of cigarettes smoked. The worksite was shown to be an effective channel for health promotion. The adoption of the new lifestyle behaviours should be supported and sustained through modification of work policies.
Construction industry is one of the major contributors towards Malaysian economy and socio-economy. It is an important
industry gearing Malaysia towards developed nation status. However, fatalities in this industry are a crucial problem. Number of
fatalities in this industry is the highest compare to other industries registered in Malaysia. The contributing factors can be separated
into immediate (human and worksite elements) and underlying (management and external). Occupational safety and health (OSH)
management is a challenge in the construction industry due to its hazardous nature. A framework of construction OSH management
consisting of policy, process, personnel and incentive elements were tested. 13 respondents from 13 residential projects comprising of
high-rise and low-rise in Pulau Pinang were interviewed. It was found that the immediate factors are being more recognized by the
respondents compare to the underlying factors. Human element is perceived as the most significant contributor, while the external
element is the least significant. In terms of construction OSH management, process and personnel elements are the most significant in
developing an effective OSH management programme.
Work-related activities during non-work time may influence the intershift recovery of post-work fatigue. Currently there is no valid and reliable scale available to measure the frequency for such activities among doctors. Therefore, this study aims to develop and validate 'Work-Related Activities during Non-Work Time Scale' (WANTS) that measure the frequency of work-related activities during non-work time for doctors. This was a scale development and validation study among doctors involving item generation, content and construct validation, and reliability assessment. 23-item seven-point Likert-type scale was developed through deductive (literature search) and inductive (interview with source population, authors' experiences, and expert opinion) methods. The content-validated scale was pre-tested, and the improved scale was subsequently administered to randomly-selected 460 doctors working at public hospital setting. Response rate was 77.76% (n = 382). Initial exploratory factor analysis (EFA) with principal axis factoring (PAF) using varimax rotation revealed unstable six-factor structure consisting of 17 variables; thus, we tested one- to six-factor model, and found that four-factor model is the most stable. Further analysis with principal component analysis (PCA) with a single component on each factor found that 17-variables four-factor model is stable. These factors were labelled as 'work-related thought', 'work-to-home conversation', 'task spillover' and 'superior-subordinate communication'. It showed good internal consistency with overall alpha value of 0.837. The scale is thus valid and reliable for measuring the frequency of each construct of work-related activities during non-work time among doctors.
Occupational health is considered as a crucial element in almost every Small
and Medium Industries (SMIs) and it is believed to be one of vital challenges
that can influence productivity and competitiveness. It has been known that
the metal stamping industry involved a lot of materials handling tasks such as
carrying stamped parts from machine to packaging section, transferring moulds
from tools store to machines, sorting the finished products and others.
Appropriate materials handling equipments are not often provided in SMIs
because of the limitation of capital and lack of ergonomics awareness. The
workers have to handle the materials and goods manually. These practices
may lead to occupational injuries particularly back pain and musculoskeletal
injuries. The objectives of the research are to assess and analyze the muscles
activity of workers in metal stamping industry. Three male workers who
performed metal stamping process using manual technique were participated
in the research. Ergonomic assessment associated with Surface
Electromyography (SEMG) was used to capture and interpret the data related
to muscles activity at before and after the ergonomic intervention. For the
purpose of muscle activity assessment, SEMG electrodes were attached to eight
critical muscles: deltoid muscle-medial part (left), deltoid muscle-medial part
(right), trapezius muscle (left), trapezius muscle (right), erector spinae muscle
(left), erector spinae muscle (right), gastrocnemius muscle (left) and
The growing concern over the workers safety and health has lead many factories and organizations do the air monitoring to ensure the airborne at their workplace is safe for the worker’s health and complying the Occupational Safety and Health Act 1994 (Act 514). In this study, the monitoring covers an indoor air quality and chemical exposure to the workers in one of the power plant repair shop. A few workers from different sections namely blasting, welding, grinding, fitting and maintenance area were chosen to assist in the personal monitoring for 8 hours measurement. PM10 were measured at a few sampling points to collect dusts for 24 hours duration. The samples were brought back to the laboratory for gravimetric and SEM-EDAX analysis. The results were certainly exceed the limit for air quality, and many elements were detected such as Fe, Ni, Al, Si, Ca, K, Ba, S, Cr, Zn and Cl. The present of these elements shows that exposure to these particulate matters is quite risky and some measure needs to be taken for remedial action.