Environmental Health Professionals Research Articles

The prevalence of hospital acquired infection and associated factors among patients admitted at Wolaita Sodo University Comprehensive Specialized Hospital, in Ethiopia

Hospital-acquired infection is an infection acquired a major global concern of well-being, affecting the quality of care in the healthcare setting. Routine surveillance of infection is an important part of infection prevention and quality assurance in hospitals. to determine the prevalence and associated factors of hospital-acquired infection among inpatients, in Wolaita Sodo University Comprehensive Specialized Hospital.Across-sectional study was conducted among inpatients in Wolaita Sodo University Comprehensive Specialized Hospital. All eligible inpatients admitted at least more three days of the survey were included. The study was conducted from April 1 to July 30/2023. Environmental health professionals and nurses collected the data according to the Centers for Disease Control through observational assessments documented by physicians. Univariate and multivariable logistic regression analyses were used to determine the prevalence of hospital-acquired infections and the associations between independent and dependent variables. A total of 413 patients were included in this study, the median age of the participants was 26 years. A total of 352 (85.2%) patients were diagnosed with non-fatal disease during the survey. 49 patients had hospital-acquired infections developed, with a mean prevalence of 11.9 %. Coagulate-negative staphylococcus 27.27%), and E. coli (27.27) were the most frequently reported hospital-acquired infection-causing pathogens from the result of the study. The factors of patient admission diagnosis, length of hospital stay (more than five days of hospital stay), and absence of running tap water in the patient’s room with the occurrence of hospital-acquired infection were statistically significant.Surgical site infections and bloodstream infections were the most common types of hospital-acquired infections. Then, Hospital management and healthcare workers should give more attention to the practice of infection prevention to achieve a reduced prevalence of hospital-acquired infections in the study setting.

From theory to practice: Analyzing factors that foster the successful implementation of the one health approach for enhancing health security in Cameroon

BackgroundMultisectoral collaboration is crucial in effectively managing public health emergencies. The One Health approach, which emphasizes the interconnectedness of human, animal, and environmental health, has gained recognition as an effective strategy. This study analysis the factors influencing the implementation of the One Health approach in Cameroon and examines its effects on public health emergency management. MethodA survey was conducted among 44 stakeholders from key sectors involved in implementing the “One Health approach” in Cameroon. Data were collected with a structured questionnaire using a self-administered approach. Statistical analysis using the Ki Square test was conducted to identify associations between variables. ResultsThe findings revealed that stakeholders in Cameroon lacked prior training on the One Health approach, primarily due to its absence in their academic programs. However, ad hoc trainings during public health emergencies were effective in involving various sectors. Limited communication and collaboration between different sectors, often operating in silos, posed significant challenges. Stakeholders with previous collaborative experiences and existing relationships demonstrated a greater propensity for multisectoral collaboration. The involvement of environmental health professionals in collaboration activities was limited, highlighting the need for improved engagement. Strong leadership, supported by coordination structures and platforms, played a critical role in facilitating collaboration during public health emergencies. Communication channels, such as regular multisectoral meetings, were essential in fostering relationships and trust among stakeholders. However, financial constraints hindered cross-sector cooperation. ConclusionTo enhance multisectoral collaboration in public health emergency management, there is a need to prioritize training on the One Health approach and promote cross-sector communication and collaboration. Strengthening coordination structures and platforms, improving resource allocation, and fostering a culture of accountability and trust are crucial for effective implementation. This study provides insights into the challenges and opportunities in implementing the One Health approach in Cameroon and offers valuable lessons for other countries seeking to enhance their multisectoral response to public health emergencies.

Using EpiCore to Enable Rapid Verification of Potential Health Threats: Illustrated Use Cases and Summary Statistics.

The proliferation of digital disease-detection systems has led to an increase in earlier warning signals, which subsequently have resulted in swifter responses to emerging threats. Such highly sensitive systems can also produce weak signals needing additional information for action. The delays in the response to a genuine health threat are often due to the time it takes to verify a health event. It was the delay in outbreak verification that was the main impetus for creating EpiCore. This paper describes the potential of crowdsourcing information through EpiCore, a network of voluntary human, animal, and environmental health professionals supporting the verification of early warning signals of potential outbreaks and informing risk assessments by monitoring ongoing threats. This paper uses summary statistics to assess whether EpiCore is meeting its goal to accelerate the time to verification of identified potential health events for epidemic and pandemic intelligence purposes from around the world. Data from the EpiCore platform from January 2018 to December 2022 were analyzed to capture request for information response rates and verification rates. Illustrated use cases are provided to describe how EpiCore members provide information to facilitate the verification of early warning signals of potential outbreaks and for the monitoring and risk assessment of ongoing threats through EpiCore and its utilities. Since its launch in 2016, EpiCore network membership grew to over 3300 individuals during the first 2 years, consisting of professionals in human, animal, and environmental health, spanning 161 countries. The overall EpiCore response rate to requests for information increased by year between 2018 and 2022 from 65.4% to 68.8% with an initial response typically received within 24 hours (in 2022, 94% of responded requests received a first contribution within 24 h). Five illustrated use cases highlight the various uses of EpiCore. As the global demand for data to facilitate disease prevention and control continues to grow, it will be crucial for traditional and nontraditional methods of disease surveillance to work together to ensure health threats are captured earlier. EpiCore is an innovative approach that can support health authorities in decision-making when used complementarily with official early detection and verification systems. EpiCore can shorten the time to verification by confirming early detection signals, informing risk-assessment activities, and monitoring ongoing events.

Prevalence and Associated Factors of Work-Related Injury Among Municipal Solid Waste Collectors in Hawassa City, Southern Ethiopia: A Cross-Sectional Study.

Municipal solid waste collectors are at risk of experiencing work-related health problems due to the waste they handle and the physical effort they put in. Work-related injuries among domestic waste collectors have been the subject of scant research in developing nations. Therefore, it is necessary to describe work-related injuries in these subpopulation groups. This study aimed to determine the prevalence and associated factors of work-related injury among municipal solid waste collectors in Hawassa city, Southern Ethiopia. A cross-sectional study was conducted from January 11 to 30, 2022, with all the registered municipal solid waste collectors (411). Three diploma environmental health professionals assisted in collecting data using a pretested structured interviewer-administered questionnaire; 1 Bachelor of Science environmental health professional served as a supervisor. Statistical Package for the Social Sciences (SPSS) version 20.0 was used to enter, clean, code, and analyze the data. Associations between independent and dependent variables were assessed, and the strength of the associations was presented by using Adjusted Odds Ratio (AOR) and 95% confidence intervals (CI). According to the bivariable analysis, all independent variables associated with a P-value <.25 were entered into a multivariable logistic regression model. Variables in the multivariable regression analysis were considered significant if their P-value was less than 0.05. In this study, the prevalence of work-related injuries within the last 30 days was 12.9% (95% CI: 9.5, 16.3), while the prevalence over the last 12 months was 59.4% (95% CI: 54.7, 64.0). After adjusting for possible confounding factors, age 18 to 24 years [AOR = 1.72;95% CI: (1.07, 2.76)], lack of personal protective equipment (PPE) utilization [AOR = 2.30; 95% CI: (1.44, 3.68)], chewing khat (yes) [AOR = 2.32;95% CI: (1.32, 4.08)], drinking alcohol (yes) [AOR = 1.80; 95% CI: (1.003, 3.24)] and job dissatisfaction [AOR = 2.26, 95% CI: (1.44, 3.54)] were shown to be significantly associated with work-related injury. The prevalence of work-related injuries was high. Age 18 to 24 years, chewing khat, drinking alcohol, lack of PPE utilization, and job dissatisfaction were significantly associated with work-related injury. Based on the findings of this study, we suggest that addressing these risk factors could help to reduce work-related injuries.

Development and piloting of One Health curriculum in Jordan.

In Jordan, several steps have been done to implement One Health (OH) approach. To increase the awareness for OH concept and approach among health professionals, there was an apparent need to develop an OH curriculum or package to orientate human, animal, and environmental health officials and professionals. The aim of this study was to describe the development and piloting of a OH curriculum for human, animal, and environmental officials and professionals in Jordan. OH curriculum was developed and consisted of four chapters/sections, each of which contained series of power point presentations that covered subject thoroughly and met the learning objectives for each section. Four day workshops on OH curriculum were done for four cohorts of participants from different OH partners. Each section started and ended with a quick knowledge assessment consisting of multiple choice questions (MCQs) (pre- and post-chapter). Comparison of the pre- and post-chapter knowledge assessment scores/results were used to assess gain of knowledge after each section of OH curriculum was completed. The scores of correct answers were compared within the different cohorts using Pearson's chi-square test with p-values ≤0.05 considered significant. Of the total attendance, pre- and post- training quizzes were scored for 102 participants (816 quizzes). Pre-training scores for the different cohorts ranged from 29% to 36%, while post-training scores for the different cohorts ranged from 80% to 87%. Post-training correct answers scores were significantly higher than those were for pre-training scores for the different cohorts (p < 0.05). Percentage of knowledge gain ranged from 41% to 62% for the first section, 34% to 47% for the second section, 41% to 55% for the second section, and 48% to 60% for the fourth section. Average percentage of knowledge gain for the first, second, third, and fourth cohorts were 51%, 53%, 47%, and 47%, respectively, and was 50% for all cohorts. The developed OH curriculum improved different OH partners and officials understanding of the OH concept and approach.

“One Health Approach” Towards Effective Health Services Delivery in Sixty Years of Independent Tanzania

The year 2021 marked sixty years of Tanzania’s independence. Tanzania passed through different phases of development and attempted innumerable interventions, including a series of "development alternatives" to fight poverty, hunger, and infectious diseases. These efforts towards effective health services provision treated humans, animals, and environmental health separately. Due to the increase in human, livestock, wildlife, and environment interactions, the efforts did not result in the anticipated health outcomes. This prompted the government to search for an alternative approach. Cognizant of this, the government introduced the "One Health Approach (OHA)", which recognizes health as one, without a dividing line between humans, animals, and environmental health. This paper, therefore, analyzes (i) the debates for advancing effective health services delivery sixty years after independence; (ii) an emerging approach for interdisciplinary collaboration for human, animal, and environmental health, which is considered to have the potential for effective delivery of health services; and, (iii) the relevance of the OHA towards minimizing the undesirable impacts of human, livestock, and wildlife interactions on health. A documentary analysis (documentary research method) was employed to gather the information for the study. OHA is at its infancy stage, though this initiative signifies an essential landmark towards dealing with health-related challenges reflected at the convergence of humans, animals, and the environment. The milestone is outstanding as it leads to building fundamental capacities concerning public health, particularly regarding preparedness and response as per International Health Regulations. The OHA underscores the need for collaborative working efforts involving human, livestock, wildlife, and environmental health professionals for optimal human, animal, and environmental health attainment. There is a need to upscale the OHA and further understand the consequences of the interactions for optimum human, animal, and environmental health. Therefore, it conveys the idea that it is necessary to expand and enhance the OHA and the importance of comprehending the implications of the interactions for the well-being of humans, animals, and the environment.

Toward Language Justice in Environmental Health Sciences in the United States: A Case for Spanish as a Language of Science.

Increasingly, marginalized communities are disproportionately facing the worsening effects of environmental hazards, including air pollution, water pollution, and climate change. Language isolation and accessibility has been understudied as a determinant of health. Spanish, despite being the second-most common language in the United States with some 41.8 million speakers, has been neglected among environmental health scientists. Building capacity in high-quality Spanish-language science communication, both for scientific and nonscientific audiences, can yield improvements in health disparities research, public health literacy, international collaborations, and diversity and inclusion efforts. In this article, we discuss the context of language diversity in environmental health sciences and offer recommendations for improving science communication in Spanish. English is currently the predominant language for scientific discourse, but Spanish and other non-English languages are routinely used by many environmental health science students and professionals, as well as much of the public. To more effectively conduct and communicate environmental health work in Spanish, we suggest that researchers and scientific institutions a) foster structural changes, b) train emerging scholars and support established researchers, c) tap into community ways of knowing, and d) leverage emerging technologies. https://doi.org/10.1289/EHP12306.

Perceptions among environmental health and safety professionals on effectiveness of integrating safety and environmental management systems with lean

Perceptions among environmental health and safety professionals on effectiveness of integrating safety and environmental management systems with lean

Value of Environmental Health During the COVID-19 Pandemic: A Story From Indian Country.

The coronavirus disease 2019 (COVID-19) pandemic challenged not only the health-care industry, but also the public health infrastructure in new and wide-ranging ways. Environmental health (EH) professionals have proven to be an essential component of the interdisciplinary public health solution required to prevent, respond, and recover from the COVID-19 pandemic. The Indian Health Service's Division of Environmental Health Services is a community-based program offering a broad scope of environmental health services and technical assistance. Significant COVID-19 workload activities were recorded from March 2020 through March 2021. A total of 62.7% of the Division's federal staff completed a 24-question survey in February/March 2021. Primary roles relating to community-based EH, institutional EH, and incident command system support/teams became apparent. Results indicated Division of Environmental Health Services staff provided critical leadership and used their established, trusted, interdisciplinary partnerships to help ensure critical resources and services were available in Indian Country.

Why are Silica Dust Exposures and Silica-Related Health Effects Still a Global Concern?

Background and aim Epidemiology studies of workers exposed to silica dust demonstrate that crystalline SiO2 is a multipotential hazard. Research among construction workers, miners, ceramic and brick workers, countertops workers, and sandblasters where respirable silica dust levels has been measured has demonstrated excess risk for silicosis, cor pulmopale, silica-tuberculosis (SiTB), several chronic respiratory conditions, coal workers pneumoconiosis (CWP), several auto-immune diseases, and cancers of the lung and gastro-intestinal tract. Methods Despite knowledge of these links over the past decades, occupational and environmental health professionals have not been able to address three new silica-related health issues. They are silicosis and CWP among US coal miners, severe silicosis and auto-immune ailments among countertop workers; and ongoing risk for SiTB among Africa miners. The author examined the literature for other novel silica-related health risks. Results Current workers and their managers seem to not have sufficient awareness of the occupational hazards of silica dust. There are new silica dust concerns including fracking sand, railroad ballast, and dust control in countertop machining. There are new cancer links with silica, including women and nonsmokers with excess lung cancer; excess lung cancer among patients with CWP; children’s dust exposure in small-scale gold mining; and excess lung diseases and pulmonary cancer among railroad workers. There is need for research on improved silica sampling techniques and protective gear. Pathologists should explore whether silicosis leads to differences in cell characteristics that produce silica-linked lung cancers compared to ‘garden variety’ malignancies. Conclusion Despite promises that global silica problems were controlled, that seems to be countered by excesses of CWP and SiTB that still bedevil the occupational medicine and public health communities. We need more worker education, prevention or regulatory policy, and basic silica biology and pathology to effectively intervene. Keywords Silica health effects, future prevention efforts; improved sampling methods

Proceedings of the MAAP-PAS-ANSO Hybrid Workshop on "Ecosystem Restoration: One-Health and Pandemics"

Humanity is currently dealing with a number of interlinked existential crises. Ecological degradation, climate change, and biodiversity loss have disastrous consequences for human health and well-being. Furthermore, the emergence and transmission of zoonotic diseases like COVID-19 are linked to ecosystem health. For example, zoonotic infections account for ~75% of new infectious diseases, and they are mainly caused by unsustainable resource usage, animal factory farming, and other large-scale anthropogenic influences. As these pandemics show, environmental destruction can play an important role in a worldwide public-health crisis. It is commonly agreed that COVID-19 will not be the last pandemic. We need holistic approaches like One Health (an area of research that recognizes human, animal, and ecological health as interconnected). One health seeks to increase communication and collaboration between humans, animals, and environmental health professionals to prevent the spread of diseases. To shed light on this important topic, “Ecosystem Restoration: One-Health and Pandemics; hybrid workshop” was organized by the Pakistan Academy of Sciences (PAS) and Monbukagakhusho-MEXT Alumni Association of Pakistan (MAAP); and sponsored by the Pakistan Academy of Sciences (PAS) and Alliance of International Science Organization (ANSO) on June 5, 2022. More than 150 participants attended the hybrid workshop.

Moving from a reactive to a proactive society: recognizing the role of environmental public health professionals

The COVID-19 pandemic has highlighted how society is naturally reactive to issues that could have been prevented or minimized in hindsight. Environmental public health professionals (EPHPs) take a proactive approach to health and safety to prevent the occurrence of adverse events that can negatively impact the health of individuals. The Canadian healthcare system largely invests in hospitals and acute care compared to public health. EPHPs have been actively mobilized to assist with the pandemic response and have demonstrated their versatility in skillset—EPHPs have performed a variety of activities, such as enforcement action, education, and contact tracing. Despite EPHPs proving to be a valuable resource during the pandemic, there remains a sense of under-recognition and underappreciation for the work being done. Indeed, the nature of public health work relies on efforts occurring behind-the-scenes—trends over time will reveal the outcomes of health initiatives. Although it is challenging to obtain timely health evidence to justify investment into public health, a continued passive approach to prevention will be harmful to society. Greater acknowledgement and investment of resources into the health protection field can help establish a proactive attitude to thereby lessen the economic and health burdens our communities may face in the future.

A priority list of environmental health issues for Malaysia.

Environmental risk factors contribute to 24% of the global burden of disease from all causes in disability-adjusted life years (DALYs), and to 23% of all global deaths. Malaysia being an advanced developing country, there is a need to prioritise environmental health issues to enable environmental health practitioners to focus on the most significant and urgent environmental health concerns. This project was undertaken by a Thematic Working Group on Environmental Health Experts (TWG 10) under the Malaysian National Environmental Health Action Plan. Sixteen pre-selected environmental health issues were presented to a two focus group discussions among 20 environmental health and related professionals who then scored each issue on its magnitude and severity scale. The total of these scores generated a list of priority environmental health issues for Malaysia. Children environmental health came out as the environmental health issue of the highest priority. We hope that this list of priority environmental health issues will be used for prioritising academic and professional manpower training, research funding allocation and planning for intervention programmes by various stakeholders.

Food Safety Status on Poultry Meat and Egg in Afghanistan

Foodborne illness is one of the most widespread health problems in the world. In addition, the food safety of poultry products remains a severe problem in many countries around the world. Like in many other countries, the government handles the development of food safety standards in Afghanistan. The poultry industry in Afghanistan has been under dynamic and progressive development. Despite the advances in the poultry industry in Afghanistan, the issues of foodborne pathogens, drug and chemical residues remain. Meat inspection at poultry processing plants has been successful but has certain limitations. More importantly, drugs, pesticides, mycotoxins and other chemical residues must be monitored in poultry meat and eggs. This work must be carried out in close collaboration with human and environmental health professionals, analysts, epidemiologists, food producers, processors and traders. Poultry veterinarians and the Afghanistan Veterinary Organization, International Veterinary Organization (IVO) should play a decision-making role in developing the poultry industry. Poultry veterinarians and IVO have a dual responsibility; epidemiological surveillance of poultry diseases and ensuring the safety of meat and eggs. Through their presence on farms and appropriate collaboration with farmers, poultry veterinarians play a crucial role in ensuring that birds are kept under hygienic conditions, especially conditions with public health significance. Slaughterhouse inspection of live birds (ante mortem) and the carcass (post-mortem) plays a key role in the surveillance network for poultry diseases and zoonosis and ensures the safety of poultry meat.

Perceptions among environmental health and safety professionals on effectiveness of integrating safety and environmental management systems with Lean

Perceptions among environmental health and safety professionals on effectiveness of integrating safety and environmental management systems with Lean

Racism and harassment towards frontline workers: experiences of environmental public health professionals during the COVID-19 pandemic response

The COVID-19 pandemic has highlighted several challenges for Environmental Public Health Professionals (EPHPs). This study aims to understand the experiences of EPHPs during the pandemic to improve future crises and incidents that may arise. A mixed-methods, cross-sectional online survey was conducted in June 2021. Frequency tabulations were used to analyze close-ended survey responses, and both a conventional content analysis and thematic analysis were conducted on open-ended responses. A total of 80 eligible survey responses were received. Most respondents were located in Ontario (53.8%). Study results revealed that EPHPs have faced incidents of harassment, frustration from the public, and a lack of support from management. These matters ultimately challenged the well-being of EPHPs, placing them at increased risk of burnout, stress, and fear. Thus, it is crucial that support for mental health and reporting systems is improved for the future to ensure that EPHPs are able to meet the demands of their work. Further studies should be conducted to examine the lived experiences of EPHPs and barriers faced in more detail, including possible strategies to improve their working environments and well-being.

Defining Environmental Health Literacy.

“Environmental Health Literacy” (EHL) is embraced as important for improving public health by preventing disability and disease from our environment. This study aimed to determine knowledge and skill items identified by Environmental Health (EH) professionals as being associated with EHL and to understand how these items rank by importance. Such a coordinated effort to tease out skills and knowledge needed for EHL had not previously been made. We utilized a mixed-methods approach of semi-structured interviews of 24 EH professionals and a quantitative survey with 275 EH professionals across the United States. Interviews identified 37 skill and 69 knowledge items, which were used to create the survey questions. Survey results indicate 32 knowledge items and six skill items considered essential by >50% of respondents where consensus was reached between professional groups (chi square test: p > 0.05). We further identified six knowledge items, which >70% of EH professionals agreed were essential for EHL. The identification of these knowledge and skill items sets the stage for further research that includes exploring agreement with more diverse stakeholders, developing comprehensive measures of EHL and evaluation of methods and materials designed to improve EHL.

Joining Forces With Environmental Health Professionals.

Joining Forces With Environmental Health Professionals.

One health in India: Time to act together

The emerging public health issues of 21st century have clearly warned us that the efficient tackling of these threats need to be done in collaborative manner between relevant public health professionals under the umbrella of One Health. The concept of One Health is longstanding; however, it is gaining due momentum across the globe, especially in context of tackling emerging zoonoses. India remains vulnerable to many of emerging health threats due to demographic, socio-economic and other factors related with globalization, climate change and related biodiversity losses. In India, the various public health agencies which includes human, animal and environmental health professionals have contributed joint efforts in recent past to confront the One Health related issues. However, the bridging of professional silos to act more synergistically need further sustained efforts from all the stakeholders, including policy makers.

Climate and health concerns of Montana\u2019s public and environmental health professionals: a cross-sectional study

BackgroundRural health professionals stand at the forefront of community response to climate change, but few studies have assessed their perceptions of the threat. Further, no previous study has compared the opinions of environmental to public health professionals or extensively analyzed the factors related to these experts’ climate beliefs, risk perceptions, and issue prioritization.MethodsIn conjunction with the Montana Climate Assessment’s 2021 Special Report on Climate Change and Human Health, the 479 members of the Montana Public Health Association and Montana Environmental Health Association were surveyed during September–October 2019, with 39% completing the survey. We summarized descriptive data about their perceptions of local climate-related changes and their beliefs that global warming is happening, is mostly human-caused, is a risk to human health, and that their offices and others should take action. We also evaluated which sociodemographic and risk perception factors related to these climate beliefs, risk perceptions, and workplace issue prioritization.ResultsHealth professionals in Montana, a politically conservative state, demonstrated high levels of awareness that global warming is happening, human-caused, and a threat to human health, well above reported rates of public concern. Eighty-eight percent said that global warming is occurring and 69% that it is mostly anthropogenic. Sixty-nine percent said that their own health was already affected by climate, and 86% said they were already seeing at least one climate change-related event in their communities. Seventy-two percent said that their departments should be preparing to deal with climate change’s health effects, but just 30% said that it is currently happening. We found no statistically significant differences between Montana environmental health and public health professionals in regression models predicting climate beliefs, risk perception, and prioritization. As in studies of the public, political ideology and the observation of local climate-related changes were the strongest factors.ConclusionsMontana environmental and public health officials said that departmental action was needed on climate change, indicating the readiness of rural health professionals to take action. Further studies of health professionals in rural regions are warranted.