Occupationally induced heat-related illnesses (HRI) can play a huge part in the lives of employees working within outdoor kitchens. According to the National Institute for Occupational Safety and Health [NIOSH] (2016), “exposure to heat can result in injuries, disease, reduced productivity and death”. When working in outdoor environments, it is important to limit exposure time of direct sun or heat as well as to stay properly hydrated. One way to ensure limited occupational heat exposure is by measuring the Heat Index of the worker's environmental conditions. The purpose of this study is to determine whether there was a difference between the indoor and outdoor Heat Index measurements among various kitchens. Multiple locations within eight, freestanding, take-away service kitchens were sampled over a period of three days. A 3M QUESTemp 46 Heat Stress Monitor was used to sample the outdoor and indoor environmental conditions, specifically capturing the indoor Heat Index measurements. The outdoor Heat Index was reported with meteorological data from Weather Underground linked to the National Weather Service. Multiple statistical analyses were performed to understand and explore the relationships between or among the difference of indoor to outdoor Heat Index measurements, as well as kitchen production levels and forced air ventilation. The results showed that higher production kitchens had a significantly greater increase in Heat Index compared to low production and high production kitchens with forced air ventilation. Due to the small sample size of this study, it is recommended that future efforts to compare indoor and outdoor Heat Index measurements for kitchens include a larger sample size of both kitchens and locations.

Thesis (Ph. D.)--University of Oregon, 2001. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 234-242). Also available for download via the World Wide Web; free to University of Oregon users.

published_or_final_version / Community Medicine / Master / Master of Public Health

Dissertation submitted to the faculty of Health Sciences at the Durban University of Technology in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, 2007. / The objectives of this study were: To determine how the frequency of manual work contributes to low back pain in nurses in state versus private hospitals in the Durban area. To determine how the frequency of manual work contributes to low back pain in nurses in state versus private hospitals in the Durban area. Hospital nurses have a high prevalence of low back pain (LBP) (Smedley et al., 2003). It has been found that nursing personnel ranked fifth in occupations claiming worker compensation for low back injuries (Owen and Garg, 1994). A number of studies have also indicated a strong association between musculoskeletal disorders and work related factors (Maul, 2002). An epidemiological study by Smedley et al (1997) has suggested that repetitive lifting, frequent bending and twisting play a role in the development of LBP, and that heavy physical workload has played a major role in the development of LBP in nurses. LBP is therefore a serious problem in the nursing field with a relatively high prevalence worldwide. It causes increased absenteeism from work and could impact on patient care. This study was a survey, which was quantitative in nature. Data was collected by means of a questionnaire. The questionnaires were handed out in randomly selected hospitals in the Durban Metropolitan area. The names of all state and private hospitals in the Durban Metropolitan area were put into two boxes and three names were picked from each box. A letter requesting permission to carry out this research was sent out to each hospital and a positive response was received from one state hospital, R.K Khan Hospital and two private hospitals, Westville and Entabeni hospitals. Questionnaires were handed out to the nurses by the researcher, as requested by the hospitals, and collected at a later time by the researcher. Questionnaires were handed out at each ward in the hospitals to nurses who met the criteria for the study and agreed to participate in this study. Questionnaires were also handed out to nurses in the nurses lounge during lunch breaks. The questionnaire was developed as combination of; a pre-validated questionnaire made available by Yip (2001), questions on socio-demographic data, work history, patient handling activities and LBP. The compiled questionnaire was tested for face and construct validity through a focus group, and piloted before being used in the study. A total of 500 questionnaires were handed, 250 to state hospitals and 250 to private hospitals. Participants consisted of nurses (registered, enrolled and student) between the ages of 18 and 45 years, both male and female. Nurses from all hospital wards were allowed to participate in this study. A total of 124 questionnaires were received back, ( 50 from private hospitals and 74 from the state hospital), from the nurses in all the hospitals. Data was then collected from these questionnaires and was analysed using the statistical package SPSS version 13 (SPSS Inc. Chicago, Illinois, USA). A p value of <0.05 was considered as significant. The data collected from the questionnaires was analysed and the results obtained were as follows: The prevalence of work related LBP in this study was 59.7%. Of the 74 nurses with LBP, only 7 (9.5%) reported having LBP before working as a nurse. 35.1% of participants reported that they experienced pain on a daily basis while 62.2% described their LBP as moderate and 27% described their pain as severe. The median duration of LBP was 3.5hours per episode. Of all the participants in this study, 64,9% had needed bed rest due to their LBP with 43.2% having taken sick leave from work for LBP. Back pain in nurses has been found to be a major cause of days lost due to sickness (French et al., 1997). The majority of nurses (93.2%) reported lifting to be the cause of their LBP, standing and bending were also found to be important causes. Low Back injury was reported in 31.1% of participants with up to 51.4% receiving treatment for their injuries, the main choice of treatment was from a hospital or General practitioner. With regards to the frequency of manual work on LBP, there was found to be a slight tendency toward LBP with more frequent manual activity, however this was viii found to be non significant. In those respondents with LBP, the activity associated with the most intense LBP was carrying or lifting patients. Time spent; standing, holding up hands and bending were found to be higher in the group which reported LBP. Having 1-2 children was also associated with increased LBP. The prevalence of LBP was found to be higher in the state hospital (67.6%) than in the private hospitals (48%). The aim of this study was to determine the association between frequency and intensity of manual work on LBP in nurses. The results showed that frequently performed manual activities were associated with LBP but not significantly. In terms of intensity of manual work, carrying or lifting patients was found to be most associated with LBP, standing and bending were also significantly associated with LBP. This study also aimed to determine any difference in LBP between state and private hospitals and a significant difference in LBP prevalence was noted between state and private hospitals. The findings of this study suggest that LBP is a common problem among hospital nurses. The results of this study were also found to be within the same prevalence rates of international studies, which ranged from 35.9% in New Zealand to 66.8% in the Netherlands (Nelson et al., 2003). As was found in the literature (French et al., 1997 and Smedley et al., 1997), lifting was reported to be a major cause of LBP.

The three phased study aimed to develop policy guidelines for workplace health promotion based on an exploration of the current status of health promotion in South African workplaces. In the first phase of the study a case study approach was used to analyse the current situation of health promotion in the workplace. For this phase of the study the particular aim was to determine to what extent the participating workplaces were involved in health promotion, or were salutogenic in nature. A total of 6 organizations participated in the first phase of the study, with a total of 258 participants. The second phase aimed at developing policy guidelines for health promotion in the workplace. The consensus method, using the Delphi technique, was used in this phase, involving seven participants who were experts in the field of occupational health and health promotion. The third phase was an observation of the implementation of the policy guidelines. Implementation analysis, which is part of evaluation research, was the methodology used. Two organizations from phase one participated in the implementation phase. In summarising the findings on the current situation of employee health promotion programs the study showed that none of the participating organizations emerged as health promoting workplaces. Organizations that offered employee health promotion/wellness programs mainly focused on individual health and on HIV/AIDS and none of them was found to provide comprehensive holistic programs that aimed at providing healthy work environments. In phase 2 of the study it emerged that there was a very strong concurrence between the findings from the experts and literature in terms of what needs to be included in health promotion policy guidelines. The key elements for health promotion policy documents were (1) organizational philosophy (2) stakeholder involvement and (3) the description of programs to be included in the policy. During the policy implementation process it emerged that different strategies were used in the policy development process. This process was largely influenced by such factors as organizational size, type and internal structures. Recommendations include an emphasis on more legislative support for health promotion in the workplace, and for more concrete aids such as policy guidelines and educational preparation of occupational health professionals for this component of their role. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2007.

No description available.

The present study applied a combined behavioural and attitudinal approach in occupational safety in a Hong Kong-based metal house in Shenzhen, China in an attempt to modify the safety behaviours and attitudes of the workers by means of posted feedback plus goal-setting. To the best of the researcher's knowledge, this is the first study of this type to be attempted in a Chinese industrial setting. A total of 142 respondents from the four departments, namely Heavy Duty, Small Press, Hand Press and Drilling were involved in the survey with a multiple-based line design for an environment where random sampling was impossible. Meanwhile, the study also intended to explore the underlying factors that affected the safety attitudes of the respondents. These factors included influences from traditional culture and religions. A self-constructed observation checklist and a questionnaire adopted from the Health and Safety Executive Report No. 81 (HSE, 1996) on attitude investigation were the major research instruments. Percentaged analysis, ANOVA, T-Test and Fisher Exact Test set at 0.05 level were applied to determine the significance of differences in the workers' behaviours and attitudes before and after the intervention. From the results of the research, it was found that i) there were relationships between the workers' behaviours in occupational safety and posted-feedback plus goal-setting in the Heavy-duty Press, Small Press and Hand Press Departments; ii) there were relationships between the intervention and the workers' attitudes in terms of -'Supervisor Satisfaction' in the Heavy Duty and the Small Press Departments; -'Shop-floor Training' with the Heavy Duty Press and the Small Press Departments; -'Safety Meeting' with the Small Press Department; -' Safety Working Procedures' with the Heavy Duty Press and the Small Press Departments; iii) the results demonstrated that there were relationships between attitudes of the formally trained workers and those of their peer workers without formal training towards occupational safety in terms of -'Supervisor Satisfaction' with the Heavy Duty Press Department; -'Safety Meeting' with the Heavy Duty Press Department; -' Safety Working Procedures' with the Small Press department; iv) there were relationships between workers with self-reported accident rates and those without in terms of their safety attitudes towards -'Supervisor Knowledge' with the Heavy Duty Press Department; -'Shop-floor Satisfaction' with the Heavy Duty Press Department; -'Shop-floor Environment: Hardware' with the Small Press Department. Intervention was related to both the workers' attitudes and their behaviours in work safety in the Heavy-duty Press, the Small Press and the Hand Press departments. Throughout the investigation, no significant change was found with both the respondents' safety behaviours or attitudes in the Drilling Department during the periods when interventions were introduced to other departments. Concerning the controlling factors for the workers' attitudes towards work safety, cultural and religious factors could explain the workers' under-reporting of accidents and injuries. These findings implied that researchers needed to be aware of the tremendous local cultural and religious concerns when applying western rationales to constructing a safety culture in developing countries.

This thesis examines the development of occupational health and safety policies in Ontario from 1880 to 1914 focusing on the Railway Accidents Act, Ontario Factory Act, Workmen's Compensation for Injuries Act and the Workmen's Compensation Act. Together they formed the basic regulatory framework that endured in Ontario until the 1970s. / The rise of industrial capitalism and the growth of the private market in the mid-1880s brought forward the factory system which depended on an unskilled labouring class and the use of power-driven machinery. Thus system of production created many risks for workers including accidents and diseases, and resultant financial problems caused by an inability to work. / The role of, and interactions among, workers, employers, and the state were key in determining the particular patterns of policy development. Although health and safety policies provided only minimal protection to workers, while at the same time causing little disruption to business, the policies were more beneficial to workers when labour played an active role in the policy-making process.

Thesis (M.P.H.)--University of Adelaide, Dept. of Community Medicine, 1992. / Includes bibliographical references (leaves 73-80).

Thesis (DR. P.H.)--University of Michigan.