Interdisciplinary nutrition education.
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Biomedical subjects
Publications and source records attributed to A Englund.
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The cohort of workers employed in a Swedish vinyl chloride/poly(vinyl chloride) plant since its start in the early 1940's has been followed for mortality and cancer morbidity patterns. Only 21 of the 771 persons could not be traced. Difficulties in establishing exposure levels at different work areas in the past makes an evaluation of dose-effect relationships impossible. A four- to fivefold excess of pancreas/liver tumors was found, including two cases later classified as angiosarcomas of the liver. The number of brain tumors and suicide do not deviate significantly from expected. Cardiovascular and cerebrovascular diseases, on the other hand, differ significantly from the expected. The discrepancies between previous reports on VCM/PVC workers and this report are discussed. The possible etiology of the cardiovascular deaths is also discussed.
The improvement in exposure conditions in the Swedish vinyl chloride producing industry is reported. The article comments on the technology and control methods by which the vinyl chloride concentration has been lowered to less than 1 ppm vinyl chloride. Two epidemiological retrospective cohort studies are presently under way on workers in PVC-utilizing industries and in the rubber industry.
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Construction differs markedly from many other types of manufacturing in that the nature of the work exacerbates the safety and health risks faced by workers. Even for workers who have health care coverage, the authors point out, the transient nature of the industry makes it difficult to trace an individual's exposure to health hazards.
This extensive review of morbidity and mortality patterns cites data from Bygghälsan, a Swedish program that has followed a quarter of a million construction workers for two decades. Comparisons are made among different types of workers, and standardized mortality ratios and standardized incidence ratios are presented.
The construction industry has one of the highest proportions of workers without health insurance. The authors review the two types of insurance systems that are generally used to cover the cost of health care for construction workers in the U.S.: health and welfare funds and workers' compensation. Recent developments in health care delivery in the U.S. are discussed, as are the more comprehensive occupational medicine services offered in France, Germany, The Netherlands, and Sweden.
There is a growing trend toward new forms of labor-management cooperation, through negotiated agreements involving job-site safety and health, workers' compensation, and preventive medicine (see chapter 14). These developments are likely to change safety and health in the industry. At the same time, they provide opportunities for practitioners and researchers in occupational safety and health. If we can venture to express a professional wish, it would be to find answers to the following: How can we, as the professions concerned with the well being of workers, help preserve the characteristics of construction work that are positive while reducing the aspects of the industry's functioning that are so deleterious to health? How do we preserve the crafts with their fostering of self-esteem: through individual freedom on the job, team work, or empowerment? Meanwhile, how do we reduce the destructive patterns of work, not just on the work site, but also involving the pressures and lifestyle associated with intermittent and uncertain employment? The rewards for safety and health professionals in the construction industry are immediate and striking. Whether through the practice of safety and health or through research, results can be measured in short order. That is a professional benefit afforded by few other industries. To structure occupational safety and health programs for construction workers, the safety and health professions need to engage in the labor-management processes that are changing the industry. In construction, it is not enough to think about what needs to be done in individual workplaces. In construction, we must think industry-wide, because that is how workers are employed.(ABSTRACT TRUNCATED AT 250 WORDS)
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Asbestos exposure in Sweden rapidly grew in the '50s and '60s, and then began to drop at the beginning of the '70s. The number of pleural mesotheliomas due to this exposure increased to some 80 a year during the second half of the '80s, and is rapidly increasing. The jobs with the highest risk are the wood and pulp industry, plumbing, shipbuilding, and, most of all, railroad manufacturing and sugar refineries. Data dealing with peritoneal mesotheliomas are more uncertain, and possibly misleading. As far as lung cancer incidence is concerned, it remains high in plumbers and insulators, while it declined to the expected levels in the other categories of exposed workers.