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PubMed1983

Feasibility of identifying high-risk occupations through tumor registries.

The primary objective of this study was to assess the feasibility of using a population-based tumor registry to identify occupational groups at high risk of developing cancer. The study group comprised 6,424 union members residing in the San Francisco/Oakland Standard Metropolitan Statistical Area (SMSA) who represent six occupations: asbestos workers, bakers, painters, plasterers, plumbers and roofers. Computer linkage of union rosters to the California Tumor Registry (CTR) file identified incident cases of cancer. The CTR's age-sex-year-specific incidence rates were used to calculate the expected number of cancer cases, and estimated standardized incidence ratios (SIRs). The results demonstrate, as expected, increased cancer incidence (SIR = 498) for trachea, bronchus, lung and pleura among asbestos workers, a group widely recognized as having high risk for respiratory cancers, and among painters (SIR = 199). Strengths and weaknesses of such an approach are discussed.

Asbestos↗
PubMed2000

Evaluation of safety orientation and training programs for reducing injuries in the plumbing and pipefitting industry.

Construction workers are at increased risk for fatal and non-fatal injuries. This study examined the effectiveness of employee orientation and training in reducing injuries among plumbers and pipefitters. We searched the Occupational Safety and Health Administration's "recordable" injury data and "documentable" safety and training records for six plumbing and pipefitting employers in northwestern Ohio. During the period 1996 to 1998, 133 injuries were recorded with the duration of 2,541,432 working hours. The most common types of injuries were cuts, lacerations, and abrasions. The majority of injuries resulted from workers being struck by objects. The injury rate was significantly higher for small companies and longer working hours. No difference was found between traveling and local workers. Seventy-five percent of workers received safety orientations on injury prevention. Among workers who received safety orientations, only 3.4% experienced injuries, compared with 11.1% of workers without orientations. Safety orientations were associated with a significant reduction in injuries (odds ratio, 0.23; 95% confidence interval, 0.15 to 0.35). Proper safety orientation and training could reduce the risks for occupational injuries in construction workers.

Accidents, Occupational↗
PubMed1980

Rural water and sanitation. Community participation in appropriate water supply and sanitation technologies: the mythology for the Decade.

The International Drinking Water Supply and Sanitation Decade (1981-90) is almost upon us. During this period, massive international efforts will be made to accelerate the provision of domestic water supply and sanitation facilities for the rural population of developing countries. Certain concepts and approaches are being developed and promoted as guiding themes that will help to steer and coordinate the activities of the Decade. Among them are 'appropriate technology' 'community participation' and a 'village level' or 'user-choice' approach. The validity and importance of these concepts are discussed. It is concluded that these concepts are often applied in an over-simplified manner and that they divert attention away from the fundamental political and administrative realities that primarily determine the success or failure of rural water and sanitation programmes.

Community Participation↗
PubMed1980

Appropriate technologies for environmental hygiene.

Appropriate technologies for environmental hygiene usually centre on the delivery of adequate and accessible water supply, and proper treatment and disposal of excreta and refuse. In the face of the International Drinking Water and Sanitation Decade of 1981-90, several research efforts are under way in the developing countries to develop technologies and approaches for improving environmental hygiene in both rural areas and urban squatter settlements. These are discussed and include the technical development and field testing of infiltration galleries, low-cost slow and fast filtration processes for water treatment, handpumps, on-site excreta disposal using aqua-privy and compost toilets, and excreta treatment and refuse through composting with refuse, biogas generation, fish culture and use of excreta as crop fertilizer. The relevant technology 'hardware' is but one of several components necessary for effective delivery of services. The dearth of qualified manpower at all levels is described as being the major constraint to the Water and Sanitation Decade.

Developing Countries↗
PubMed1984

Survival of Legionella pneumophila in a model hot water distribution system.

A virulent strain of Legionella pneumophila was inoculated into an enclosed system supplied with unsterilized water from a domestic hot water supply. Growth of bacteria was monitored over 10 weeks. An increase in the number of organisms other than legionellas occurred but few amoebae were observed and none could be cultured. Viable counts of L. pneumophila in the circulation fluid decreased slightly. However, particles of debris which accumulated in the apparatus and which were stained by the indirect fluorescent antibody technique were found to be almost totally composed of L. pneumophila. On dismantling the apparatus Legionella was isolated in moderately high numbers from several different types of surfaces, particularly natural rubber and silicone.

Hot Temperature↗
PubMed2001

Role of biofilms in the survival of Legionella pneumophila in a model potable-water system.

Legionellae can infect and multiply intracellularly in both human phagocytic cells and protozoa. Growth of legionellae in the absence of protozoa has been documented only on complex laboratory media. The hypothesis upon which this study was based was that biofilm matrices, known to provide a habitat and a gradient of nutrients, might allow the survival and multiplication of legionellae outside a host cell. This study determined whether Legionella pneumophila can colonize and grow in biofilms with and without an association with Hartmannella vermiformis. The laboratory model used a rotating disc reactor at a retention time of 6.7 h to grow biofilms on stainless steel coupons. The biofilm was composed of Pseudomonas aeruginosa, Klebsiella pneumoniae and a Flavobacterium sp. The levels of L. pneumophila cells present in the biofilm were monitored for 15 d, with and without the presence of H. vermiformis, and it was found that, although unable to replicate in the absence of H. vermiformis, L. pneumophila was able to persist.

Animals↗
PubMed1985

The persistence of Legionella pneumophila in non-sterile, sterile and artificial hard waters and their growth pattern on tap washer fittings.

Simultaneous experiments were performed with sterilized and non-sterile water and an artificial hard water. After seeding with an environmental isolate of Legionella pneumophila numbers in the sterile and hard water decreased rapidly and colonization of various tap washer fittings failed to take place. Adhesion and growth of an environmental isolate of L. pneumophila to washers in non-sterile tap water was followed over a 4-month period with fluorescein-labelled antibody and by scanning electron microscopy. After adherence the individual cells appeared to divide to form chains which spread over the surfaces. Organisms other than legionellas were also present and a complex colonization matt was formed which was embedded in a protective coat of slime and debris. The numbers of L. pneumophila recovered from the water were highest between 4 and 7 weeks but they could still be cultivated after 4 months.

Adhesiveness↗
PubMed1988

Effects of sewage treatment on the removal of Listeria monocytogenes.

Two sewage treatment plants in Baghdad, Iraq, were investigated to assess the effects of the different treatment stages on the removal of Listeria monocytogenes. The bacteria were severely affected after the activation and digestion stages at both plants. A dramatic decrease in numbers of listerias after each of these two stages was noticed during the cold months (September-January). The organisms were able to survive these treatments and were present in the final effluent and even in low numbers in the sewage sludge cake. Sufficient dewatering of sewage sludge is recommended to obtain sewage free of listerias. Improvements in the isolation procedure of L. monocytogenes from such heavily contaminated material is also discussed.

Climate↗
PubMed1991

The effect of a self-regulating trace heating element on Legionella within a shower.

A self-regulating trace heating element was assessed for its ability to maintain a temperature of 50 degrees C in the mixer valve and dead-legs of a shower, and for its effect on legionellas colonizing the shower. The trace heating element maintained a temperature of 50 degrees C +/- 1.5 degrees C in dead-legs when the circulating hot water supply remained above 45 degrees C. Legionellas appeared in a trace heated dead-leg when the temperature of the dead-leg reached 45 degrees C and the hot water supply dropped below this temperature. Legionellas were eradicated or significantly reduced in sections of the shower where a temperature of 50 degrees C was consistently achieved. The mixer valve which was trace heated but not insulated remained colonized with Legionellas. Legionellas were found in shower water throughout the study.

Equipment Contamination↗
PubMed2006

Effect of flow regimes on the presence of Legionella within the biofilm of a model plumbing system.

AIMS: Stagnation is widely believed to predispose water systems to colonization by Legionella. A model plumbing system was constructed to determine the effect of flow regimes on the presence of Legionella within microbial biofilms. METHODS AND RESULTS: The plumbing model contained three parallel pipes where turbulent, laminar and stagnant flow regimes were established. Four sets of experiments were carried out with Reynolds number from 10,000 to 40,000 and from 355 to 2,000 in turbulent and laminar pipes, respectively. Legionella counts recovered from biofilm and planktonic water samples of the three sampling pipes were compared with to determine the effect of flow regime on the presence of Legionella. Significantly higher colony counts of Legionella were recovered from the biofilm of the pipe with turbulent flow compared with the pipe with laminar flow. The lowest counts were in the pipe with stagnant flow. CONCLUSIONS: We were unable to demonstrate that stagnant conditions promoted Legionella colonization. SIGNIFICANCE AND IMPACT OF THE STUDY: Plumbing modifications to remove areas of stagnation including deadlegs are widely recommended, but these modifications are tedious and expensive to perform. Controlled studies in large buildings are needed to validate this unproved hypothesis.

Bacterial Adhesion↗
PubMed1997

Environmental health conditions in remote and rural aboriginal communities in western Australia.

During 1994-1995 environmental health conditions of about 13,760 persons in 155 remote and rural Aboriginal communities in 20 local shires in Western Australia (WA) were surveyed. A semiquantitative questionnaire sought data about the communities and their services, including water supplies, power, sanitation and disposal of solid and liquid waste; a separate section dealt with conditions of individual dwellings. Data were recorded by experienced local workers. Thirty-five communities considered to have the worst conditions were evaluated on-site by a team of senior personnel in mid-1995. Environmental health problems were prevalent and often serious: over one-third of the communities had water supply or sanitation problems and 70 per cent had housing problems, with overcrowding and substandard housing being commonplace. Thirty-six per cent had difficulties with waste water disposal, 37 per cent had no rubbish disposal, and in others, the methods of disposal were often inadequate; pests were problems in 44 per cent of communities and the hygiene and maintenance of communal toilets was unacceptable in 25 per cent. Seventy-two per cent had no on-site environmental health worker and 44 per cent had no on-site or visiting medical, nursing or health worker personnel. An action plan was developed and the highest-priority communities were targeted in a program of major works (for example, housing, drainage and sewerage) and minor works, which have been commenced. The remote-area environmental health workers' program is being expanded. Increased intersectoral collaboration and enhanced community involvement in decision making have occurred as a result of this work.

Child Welfare↗