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Anthrax and the mail: the making of an educational video for mail workers.

The anthrax bioterrorist attacks in 2001 affected millions of people who process, sort, and deliver mail. To more effectively communicate information intended to protect the health of these workers, the Centers for Disease Control and Prevention produced a short-format educational video in December 2001 that targets this diverse group. This report illustrates how an educational video can be rapidly produced to translate and disseminate public health recommendations as part of a public health emergency response.

Anthrax↗

Mailborne transmission of anthrax: Modeling and implications.

A mathematical model is developed to analyze the transmission of inhalational anthrax through the postal system by cross-contamination of mail. The model consists of state vectors describing the numbers of cross-contaminated letters generated, the numbers of anthrax spores on these letters, the numbers of resulting infections in recipients, and matrices of transition probabilities acting on these vectors. The model simulates the recent outbreak in the United States, and provides a general framework to investigate the potential impact of possible future outbreaks.

Anthrax↗

Reliability of the VCM1 Questionnaire when administered by post and by telephone.

PURPOSE: To assess the reliability of different methods of administration of the VCM1 vision-related quality-of-life questionnaire by: a) comparing responses obtained by post to responses obtained in a research clinic and b) comparing responses obtained by telephone to responses obtained in a research clinic. METHOD: Questionnaire responses given in advance by post (96 subjects) or by telephone (92 subjects) were compared to those subsequently given at a visit to a research clinic. The questionnaire included the VCM1 and two other questions commonly used in surveys of visual impairment (reading small print and recognising a face across the street). RESULTS: Similar levels of vision-related quality-of-life (VR-QOL) impairment were reported by post and in the research clinic. However, the participants in the telephone test group reported less VR-QOL impairment by telephone than they subsequently reported in the clinic (P = 0.0001). The mean score difference between telephone and clinic administration was 3.2% of the VCM1 questionnaire scale. Lower social class (P = 0.002) and increasing duration of interview (P = 0.003) were associated with a tendency to under-report VR-QOL impairment by telephone. Interference with reading small print (P = 0.0001) and recognising a face across the street (P = 0.0001) were also under-reported by telephone. CONCLUSIONS: Telephone interviewing caused a general bias towards under-reporting of visual problems which was not confined to the VCM1. Care is required when planning outcome studies and questionnaire surveys to ensure that different methods of questionnaire administration produce comparable results.

Age Distribution↗

Physical work and strain involved in manual sorting of postal parcels.

A field study was conducted to assess cardiorespiratory and musculoskeletal stress and strain and work output during manual sorting of postal parcels, and to detect the effects of parcel sorting on the maximal muscle strength and endurance. The volunteer subjects comprised 32 healthy male sorters with mean (+/- s.d.) age of 34 +/- 7 years at five different sorting sites. Each subject was studied during one evening work shift. During the shift of 391 +/- 46 min the subjects manually sorted 1173 +/- 630 parcels and walked 4.7 +/- 2.3 km with and without the load. While sorting, heart rate was 101 +/- 18 beats min-1. In the heaviest tasks the oxygen consumption was 1.2 +/- 0.41 min-1, and no elevated blood lactate concentrations were found. Work postures in which the back was bent forward averaged 24% of the time for sorting. The overall cardiorespiratory rating and local ratings of perceived exertion for arms, back, and legs did not exceed the 'somewhat strong' level during the work shift. The maximal static strength both for the right and left hand-grip muscles was, on average, 3% lower (p less than 0.05) after the work shift than before the shift. No significant differences were found in the static or dynamic endurance times for the hand-grip muscles when the results obtained after the work shift were compared to the baseline values. At sorting centres the stress and strain on the cardiorespiratory and musculoskeletal system was evaluated to remain within acceptable limits for healthy male sorters.

Adult↗

Structural determinants of the psychosocial work environment: introducing technology in the work stress framework.

To extend current models of psychosocial work stress research into organizational structure, technology is introduced. An exploratory model is developed combining research from ergonomics, epidemiology, and organizational science. It is hypothesized that technology influences a worker's health by structuring the job, and the relationship between the job and a worker's health is mediated by attitudes at work. To test the model, data are used from a 1978 NIOSH survey of postal workers sorting mail (N = 4903). Path analysis shows technology is indirectly associated with job satisfaction and psychosomatic symptoms by how it structured the job. A machine-paced technological system of work is associated with greater job demands, less control in the job, and less co-worker support but not with supervisor support. The implications of this model for prevention strategies at the workplace are discussed suggesting that influencing supervisor support is the most effective way to affect a person's job satisfaction and level of psychosomatic symptomology.

Adult↗

Anthropometric, muscle strength, and spinal mobility characteristics as predictors in the rating of acceptable loads in parcel sorting.

The rating of acceptable load (RAL) attained with a standard test (RALSt) and a wrk-simulating test (RALW) for postal parcel sorting was related to anthropometric, muscle strength, and spinal mobility characteristics of 18 male sorters. The subjects comprised a subsample of 103 experienced male sorters who carried out the RAL tests at postal sorting centres. The dynamic hand-grip endurance correlated significantly (p = 0.036) to the RALSt results. Correspondingly, there was a significant correlation (p = 0.044) between the ratio of maximal isometric strength of trunk extension to body weight and the RALW. The dynamic hand-grip endurance predicted 26% of the variation in the RALSt; in the RALW the maximal isometric strength of trunk flexion to body weight ratio predicted 24%. The subjects who rated heavier weights for RALSt tended to have a better trunk mobility. The dynamic endurance of hand-grip muscles, trunk strength, and spinal flexibility seemed to be the most powerful predictors for the psychophysically assessed 'acceptable loads' in experienced workers performing manual materials handling tasks.

Adult↗

Rating of acceptable load in manual sorting of postal parcels.

The psychophysical test, the rating of acceptable load (RAL) were used to assess acceptable weights for dynamic lifting in postal workers engaged in sorting parcels. The standard test (RALSt) and a work-simulating test (RALW) were administered to 103 volunteers: all experienced male sorters. In the RALSt, subjects selected the weight which would be acceptable for lifting in a box with handles from table to floor and back to the table once every 5 min for the working day. for the RALW, the box was without handles and the weight was chosen to be acceptable for transfer 4-6 times/min from a table to the parcel container and back to the table. Both tests were made during normal working hours at postal sorting centres. The overall means for RALSt and RALW were 16.4 kg and 9.4 kg respectively (p < 0.001): both being substantially higher than the average parcel weight of 4 kg. The RALSt and RALW tests proved to be repetitive and sensitive for differentiating the effects of load and task variable in actual manual material handling. Thus they appear to be applicable to the evaluation of manual materials handling problems.

Adult↗