Insight into the health risk awareness levels of e-waste workers is important as it may offer opportunities for better e-waste recycling management strategies to reduce the health effects of informal e-waste recycling. Therefore, this study assessed the knowledge, attitude, and practices associated with occupational health risk awareness of e-waste workers compared with a control group (butchers) in the informal sector in Nigeria. A cross-sectional study was used to assess health risk awareness of 279 e-waste workers (repairers and dismantlers) and 221 butchers from the informal sector in three locations in Nigeria in 2015. A questionnaire was used to obtain information on socio-demographic backgrounds, occupational history, knowledge, attitude, and work practices. The data was analysed using Analysis of Variance. The three job designations had significantly different knowledge, attitude, and practice mean scores (p = 0.000), with butchers consistently having the highest mean scores. Only 43% of e-waste workers could mention one or more Personal Protective Equipment needed for their job compared with 70% of the butchers. The health risk awareness level of the e-waste workers was significantly lower compared with their counterparts in the same informal sector. A positive correlation existed between the workers’ knowledge and their attitude and practice. Therefore, increasing the workers’ knowledge may decrease risky practices.

There is a high prevalence of injury and low use of PPE among the e-waste workers in Nigeria. Occupational injury can be reduced through health education and safety promotion programmes for e-waste workers.

Concerns about the adverse public health consequences of informal electronic waste (e-waste) recycling are increasing. This study adopted a cross-sectional study design to gain insights into health risks (cancer and non-cancer risks) associated with exposure to e-waste chemicals among informal e-waste workers via three main routes: Dermal contact, ingestion, and inhalation. The e-waste chemicals (PBDE and metals) were measured in the dust and top soils at e-waste sites (burning, dismantling, and repair sites). Adverse health risks were calculated using the EPA model developed by the Environmental Protection Agency of the United States. The concentrations of the e-waste chemicals and the health risks at the e-waste sites increased as the intensity of the e-waste recycling activities increased: control sites < repair sites < dismantling sites < burning sites. Dermal contact was the main route of exposure while exposure via inhalation was negligible for both carcinogenic and non-carcinogenic risks. Cumulative health risks via all routes of exposure (inhalation, ingestion, and dermal contact) exceeded the acceptable limits of both non-cancer effects and cancer risk at all e-waste sites. This indicates that overall the e-waste workers are at the risk of adverse health effects. Therefore, the importance of occupational safety programs and management regulations for e-waste workers cannot be over emphasised.

Objective: To determine the feasibility of distributing micronutrient powders (MNP) for home fortification during biannual Maternal, Neonatal and Child Health Week (MNCHW) events, as a strategy to improve young child nutrition. Design: We evaluated the coverage, delivery, use and adherence of MNP, and associated behaviour change communication (BCC) materials and social mobilization, through cross-sectional surveys of caregivers attending healthservice distribution events and health workers involved in MNP distribution, facility-based observations of MNP distribution activities and a repeated survey of caregivers in their homes who received MNP for their child. Setting: Four Local Government Areas in Benue State, Nigeria. Subjects: Caregivers of children 6-59 months of age attending health-service distribution events. Results: The 8 million MNP delivered in this pilot during three distribution events were estimated to reach about one-third of eligible children in the area at each event. Programme fidelity was limited by shortages of MNP, BCC materials and inadequate social mobilization, with some limitations in health worker training and engagement. MNP use was consistent with the recommended two or three sachets per week among 51-69 % of caregivers surveyed at home. Conclusions: MNP coverage was low, but consistent with that typically achieved with other services delivered through MNCHW in Benue. Among caregivers who received MNP, acceptance and use among targeted children was high. While some weaknesses in knowledge and delivery of MNP by health workers were observed, health system strengthening and more extensive social mobilization would be key to achieving higher coverage with MNP and other health services provided through MNCHW.

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