Carbon monoxide (CO) remains a leading cause of work-related chemical poisoning. Vehicular emissions are the primary daily ambient source of CO in urban Nigerian motor parks, where there have been few human exposure studies. Using a cross-sectional comparative design, we assessed carboxyhaemoglobin levels (% COHb), a biomarker of CO exposure, among traders at three motor parks (AMP, IMP, and NMP) and other traders (nonmotor park workers) in Ibadan, Nigeria, using a noninvasive pulse CO-dosimeter (Rad 57). Ninety-three traders were proportionally allocated between motor parks; 93 other traders were selected based on specific study inclusion criteria. Mean ages of motor park traders and other traders were comparable, 37.8 ± 11.1 and 38.7 ± 9.6, respectively. Mean % COHb for traders (range 3–22) at AMP, IMP, and NMP was 11.2 ± 3.8, 11.6 ± 3.1, and 12.2 ± 3.3, respectively, while mean % COHb for other traders was about three times lower, 4.1 ± 1.7 (range 2–8). Overall, mean % COHb for motor park traders, 11.7 ± 3.3, was also significantly higher than for other traders (p < 0.05). Nevertheless, mean % COHb for both groups exceeded the current World Health Organization guideline, 2.5%. This study suggested that motor park traders have higher % COHb and thus are highly susceptible to exposure and more vulnerable to known risks of adverse health effects from exposure to CO.
Background Workplace injuries are a public health concern, including among adolescents and young adults. Secondary school career-technical-vocational education related injuries are mandated by code under jurisdiction of New Jersey Department of Education to be reported online to New Jersey Safe Schools Program. These are the only U.S. law-based surveillance data for young workers in secondary school career-technical-vocational education. New Jersey Department of Health’s hospitalization and fatality records provide additional information about other secondary school career-technical-vocational education and non- secondary school career-technical-vocational education related injuries not necessarily reported to New Jersey Safe Schools Program. This report compared data available to the New Jersey Department of Health and New Jersey Safe Schools Program on injuries among young workers ages 14–21 years. Methods Annual work-related hospitalizations, 2007–2016, were abstracted from hospital discharge data. Denominator data from the U.S. Bureau of Labor Statistics was used to estimate annual crude rate of hospitalizations per 100,000 employed persons. Hospitalization rates were stratified by demographic data from the U.S. Bureau of Labor Statistics. Hospitalization rates for primary diagnoses and job title/status with ≥2 documented cases were reported. Annual crude fatality rates per 100,000 full time equivalent workers, age ≥ 16 years, were estimated for 1990–2016 using annual average full time equivalent workers and the U.S. National Institute Occupational Safety and Health’s Employed Labor Force Query System as denominator. Results Annual crude hospitalization rates decreased over time. Hospitalization and fatality rates were higher among young adult workers ages 19–21 years; non-Hispanic Whites; and, males. Percent fatality for ages 19–21 years was greater than ages 14–17 years and 18 years. Declines in hospitalization rates corresponded to decreases in reported injuries among career-technical-vocational education students. Age distribution varied slightly between hospital discharge data and New Jersey Safe Schools Program data. Conclusion Hospitalization and fatality rates were higher among males than among females, possibly reflecting a tendency for males to engage in riskier jobs than females. Understanding injury disparities can inform public health prevention efforts. Trainings/interventions should aim at addressing the most frequently diagnosed conditions or nature of reported injuries, within those most impacted career clusters like sales/restaurant workers. Electronic supplementary material The online version of this article (10.1186/s40621-019-0216-9) contains supplementary material, which is available to authorized users.
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