significantly had declined trends in study period (p<0.05). Trends of age-specific incidence rates for both of pulmonary, extrapulmonary, also for male and female cases were increased as c 2 ¼1265; c 2 ¼307.7, p¼0.0001 and c 2 ¼931; c 2 ¼582, p¼0.0001, respectively. Considering the national tuberculosis standard index, smear positive notification rate was in the range of expected levels (58%e68%), but extrapulmonary incidence rates were more than the expected level. Conclusion Regarding the higher incidence rates of tuberculosis in the southern regions of West Azerbaijan province of Iran, and despite of declined trends at some of districts at this region, it seems that more control and prevention activities are still needed, especially for the lower socioeconomic populations. Comparison of the demographic, socioeconomic status and specific incidence rates, revealed that the epidemiologic patterns of TB at this province have shifted from developing to developed countries status.

absences due to mental and behavioural disorders (162 days) with an average of 10.13 days. Other health workers were farthest from diseases of the musculoskeletal system and connective tissue (263 days). Conclusions To know the health profile of the worker helps in developing policies and strategies for promoting worker health. Objectives The absenteeism in nursing staff has been the focus of many studies in different countries revealing a serious problematic in occupational health. The absenteeism according the lost workdays highlights the impact on patient care and the costs for the health institutions. Aimed analyse the sickness absenteeism in Brazilian nursing staff. Methods Descriptive and quantitative study, accomplished after approval by the Ethics and Research Committee, was conducted in seven hospitals located in different Brazilian geographic regions, which constituted the intentional sample. The data were collected by Surveillance System of the Health Nursing Workers -SIMOSTE, on line system, validated and made available to record and capture data about the nursing health problems related to work. The data were sent by the settings, treated quantitatively and analysed by descriptive statistic. Results Of the 890 occurrences captured by SIMOSTE in one year, there were 8081 days of sick leave, caused by mental disorders (30,75%), work-related musculoskeletal disorders (19,20%), and consequences of external causes (14,90%). The sick leaves, although work-related, were most recorder as medical licences (83,00%). This situation is extremely worrying, due to work overload that generate these absences to nursing staff, and the impact on quality of care provided to patients. Conclusions The sick leave days are considered days lost. It means that in one year were 22 years of work. The mental disorders and diseases of the musculoskeletal system were the main causes of absence, confirming the pattern of sickness among nursing staff. This study allow us to disseminate advances in nursing research related to the health system and health services strategies. 49 Session: G. Hazard identification (psycho social) 50 IMPROVING SAFE WORK PERFORMANCE IN UNDERGROUND COAL MINING OPERATIONS BASED ON WORKERS' OPINIONSA R Dehdashti. Semnan University of Medical sciences, Semnan, Iran 10. 1136/oemed-2013-101717.50 Objective This study examined the opinions of coal mine workers and managers in relation to safety rules and regulations and safe work procedures in three underground coal mines located in Semnan province in Iran. Methods Individual interviews were used to find out the opinions and attitudes of workers and managers through the use of a structured questionnaire. Safety staff carried out interviews mainly investigated the level of workers' awareness and knowledge on rules and regulations and safe work procedures concerning general and specific tasks. Our survey was based on 195 coalmine workers, aged 27-58 years, and 23 managers and supervisors. Results The study showed that 45% of workers had limited awareness abou...