Vaccinations for waste-handling workers. A review of the literature

Tooher, Rebecca; Griffin, Tabatha; Shute, Elen; Maddern, Guy J.

doi:10.1177/0734242x05048037

Cited by 29 publications

(29 citation statements)

References 34 publications

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“…Some literature reviews have indicated the importance of this question, but no conclusion is offered (TOOHER et al, 2005;CORRAO et al, 2013;MOL et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte, Brazil

et al. 2016

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Infection with the hepatitis B and C viruses may occur through parenteral contact associated with infected body fluids, including injury with infected sharps. Collectors of domestic or healthcare wastes are potentially exposed to these infections. The aim of this paper is to investigate the risk factors associated with the prevalence of hepatitis B and C (HBV and HCV) infection of domestic and healthcare waste workers in Belo Horizonte, Brazil. A cross-sectional study of hepatitis B and C infection was conducted from November 2014 to January 2015, through blood sample collection and interviews about socio-demographic factors with 61 workers exposed to healthcare waste ("exposed") and 461 exposed only to domestic wastes ("unexposed"). The prevalence of Anti-HCV antibodies was 3.3% in "exposed" workers and 0.9% in "unexposed", and of AntiHBc was 9.8% and 5.6% in "exposed" and "unexposed" workers, respectively. Only 207 (44.9%) of those exposed to domestic waste and 45 (73.8%) of those handling healthcare waste were higher among healthcare waste workers compared to domestic waste workers, probably because of needlestick accidents due to deficient sharps management systems. Immunization against hepatitis B and screening test to ensure the success of vaccination should be a condition for recruitment for both groups of waste workers.

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“…Some literature reviews have indicated the importance of this question, but no conclusion is offered (TOOHER et al, 2005;CORRAO et al, 2013;MOL et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte, Brazil

et al. 2016

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“…Two literature reviews have been published on this subject 7,8 , but differences were found between the papers included in those reviews in comparison with this present meta-analysis paper, in particular because of the number and quality of the included papers. Four cross-sectional studies corresponded to the articles selected in this meta-analysis [9][10][11][12] .…”

Section: Introductionmentioning

confidence: 84%

Is waste collection associated with hepatitis B infection? A meta-analysis

Mol

Cairncross

Greco

et al. 2017

Rev. Soc. Bras. Med. Trop.

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This meta-analysis, which is based on a previously published systematic review, aims to contribute to the scientifi c discussion on hepatitis B virus (HBV) infection in workers who are exposed to domestic and healthcare wastes. Publications were sought which had been made available on the data used by December 2013 and updated to December 2016. The quality of the included studies was assessed according to the guidelines of Loney et al. for the critical appraisal of studies on the prevalence or incidence of a health problem. To verify the presence of heterogeneity between the papers, we used the Chi-squared test based on a Q statistic. A funnel plot was used to test for publication bias. All included studies had across-sectional study design. The association between exposure to waste and positive serology for the HBV surface antigen (HBsAg) showed a signifi cant association [odds ratio (OR) 1.89, 95% confi dence interval (CI) 1.27-2.86; p = 0.0019]. The prevalence rates of HBsAg and anti-HBc seropositivity was 0.04 (95% CI 0.03-0.05) and 0.21 (95% CI 0.14-0.28), respectively (p <0.0001). We found no evidence of publication bias. The results of this meta-analysis indicate a statistically signifi cant association between exposure to solid waste, whether healthcare or domestic, and positive HBV infection markers. Therefore, the working conditions of waste collectors should be analyzed more closely. Immunization against HBV is recommended as the chief preventive measure for all solid waste workers.

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“…The data for the need for vaccinations for wastewater employees for HAV are mixed [Tooher et al 2005]. Data from serologic studies conducted in Europe indicate that employees who had been exposed to sewage had a possible elevated risk for HAV infection [Poole and Shakespeare 1993;Lerman et al 1999;Glas et al 2001].…”

Section: Hantavirus Pulmonary Syndromementioning

confidence: 99%

Evaluation of exposures associated with cleaning and maintaining composting toilets - Arizona.

2011

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Vaccinations for waste-handling workers. A review of the literature

Cited by 29 publications

References 34 publications

Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte, Brazil

Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte, Brazil

Is waste collection associated with hepatitis B infection? A meta-analysis

Evaluation of exposures associated with cleaning and maintaining composting toilets - Arizona.

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