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Biochemical changes among municipal solid waste sorting workers: implications for personal protective equipment
Ahmed Wassiem1, Gehan Raafat Zaki1, Fahmy Charl1
1Department of Occupational Health and Air Pollution, High Institute of Public Health, Alexandria University, Egypt.
Solid waste workers face health risks from biohazards. Inadequate personal protective equipment (PPE) use is linked to elevated inflammation and allergy biomarkers, indicating potential preclinical disease.
Area of Science:
- Occupational Health
- Environmental Health
- Biochemistry
Background:
- Municipal solid waste management presents significant occupational biohazard and safety risks.
- Solid waste workers are exposed to diverse workplace hazards.
- Effective waste management is crucial for public and environmental health.
Purpose of the Study:
- To assess personal protective equipment (PPE) availability and usage among solid waste sorting workers.
- To evaluate biochemical changes, including inflammation and allergy biomarkers, in these workers.
- To correlate PPE status with health outcomes and biochemical alterations.
Main Methods:
- Structured questionnaires and checklists were used to evaluate PPE availability, use, and appropriateness.
- Workers underwent biochemical testing for hepatic and renal function.
- Allergy and inflammation biomarkers, including high-sensitivity C-reactive protein (hsCRP) and total serum immunoglobulin E, were measured.
Main Results:
- Elevated high-sensitivity C-reactive protein (hsCRP) was observed in 12.9% of workers.
- High total serum immunoglobulin E levels were prevalent in 79.2% of workers.
- Inadequate PPE availability, use, or effectiveness correlated with increased morbidities and elevated biochemical markers (liver enzymes, urea, creatinine, hsCRP, IgE).
Conclusions:
- Elevated allergy and inflammation biomarkers suggest preclinical disease risks in waste workers.
- Basic health surveillance should incorporate these biomarkers for early detection.
- Emphasizing consistent and appropriate PPE use is vital for protecting the health of solid waste sorting workers.
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