Microplastics and nanoplastics in haemodialysis waters: Emerging threats to be in our radar.

Microplastics are present in the environment, in drinking water, in human blood and there is evidence of nanoplastics in tap water. The objective of this work was to analyze the possibility of hemodialysis patients being contaminated by micro and nanoplastics (MNPs) during dialysis treatment. The motivation for this investigation is the fact that hemodialysis patients use about 300-600 L of drinking water per week, which may be contaminated by MNPs. A literature review, a field investigation in a London hospital and an estimation of MNPs intake in patients were carried out. The results showed potential points of risk of contamination of patients by MNPs in hemodialysis. It was also estimated that for a filtration efficiency of 99 % for MNPs, the amount of microplastics that can penetrate the kidneys of patients is 0.0021-3768 particles/week. The assessment concludes that hemodialysis patients are at high risk of MNP contamination.

Occupational accidents in native and planted forests in Brazil: 2007-2018.

BACKGROUND: Despite constant technological evolution, the forestry sector is still characterised as one with the highest risk of occupational accidents. There is no doubt that accidents penalise workers considerably, as well as the companies, insurers, and, consequently, the society, to which many of the costs are externalised, namely in cases where the worker is incapacitated and unable to work. OBJECTIVE: The aim of this work is to analyse data on occupational accidents in forestry operations in Brazil between 2007 and 2018 in both native and planted forests. METHODS: Data were made available by the Brazilian Statistical Directory of Accidents at Work. RESULTS: The results show that, although most accidents occurred in planted forests, mortality was higher in native forests. It was also found that, overall, the rate of serious accidents resulting in an incapacity to work and, consequently, sick leave is considerably high. CONCLUSIONS: These results highlight that integrating an occupational safety system into a forest management system is crucial for reducing work-related accidents in both native and planted forests. However, the success of this measure will only be effective if it is accompanied by a review of both the Brazilian labour policy and the Brazilian occupational safety management policy, to ensure compliance with legislation, mainly on the part of outsourced companies.

Zero-Risk Interpretation in the Level of Preventive Action Method Implementation for Health and Safety in Construction Sites.

Risk assessment is a legal obligation for all companies in most countries worldwide. It aims to control the quality of working conditions and avoid externalizing the consequences of accidents and resulting costs to society. This work discusses the need for an adequate interpretation of the zero-risk concept from a technical-preventive perspective to assess occupational risks in construction sites. A critical analysis of several risk assessment methodologies was carried out, focusing on the evaluation criteria of little or no-risk situations. The verification of the results was made through a case study. The perception of health and safety risks by workers is very different from that of the evaluators. Often, when workers identify a situation as low-risk or even zero-risk, the evaluator assesses the same context as maximum risk. Given the workers' and the evaluators' responses, the Preventive Action Method establishes a new parameter, the Environment Congruence. This parameter is based on the perception of the preventive environment and gives more importance to the evaluators' decision. When preventive action is optimal, the risk is low in all preventive observation settings. In conclusion, this study justifies the non-nullity of the risk and the difficulty of assessing zero-risk in construction sites. Therefore, evaluations with qualitative and quantitative non-risk approaches should be discarded.

Incidence and prevalence of upper-limb work related musculoskeletal disorders: A systematic review.

BACKGROUND: Musculoskeletal disorders are one of the most common work-related diseases. Frequently this association is thought to have a temporal cause-effect relation. The absence of accessible diagnostic criteria and ethological cause-effect demonstration are probably important reasons for the lack of good evidence data on these pathologies. OBJECTIVE: For these reasons, the authors aim to present a systematic review on prevalence and incidence of the upper limb WRMSD. METHODS: The survey was conducted for papers published between January 1st, 2000 and July 2012, according to the PRISMA statement (2009) guidelines. RESULTS: From the 2016 papers obtained, 94 met the qualitative selection criteria. From these 27 address upper-limb WRMSD, and 17 present data on prevalence or incidence on upper-limb musculoskeletal diseases, six of them with a control group. Annual incidence ranges from 0.08 to 6.3, and prevalence from 0.14 to 14.9. Rotator cuff syndrome among shoe industry workers, present the highest incidence, and cubital, radial or ulnar nerve entrapment, the highest prevalence among a miscellaneous group of workers. CONCLUSIONS: More studies are needed to clarify the relation between work and WRMSD's, especially prospective investigations from different economic sectors and work activities, but with similar, reproducible and comparable methodologies.