Failure after 5 years of self-regulation: a health and safety audit of New Zealand engineering companies carrying out welding.

The aim of this study was to audit the degree of compliance with new health and safety legislation 5 years after enactment in a typical cross-section of New Zealand manufacturing industries. To this end, 299 randomly selected enterprises using a welding process were visited by Occupational Safety and Health Officers of the Department of Labour. An interviewer-administered questionnaire concerning the nature of the hazards encountered in that enterprise and the chosen control measures employed to protect the health of their employees was undertaken and analysed. Only 40% of New Zealand businesses in this sample undertaking welding had adopted the most basic of regulatory requirements to control health and safety risks. This percentage seemed independent of employer size. Fundamental safety issues (e.g. welding in confined spaces) were ignored by >50% of enterprises. In conclusion, self-management of health and safety risks had not occurred in over half the enterprises surveyed.

The distribution of occupations in two populations with upper limb pain.

Occupations of two geographically distinct populations of patients with upper limb pain were examined. Relative risks for being in an occupation were calculated for subjects with epicondylitis, carpal tunnel syndrome, and pain syndromes in one population and nonspecific occupational overuse syndrome (OOS) in the other. Population A subjects (806 female, 154 male Auckland clinic referrals) with epicondylitis and carpal tunnel syndrome had higher rates of manual occupations compared with the Auckland employed population, consistent with previous research. Both Population A and Population B subjects (1,188 female, 499 male national notifications to the Department of Labour) with pain syndrome or nonspecific OOS had increased rates of clerical occupations. Relative risks ranged from 2.24 (95% CI 1.69,2.97) to 3.92 (3.50 ,4.40). Word processor operators, data-entry operators, and mail sorters were overrepresented in both populations. An unexplained association between nonspecific upper arm pain and being in some clerical occupations requires further research.

Organic solvent induced chronic toxic encephalopathy: extent of recovery, and associated factors, following cessation of exposure.

AIMS: to determine extent and nature of recovery of solvent induced chronic toxic encephalopathy (CTE). METHOD: 21 confirmed cases had repeat neuropsychological and clinical assessments 6-42 (mean 27) months after ceasing exposure. An exposure score was calculated for each. RESULTS: less than half (42.8%) showed evidence of improvement, which showed no association with time away from solvents or exposure score. The more severely affected at first diagnosis were nearly four times more likely to improve (RR 3.85 (95%CI 1.03, 14.38), p = 0.03). Those with no subjective improvement were five times more likely to have been on antidepressants (RR 5.25 (95%CI 0.83, 33.2), p=0.02). CONCLUSIONS: The largely irreversible nature of Type 2 CTE is confirmed. The study results suggest that severity of effect and partial recovery are not dose related but multifactorial, with individual susceptibility probably important. Concomitant depression may also adversely influence recovery.

Chronic solvent neurotoxicity in New Zealand: notified cases between 1993 and 1997.

AIM: To report on cases of chronic solvent neurotoxicity notified to the Department of Labour between 1993 and 1997. METHODS: Previously published diagnostic criteria were used to classify notified cases as "verified", "not verified" or "not proven". Verified cases were further classified as Type 1 or 2(2) and analysed according to occupation, solvent type and length of exposure. RESULTS: Of 193 notified cases, 76 were classified as "verified". The majority were male (74/76) and European (69/76). Mean length of exposure to solvents for Type I cases was 10.6 years (SD 4.7) and for Type II cases 19.8 years (SD 8.4). Forty-three cases were classified as "mild" and 33 as "moderate". The most frequent occupation was spraypainting (39%), followed by printing (16%) and boatbuilding (9%). There was no correlation between severity of symptoms and type of solvent. There was a non-significant trend of increasing severity of symptoms with length of exposure. CONCLUSION: Exposure to solvents is an important health hazard in New Zealand workplaces.

Dietary intakes of middle-aged European, Maori and Pacific Islands people living in New Zealand.

AIM: To compare dietary intakes of Maori, Pacific Islands and European men and women in New Zealand. METHODS: A food frequency questionnaire was used to calculate nutrient intakes of 5523 New Zealand workers aged 40 years and over (3997 men, 1524 women) from a cross-sectional survey carried out between 1988 to 1990. RESULTS: Compared with European men and women, Maori women and Pacific Islands men and women consumed larger amounts of total energy per day. Age-adjusted nutrients expressed as percentage contribution to total energy intakes showed that Maori and Pacific Islands men and women consumed less carbohydrate, fibre and calcium, and more protein, fat, saturated fat and cholesterol than European men and women, respectively. These results were consistent with fewer servings of cereal and cheese per month, and more servings of red meats, fish and eggs in Maori and Pacific Islands participants compared with Europeans, after adjusting for age and total energy intakes. Pacific Islands men and women also consumed more servings of chicken, fewer cups of milk and fewer servings of fruit per month compared to Europeans. Maori men and women consumed more slices of bread and fewer servings of vegetables per month compared to European men and women. CONCLUSIONS: There were striking differences in dietary habits, food selections and cooking practices between European, Maori and Pacific Islands participants. Dietary intakes of Maori workers were closer to those of Europeans than those of Pacific Islands participants. Ethnic differences were due to larger portion sizes and increased frequency of most foods in Maori and Pacific Islands participants.

Contrast sensitivity in organic-solvent-induced chronic toxic encephalopathy.

This is a study of visual contrast sensitivity in a series of subjects with previously diagnosed occupational organic-solvent-induced chronic toxic encephalopathy. Contrast sensitivity was measured for 16 subjects using the Vistech VCTS 6500 chart. The results were compared with age-stratified normal data. Six of the 16 subjects (37.5%) recorded abnormal contrast sensitivity results. Monocular abnormalities were found for two (33%) of these subjects. Statistically significant abnormalities in contrast sensitivity were observed at the intermediate spatial frequencies of three cycles per degree (cpd; P < .0005), 6 cpd (P < .025), and 12 cpd (P < .01). We conclude that contrast sensitivity is abnormal in some cases of occupational organic-solvent-induced chronic toxic encephalopathy. Intermediate spatial frequency channel neurones in the visual system may be more vulnerable to solvent toxicity than those of low or high spatial frequency. Contrast sensitivity testing may be a useful adjunct in the diagnostic process for this disease. Further research involving larger numbers of subjects is recommended.

Exposure to fumes in typical New Zealand welding operations.

Sixteen welders, welding under typical New Zealand conditions, had ambient air within their welding helmets sampled and analysed for ozone, nitrogen oxides, fluoride, carbon monoxide, aluminium, chromium, iron, nickel, zinc and total dust. Postshift urinary metals were also analysed, and a respiratory questionnaire completed for each welder. Levels above the New Zealand Workplace Exposure Standard (WES) were found for nitrogen dioxide in four welders (two TIG, one MMA and one plasma cutter), and for total chromium in one plasma cutter, who also had a nickel level of 24% of the WES. Dust levels were highest in the plasma cutters, with one reaching 8.67 mg/m3 (WES = 5 mg/m3). Urinary levels however did not indicate excessive short or long term uptake. Where efficient fume extraction was in use, levels of air contaminants were lower than with natural ventilation. Respiratory symptoms were reported by 67% of welders, 38% meeting criteria for chronic bronchitis (relative risk = 2.0). Smoking welders reported more symptoms than nonsmoking welders.

Stress and some associated factors in a representative sample of the New Zealand workforce.

Prevalence of self-reported stress was measured in a sample workforce of 1342 men. About 8% at all ages reported being "often stressed", while the peak was 11% at age 45-54 years. The socioeconomic profile of the workers approximated that of the New Zealand male workforce and it is suggested that the prevalence rate for the total workforce will be similar to that of the sample. In addition, information was obtained on blood pressure, alcohol intake, smoking, obesity, and exercise. There is a statistically significant positive association between stress and mild hypertension (p less than 0.001) and smoking (p less than 0.005) and a negative association between stress and exercise (p less than 0.025). This has implications for occupational health workers.