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探索巴基斯坦旁遮普邦卫生工作者的安全结果。

Exploring Safety Outcomes Among Sanitary Workers in Punjab, Pakistan.

作者信息

Nisar Nadia, Mohd Saat Nur Zakiah, Mohd Suadi Nata Dayana Hazwani, Kamaluddin Nurul Farahana, Ishak Ismarulyusda, Haque Ayesha

机构信息

Community Medicine, National University of Sciences and Technology, School of Health Sciences, Islamabad, PAK.

Center for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.

出版信息

Cureus. 2025 Mar 28;17(3):e81357. doi: 10.7759/cureus.81357. eCollection 2025 Mar.

DOI:10.7759/cureus.81357
PMID:40291234
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12034294/
Abstract

BACKGROUND

Sanitary work is the backbone of the municipal system. In Pakistan, it is performed manually, often under unhygienic conditions. As a result, workers are exposed to hazardous health and safety risks.

OBJECTIVE

This study aimed to investigate the safety outcomes among sanitary workers in Punjab, Pakistan.

METHOD

A qualitative research approach was used, employing focus group discussions (FGDs) for data collection. Two FGDs were conducted, involving a total of 19 sanitary workers and two managers from the Cantonment Board Taxila and the Lahore Waste Management Company.

RESULTS

Thematic analysis, conducted manually, revealed that while most sanitary workers reported minimal major injuries due to the consistent use of gloves and masks, they still experienced various minor health issues. These included skin allergies, burns, eye infections, respiratory infections, and minor cuts on the hands and other parts of the body. Additionally, participants highlighted significant psychological challenges, such as fear of chronic illness, stress, and depression, largely attributed to their demanding workloads.

CONCLUSION

The findings underscore the urgent need for improved occupational health policies in Pakistan to address the physical and mental health challenges faced by sanitary workers. The government should implement comprehensive health and safety regulations to enhance their well-being and mitigate the adverse health effects associated with their work.

摘要

背景

环卫工作是市政系统的支柱。在巴基斯坦,环卫工作靠人工完成,且常常是在不卫生的条件下。因此,工人们面临着有害的健康和安全风险。

目的

本研究旨在调查巴基斯坦旁遮普省环卫工人的安全状况。

方法

采用定性研究方法,通过焦点小组讨论收集数据。进行了两次焦点小组讨论,共有19名环卫工人以及来自塔克西拉驻军委员会和拉合尔废物管理公司的两名管理人员参与。

结果

人工进行的主题分析显示,虽然大多数环卫工人报告称由于持续使用手套和口罩,严重受伤情况极少,但他们仍经历了各种轻微健康问题。这些问题包括皮肤过敏、烧伤、眼部感染、呼吸道感染以及手部和身体其他部位的轻微割伤。此外,参与者强调了重大的心理挑战,如对慢性病的恐惧、压力和抑郁,这在很大程度上归因于他们繁重的工作量。

结论

研究结果强调巴基斯坦迫切需要改进职业健康政策,以应对环卫工人面临的身心健康挑战。政府应实施全面的健康和安全法规,以增进他们的福祉,并减轻与其工作相关的不利健康影响。

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本文引用的文献

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Front Public Health. 2023 Dec 19;11:1304977. doi: 10.3389/fpubh.2023.1304977. eCollection 2023.
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Health Related Quality of Life amongst Sewerage and Sanitary Workers of Karachi, Pakistan.巴基斯坦卡拉奇污水和卫生工人的健康相关生活质量
Pak J Med Sci. 2022 Sep-Oct;38(7):1986-1991. doi: 10.12669/pjms.38.7.5697.
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Occupational health outcomes among sanitation workers: A systematic review and meta-analysis.环卫工人的职业健康结局:系统评价和荟萃分析。
Int J Hyg Environ Health. 2022 Mar;240:113907. doi: 10.1016/j.ijheh.2021.113907. Epub 2021 Dec 20.
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Prevalence and associated factors of acute respiratory infection among street sweepers and door-to-door waste collectors in Dessie City, Ethiopia: A comparative cross-sectional study.埃塞俄比亚德西市街道清洁工和上门收垃圾工中急性呼吸道感染的流行情况及相关因素:一项比较性横断面研究。
PLoS One. 2021 May 14;16(5):e0251621. doi: 10.1371/journal.pone.0251621. eCollection 2021.
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Framework for addressing occupational safety of de-sludging operators: A study in two Indian cities.针对清淤作业人员职业安全的框架:在两个印度城市的研究。
J Environ Manage. 2021 Jul 1;289:112243. doi: 10.1016/j.jenvman.2021.112243. Epub 2021 Apr 4.
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Prevalence of diversified antibiotic resistant bacteria within sanitation related facilities of human populated workplaces in Abbottabad.在阿伯塔巴德人口密集工作场所与卫生相关设施中,存在多种抗生素耐药菌的流行情况。
PLoS One. 2020 Aug 5;15(8):e0233325. doi: 10.1371/journal.pone.0233325. eCollection 2020.
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Endotoxin and Hydrogen Sulphide Exposure and Effects on the Airways Among Waste Water Workers in Sewage Treatment Plants and Sewer Net System.污水处理厂和污水管网系统中废水处理工人接触内毒素和硫化氢以及对气道的影响。
Ann Work Expo Health. 2019 Apr 19;63(4):437-447. doi: 10.1093/annweh/wxz020.
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Tuberculosis and other chronic morbidity profile of sewage workers of Delhi.德里污水工人的结核病及其他慢性发病情况
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