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Work-health needs of high-altitude mountain guides (Sherpas) in Nepal – a pilot study

Macdonald E. B., Shrestha S., Chhetri M. K., Sherpa R. L., Sherpa D. G., Murray K., Sanati K. A.

International Journal of Occupational Safety and Ergonomics

2015

Vol. 21, No. 1

9--14

Much of the research in high-altitude medicine has been concerned with non-indigenous travellers; no study has examined the work-related health issues of high altitude mountain guides (Sherpas) in Nepal. This pilot study was performed to investigate the work-related health issues of people working as Sherpas by evaluating their perceptions of their general health and its relation to work. An occupational and general health questionnaire was tailored for the Sherpas following a focus group with five Sherpa workers. 131 Sherpas participated in this study. Respiratory (60%) and musculoskeletal symptoms (55%) were reported significantly more frequently than other health problems (p < .05). 33 Sherpas reported work accident experiences (25%) and 27 (21%) reported eye conditions. This pilot study identified respiratory and musculoskeletal problems as well as accidents as the main work-related health issues of high altitude climbing Sherpas. Another important finding was the high prevalence of reported eye conditions (21%). Better occupational health and safety arrangements including routine recording of accidents or work-related health problems would give better insight into the health needs of Sherpas.

The Costs and Characteristics of Occupational Injuries Admitted to a Trauma Unit

Macdonald D. J. M., Sanati K. A., Macdonald E.B.

International Journal of Occupational Safety and Ergonomics

2012

Vol. 18, No. 4

587--590

Occupational injuries requiring admission to a trauma unit were examined to outline the events surrounding the injury and to examine the costs. Sixty-nine patients were admitted over a 12-month period, representing 4.30% of all work-related injuries attending the emergency department and 4.25% of all admissions to the trauma unit. Most were male (91%), working in skilled trade occupations (65%), with a mean age of 38.8 years. Personal protective equipment was used only by 46% of injured workers who should have been using it. Sixty-one percent of patients believed that their injury was preventable. Half of the injuries were to the upper limb, fall was the most frequent mechanism (25%) and the median duration of admission was 2 days. The direct hospital costs were estimated at over 300 000 GBP. Failure to use protective equipment and to follow health and safety guidelines suggests that opportunities exist for injury prevention.

Temporal Trend of Occupational Injuries; First Versus Second Half of a Working Shift

Sanati K. A., Yadegarfar G., Naghavi H., Mansouri M., Sanati J. G. H.

International Journal of Occupational Safety and Ergonomics

2010

Vol. 16, No. 1

49--54

Objectives. To assess occupational injuries in the 1st versus 2nd half of a working shift in terms of (a) the likelihood of hospital referral following an injury event; (b) the external causes of injuries. Methods. Logistic regression analyses of data from a 16-year (1991–2007) experience of ongoing surveillance of occupational injuries in a synthetic fiber factory in Iran. Results. The likelihood of a hospital referral following an injury in the 1st half of a shift was higher than in the 2nd half (adjusted odds ratio [OR] 1.50, 95% confidence interval [CI] 1.10–2.00). Comparing the 2 halves of the shift, an injury occurring in the 2nd half was more likely to be due to exposure to smoke, fire and flames (OR 2.34, 95% CI 1.06–5.19) or transport accidents (OR 1.84, 95% CI 1.06–3.21). Conclusions. Time-specific safety interventions could be used in the risk management of occupational injuries. Further studies to investigate the effect of time-dependent interventions are recommended.