Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Global Estimates on Biological Risks at Work

  • Jukka Takala (Unit of Health Sciences, Faculty of Social Sciences, Tampere University) ;
  • Alexis Descatha (Univ Angers, CHU Angers, Univ Rennes) ;
  • A. Oppliger (Department of Occupational and Environmental Health, Unisante, University of Lausanne) ;
  • H. Hamzaoui (Labour Administration, Inspection and Occupational Safety and Health Branch, International Labour Office, ILO) ;
  • Catherine Brakenhielm (Formerly Occupational Safety and Health Coordinator, International Labour Standards Department, International Labour Office, ILO) ;
  • Subas Neupane (Unit of Health Sciences, Faculty of Social Sciences, Tampere University)
  • Received : 2023.05.16
  • Accepted : 2023.10.03
  • Published : 2023.12.30
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Abstract

Introduction: Biological risks are a major global problem in the workplace. The recent COVID-19 pandemic has highlighted the need for a more comprehensive understanding of the biological risks at work. This study presents data on both communicable infectious biological agents and noncommunicable factors leading to death and disability for the year 2021. Methods: We followed the methodology established by the International Labour Organization (ILO) in their past global estimates on occupational accidents and work-related diseases. We used relevant ILO estimates for hazardous substances and related population attributable fractions derived from literature, which were then applied to World Health Organization mortality data. The communicable diseases included in the estimates were tuberculosis, pneumococcal diseases, malaria, diarrheal diseases, other infectious diseases, neglected tropical diseases, influenza associated respiratory diseases and COVID-19. Noncommunicable diseases and injuries considered were Chronic Obstructive Diseases (COPD) due to organic dusts, asthma, allergic reactions and risks related to animal contact. We estimated death attributable to biological risk at work and disability in terms of disability adjusted life years (DALYs). Results: We estimated that in 2022, 550,819 deaths were caused by biological risk factors, with 476,000 deaths attributed to communicable infectious diseases and 74,000 deaths caused by noncommunicable factors. Among these, there were 223,650 deaths attributed to COVID-19 at work. We calculated the rate of 584 DALYs per 100,000 workers, representing an 11% increase from the previous estimate of the global burden of work-related disabilities measured by DALYs. Conclusion: This is a first update since previous 2007 ILO estimates, which has now increased by 74% and covers most biological risks factors. However, it is important to note that there may be other diseases and deaths are missing from the data, which need to be included when new information becomes available. It is also worth mentioning that while deaths caused by major communicable diseases including COVID-19 are relatively rare within the working population, absences from work due to these diseases are likely to be very common within the active workforce.

Keywords

References

  1. ILO Technical guidelines on biological hazards. Geneva: International Labour Organisation. 2022. https://www.ilo.org/wcmsp5/groups/public/-ed_dialogue/-lab_admin/documents/meetingdocument/wcms_846253.pdf. [Accessed 4 April 2023]. 
  2. Hamalainen P, Takala J, Tan BK. Global estimates of occupational accidents and work-related illnesses, 2017. WSH Institute, Ministry of Manpower of Singapore. 2017. Available online: https://www.mom.gov.sg/-/media/mom/files/pdf/wshi-past-reports/global-estimates-for-occupational-accidents-and-workrelated-diseases-nov-2017.pdf. [Accessed 18 June 2022]. 
  3. Takala J, Hamalainen P, Nenonen N, Takahashi K, Chimed-Ochir O, Rantanen J. Comparative analysis of the burden of injury and illness at work in selected countries and regions. Central European Journal of Occupational and Environmental Medicine 2017:7-31. Supplementary excel files: https://www.nnk.gov.hu/cejoem/database.html. [Accessed 4 April 2023]; 2017. 
  4. Biological agents and prevention of work-related diseases: a review, European Risk Observatory Report. European Agency for Safety and Health at Work; 2020 (adapted from EU-OSHA, 2020). 
  5. Dutkiewicz J, Cisak E, Sroka J, Wojcik-Fatla A, Zajac V. Biological agents as occupational hazards-selected issues. Annals of Agricultural and Environmental Medicine 2011;18(2). 
  6. Acke S, Couvreur S, Bramer WM, Schmickler MN, De Schryver A, Haagsma JA. Global infectious disease risks associated with occupational exposure among non-healthcare workers: a systematic review of the literature. Occupational and Environmental Medicine 2022 Jan 1;79(1):63-71.  https://doi.org/10.1136/oemed-2020-107164
  7. Health and Safety Executive (U.K.), Approved List of biological agents, Advisory Committee on Dangerous Pathogens, https://www.hseni.gov.uk/sites/hseni.gov.uk/files/The%20Approved%20List%20of%20biological%20agents%20-%20MISC208%20Fourth%20Edition%20-%20Published%20July%202021.PDF (accessed on 4 April 2023). 
  8. Directive 2000/54/EC - biological agents at work of the European Parliament and of the Council of 18 September 2000 on the protection of workers from risks related to exposure to biological agents at work https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32019L1831 Last modified:04/04/2022, in 23 languages, (accessed on 4 April 2023). 
  9. ILO list of occupational diseases 2010, International Labour Organisation, Geneva https://www.ilo.org/safework/info/publications/WCMS_125137/lang-en/index.htm (accessed on 4 April 2023). 
  10. IARC Classifications, https://monographs.iarc.who.int/agents-classified-by-the-iarc/or https://en.wikipedia.org/wiki/IARC_group_1 and https://en.wiki-pedia.org/wiki/IARC_group_2A (accessed on 4 April 2023). 
  11. Cook B, Farrant J.: Occupational zoonoses, OSHWiki, https://oshwiki.eu/wiki/Occupational_zoonoses (accessed on 4 April 2023). 
  12. WHO fact sheet on drinking water 21 march 2022, https://www.who.int/news-room/fact-sheets/detail/drinking-water (accessed on 4 April 2023). 
  13. Hamalainen P, Takala J, Saarela KL. Global estimates of fatal work-related diseases. American Journal of Industrial Medicine 2007 Jan;50(1):28-41.  https://doi.org/10.1002/ajim.20411
  14. Hamalainen P, Neupane S, Nygard CH, Sauni R, Takala J. Comparative global estimates on the work-related burden of accidents and diseases. ICOH 2022 Rome-Melbourne Congress PowerPoint File 6 Feb 2022;13(S130). https://doi.org/10.1016/j.shaw.2021.12.1158. https://www.researchgate.net/publication/358385430_Comparative_Global_Estimates_on_the_Work-related_Burden_of_Accidents_and_Diseases and abstract: Safety and Health at Work. [Accessed 4 April 2023]. 
  15. Takala J, Iavicoli S, Kang SK, Nogueira C, Gagliardi D, Kocks D, Rantanen J. Work-related injuries and diseases, and COVID-19. International Journal of Labour Research, ILO 2021;10(1-2):27-47. Available online: https://www.ilo.org/wcmsp5/groups/public/-ed_dialogue/-actrav/documents/publication/wcms_806895.pdf. 
  16. Bush RK, Portnoy JM, Saxon A, Terr AI, Wood RA. The medical effects of mold exposure. Journal of Allergy and Clinical Immunology 2006 Feb 1;117(2):326-33.  https://doi.org/10.1016/j.jaci.2005.12.001
  17. Koh D, Gan WH. Textbook of occupational medicine practice. Singapore: World Scientific Publishing Co. Pte. Ltd; 2022 accessed on 4 April 2023). 
  18. Marinaccio A, Guerra R, Iavicoli S. Work a key determinant in COVID-19 risk. The Lancet Global Health 2020 Nov 1;8(11):e1368. 
  19. Nafilyan V, Pawelek P, Ayoubkhani D, Rhodes S, Pembrey L, Matz M, Coleman M, Allemani C, Windsor-Shellard B, van Tongeren M, Pearce N. Occupation and COVID-19 mortality in England: a national linked data study of 14.3 million adults. Occupational and Environmental Medicine 2022;79:433-41. https://doi.org/10.1136/oemed-2021-107818. 
  20. Bonde JP, Sell L, Meulengracht Flachs E, Coggon D, Albin M, Oude Hengel KM, Mehlum IS, Schlὒnssen V, Solovieva S, Toren K, Jakobsson K, Nielsen C, Nilsson K, Rylander L, Petersen KU, Tottenborg SS. Occupational risk of COVID-19 related hospital admission in Denmark 2020-2021: a follow-up study. Scandinavian Journal of Work Environment and Health 2023;49:84-94. https://doi.org/10.5271/sjweh.4063. 
  21. Institute of Health Metrics and Evaluation, Global burden of disease and injury. University of Washington, USA, https://vizhub.healthdata.org/gbdcompare/(accessed on 4 April 2023). 
  22. Icohweb Global. Estimates of occupational accidents and work-related diseases; 2017. 
  23. Hamalainen P. Global estimates of occupational accidents and fatal work-related diseases". Doctoral dissertation, Publication 917. 2010. Tampere University of Technology, Finland. Available online: https://trepo.tuni.fi/bitstream/handle/10024/115087/hamalainen.pdf?sequence=1&isAllowed=yhttps://trepo.tuni.fi/bitstream/handle/10024/115087/hamalainen.pdf?sequence=1&isAllowed=y. [Accessed 10 November 2021]. 
  24. Dino D. Are animals occupational hazards?. Washington, USA: Bureau of Labour Statistics. 2000. https://www.bls.gov/opub/mlr/cwc/are-animals-occupational-hazards.pdf. 
  25. Bhuiyan MA, Agrawal P, Wadhwaniya S, Li Q, Alonge O, Rahman AF, Rahman A. Animal-related injuries and fatalities: evidence from a large-scale population-based cross-sectional survey in rural Bangladesh. BMJ Open 2019 Nov 1;9(11):e030039. 
  26. World Health Organization. Fact sheet on animal bites. fact sheet. WHO; 2018. 
  27. International Labour Organisation. Biological hazards in the working environment, ILC.112/Report IV (1), 112th Session; 2022. https://ilo.org/wcmsp5/groups/public/-ed_norm/-relconf/documents/meetingdocument/wcms_863811.pdf. [Accessed 5 April 2023].