Original Articles
20 February 2025
Vol. 40 No. 4 (2018)

[Biological risk in agricultural and construction workers: perception, knowledge and prevention measures]

Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
34
Views
48
Downloads

Authors

Background: Despite the potential presence in many workplaces, biological risk is little known and largely underestimated, except in healthcare environments. Objectives: To evaluate perception, knowledge and behaviors adopted for protection and prevention of biological risk, related 96 also to the occupational activity, among construction and agricultural workers.
Methods: Workers were recruited at farms and construction companies of Molise Region, Central Italy, which were visited within the surveillance activities planned by local institutions. A questionnaire was administered to workers to collect sociodemographic and occupational data, and concerning risk perception and knowledge, and awareness of available prevention measures, also related to the work activity.
Results: A total of 143 workers (73.4% males, 42.9$10.7 years old) were interviewed, and 56.6% were construction workers. Only 24% of workers believed that infectious diseases could be frequent and health threatening in carrying out the work activities; half of them declared to be exposed to biological hazards, but 70% were unworried. An underestimation of the severity of some pathologies, such as listeriosis, leptospirosis and viral hepatitis emerged, and only 70% of workers believed that tetanus is highly or very highly dangerous for health. Furthermore, 33% of workers said to have scarce or insufficient knowledge of biological risk, and 97.2%, 80.4% and 45.5% were aware that a vaccine is available for tetanus, hepatitis B and A, respectively. All workers undergone the tetanus vaccination and 39.2% the anti-hepatitis B.
Conclusion: Despite the high probability of exposure to biological agents, the results of the survey revealed a lack of perception and knowledge of the risk, as well as a poor awareness of available preventive measures among construction and agricultural workers. These data point out the need to activate information and training programs on exposure to biological agents and on both emerging and re-emerging infectious diseases potentially related to work activities, and to provide prevention procedures specific for these workplaces.

Altmetrics

Downloads

Download data is not yet available.

Citations

1) International Labour Organization. Emerging risks and new patterns of prevention in a changing world of work. 2010, pag. 1-17.
2) Haagsma JA, Tariq L, Heederik DJ, Havelaar AH. Infectious disease risks associated with occupational exposure: a systematic review of the literature. Occup Environ Med 2012; 69(2): 140-46. DOI: https://doi.org/10.1136/oemed-2011-100068
3) Corrao CRN, Mazzotta A, La Torre G, et al. Biological risk and occupational health. Industrial Health 2012; 50(4): 326-37. DOI: https://doi.org/10.2486/indhealth.MS1324
4) De Giusti M, Corrao CRN, Mannocci A, et al. Occupational biological risk knowledge and perception: results from a large survey in Rome, Italy. Ann Ist Super Sanita 2012; 48(2): 138-45. DOI: https://doi.org/10.4415/ANN_12_02_06
5) Frusteri L, Anzidei P, Giovinazzo R, et al. Il rischio biologico nei luoghi di lavoro. Schede tecnico-informative. Edizione 2011. ISBN 978-88-7484-195-0: Stampato dalla Tipolitografia INAIL - Milano, luglio 2011, pag. 1-84.
6) Decreto Legislativo 9 aprile 2008, n. 81. Attuazione dell'articolo 1 della legge 3 agosto 2007, n. 123, in materia di tutela della salute e della sicurezza nei luoghi di lavoro (GU Serie Generale n. 101 del 30-04-2008 - Suppl. Ordinario n. 108).
7) Decreto Legislativo 3 agosto 2009 n. 106. Testo integrato e coordinato con le modifiche e integrazioni apportate da Legge 7 luglio 2009 n. 88 (S.O. n. 110 alla G.U. n. 161 del 14.7.2009) "Disposizioni integrative e correttive del Decreto Legislativo 9 aprile 2008
n. 81 in materia di tutela della salute e della sicurezza nei luoghi di lavoro"
8) Rim KT, Lim CH. Biologically hazardous agents at work and efforts to protect workers' health: a review of recent reports. Saf Health Work 2014; 5(2): 43-52. DOI: https://doi.org/10.1016/j.shaw.2014.03.006
9) Singh TS, Matuka O. Work-related infections - Part 1: Risks of exposure to infectious agents in the workplace. Occupational Health Southern Africa 2013; 19(2): 4-12.
10) Colosio C, Somaruga C, Vellere F, et al. Biological risk prevention in agriculture and animal breeding: immunization strategies. G Ital Med Lav Ergon 2010; 32(4 Suppl): 302-5.
11) Fracchia L, Pietronave S, Rinaldi M, Martinotti MG. Site-related airborne biological hazard and seasonal variations in two wastewater treatment plants. Water Res 2006; 40(10): 1985-94. DOI: https://doi.org/10.1016/j.watres.2006.03.016
12) Montano D. Chemical and biological work-related risks across occupations in Europe: a review. J Occup Med Toxicol 2014: 24(9); 28. 13) International Classification of Occupations, 2008. DOI: https://doi.org/10.1186/1745-6673-9-28
(http://www.ilo.org/public/english/bureau/stat/isco/isco08/) 14) Rapisarda V, Bracci M, Nunnari G, et al. Tetanus immunity in construction workers in Italy. Occup Med (Lond) 2014; 64(3): 217-9. 15) INAIL - Consulenza Tecnica Accertamento Rischi e Prevenzione. Linee guida. Il monitoraggio microbiologico negli ambienti di lavoro. Campionamento e analisi, Ed. INAIL, 2010 (www.inail.it). 16) Fioretti P, Frusteri L, Guercio A, et al. La sicurezza per gli operatori degli impianti di trattamento e di stoccaggio dei rifiuti solidi urbani. Ed. INAIL 2009.
17) Dutkiewicz J, Cisak E, Sroka J, et al. Biological agents as occupational hazards - Selected issues. Ann Agric Environ Med 2011; 18(2): 286-93.
18) Karttunen JP, Rautiainen RH. Distribution and characteristics of occupational injuries and diseases among farmers: A retrospective analysis of workers' compensation claims. Am J Ind Med 2013; 56(8): 856-69. DOI: https://doi.org/10.1002/ajim.22194
19) Szeszenia-Dabrowska N, Swiatkowska B, Wilczynska U. Occupational diseases among farmers in Poland. Med Pr 2016: 67(2); 163-71. 20) Zukiewicz-Sobczak WA, Chmielewska-Badora J, Wroblewska P, Zwolinski J. Farmers'occupational diseases of allergenic and zoonotic origin. Postepy Dermatol Alergol 2013; 30(5): 311-15. DOI: https://doi.org/10.5114/pdia.2013.38361
21) La Torre G, Scalingi S, Garruto V, et al. Knowledge, Attitude and Behaviours towards Recommended Vaccinations among Healthcare Workers. Healthcare (Basel) 2017; 7; 5(1). pii: E13. DOI: https://doi.org/10.3390/healthcare5010013
22) Coppola N, De Pascalis S, Onorato L, et al. Hepatitis B virus and hepatitis C virus infection in healthcare workers. World J Hepatol 2016; 8(5): 273-81. DOI: https://doi.org/10.4254/wjh.v8.i5.273
23) Messineo A, Marsella LT. Biological hazards and healthcare-associated infections in Italian healthcare facilities: some considerations on inspections and accountability. Ann Ig 2015; 27(6): 799-807. 24) Tamburro M, Anzelmo V, Bianco P, et al. Biological risk among agriculture and construction workers in Molise Region, Central Italy. Med Lav 2017; 108(2): 130-37.
25) Legge 5 marzo 1963, n. 292. Vaccinazione antitetanica obbligatoria. 26) Krumbholz A, Mohn U, Lange J, et al. Prevalence of hepatitis E virus-specific antibodies in humans with occupational exposure to pigs. Med Microbiol Immunol 2012; 201(2): 239-44. DOI: https://doi.org/10.1007/s00430-011-0210-5
27) De Schryver A, De Schrijver K, François G, et al. Hepatitis E virus infection: an emerging occupational risk? Occup Med (Lond) 2015; 65(8): 667-72. DOI: https://doi.org/10.1093/occmed/kqv154
28) Legge 27 maggio 1991, n. 165. Obbligatorietà della vaccinazione contro l'epatite virale B (GU Serie Generale n. 127 del 01-06-1991). 29) Decreto Ministeriale 12 giugno 2003, n. 185. "Regolamento recante norme tecniche per il riutilizzo delle acque reflue in attuazione dell'articolo 26, comma 2, del D.Lgs. 11 maggio 1999, n. 152" (G.U. 23 luglio 2003, n. 169).
30) Decreto Legislativo 3 aprile 2006, n. 152. Norme in materia ambientale (G.U. n. 88 del 14 aprile 2006).
31) Bianco P, Anzelmo V, Castellino N. Linee Guida per le vaccinazioni negli ambienti di lavoro. In: Apostoli P, Imbriani M, Soleo L, Abritti G, Ambrosi L. (Eds): Linee guida per la formazione continua e l'accreditamento del medico del lavoro: Tipografia PI-ME Editrice, Pavia, 2006; 19.
32) Pietrangeli B. Il rischio biologico nei luoghi di lavoro: priorità di ricerca per la valutazione del rischio. Prevenzione Oggi 2008; 4(1): 60-74 33) Tomei F, Amicarelli V, Anzelmo V, et al. Linee Guida per gli agenti biologici in ambienti di lavoro non sanitari. In: Apostoli P, Imbriani M, Soleo L, Abritti G, Ambrosi L (Series Eds): Linee Guida per la formazione continua e l'accreditamento del medico del lavoro: Tipografia PI-ME Editrice, Pavia, 2008; 24.
34) Góra A, Mackiewicz B, Krawczyk P, et al. Occupational exposure to organic dust, microorganisms, endotoxin and peptidoglycan among plants processing workers in Poland. Ann Agric Environ Med 2009; 16(1): 143-50.
35) Tabibi R, Baccalini R, Barassi A, et al. Occupational exposure to zoonotic agents among agricultural workers in Lombardy Region, northern Italy. Ann Agric Environ Med 2013; 20(4): 676-81.
36) Bianco P, Anzelmo V, Lista A, et al. Tetano e ambiente di lavoro. Dati INAIL 1979-1995. Atti del 60° Congresso Nazionale della Società Italiana di Medicina del Lavoro e Igiene Industriale, Palermo 24-27 settembre 1997. Acta Medica Mediterranea, 1997; 683-85. 37) Anzelmo V, Bianco P, Parente A, et al. Casi di tetano denunciati in ambiente di lavoro. Dati INAIL 1996-1999. Atti del 63° Congresso Nazionale della Società Italiana di Medicina del Lavoro e Igiene Industriale, Sorrento 8-11 novembre 2000. Folia Medica, 2000; 159-63. 38) Decreto Legislativo 151/2015. Disposizioni di razionalizzazione e semplificazione delle procedure e degli adempimenti a carico di cittadini e imprese e altre disposizioni in materia di rapporto di lavoro e pari opportunità, in attuazione della legge 10 dicembre 2014, n. 183.

How to Cite



[Biological risk in agricultural and construction workers: perception, knowledge and prevention measures]. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 40(4), 195-202. https://doi.org/10.4081/gimle.541