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The primary vector of the dengue fever virus, the Aedes aegypti mosquito, is distributed across the tropical and sub-tropical latitudes; however, the area at risk of infection has been expanding steadily. This study aimed to identify the industries most vulnerable to the effects of dengue fever by 2030. The assessment was done by considering the international supply chain, with aspects such as the labor intensity, and the relevant geographical and socioeconomic aspects being taken into account. In addition, multi-regional input-output tables were employed to analyze the ripple effects of productivity losses resulting from workers contracting the disease. The results indicate that more than 10% of the workers involved in the supply chain of all the major industries in the United States (USA), China, Japan, and Germany could be considered at risk of contracting dengue fever by 2030. Moreover, the risk was even higher in India and Brazil, namely, more than 70%. The effect of widespread dengue fever infection could influence industrial activities severely, not only in the regions most at risk (India and Brazil) but also in the other regions (USA, Japan, and Germany). Labor-intensive industries, such as agriculture, fisheries, and the distribution sector are particularly at risk and will have to consider appropriate contingency measures. It is recommended that the downstream side of the supply chain, the industries in the USA, Japan, and Germany, supports the introduction of worker’s health management system against the infectious disease into their business partners. This study employed limited data and only estimated the possible effects of the disease by 2030. Further comprehensive analysis is required with more data modeled for the future to verify and enhance the reliability of the present results.

It is proposed an integrated management model for an organization. This model is based on the continuous improvement Plan-Do-Check-Act cycle and it intends to integrate the environmental, risk prevention and ethical aspects as well as research, development and innovation projects management in the general quality management structure proposed by ISO 9001:2008. It aims to fulfill the standards ISO 9001, ISO 14001, OSHAS 18001, SGE 21 y 166002.

SUMMARY: Social representation of nurses and academics of nursing about the perception of the work’s risks in which they are exposed in units of health care attendance services. Analyzing 18 people's perception among nurses and academics of nursing on the risks in which they are exposed in the hospital environment and in primary attendance services to the health, we used the social representations as a methodological referential. We used the analysis of content proposed by Bardin and we recorded the interviews starting from an specific question. "Cartoon" technique and the free drawings technique were used to collect data, and the methodological course is explicit in seven steps. It could be noticed as risks, the institutional relationships, professional and personal relationships. The work conditions worsened by the professional acquaintance in serious situations and of proximity with the death. The participants were considered not very valued in its potentiality, since the relationships of power and a very strict hierarchy prevail. The medical hegemony and the financial conditions were noticed as the base of the institutional decisions. KEY WORDS: Labor risks, nurses, nursing academics RESUMO: Ao analisar a percepção de 18 pessoas entre enfermeiros e acadêmicos de enfermagem sobre os riscos a que estão expostos no ambiente hospitalar e nos serviços de atendimento primário à saúde, utilizamos as representações sociais como referencial metodológico. Empregamos a análise de conteúdo proposta por Bardin e gravamos as entrevistas a partir de uma questão norteadora. A técnica de gibi e de desenhos livres instrumentalizaram a coleta de dados e o percurso metodológico é explicitado em sete passos. Apresentaram-se como riscos as relações institucionais, profissionais, interpessoais. As condições de trabalho são agravadas pelo convívio profissional em situações críticas e de proximidade com a morte. Os participantes consideraram-se pouco valorizados em suas potencialidades, já que reconhecem-se numa relação de poder com hierarquia muito rígida. A hegemonia médica e as condições financeiras foram percebidas como a base das decisões institucionais. UNITERMOS: riscos laborais, enfermeiros, acadêmicos de enfermagem