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Highlights • A customized exposure chamber was used to measure the particulate respirator efficiency of NIOSH-certified respirators and home-made respirators. • The chamber was validated using P100 and N95 respirators. • Custom-made respirators fabricated from Halyard® H600 sterilization fabric material were claimed as N95 alternative with superior efficiency. • The results indicated that the Halyard® H600 sterilization fabric has lower filter efficiency compared to P100 and N95, and is not recommended for use as an alternative for the N95 respirator., Background Due to COVID-19 and high demand for respirators, some healthcare professionals have been using the Halyard H600 fabric as an alternative to N95 respirators without testing the filtration efficiency of the fabric with established scientific methods. The purpose of this study was to assess the efficiency of the Halyard H600 as a respirator filtering material as compared to the NIOSH-certified N95 and P100 filters, and determine if H600 is a good alternative for respiratory protection for healthcare professionals during the COVID-19 pandemic. Methods Three filter types (Halyard H600, N95 and P100) were challenged with salt particles inside an exposure chamber at a flow rate of 43 LPM and relative humidity of 40±2%. N95 and P100 respirator filters were tested initially to establish the validity of the chamber, followed by the Halyard H600 fabric. Particle penetration was measured using an aerosol spectrometer. The filtration efficiency was calculated for different particle sizes by measuring the particle number concentration upstream and downstream of the filter. The pressure drop across the filter materials was measured using a manometer. Results The efficiency of the P100 for particles ≥250 nm was 100%. The N95 efficiency was 97±1% at 275 nm, 99±0% at 324 nm, and 100% for larger particles. The Halyard H600 fabric had a variable efficiency with an average of 62±28% at 275 nm, 89±8% at 324 nm, and 100% efficiency for particles >450 nm. The pressure drop values for P100 and N95 were 32 and 8 mmH20, respectively. The Halyard H600 fabric resistance increased dramatically from 30 mmH20 at the start of the exposure to 65 mmH20 after 16-min of exposure. Conclusion The high variability in filter efficiency for particles ≤324 nm and the increased fabric breathing resistance demonstrate that the Halyard H600 has an inferior performance and is not a good substitute for N95 and P100. Thus, the use of the Halyard H600 fabric for respiratory protection is not recommended.

Agricultural workers are exposed to solar ultraviolet (UV) radiation due to the significant amount of time spent working outdoors. Risk information on UV exposure from the EPA SunWise UV Index mobile app is conveniently available for timely advice on risk management, but its reliability is unknown. The purpose of this study was to determine the reliability of the EPA UV Index app in providing accurate risk information to reduce UV exposure and prevent related illnesses among agricultural workers in eastern North Carolina. UV radiation effective irradiance (UV

Little is known about risk factors associated with poor health among employees with COPD living in Central Appalachia. Purpose: Determine variability in health distress based on risk factors, inclu...

COVID-19 pandemic caused a high demand for respiratory protection, caused a scarcity of approved respirators and the production of alternative respiratory protection. To raise public awareness through the scientific community, bestselling respirators and masks in the United States' leading online retailer, Amazon.com, were evaluated.Ten respirators and masks, 5 Face Protective Equipment (FPE) and 5 Cloth Face Masks (CFMs), were evaluated compared to the N95 standard. Two groups were established with the intention of comparing all masks together. The fractional efficiency and pressure drop were measured and compared to the National Institute for Occupational Safety and Health (NIOSH) standards. In addition, grading factors for protection, comfort, and affordability were developed that can be used by the scientific community to readily disseminate to consumers for the selection of the appropriate respiratory protection.Two FPE provided acceptable efficiency (95%) similar to the N95, while the remaining products were below or extremely below NIOSH standards. All products provided pressure drops within NIOSH standards (≤35 mmHThe N95 remains the best respiratory protection, and in the event of the next airborne pandemic, FPEs could serve as adequate alternative protection against the viral spread.

Agricultural workers are exposed to heat stress due to spending significant amount of time outdoors. Risk information from mobile apps is more readily available for timely advice on risk management that is crucial in preventing severe acute illnesses and deaths, but its reliability is unknown. The purpose of this study was to determine the reliability of the OSHA-NIOSH Heat Safety Tool mobile app in providing accurate risk information to prevent heat-related illnesses among agricultural workers in eastern North Carolina. Wet bulb globe temperature (WBGT) indices were datalogged at two agricultural sites using heat stress monitors from April-August 2019 and were assigned to risk levels (minimal, low, moderate, high, extreme) by workload (light, moderate, heavy, very heavy) based on the ACGIH

Printing presses are known to release volatile organic compounds (VOCs) that may pose health risks to workers. The purpose of this study was to assess the area airborne total volatile organic compounds (TVOCs) and toluene concentrations in an eastern North Carolina university printing facility. Real-time TVOC concentrations for ∼8 h were measured using photoionization detectors during each sampling day in the facility offset and digital printing areas. Air samples were collected in the offset printing area using activated charcoal tubes to determine the 8-h time-weighted-average toluene exposure. The mean daily TVOC concentrations (n = 38) had an overall average of 6.68 ± 3.25 ppm. The mean daily TVOC concentrations in the offset printing area (8.99 ± 2.93 ppm) were significantly higher ( p

Mosquitoes can be a nuisance and can transmit pathogens causing numerous diseases. Homeowners may hire private companies that use barrier sprays to alleviate mosquito-related issues, especially in areas where government funding for mosquito control programs is limited. Here, the spatial distribution of mosquitoes was evaluated in a suburban neighborhood during successive treatments with either Bifen Insecticide/Termiticide (active ingredient: bifenthrin) or Suspend Polyzone (active ingredient: deltamethrin) from May 17 to November 8, 2016. A total of 15,083 adult mosquitoes and 18,054 mosquito eggs were collected. Analysis of variance (P < 0.05) was used to analyze differences in abundance of key species between weeks, traps, and treatments. Weather trends were analyzed in relation to mosquito abundance using time-lagged weekly average temperatures and total rainfall. Kriging showed hot spots of mosquito abundance. The spatial pattern of abundance was different for oviposition and adults, and this was expected because of different types of traps used here. A land cover analysis was performed within the geographic information system (GIS) file to determine the extent to which land cover type could predict mosquito abundance. We show an uneven distribution of host-seeking mosquito abundance and that, in general, mosquitoes preferred areas that were lightly wooded or composed of small collections of trees or bushes, compared with larger densely wooded areas. Analyses of spatial distribution, land cover, and weather can be used to supplement an integrated mosquito management approach.

Respirator use has been shown to be associated with overall discomfort. Activated carbon fiber (ACF) has potential as an alternative adsorbent for developing thinner, lightweight, and efficient respirators due to its larger surface area, microporosity, and fabric form. The purpose of this pilot study was to determine the adsorption characteristics of commercially available ACF in respirator cartridges with varying ACF composition for toluene protection. Seven ACF types (one cloth, six felt) with varying properties were tested. Seven ACF cartridge configurations with varying ACF composition were challenged with five toluene concentrations (20–500 ppm) at constant air temperature (23 °C), relative humidity (50%), and air flow (32 LPM). Breakthrough curves were obtained using photoionization detectors. Breakthrough times (10%, 50%, and 5 ppm) and adsorption capacities were compared among ACF cartridge configurations to determine their suitable application in respiratory protection. Results showed that ACF cartridges containing the densest ACF felt types had the longest average breakthrough times (e.g., ~250–270 min to reach 5 ppm breakthrough time) and those containing ACF felt types with the highest specific surface areas had the highest average adsorption capacity (~450–470 mg/g). The ACF cartridges demonstrated breakthrough times of &lt, 1 h for 500 ppm toluene and 8–16 h for 20 ppm toluene. The ACF cartridges are more reliable for use at low ambient toluene concentrations but still have potential for use at higher concentrations for short-term protection. ACF felt forms with appropriate properties (density of ~0.07 g/cm3, specific surface area of ~2000 m2/g) have shown promising potential for the development of lighter and thinner respirators for protection against toluene.

Environmental factors have been increasingly identi ed as the cause of the current high prevalence of autism spectrum disorders (ASD). Objective: The purpose of this study is to understand parents’ perceptions regarding environmental in uence and autism. Methods: We conducted individual, face-to-face interviews with parents of children with ASD in Eastern North Carolina. Results: Our sample is comprised of 25 parents of children with autism with an average age of 39.08 and 68% were mothers. Our data indicated that 19 (76%) parents believed that environmental factors impacted the development of their children’s autism, half of whom indicated >50% of influence. Among these environmental triggers, food and water (52%), air pollution (40%), pesticides and cleaning products (20%) were the most identied contributing factors associated with the onset of autism. Conclusions: Our findings reflected some unmet needs to improve parental awareness of environmental triggers of ASD.

Adults who work in the Central Appalachian region of the United States (U.S.) are disproportionately affected by Chronic Obstructive Pulmonary Disease (COPD). While there is a socio-demographic profile of adults with COPD who are at increased risk for physical and mental distress, the risk factors that uniquely affect the health-related quality of life (HRQoL) of Central Appalachian workers with COPD are unknown. Therefore, we conducted a latent class analysis of 2016 and 2017 Behavioral Risk Factor Surveillance System data from 1326 currently employed adults with COPD living in four U.S. states (KY, NC, TN, and WV) within the Central Appalachian Region. Drawing from the social ecological model, we identified associations between theoretically informed risk indicators&mdash, comorbid health conditions, substance use and abuse, and limited access to healthcare&mdash, on three HRQoL variables, including infrequent (0&ndash, 13 days) or frequent (&ge, 14 days) physical distress, mental distress, and limited activity due to poor health over the past 30 days. Workers at high risk for comorbid conditions reported more frequent physical distress, mental distress, and activity limitations as compared to those at low risk. Workers reporting difficulty accessing healthcare were no more likely to report physical or mental distress when compared to workers with adequate access to healthcare, however, those with limited healthcare access did report more frequent activity limitation due to poor health. Interestingly, workers with COPD at high risk for substance use and abuse were no more likely to report poor HRQoL outcomes compared to those at low risk. Our findings have important implications for addressing indicators of poor health among Central Appalachian workers with COPD, especially those living with multiple comorbidities.

Ants, bees, hornets, wasps, and yellow jackets (insects in Order Hymenoptera) are potentially a serious concern to outdoor workers, as the venom from their stings can cause life-threatening allergic reactions. This study assessed the impacts of Hymenoptera stings and related worker training regimes of forestry workers across the United States (US).A survey was distributed to nearly 2,000 outdoor workers in the forestry industry from four US regions (South, West, Northeast, and Midwest).Ants are a primary concern in the South, with75% of participants reporting ant stings within the last 5 years. Bees, hornets, wasps, and yellow jackets are a concern for surveyed foresters in all US regions, with 60-70% and 75-93% of participants, respectively, having been stung by bees or hornets/wasps/yellow jackets within the last 5 years. Despite such a large number of participants experiencing stings, nearly 75% of participants were not concerned about being stung or their reaction to stings. Approximately, 70% of participants reported not having received any safety training related to Hymenoptera from their employers.No significant difference was shown in the number of foresters stung at work between safety trained and non-safety trained participants. However, it was significantly more likely for participants to carry a first aid kit if they had received Hymenoptera safety training. Consequently, more comprehensive and frequent training should be considered to help reduce risk of exposure to Hymenoptera.

Diversity in the environmental health sciences (EHS) workforce is crucial in providing culturally sensitive services to diverse communities. This may be influenced by academic faculty training a diverse student body in the field of environmental health. This study aimed to characterize the diversity of students and faculty in EHS programs accredited by the National Environmental Health Science and Protection Accreditation Council (EHAC). A retrospective analysis was conducted on secondary data obtained from annual surveys administered to program directors in EHAC-accredited academic programs that included both undergraduate and graduate EHS degrees. The database covered surveys on gender and race that were conducted by EHAC for 12 academic years spanning 2009-2010 to 2020-2021. Results show most students (undergraduate and graduate) were female (54.4% and 52.1%, respectively) and white (61.0% and 50.7%, respectively). Increasing trends were observed over the last 12 years (2009-2021) in female undergraduate (from 53.7% to 59.8%) and graduate (from 47.1% to 60.3%) students and in non-white undergraduate students (from 40.0% to 48.2%). Most faculty (teaching in undergraduate and graduate programs) were male (64.4% and 64.3%, respectively) and white (77.9% and 92.1%, respectively). Increasing trends were observed from 2009 to 2021 in female faculty teaching undergraduate (from 27.7% to 42.2%) and graduate (from 31.3% to 42.1%) students. Native American, Alaska Native, Native Hawaiian, and Pacific Islander are consistently the most underrepresented racial groups in both undergraduate and graduate students and faculty. This study provides baseline data on the diversity of students and faculty in EHAC-accredited programs, which is important in informing future research and efforts to increase such diversity. Gender and racial disparity in EHS students and faculty needs to be addressed to provide necessary support to women and non-White constituents by institutional change in culture through active recruitment and by stronger collaboration between professional organizations and minority groups.

Minimizing arthropod exposure (e.g. mosquito and tick bites) is vital to protect health of outdoor workers. Personal protective measures can help protect against exposure. Here, the quantity of permethrin was evaluated for different fabric types after washing. Cone and petri dish exposure assays were used to investigate the knockdown/mortality of permethrin-susceptible and permethrin-resistant populations of mosquitoes. Permethrin-treated clothing was effective against the tested mosquito population that was susceptible to permethrin but not a permethrin-resistant population. Permethrin quantity was significantly highest in the 100% cotton fabric and for the 0 wash group. Permethrin quantity in fabrics decreased with washing. No significant differences (p > 0.05) were observed in knockdown/mortality rates for either exposure method. The protective effect of permethrin-treated clothing against mosquitoes is impacted by many factors, e.g. wash frequency, fabric type, and the susceptibility/resistance status of local mosquito populations.

Mosquitoes exposed to sublethal doses of insecticides may be selected for resistance to insecticide active ingredients (AIs). Mosquitoes are exposed to AIs through agricultural, public/private mosquito control programs, homeowners, and other sources. Hence, mosquito control programs should routinely measure the resistance/susceptibility status of mosquito populations of public health concern. The objectives here were to determine resistance status for six AIs used in adult mosquito control in the United States to assess how resistance/susceptibility differs between AI, mosquito species (states where > 1 species collected), and between years (some populations sampled for 2 yr). Field-collected eggs from 21 mosquito populations of six different species or hybrid species (Aedes albopictus Skuse [Diptera: Culicidae], Aedes aegypti L. [Diptera: Culicidae], Culex nigripalpus Theobald, Culex pipiens L. [Diptera: Culicidae], Culex quinquefasciatus Say [Diptera: Culicidae], Cx. pipiens/quinquefasciatus) were obtained. Centers for Disease Control and Prevention bottle bioassays were used to assess the resistance/susceptibility status for six AIs (bifenthrin, deltamethrin, etofenprox, malathion, permethrin, and phenothrin). World Health Organization guidelines were used to classify mosquitoes as susceptible (98-100% mortality at diagnostic time [DT]), possibly resistant (80-97% mortality at DT), or resistant (

Groundskeepers spend most of the year working outdoors, exposing them to heat and solar ultraviolet (UV) radiation and increasing their risk to related adverse health effects. Various studies on heat and UV exposures in different occupations have been published, but those on groundskeepers are rare. The purpose of this study was to assess the exposure to heat stress and solar UV radiation among groundskeepers in an eastern North Carolina university setting. Wet bulb globe temperature (WBGT) index using a heat stress monitor and UV effective irradiance (UV

Mosquitoes are a nuisance and potentially transmit pathogens causing numerous diseases worldwide. Homeowners and others may hire private companies to alleviate mosquito-related issues. Here, two pyrethroids (Suspend Polyzone [deltamethrin] and Bifen Insecticide/Termiticide [bifenthrin]) were evaluated on properties in North Carolina for 23 wk from 18 May through 19 October 2015. Properties were treated using backpack mist blowers every 21 d. At 17 fixed sampling locations, Centers for Disease Control and Prevention carbon dioxide-baited traps were deployed overnight once/week for the duration of the experiment. Oviposition traps were deployed weekly at the same locations. Differences were observed in mosquito abundance between neighborhoods, treatments, and weeks and differences varied between species. Mosquito abundance was generally significantly higher in traps placed on control properties (no insecticide) compared to traps placed on treatment properties. Bifenthrin and deltamethrin showed differences from each other in efficacy, but this varied between neighborhoods and species. Future studies could test the efficacy of barrier sprays at different application frequencies and/or in conjunction with weather monitoring. Coupled with regular mosquito surveillance and using integrated pest management principles, barrier sprays can be an effective tool for suppression of mosquito populations.

Chikungunya, dengue, and Zika viruses (CHIKV, family Togaviridae, genus Alphavirus; DENV and ZIKV, family Flaviviridae, genus Flavivirus) are arboviruses that cause human epidemics. Due to the lack of vaccines for many mosquito-borne diseases, there is a need for mosquito control. In the US and other regions, residual barrier insecticide sprays are applied to foliage where female mosquitoes rest and/or sugar feed between blood meals. Residual sprays are an important control method for anthropogenic day-active sylvan mosquitoes such as Aedes albopictus (vector of CHIKV, DENV, and ZIKV) that are difficult to control using ultralow-volume sprays applied only at dusk or dawn when these mosquitoes are not active. In this exploratory study, we analyzed the extent to which ingestion of a sublethal dose of the active ingredient bifenthrin affected vector competence (i.e., infection, dissemination, and transmission) of Ae. albopictus for DENV and ZIKV. Two incubation periods (IPs; 7 and 14 d) were tested at 28°C for insecticide-fed and sugar-fed mosquitoes. We show that mosquitoes that were fed bifenthrin (0.128 µg/mL) mixed with sucrose solution exhibited significantly lower DENV infection rates and body titers after a 14-d IP. During the 7-d IP, one mosquito (sugar group) transmitted ZIKV. During the 14-d IP, 100% of mosquitoes showed body and leg ZIKV infections, and one mosquito (sugar+bifenthrin group) transmitted ZIKV. This is a preliminary communication, and more studies will be required to further investigate these findings. We expect the findings of this small-scale study to spur larger-scale investigations of the impacts of insecticides on mechanisms regulating vector competence, and exposure to other active ingredients, and aid in development of new insecticides.

Background Each year, the average number of nonfatal occupational injuries among landscaping and groundskeeping workers are consistently above the total number of injuries for all other occupational injuries among worker in the U.S. From 2004 to 2007, fatalities among groundskeepers averaged 13.3 per 100,000 workers compared to an overall rate of 4.0 fatalities per 100,000 for all U.S. workers with the majority reported as either Hispanic or Latino. Objective The aims of this project were to describe the use of personal protective equipment and work safety climate among a sample of landscaping and groundskeeping workers employed by public universities in North Carolina (N = 67). Methods Data from a cross-sectional study was collected among workers using group- administered surveys. Statistical associations with work safety climate were tested between personal, work and safety behavior characteristics with work safety climate scores using one-way ANOVA. Results Nearly half of workers (49.3%) reported experiencing one or more work-related injuries or illnesses within the past 12 months. While work safety practices were perceived as being very important to management, only 56.7% reported having regular safety meetings. In bivariate analysis, work safety climate scores were significantly lower among those reporting race "other than white" (P = 0.01). Conclusions This is the first study of its kind to evaluate work safety climate among landscaping and groundskeeping workers. Although self-reported safety practices were moderate, minority workers described their work safety climate as being poor. As a pilot study, these results suggest that employers of landscaping and groundskeeping workers could do more to improve safety climate within the organization with an emphasis on safety training for minority and underrepresented workers.

Agricultural work is a physically demanding occupation. The purpose of this project was to describe the prevalence of work-related musculoskeletal disorders (WMSDs) and self-reported pain among Latino farmworkers who work extensively hand harvesting sweet potatoes. Data were obtained from a cross-sectional survey of farmworkers (N = 120) in eastern North Carolina. Univariate and bivariate analyses were used to describe personal, work characteristics, and self-reported pain associated with musculoskeletal injuries. Overall, 79% of farmworkers reported any type of pain or discomfort. The highest reported areas of pain were in the back (66%) and shoulder areas (31%). Younger participants experienced more shoulder pain (P = .04) than older workers, and working more than 5 years as a farmworker was significantly associated with back pain (P = .01). Interventions aimed at administrative and engineering controls for reducing risk factors that contribute to WMSDs are warranted.

Background Vector-borne diseases are an important cause of morbidity and mortality in the USA. Effective, convenient prevention methods are needed. Long-lasting permethrin-impregnated (LLPI) clothing can prevent tick bites, however, additional information is needed on the real-world effectiveness and safety of this preventative measure. Methods In this pilot study, we recruited state and county park employees from North Carolina to wear LLPI uniforms for three months during the summer of 2016. We collected spot urine samples for biomonitoring of permethrin metabolites at one week, one month and three months after first use of the LLPI uniform. Following three months of wear, we collected pants and socks and analyzed them for permethrin content and mortality to ticks and mosquitoes. Results Thirteen park employees were included in the analysis. Bioactive amounts of permethrin remained in all clothing swatches tested, although there was great variability. Tick mortality was high, with 78% of pant and 88% of sock swatches having mean knockdown percentages ≥ 85%. In contrast, mosquito mortality was low. Over the study period, the absorbed dosage of permethrin averaged < 4 μg/kg/d of body weight based on measurements of three metabolites. Conclusions LLPI clothing retained permethrin and bioactivity against ticks after three months of use in real-world conditions. The estimated absorbed dosage of permethrin was well below the U.S. EPA level of concern, suggesting that LLPI clothing can be used safely by outdoor workers for tick bite prevention. Electronic supplementary material The online version of this article (10.1186/s13071-019-3314-1) contains supplementary material, which is available to authorized users.

Approximately 870,000 U.S. workers are employed as landscaping and groundskeeping workers who perform various tasks and use a variety of tools that expose them to high noise levels, increasing their risk to noise-induced hearing loss (NIHL). Several studies on noise exposure and NIHL in other job sectors have been published, but those on groundskeepers are very limited. This study aims to characterize the noise exposure of groundskeepers. Participants were monitored over their entire work shift for personal noise exposure by wearing noise dosimeters at shoulder level, 4 in from the ear. Using two different dosimeter settings (OSHA and NIOSH), the time-weighted averages (TWAs) and 1-min averages of noise exposure levels in decibels (dBA) were obtained. The participants were also asked to fill out an activity card daily to document their tasks, tools used, location and noise perception. Sound pressure levels (SPLs) produced by various groundskeeping equipment and tools were measured at full throttle near the ear of the operator using a sound level meter. These measurements were used to assess worker noise exposure profiles, particularly the contributing source of noise. The overall mean OSHA and NIOSH TWA noise exposures were 82.2±9.2 (range of 50.9-100 dBA) and 87.8±6.6 dBA (range of 67.2-102.9 dBA), respectively. Approximately 46% of the OSHA TWAs exceeded the OSHA action limit of 85 dBA. About 76% of the NIOSH TWAs exceeded 85 dBA, and 42% exceeded 90 dBA. The SPLs of equipment and tools measured ranged from 75- 106 dBA, most of which were at above 85 dBA and within the 90-100 dBA range. Hand-held power tools and ride-on equipment without enclosed cab may have contributed significantly to worker noise exposure. This study demonstrates that groundskeepers may be routinely exposed to noise levels above the OSHA and NIOSH exposure limits, and that the implementation of effective hearing conservation programs is necessary to reduce their risk to NIHL.

The first aim of this study was to investigate mesoporous activated carbon adsorbents from sisal, hemp, and flax fibers by cost-effective methods. Fibers were impregnated with low concentration (20 wt.%) phosphoric acid. Carbonization temperatures were defined by thermal analysis. Bast fibers (hemp, flax) decompose at lower temperatures (419.36℃, 434.96℃) than leaf fibers (sisal, 512.92℃). The second aim was to compare bast and leaf fibers-derived activated carbon adsorbents by determining physical adsorption properties, chemical compositions, scanning electron microscope, and Fourier transform infrared spectroscopy. Results showed that natural fibers have good candidates to prepare mesoporous activated carbon adsorbents with high surface area (1186–1359 m2/g), high mesopore percentage (60–72%), and high C content (80–86%). Even though leaf-derived activated carbon developed more mesoporous structure (72%), bast-derived activated carbons provided higher surface areas (Shemp = 1359 m2/g; Sflax = 1257 m2/g) and C content. Fourier transform infrared spectra for bast fibers-derived activated carbon adsorbents were quite similar while leaf fiber-derived activated carbon adsorbent had a different spectrum.

Mosquitoes are a nuisance and can transmit pathogens to humans and other animals, resulting in notable morbidity and mortality. Organized mosquito control programs conduct surveillance, source reduction, treatment of mosquito oviposition sites, and adulticiding to protect public health. However, in some regions, there has been a decline in county and municipal mosquito control programs, and homeowners increasingly contract with private mosquito control companies or address mosquito-related issues themselves at the household level. The extent to which these services are being used, the potential for mosquito and/or insecticide exposure around the home, and the access to these services by individuals of different socioeconomic categories are not known. We conducted regional (western, central, eastern) assessments of public perception and knowledge of mosquito control services in a variety of communities of different socioeconomic categories (low, moderate, high) and types (urban, suburban, rural) in 3 North Carolina counties. We also assessed the respondents' basic knowledge of mosquito-borne diseases. Most respondents thought mosquito control was important to protect against both nuisance mosquitoes and mosquito-borne disease. The majority of people would pay ≤$50/year for mosquito control and most thought this should be covered by municipal/county taxes. Many respondents (31%, 95% confidence interval [CI] 26-35%) personally undertake mosquito control on their properties, but only 5.3% (95% CI 3.1-7.5%) contract with professional mosquito control services, with no significant differences between region, community type, or socioeconomic category in the proportion using private mosquito control services. While there were significant differences between factor levels (3 regions, 3 community types, 3 socioeconomic categories) in some responses, there were no significant differences observed between respondents, regardless of factor level, in the willingness to contribute funds to a community-based mosquito control program.

Biological hazards such as exposure to ticks and mosquitoes can affect health. Permethrin-treated clothing is available to the public. We don’t currently understand, however, the effects of environmental factors such as fabric type, washing, sunlight, and temperature on permethrin content in treated clothing with respect to mosquito knockdown and mortality. We evaluated the extent to which fabric type (100% cotton denim jeans, 100% polyester work shirt, 35% cotton/65% polyester work shirt), light exposure (0 or 100%), temperature (18 °C, 32 °C), and number of washes (0, 3, 12, 36) affected mosquito knockdown 2 hours post-exposure, mosquito mortality 24 hours post-exposure, and permethrin content. All fabrics used in this study were treated with permethrin at a concentration of 125 µg/cm2. Denim fabric having no washes and no light exposure showed the highest amount of permethrin. Washing and light exposure significantly reduced the ability of permethrin-treated fabrics to induce mosquito knockdown and/or mortality under the simulated conditions used for this test. Temperatures tested did not affect permethrin content or mosquito knockdown and mortality. Long-lasting impregnation of uniforms protects against mosquito bites under simulated laboratory conditions. Employers and employees should consider the use of permethrin-impregnated clothing and uniforms in addition to daily repellent sprays.

Granular activated carbon (GAC) is currently the standard adsorbent in respirators against several gases and vapors because of its efficiency, low cost, and available technology. However, a drawback of GAC due to its granular form is its need for containment, adding weight and bulkiness to respirators. This makes respirators uncomfortable to wear, resulting in poor compliance in their use. Activated carbon fibers (ACF) are considered viable alternative adsorbent materials for developing thinner, light-weight, and efficient respirators because of their larger surface area, lighter weight, and fabric form. This study aims to determine the critical bed depth and adsorption capacity of different types of commercially available ACFs for toluene to understand how thin a respirator can be and the service life of the adsorbents, respectively. ACF in cloth (ACFC) and felt (ACFF) forms with three different surface areas per form were tested. Each ACF type was challenged with six concentrations of toluene (50, 100, 200, 300, 400, 500 ppm) at constant air temperature (23°C), relative humidity (50%), and airflow (16 LPM) at different adsorbent weights and bed depths. Breakthrough data were obtained for each adsorbent using gas chromatography with flame ionization detector. The ACFs' surface areas were measured by an automatic physisorption analyzer. The results showed that ACFC has a lower critical bed depth and higher adsorption capacity compared to ACFF with similar surface area for each toluene concentration. Among the ACF types, ACFC2000 (cloth with the highest measured surface area of 1614 ± 5 m(2)/g) has one of the lowest critical bed depths (ranging from 0.11-0.22 cm) and has the highest adsorption capacity (ranging from 595-878 mg/g). Based on these studied adsorption characteristics, it is concluded that ACF has great potential for application in respiratory protection against toluene, particularly the ACFC2000, which is the best candidate for developing thinner and efficient respirators.

BACKGROUND: Adolescents and young adults have higher injury rates than their adult counterparts in similar jobs. This study used the working college student population to assess health and safety hazards in the workplace, characterize related occupational diseases and injuries, and describe worker health/safety activities provided by employers. METHODS: College students (≥17 years old) were assessed via online surveys about work history, workplace exposure to hazards, occupational diseases/injuries, and workplace health/safety activities. RESULTS: Approximately half (51%) of participants (n = 1,147) were currently employed at the time of the survey or had been employed while enrolled in college. Restaurants (other than fast food) were the most frequently reported work setting. The most reported workplace hazards included noise exposure and contact with hot liquids/surfaces. Twenty percent of working students experienced injury at work; some injuries were severe enough to limit students' normal activities for >3 days (30%) or require medical attention (44%). Men had significantly higher prevalence of injuries (P = 0.05) and near-misses (P Language: en

Activated carbon fiber (ACF) has been demonstrated to be a good adsorbent for the removal of organic vapors in air. Some ACF has a comparable or larger surface area and higher adsorption capacity when compared with granular activated carbon (GAC) commonly used in respiratory protection devices. ACF is an attractive alternative adsorbent to GAC because of its ease of handling, light weight, and decreasing cost. ACF may offer the potential for short-term respiratory protection for first responders and emergency personnel. This study compares the critical bed depths and adsorption capacities for toluene among GAC and ACF of different forms and surface areas. GAC and ACF in cloth (ACFC) and felt (ACFF) forms were challenged in stainless steel chambers with a constant concentration of 500 ppm toluene via conditioned air at 25°C, 50% RH, and constant airflow (7 L/min). Breakthrough data were obtained for each adsorbent using gas chromatography with flame ionization detector. Surface areas of each adsorbent were determined using a physisorption analyzer. Results showed that the critical bed depth of GAC is 275% higher than the average of ACFC but is 55% lower than the average of ACFF. Adsorption capacity of GAC (with a nominal surface area of 1800 m(2)/g) at 50% breakthrough is 25% higher than the average of ACF with surface area of 1000 m(2)/g, while the rest of ACF with surface area of 1500 m(2)/g and higher have 40% higher adsorption capacities than GAC. ACFC with higher surface area has the smallest critical bed depth and highest adsorption capacity, which makes it a good adsorbent for thinner and lighter respirators. We concluded that ACF has great potential for application in respiratory protection considering its higher adsorption capacity and lower critical bed depth in addition to its advantages over GAC, particularly for ACF with higher surface area.

The objective of this study was to assess the occupational exposure of jeepney drivers to selected volatile organic compounds (VOCs) in Manila, Philippines. Personal sampling was conducted on 15 jeepney drivers. Area sampling was conducted to determine the background VOC concentration in Manila as compared to that in a rural area. Both personal and area samples were collected for 5 working days. Samples were obtained using diffusive samplers and were analyzed for 6 VOCs (benzene, toluene, ethylbenzene, m,p-xylene and o-xylene) using gas chromatography. Results showed that the average personal exposure concentration of jeepney drivers was 55.6 (+/-9.3), 196.6 (+/-75.0), 17.9 (+/-9.0), 72.5 (+/-21.1) and 88.5 (+/-26.5) microg/m(3) for benzene, toluene, ethylbenzene, m,p-xylene and o-xylene, respectively. The urban ambient concentration was 11.8 (+/-2.2), 83.7 (+/-40.5) and 38.0 (+/-12.1) microg/m(3) for benzene, toluene and o-xylene, respectively. The rural ambient concentration was 14.0 (+/-6.0) and 24.7 (+/-11.9) microg/m(3) for toluene and o-xylene, respectively. The personal samples had significantly higher (p

Groundskeepers may have increased risk to noise-induced hearing loss due to the performance of excessively noisy tasks. This study assessed the exposure of groundskeepers to noise in multiple universities and determined the association between noise exposure and variables (ie, university, month, tool used). Personal noise exposures were monitored during the work shift using noise dosimetry. A sound level meter was used to measure the maximum sound pressure levels from groundskeeping equipment. The mean Occupational Safety and Health Administration (OSHA) and National Institute for Occupational Safety and Health (NIOSH) time-weighted average (TWA) noise exposures were 83.0 ± 9.6 and 88.0 ± 6.7 dBA, respectively. About 52% of the OSHA TWAs and 77% of the NIOSH TWAs exceeded 85 dBA. Riding mower use was associated with high TWA noise exposures and with having OSHA TWAs exceeding 85 and 90 dBA. The maximum sound pressure levels of equipment and tools measured ranged from 76 to 109 dBA, 82% of which were >85 dBA. These findings support that groundskeepers have excessive noise exposures, which may be effectively reduced through careful scheduling of the use of noisy equipment/tools.

Activated carbon fiber (ACF) is considered as an alternative adsorbent to granular activated carbon (GAC) for the development of thinner, lighter, and efficient respirators because of their larger surface area and adsorption capacities, thinner critical bed depth, lighter weight, and fabric form. This study aims to measure the pressure drop across different types of commercially available ACFs in respirator cartridges to determine the ACF composition and density that will result in acceptably breathable respirators. Seven ACF types in cloth (ACFC) and felt (ACFF) forms were tested. ACFs in cartridges were challenged with pre-conditioned constant air flow (43 LPM, 23°C, 50% RH) at different compositions (single- or combination-ACF type) in a test chamber. Pressure drop across ACF cartridges were obtained using a micromanometer, and compared among different cartridge configurations, to those of the GAC cartridge, and to the NIOSH breathing resistance requirements for respirator cartridges. Single-ACF type cartridges filled with any ACFF had pressure drop measurements (23.71-39.93 mmH2O) within the NIOSH inhalation resistance requirement of 40 mmH2O, while those of the ACFC cartridges (85.47±3.67 mmH2O) exceeded twice the limit due possibly to the denser weaving of ACFC fibers. All single ACFF-type cartridges had higher pressure drop compared to the GAC cartridge (23.13±1.14 mmH2O). Certain ACF combinations (2 ACFF or ACFC/ACFF types) resulted to pressure drop (26.39-32.81 mmH2O) below the NIOSH limit. All single-ACFF type and all combination-ACF type cartridges with acceptable pressure drop had much lower adsorbent weights than GAC (≤15.2% of GAC weight), showing potential for light-weight respirator cartridges. 100% ACFC in cartridges may result to respirators with high breathing resistance and, thus, is not recommended. The more dense ACFF and ACFC types may still be possibly used in respirators by combining them with less dense ACFF materials and/or by reducing cartridge bed depth to reduce pressure drop to acceptable levels. ACFF by itself may be more appropriate as adsorbent materials in ACF respirator cartridges in terms of acceptable breathing resistance.

In hot weather, thermal heat generated by the body, combined with environmental heat from the sun, can lead outdoor workers to experience heat-related stress, severe illness, or even death. The aims of this study were to estimate the prevalence of heat-related symptoms and potential risk factors associated with sun safety-related behavior among Latino farmworkers. Data from interviewer-administered questionnaires were collected from a cross-sectional survey among farmworkers (N = 158) from August to September 2013. Data analysis assessed associations between work activities, sun safety behavior, and the prevalence of heat-related illness (HRI) symptoms among workers. Nearly two thirds (72%) of farmworkers experienced at least one HRI symptom and lacked proper cooling methods when working outdoors. Most workers reported wearing long-sleeved shirts (85%), long pants (98%), and baseball caps (93%). The prevalence of having one HRI symptom was 72% and 27% among workers having three or more HRI symptoms. The majority of farmworkers experience symptoms of HRI and are not provided with proper shade protection when working outdoors. Increased emphasis on administrative controls, particularly educating field supervisors and workers on how to avoid and recognize HRI, should be a priority.

Noise-induced hearing loss (NIHL) is an irreversible condition caused by prolonged exposure to loud noise. It is considered sensorineural and is typically related to cochlear damage, particularly t...

Mosquitoes can transmit pathogens through blood feeding. Mosquito control programs conduct surveillance and source reduction, treat mosquito oviposition sites and spray adulticides to protect public health. In some areas, homeowners may contract with private mosquito control companies to address mosquito-related issues.We evaluated the efficacy of barrier sprays by comparing weekly host-seeking mosquito abundance at treatment and control properties in a residential neighborhood. The chemical concentration of bifenthrin residue on foliage was quantified, and field-collected mosquitoes, primarily Aedes albopictus, were tested for bifenthrin resistance using bottle bioassays. Mosquito abundance at treatment properties was significantly (P0.05) lower than at control properties. Quantities of bifenthrin detected on foliage from treatment properties was not correlated with mosquito abundance. No bifenthrin resistance was detected in captured mosquitoes.Based on the rate of application, we expected that chemical analysis of bifenthrin residue would show similar concentrations of bifenthrin on foliage in treatment areas. Although mosquitoes were not bifenthrin resistant, further studies are needed to evaluate the extent to which resistance changes over time with repeated applications. Findings from this study provide insight into control methods commonly used by mosquito control companies and could potentially be used to guide future mosquito management strategies.

Agriculture consistently ranks among the top hazardous occupations, accounting for a significant number of injuries and fatalities in the workplace. Eastern North Carolina has a significant number of small, independent, family-run, owned, and operated farms. However, little is known about perception, behavior, training, accessibility, or purchasing personal protective equipment (PPE) for safety among farmers in the region. In this study, telephone interviews were conducted among participating farmers between March and June 2012 (N = 129). Univariate and bivariate analyses were conducted to examine associations between PPE behavior and workplace hazards, health-related concerns, and wearing and purchasing PPE. Findings indicated that personal behavior of wearing hearing protection devices (HPDs) and protection from the sun among farmers was low. However, a relatively high percentage of farmers reported wearing PPE when working with agricultural chemicals. Most farmers received training from agricultural extension offices. The findings indicate that, in general, farmers are well aware of the risks associated with occupational hazards and recognize concern for health and safety protection in the workplace. Transitioning these concerns into preventative action remains a challenge and priority for the agricultural health professional.

Outdoor workers are at risk from mosquito and tick bites and the extent to which exposures are linked to vector-borne disease is not understood. This pilot study characterizes for ester exposure to mosquitoes and ticks, and assesses effectiveness of permethrin-treated clothing for prevention of tick bites. Foresters (N = 34) from Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia were placed into treatment (permethrin-treated clothing) or control (untreated clothing) groups. Foresters completed questionnaires about work-related tick/mosquito exposure and 454 ticks were collected/identified from May to June 2013. A time-weighted analysis based on information submitted by foresters about time working outdoors showed that control participants received a lower rate of tick exposure (0.15 tick bites/hour; 13 bites/person) compared to treatment participants (0.27 bites/hour; 21 bites/person). However, more control participants (85 %) received at least one tick bite compared to treatment participants (52 %). Outdoor workers should be aware of available protective measures, such as permethrin-treated clothing, that may mitigate occupational risks.

Mosquito control in the U.S. is both technically specialized and labor intensive with mosquito control programs (MCPs) carrying out services at federal, state, and local levels. The scope of each MCP varies depending on the needs of the region. In the 1970s, the North Carolina Department of Environment and Natural Resources formed the Public Health Pest Management (PHPM) section to play an active leadership role in training and support for local mosquito control programs across the state. PHPM was disbanded, however, in July 2011 due to state budget cuts. The extent to which recent budget shortfalls have impacted services provided by MCPs is largely unknown. Consequently, the primary objectives of the study described in this article were to 1) assess the current status of MCPs in North Carolina, 2) evaluate the extent to which the operational status of local MCPs affects public health, and 3) evaluate the impacts of losing the PHPM section in North Carolina.

Activated carbon fibers (ACF) are considered viable alternative adsorbent materials in respirators because of their larger surface area, lighter weight, and fabric form. The purpose of this study was to characterize the breakthrough curves of toluene for different types of commercially available ACFs to understand their potential service lives in respirators. Two forms of ACF, cloth (AC) and felt (AF), with three surface areas each were tested. ACFs were challenged with six toluene concentrations (50–500 p.p.m.) at constant air temperature (23°C), relative humidity (50%), and air flow (16 l min −1 ) at different bed depths. Breakthrough data were obtained using continuous monitoring by gas chromatography using a gas sampling valve. The ACF specific surface areas were measured by an automatic physisorption analyzer. Results showed unique shapes of breakthrough curves for each ACF form: AC demonstrated a gradual increase in breakthrough concentration, whereas AF showed abrupt increase in concentration from the breakpoint, which was attributed to the difference in fiber density between the forms. AF has steeper breakthrough curves compared with AC with similar specific surface area. AC exhibits higher 10% breakthrough times for a given bed depth due to higher mass per bed depth compared with AF, indicating more adsorption per bed depth with AC. ACF in respirators may be appropriate for use as protection in environments with toluene concentration at the Occupational Safety and Health Administration Permissible Exposure Limit, or during emergency escape for higher toluene concentrations. ACF has shown great potential for application in respiratory protection against toluene and in the development of thinner, lighter, and more efficient respirators.

Farmers and farmworkers face increased risks of skin cancer from exposure to solar ultraviolet radiation (UVR) when working outdoors. The objective of this study was to evaluate the evidence from behavioral and intervention studies from the peer-reviewed studies related to sun safety among farmers and farmworkers and identify any gaps in the literature. A comprehensive review was conducted between 1990 and 2013; 22 studies were identified related to behavior and health interventions of sun safety among these targeted groups. The inconsistency of data collection methods makes it difficult to estimate with accuracy any overall meaningful results of behavior. However, from the studies reviewed, farmers and farmworkers most frequently reported wearing some type of hat (23.6%-100%) as a primary method of protection from the sun when working outdoors. Female farmers were more likely than male farmers to use sunscreen and engage in indoor tanning behavior. All sun safety educational interventions studies reviewed reported positive increases in behavioral change. To a large degree, adequate sun protection is lacking and varies geographically among farmers. Although targeted education is key to making improvements on sun protection behavior, aggressive attempts have to be made. Studies related to farmworkers, sun safety behavior, and skin cancer are scarce and more research is needed in this area.

Objective Asthma is the most common chronic childhood condition affecting 6.3 million (US) children aged less than 18 years. Home-based, multi-component, environmental intervention studies among children with asthma have demonstrated to be effective in reducing asthma symptoms. In this study, a local hospital and university developed an environmental intervention research pilot project, Eastern Carolina Asthma Prevention Program (ECAPP), to evaluate self-reported asthma symptoms, breathing measurements, and number of asthma-related emergency department (ED) visits among low-income, minority children with asthma living in rural, eastern North Carolina. Our goal was to develop a conceptual model and demonstrate any asthma respiratory improvements in children associated with our home-based, environmental intervention. Methods This project used a single cohort, intervention design approach to compare self-reported asthma-related symptoms, breathing tests, and ED visits over a 6 month period between children with asthma in an intervention study group (n = 12) and children with asthma in a control study group (n = 7). The intervention study group received intense asthma education, three home visits, 2 week follow-up telephone calls, and environmental intervention products for reducing asthma triggers in the home. The control group received education at baseline and 2 week calls, but no intervention products. Results At the end of the study period, significant improvements were observed in the intervention group compared with the control group. Overall, the intervention group experienced a 58% (46 ± SD 26.9) reduction in self-reported asthma symptoms; 76% (34 ± SD 29.7) decrease in rescue medicine; 12% (145 ± SD 11.3) increase in controller medicine; 37% decrease in mean exhaled nitric oxide levels and 33% fewer ED asthma-related visits. Conclusion As demonstrated, a combination of efforts appeared effective for improving asthma respiratory symptoms among children in the intervention group. ECAPP is a low cost pilot project that could readily be adapted and expanded into other communities throughout eastern North Carolina. Future efforts could include enhanced partnerships between environmental health professionals at local health departments and pediatric asthma programs at hospitals to carry out ECAPP.

Due to the nature of working outdoors, many farmers experience high levels of exposure to ultraviolet radiation (UVR) whereby, increasing their risk for skin cancer. The primary goal of this study was to evaluate personal behavior and perception on sun protection among farmers attending a regional farm show in North Carolina.Farmers (n = 397) were asked to complete a self-administered questionnaire regarding behavior and importance of using personal sun protection (i.e., sunblock, etc.,) when working outdoors.There were 285 (71.8%) male farmers and 79 (19.9%) female farmers with a mean age of 54 years. Overall, the majority of farmers recognized the importance of protecting themselves from the sun, however, actual personal behavior for using proper protection methods ranked low. Farmers with lighter, fairer skin tended to use more sun protection and ranked the importance of sun protection higher when compared to those with skin that was less likely to burn in the sun.The importance of personal sun protection should continue to be stressed to farmers at every available opportunity including farm shows, trainings and through health care providers.