Solid waste motor tricycle operators in Kumasi, Ghana, harbour respiratory pathogens; a public health threat.

Solid waste motor tricycle operators in Kumasi, Ghana, harbour respiratory pathogens; a public health threat.
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DOI:
10.1371/journal.pone.0284985
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
Sylverken, Augustina Angelina
Sylverken, Augustina Angelina
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Armoh, Stephen Yaw;Aryeetey, Sherihane;Kamasah, Japhet Senyo;Boahen, Kennedy Gyau;Owusu, Michael;Adjei-Boateng, Augustina;Agbenyega, Olivia;Kwarteng, Alexander;Hingley-Wilson, Suzanne;Obiri-Danso, Kwasi;Ansong, Daniel;Sylverken, Augustina Angelina

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在加纳,在城市和城郊城镇内使用机动三轮车运输城市固体废物的情况正在增加。这一活动往往导致将含有病原体的生物气溶胶带入环境,并影响到三轮车驾驶员。我们试图调查的患病率和相关的危险因素,呼吸道病原体的固体废物三轮车操作员。采用半结构式访谈法,对155名使用机动三轮车的固体废物运输者进行了横断面研究。从参与者中获得鼻咽拭子,并使用聚合酶链反应(PCR)筛选呼吸道病原体。在参与者中检测到的病原体为SARS-CoV-2(n = 10,6.5%)和肺炎链球菌(n = 10,6.5%),构成了12.9%的总患病率和1.3%的合并感染率。最常见的自我报告症状为咳嗽(n = 67,43.2%)、咽喉痛(n = 44,28.4%)和呼吸困难(n = 22,14.2%)。使用手套(n = 117,75.5%)和鼻罩(n = 110,71.0%)的依从性较高。呼吸道病原体的检出与使用手套、使用一种以上个人防护设备和暴露于其他污染物之间存在显著相关性(p < 0.05)。暴露于“其他污染物”的个体感染呼吸道病原体的几率显著降低(OR(95%CI):0.119(0.015,0.938))。虽然呼吸道病原体的流行率一般较低,但严格遵守个人防护设备的使用可进一步将其发病率降至更低的水平。政府卫生机构和非正规固体废物运输商应应对与接触污染物、使用手套和多种个人防护设备有关的挑战。
The use of motor tricycles in transporting municipal solid waste (MSW) within urban and peri-urban towns in Ghana is on the increase. This activity often leads to the introduction of pathogen-containing bioaerosols into the environment, as well as to the tricycle operators. We sought to investigate the prevalence and associated risk factors of respiratory pathogens among solid waste tricycle operators. A cross-sectional study was conducted among 155 solid waste transporters who use motor tricycles using semi-structured interviews. Nasopharyngeal swabs were obtained from participants and screened for respiratory pathogens using Polymerase Chain Reaction (PCR). Pathogens detected in participants were SARS-CoV-2 (n = 10, 6.5%) and Streptococcus pneumoniae (n = 10, 6.5%), constituting an overall prevalence of 12.9% and co-infection rate of 1.3%. The most common self-reported symptoms were cough (n = 67, 43.2%), sore throat (n = 44, 28.4%) and difficulty in breathing (n = 22, 14.2%). Adherence to the use of gloves (n = 117, 75.5%) and nose mask (n = 110, 71.0%) was high. There was a significant association between the detection of respiratory pathogens and the use of gloves, use of more than one PPE and exposure to other pollutants (p < 0.05). Individuals who were exposed to “other pollutants” significantly had lower odds of becoming infected with respiratory pathogens (Adj. OR (95% CI): 0.119(0.015,0.938). Although prevalence of respiratory pathogens is generally low, strict adherence to PPE use could further reduce its rates to even lower levels. Governmental health institutions and informal solid waste transporters should address challenges related to exposure to pollutants, use of gloves, and multiple PPE.
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