Global health journal (Amsterdam, Netherlands)最新文献

{"title":"Air pollution awareness among the population and the role of nurses in primary healthcare: a mixed-methods study in Almaty city, Kazakhstan","authors":"Saniya Bitibayeva ,&nbsp;Aidana Tolegenova ,&nbsp;Galiya Bazarbekova ,&nbsp;Lyudmila Yermukhanova ,&nbsp;Ardak Nurbakyt ,&nbsp;Saken Anartayev","doi":"10.1016/j.glohj.2026.02.006","DOIUrl":"10.1016/j.glohj.2026.02.006","url":null,"abstract":"<div><h3>Background</h3><div>Air pollution is a crucial public health issue that should be prioritized to support Sustainable development goals and Universal health coverage. The aim is to study the awareness of the population on the influence of the air pollution to their health.</div></div><div><h3>Methods</h3><div>Cross-sectional study was conducted in 2024. A questionnaire developed in Kazakh and Russian languages, which was disseminated with the support of the Almaty city Health Department. The respondents’ answers were divided into five age groups to determine which groups is most informed about the influence of the air pollution to their health. The chi-squared test was used for categorical data. A qualitative study was conducted in 2024–2025 among 24 nurses from all eight districts of Almaty, on focusing their awareness of health policies, current practices, and training needs related to air pollution and public health education. Interviews were analyzed thematically using a structured matrix to identify key challenges, contextual factors, and actionable recommendations, with three researchers independently coding and validating the findings.</div></div><div><h3>Results</h3><div>1195 conducted survey, where the largest number were female, and graduated universities. The awareness of air pollution increases with age, with older individuals being more informed about indoor pollution whereas younger population outdoor. Younger groups prefer seeking information via social media and scientific articles, while older groups (&gt; 50) prefer traditional methods. The findings reveal that while nurses recognize the importance of educating patients about air pollution, they face significant challenges due to limited training, lack of formal programs, and absence of ready-to-use educational materials.</div></div><div><h3>Conclusion</h3><div>Primary healthcare professionals should combine digital and traditional methods to effectively engage all age groups with tailored information on air pollution and health. Given the population’s willingness to adopt climate-related behavior changes, there is a clear need for practical training and guidelines to support nurses in delivering targeted, preventive education and improving public responsiveness to environmental health risks.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 19-25"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital biology and the ethics of codified health systems","authors":"Jane Thomason","doi":"10.1016/j.glohj.2026.02.001","DOIUrl":"10.1016/j.glohj.2026.02.001","url":null,"abstract":"<div><div>Digital biology is transforming global health by rendering biological systems programmable through data-intensive models, algorithmic decision-making, and transnational data infrastructures, creating new governance challenges around equity, accountability, and power. This commentary advances the central contribution that ethics in digital biology must be understood and designed as governance infrastructure, embedded within data architectures, system design, and institutional arrangements, rather than treated as downstream compliance or ethical guidance. This reframing matters for global health institutions, particularly the World Health Organisation, as effective oversight of codified health systems will require new roles in setting validation standards, lifecycle accountability mechanisms, and interoperable governance frameworks capable of operating across jurisdictions and resource-constrained contexts.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacists’ awareness, readiness and practice on safe and sustainable pharmaceutical waste management: cross-sectional survey in Kuala Lumpur and Selangor, Malaysia","authors":"Binaya Sapkota ,&nbsp;Agamutu Pariatamby ,&nbsp;Hong Gee Lee","doi":"10.1016/j.glohj.2026.02.005","DOIUrl":"10.1016/j.glohj.2026.02.005","url":null,"abstract":"<div><h3>Objective</h3><div>Pharmacists have a pivotal role in pharmaceutical waste management (PWM) but are still not completely aware of safe and sustainable PWM. This research is aimed to explore pharmacists’ awareness, readiness and practice (ARP) on PWM in Malaysia.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 88 randomly selected Malaysian pharmacists in Kuala Lumpur and Selangor, Malaysia. One pharmacist was selected from each pharmacy randomly based on computer-generated sampling frame of pharmacies. Pharmacists having unused or expired medicines at their practice setups were included whereas those who were not willing to respond were excluded. The survey was conducted from May 2023 to September 2024 with a structured questionnaire. The content validity of instrument was ensured with seven experts, face validity was done among 5% respondents and reliability was assessed by Cronbach’s alpha. Exploratory factor analysis was performed to identify most important factors among ARP constructs. Pearson’s correlation and multiple linear regression were used to analyze correlation and statistical relationship among outcome and predictor variables considering, <em>P</em> &lt; 0.05 as statistically significant.</div></div><div><h3>Results</h3><div>A total of 16 (18.2 %) pharmacists had good level of awareness, 35 (39.8 %) had good readiness and 14 (15.9 %) had good practice level. Correlation values (i.e., <em>r</em>-values) were positive but insignificant between awareness with readiness (<em>r</em> = 0.016, <em>P</em> = 0.884) and between awareness and practice (<em>r</em> = 0.126, <em>P</em> = 0.241), and positive cum significant between readiness and practice (<em>r</em> = 0.590, <em>P</em> &lt; 0.001). The correlation analysis and regression models of ARP indicate that pharmacists may not always be ready to practice but readiness correlated with practice (<em>r</em> = 0.590, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>In future, actionable levers such as making takeback mandatory through regulation, instituting reimbursement mechanism for operational costs of takeback or integrating pharmacies with existing takeback programs can be feasible within Malaysia’s current health and waste governance structures.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 69-77"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of occupational risk factors on dental diseases in industrial workers: a machine learning approach","authors":"Xiaojing Meng ,&nbsp;Yvette Rainbow ,&nbsp;Meitao Tan ,&nbsp;Yiming Shi ,&nbsp;Zongjie Li ,&nbsp;Jake Ball ,&nbsp;Jing Sun","doi":"10.1016/j.glohj.2026.03.001","DOIUrl":"10.1016/j.glohj.2026.03.001","url":null,"abstract":"<div><h3>Objective</h3><div>Dental disease is a longstanding global health problem, yet the role of occupational exposures in its development is underexplored. Using a large occupational health dataset of 66,449 industrial workers, this study investigates the relationship between occupational risk factors and dental diseases. This study investigates the relationship between occupational risk factors and dental diseases in a large industrial workforce.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on a dataset comprising 66,449 industrial workers to examine associations between occupational risk factors and the prevalence of dental diseases, including residual roots, missing teeth, dental caries, periodontal disease, deposits on dental hard tissues, and other dental diseases. Machine learning was employed to evaluate the relationship between occupational exposures and dental disease outcomes.</div></div><div><h3>Results</h3><div>Noise exposure (alone and in combination with dust) was associated with a higher predicted likelihood of periodontal disease in machine learning analyses, although these estimates should be interpreted cautiously given the low prevalence of periodontal disease in this screening dataset. Age and sex were associated with selected oral disease outcomes. Oral disease patterns also varied by industry sector, with exploratory associations between dental caries and employment in the power supply and metal structure manufacturing sectors. Enterprise size was associated with several oral health outcomes.</div></div><div><h3>Conclusion</h3><div>This study identifies associations between demographic and occupational exposures and screening-detected oral disease outcomes in an industrial workforce. Future research should validate these findings in prospective studies and evaluate workplace-based prevention strategies that address potentially modifiable exposures and barriers to oral healthcare.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 36-44"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between occupational exposure, musculoskeletal disorders, occupational depression, and workplace violence in Korean workers: a nationwide large-scale study","authors":"Shiva Raj Acharya ,&nbsp;Jeevan Bhatta ,&nbsp;Rajitha Kawshalya Mailan Arachchige Don","doi":"10.1016/j.glohj.2026.02.009","DOIUrl":"10.1016/j.glohj.2026.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigates the associations between occupational environmental exposure, occupational depression (OD), musculoskeletal disorders (MSD), and workplace violence (WPV) in the general Korean working population.</div></div><div><h3>Methods</h3><div>Utilizing nationally representative samples from the 6th (2020) and 7th (2023) Korean Working Conditions Survey (KWCS), a total of 55,649 eligible workers (weighted) aged 15 years or older were included in the study. Occupational environmental exposures included vibration, noise, temperature extremes, and smoke/fumes/dust; MSD included back pain and upper and lower limb disorders; WPV included physical, sexual, and emotional violence; and OD was assessed using the WHO-5 Well-Being Index. Multivariable-adjusted regression and interaction analyses were performed.</div></div><div><h3>Results</h3><div>Occupational environmental exposures were linked to 11 %–70 % higher odds of MSD. Noise (odds ratio (<em>OR</em>) = 1.15), high temperature (<em>OR</em> = 1.13), low temperature (<em>OR</em> = 1.16), smoke/fumes/dust (<em>OR</em> = 1.13), and vibration (<em>OR</em> = 1.03) were linked to elevated odds of OD. Except for vibration, all exposures were positively associated with WPV (<em>OR</em>: noise, 1.35; high temperature, 1.33; low temperature, 1.29; smoke/fumes/dust, 1.31). Significant interaction effects were observed between exposures, gender, and employee type for MSD (<em>P</em> &lt; 0.05), with males and non-regular workers demonstrating greater susceptibility. Workers with OD or WPV exposed to vibration and/or high temperature were at greater risk for MSD.</div></div><div><h3>Conclusions</h3><div>Occupational exposures increase the odds of MSD, and OD and WPV may further amplify these risks. These findings underscore the need for integrated workplace health strategies that address mental health conditions and WPV to improve health outcomes and support workers’ well-being.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 26-35"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From data to action: transforming listeriosis surveillance system in China informed by the European Union experience","authors":"Zhifang Zhang ,&nbsp;Xuejie Liu ,&nbsp;Huarong Hong ,&nbsp;Weiwei Chen ,&nbsp;Yanqin Deng ,&nbsp;Shenggen Wu","doi":"10.1016/j.glohj.2026.02.002","DOIUrl":"10.1016/j.glohj.2026.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>To identify priority targets for listeriosis surveillance in China by leveraging insights from the European Union (EU) surveillance system.</div></div><div><h3>Methods</h3><div>We conducted a systematic, macro-pattern comparison between integrated surveillance data from China and the EU. Given the substantial heterogeneity inherent in the Chinese data, a direct quantitative comparison between the two regions was unfeasible. Therefore, the analysis focused on identifying and contrasting broad epidemiological patterns. Particular attention was paid to patterns discernible from the EU data that could inform risk assessment in China, such as the identification of high-risk groups. To quantify one such key pattern within the EU dataset, the Cochran-Armitage trend test was used to assess the long-term trend in the proportion of cases aged 65 and above. A linear regression model was then applied to estimate the annual percentage change in this proportion over time.</div></div><div><h3>Results</h3><div>Most available data on listeriosis in China come from published literature. Consequently, the country lacks accurate disease burden statistics. Over the period 2007‒2023, the EU reported a cumulative total of 33,497 listeriosis cases. Both the demographic and serotype distributions showed clear predominance: individuals aged 65 and above constituted the largest proportion across all reported outcomes, while serotypes 4b, 4d and 4e together accounted for nearly 50% of cases. The EU has achieved full geographic and population coverage. In contrast, China’s surveillance remains fragmented and non-representative, with significant geographic and demographic gaps.</div></div><div><h3>Conclusion</h3><div>The experience of the EU provides critical clues for identifying high-risk populations and key serotypes. We should thoroughly analyze surveillance data from sentinel hospitals to systematically identify local high-risk groups (such as individuals aged 65 and above) and high-risk food categories. Building on this, we can progressively advance the development of a traceability system, expand surveillance coverage, and strengthen the refinement of relevant regulations and management frameworks.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 45-52"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational health risks and livelihood challenges among professional drivers in Bangladesh","authors":"J.M. Adeeb Salman Chowdhury ,&nbsp;Rakibul Islam ,&nbsp;Md. Safayet Hossain ,&nbsp;Sabiha Ahmed Nila ,&nbsp;Azima Mostofa Fiha ,&nbsp;Meshkat Ebnay Mozahid ,&nbsp;Md. Monirul Islam","doi":"10.1016/j.glohj.2026.02.008","DOIUrl":"10.1016/j.glohj.2026.02.008","url":null,"abstract":"<div><h3>Objective</h3><div>Professional drivers in Bangladesh face critical occupational health hazards due to long working hours, low income, and inadequate rest. This study investigates major risk factors associated with low back pain, musculoskeletal pain and sleep disturbances among the drivers.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study conducted among professional drivers in Dhaka, Chattogram, and Cumilla using stratified random sampling. Data were collected from 373 respondents with a 96.88 % response rate through a structured, close-ended questionnaire. Descriptive statistics were used to determine the prevalence, and the Chi-square test was used to show the association, along with the multivariate regression model to identify the factors associated with livelihood and health outcomes such as low back pain, sleep disturbances and muscular pain.</div></div><div><h3>Results</h3><div>The study found 66.5 % of drivers face the problem of low back pain, followed by muscular pain (58.7 %) and sleep disturbances (46.6 %). Long working hours, working more than 3–&lt; 6 days a week, low income, and driving <span><math><mo>≥</mo></math></span>14 h were significantly associated with all three adverse health conditions. The drivers’ average monthly income was 22,120 BDT, and over one-third of them (33.5 %) were in the 15,000–&lt; 20,000 BDT income range. The average daily working hours were 9.25 h per day, with most (62.2 %) of the drivers working between 8–&lt; 14 h.</div></div><div><h3>Conclusion</h3><div>The study found that poor working conditions, long hours, and high burden of disease prevalence significantly affect drivers’ health. Addressing these issues through safety policies and health programs is essential for improving drivers’ well-being and ensuring a safer, more stable transport system.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 53-61"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent HIV-related stigma and rights gaps in Cabo Verde: national evidence from people living with HIV","authors":"Adilson José DePina ,&nbsp;Nelson Neide Ribeiro Furtado ,&nbsp;Maria Celina Moreira Ferreira ,&nbsp;José Manuel Marques ,&nbsp;Crisanto Barros ,&nbsp;Artur Jorge Correia","doi":"10.1016/j.glohj.2026.02.004","DOIUrl":"10.1016/j.glohj.2026.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Despite significant biomedical progress in human immunodeficiency virus (HIV) treatment and prevention, stigma and discrimination remain major barriers to epidemic control. Cabo Verde, a small island developing state, achieved near-universal coverage of antiretroviral therapy and an effective prevention of mother-to-child transmission. Yet, evidence on the lived experiences of people living with HIV has been scarce. This study provides the first nationally representative data on HIV-related stigma and discrimination in the country.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional, mixed-methods survey using the people living with HIV stigma index across all 22 municipalities of Cabo Verde. A stratified random sample of 543 people living with HIV was recruited in 2015, of whom 496 provided valid responses. Data collection included structured questionnaires, focus group discussions, and semi-structured interviews with healthcare providers and policymakers. Quantitative data were analysed descriptively, and Chi-square tests were used for statistical analysis. Qualitative data underwent thematic analysis.</div></div><div><h3>Results</h3><div>Participants were predominantly women (66.9%), with a mean age of 38.7 years. Antiretroviral therapy coverage was nearly universal (97.2%), and prevention of mother-to-child transmission outcomes were strong, with less than 1% of respondents reporting an HIV-positive child. However, only 25% disclosed their HIV status to family members, primarily due to fear of stigma. Reported external discrimination was low (10.3%), yet internalized stigma was widespread: 52.3% reported low self-esteem and more than half avoided childbearing or intimate relationships. Chi-square analysis revealed significant associations between fear of stigma and non-disclosure (<em>P</em> &lt; 0.001), gender and external discrimination (<em>P</em> = 0.04), and education level and awareness of legal rights (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The study demonstrates a paradox of high biomedical achievements but persistent hidden stigma. Interventions must address psychosocial support, socioeconomic empowerment, gender inequities, and legal literacy to reduce stigma and consolidate epidemic control. Cabo Verde’s experience highlights the urgent need to integrate stigma reduction into HIV responses globally, particularly in small island and low-prevalence contexts.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 62-68"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of a National Tuberculosis Screening Initiative to detect undiagnosed tuberculosis cases in Ethiopia (2024)","authors":"Taye Letta Janfa ,&nbsp;Kelemework Adane ,&nbsp;Etsegenet Getachew ,&nbsp;Mekdes Bekele ,&nbsp;Amtatachew Moges ,&nbsp;Hiwot Solomon ,&nbsp;Fasil Tsegaye ,&nbsp;Andargachew Kumsa ,&nbsp;Alemayehu Terefe ,&nbsp;Mark Spigt","doi":"10.1016/j.glohj.2026.02.007","DOIUrl":"10.1016/j.glohj.2026.02.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Detecting undiagnosed tuberculosis (TB) cases has been a central focus of Ethiopia's national strategy to end TB, with targeted screening carried out at selected sites using both symptom-based and diagnostic tool-based approaches. This study aimed to evaluate the outcomes of a national TB screening program in identifying previously undetected cases across the country.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A contact screening study was conducted using routine program data and active community-based screening among individuals living in TB hotspot areas. Districts were selected based on the TB case load reported over the previous two years, with inclusion criteria requiring at least 20 bacteriologically confirmed pulmonary TB cases. In total, 750 districts representing 73.3% of all districts nationwide were included in the search for undetected TB cases, conducted between April 1 and June 30, 2024. All health facilities within the selected districts participated in the study. The study included contacts of individuals diagnosed with bacteriologically confirmed pulmonary TB and drug-resistant TB within the past two years, as well as members of the community residing in TB hotspot areas. Sputum samples were collected from all participants, and TB diagnosis was performed using Ziehl-Neelsen smear microscopy and/or GeneXpert Ultra testing. Data sources included TB registers from TB clinics for contact screening and primary data collected at central locations designated for community-based screening. Data were standardized to calculate TB detection rates per 100,000 population. Odds ratios (ORs) were also computed to compare detection rates between contact-based and community-based screening approaches though binary logistic regression. All newly detected TB patients, along with eligible children for tuberculosis preventive therapy (TPT), were linked to appropriate treatment services.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 439,622 people were screened through household contact screening, and 1,731,616 through active community-based screening. Of the 8707 TB cases diagnosed, 64% were identified through household contact screening, and 36% through community-based screening. The prevalence was 1.30% (1309 per 100,000) for household contact screening and 0.17% (170 per 100,000) for community-based screening. A high proportion of TB cases were bacteriologically confirmed in both methods: 76.6% in contact screening and 64.3% in community-based screening. Of all diagnosed cases, 8003 individuals (91.9%) began treatment. The study also screened 68,330 children under 15 years and 43% of the total screened were eligible, and 67% of those eligible were initiated on TPT. Factors significantly associated with TB acquisition included: age over 15 years (adjusted odds ratio (AOR) = 1.76, &lt;em&gt;P&lt;/em&gt; &lt; 0.001), male gender (AOR = 1.18, &lt;em&gt;P&lt;/em&gt; &lt; 0.001), and contact with bacteriologically confirmed TB cases (AOR = 1.86, &lt;em&gt;","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 78-87"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainable workplace safety: evidence-informed priorities for urgent cross-sector action","authors":"Oluwaseun Ruth Alara,&nbsp;Kennedy Adakporia Osakwe","doi":"10.1016/j.glohj.2026.02.003","DOIUrl":"10.1016/j.glohj.2026.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Workplace safety faces mounting strain from intersecting pressures, while serious harm persists in high-risk sectors. These shifts can weaken accountability and amplify new risk pathways, creating an urgent need for cross-sector, prevention-focused actions that are equitable and robust amid uncertainty.</div></div><div><h3>Objective</h3><div>This review aimed to identify and prioritise urgent, cross-sector actions to strengthen sustainable workplace safety amid climate change, psychosocial harm, technological transformation, and fragmented or non-standard employment.</div></div><div><h3>Methods</h3><div>An evidence-informed scoping review synthesised peer-reviewed and grey literature and incorporated stakeholder input. Transparent inclusion criteria and pragmatic evidence weighting were used to distinguish empirical evidence from standards and guidance. Priorities were set using explicit criteria, including harm severity, exposure prevalence, urgency, feasibility, time-to-impact, equity impacts, stakeholder consensus, and robustness under uncertainty.</div></div><div><h3>Results</h3><div>Evidence indicated persistent serious harm in high-risk sectors, growing psychosocial injury burdens, intensifying climate-related exposures, and emerging risks linked to digitalisation, human–robot interaction, and non-standard work (including gig/platform labour), where incentive structures can amplify unsafe behaviour, particularly under extreme heat. Ten priorities were identified: embed Occupational Health and Safety in governance and incentives; strengthen worker voice, equity and inclusion; design out hazards; prevent psychosocial harm aligned with International standard organization 45003; build data, learning and a just culture; improve climate- and environment-ready safety; ensure ethical digitalisation/automation with privacy and bias safeguards; protect Small and Medium-sized Enterprises and supply chains (including “International standard organization 45001-lite” pathways); strengthen competency and lifelong learning; and improve management of transitions and fatigue.</div></div><div><h3>Conclusion</h3><div>Sustainable safety requires a shift from lagging-indicator management to governance- and design-led prevention, climate adaptation, psychosocial risk control, ethical technology governance, and equity-centred collaboration to reduce serious harm.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"10 1","pages":"Pages 7-18"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147667289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}