Health status assessment of workers during construction phase of highway rehabilitation projects around lahore, Pakistan.

OBJECTIVE: The study focused on assessment of the health status of workers during construction phase of highway rehabilitation projects at six selected sites of N5 around Lahore, including Kala Shah Kaku, Muridke, Kamuki, Bhaipheru, Pattoki, and Okara. METHODS: The study was based on multi-methods approach involving hazard identification through survey and checklist as well as a questionnaire for health status assessment and measurements of health parameters including peak expiratory flow rate (PEFR) and audiometric screening of 300 subjects. RESULTS: The study revealed non-congenial working conditions at the sites. Noise, vibrations, dust, asphalt fumes, poor work postures, and injuries were found to be major health hazards. PEFR of most of the workers was found to be significantly lower than the reference value. Average PEFR±SEM values were 187±5.1 l/min, 178±4.3 l/min, and 266±5.3 l/min in ground preparation workers, asphalt workers, and heavy vehicle drivers, respectively. The highest rate (29%) of hearing loss was recorded among heavy vehicle drivers. Musculoskeletal problems were found to be more common among ground preparation workers. CONCLUSION: Data revealed unsatisfactory health status of most of the workers. Direct relationship between health outcomes and the type of construction activities were observed. The current study focuses on the importance of including occupational health and safety plan in the execution phase of every developmental project that involves construction activities.

Bird Migration and Avian Influenza: A Comparison of Hydrogen Stable Isotopes and Satellite Tracking Methods.

Satellite-based tracking of migratory waterfowl is an important tool for understanding the potential role of wild birds in the long-distance transmission of highly pathogenic avian influenza. However, employing this technique on a continental scale is prohibitively expensive. This study explores the utility of stable isotope ratios in feathers in examining both the distances traveled by migratory birds and variation in migration behavior. We compared the satellite-derived movement data of 22 ducks from 8 species captured at wintering areas in Bangladesh, Turkey, and Hong Kong with deuterium ratios (δD) of these and other individuals captured at the same locations. We derived likely molting locations from the satellite tracking data and generated expected isotope ratios based on an interpolated map of δD in rainwater. Although δD was correlated with the distance between wintering and molting locations, surprisingly, measured δD values were not correlated with either expected values or latitudes of molting sites. However, population-level parameters derived from the satellite-tracking data, such as mean distance between wintering and molting locations and variation in migration distance, were reflected by means and variation of the stable isotope values. Our findings call into question the relevance of the rainfall isotope map for Asia for linking feather isotopes to molting locations, and underscore the need for extensive ground truthing in the form of feather-based isoscapes. Nevertheless, stable isotopes from feathers could inform disease models by characterizing the degree to which regional breeding populations interact at common wintering locations. Feather isotopes also could aid in surveying wintering locations to determine where high-resolution tracking techniques (e.g. satellite tracking) could most effectively be employed. Moreover, intrinsic markers such as stable isotopes offer the only means of inferring movement information from birds that have died as a result of infection. In the absence of feather based-isoscapes, we recommend a combination of isotope analysis and satellite-tracking as the best means of generating aggregate movement data for informing disease models.