1.Lead Poisoning: Historical Aspects of a Paradigmatic "Occupational and Environmental Disease".
Michele Augusto RIVA ; Alessandra LAFRANCONI ; Marco Italo D'ORSO ; Giancarlo CESANA
Safety and Health at Work 2012;3(1):11-16
Lead poisoning is one of the earliest identified and most known occupational disease. Its acute effects have been recognized from antiquity when this condition principally afflicted manual workers and slaves, actually scarcely considered by the medicine of that time. The Industrial Revolution caused an epidemic of metal intoxication, urging scientists and physician of that period to study and identify specific symptoms and organ alterations related to chronic lead poisoning. During the 20th century, the acknowledgment of occupational and environmental toxicity of lead fostered public awareness and legislation to protect health. More recently, the identification of sub-clinical effects have greatly modified the concept of lead poisoning and the approaches of medicine towards this condition. Nowadays, lead poisoning is rarely seen in developed countries, but it still represents a major environmental problem in certain areas. Consequently, it may appear as a paradigm of "occupational and environmental disease," and the history of this condition seems to parallel the historical development of modern "Occupational and Environmental Health" as a more complete medical discipline.
Developed Countries
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Lead Poisoning
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Occupational Diseases
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Occupational Health
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Social Problems
2.Occupational Risks in Midwifery: From Bernardino Ramazzini to Modern Times
Tommaso BIANCHI ; Michael BELINGHERI ; Antonella NESPOLI ; Giovanni DE VITO ; Michele A RIVA
Safety and Health at Work 2019;10(2):245-247
Occupational risks are often underestimated in midwifery. It is not commonly known that occupational risks were originally described by the Italian physician Bernardino Ramazzini (1633e1714) at the beginning of the 18th century. Our aim was to describe occupational risks in midwifery from Ramazzini to modern times. The original text by Bernardino Ramazzini was analyzed. A review of modern scientific articles on occupational risks in midwifery was conducted. Ramazzini identified two major occupational risks in midwifery: infections and awkward postures. Modern literature seems to agree with his considerations, focusing on infection, use of universal protection and personal protective equipment, and musculoskeletal problems. Modern studies also evidenced posttraumatic stress disorder that was probably postulated by Ramazzini himself. The poor number of articles in literature on midwives' occupational risks shows a lack of interest toward this issue. Prevention should therefore be emphasized in this field, so high-quality studies on occupational risks in midwifery are needed.
Literature, Modern
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Midwifery
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Personal Protective Equipment
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Posture
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Stress Disorders, Post-Traumatic