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The Use of Sputum Dashboard and Dispatch Riders in Mitigating Delay in Sputum Samples’ Processing—Evidence from an Intervention in Lagos State, Nigeria

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Journal of Tuberculosis Research 2021年第3期9卷 146-159页

作者： Muse olatunbosun Fadeyi Akinwumi akindele Adebayo Bakare Bolaji Ahmed osman El-Tayeb Taofeekat Ali Yasir othman obioha Udunze Gbolahan Dairo Aderonke Agbaje Damien Foundation Belgium (Nigeria Project) Ibadan Oyo State Nigeria Institute of Human Virology Nigeria (IHVN) Abuja Nigeria Hull University Teaching Hospitals NHS Trust Hull United Kingdom

The act of referring TB presumptive individuals after verbal screening to another health facility/diagnostic centres for testing often results in large loss to follow-up, owing to the many barriers people face in accessing care. The transportation of sputum samples is an efficient method of increasing access to tuberculosis (TB) diagnostics in areas where testing is not currently available. One of the major reasons for the low yield of TB cases in the field was delay in sputum sample transportation to diagnostic laboratories among other factors. Damien Foundation Belgium, carried out a unique sputum riders initiatives in 20 LGAs of Lagos state between Q3-2019 and Q4-2020. A total of 25 sputum dispatch riders across the 20 LGAs in the State who are monitored routinely on an electronic dashboard were engaged for sputum logistics. Therefore, this report highlights how the initiatives have contributed to increased TB case notification in a densely populated metropolitan city in Nigeria. Overall, 48,265 units of sputum samples were transported to the laboratory from the facilities 99.9% of results which were received from the laboratory by the dispatch riders. The contribution of sputum riders to the overall TB case detection by the project progressively increased from 9% when the intervention began to 57% as at Q4 2020. The transportation of sputum samples by motorcycle dispatch riders is an efficient method of increasing access to TB diagnostic services in communities where testing is not currently available.

关键词： Sputum Samples Dispatch Rider Electronic Dashboard Sputum Logistics Tuberculosis

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Respiratory Symptoms and Spirometry Profile of Plastic Factory Workers in ogun State, Southwest Nigeria

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occupational Diseases and Environmental Medicine 2022年第2期10卷 60-70页

作者： John omotola ogunkoya olumide Abiodun Kolawole John Sodeinde Emmanuel Fikayo Bamidele John Sotunsa akindele Emmanuel Ladele omosivwe oku George Ezinwa Emeruwa olawale Kehinde ogunyemi School of Clinical Sciences Benjamin Carson Senior College of Medical and Health Sciences Babcock University Ilishan Remo Nigeria Division of Respiratory Medicine and Allergy Department of Medicine Babcock University Teaching Hospital Ilishan Remo Nigeria Department of Community Medicine and Public Care Babcock University Teaching Hospital Ilishan Remo Nigeria Department of obstetrics and Gynecology Babcock University Teaching Hospital Ilishan Remo Nigeria Department of Family Medicine Babcock University Teaching Hospital Ilishan Remo Nigeria

Background: Exposure to plastic fumes can lead to severe occupational hazards due to inhalation, ingestion or direct contact wide variety of potentially harmful by-products during the manufacturing and burning of plastics. objectives: To determine the prevalence of respiratory symptoms in plastic factory workers, evaluate the respiratory function of plastic factory workers and the association between respiratory symptoms and the duration of employment. Methods: This was a cross-sectional study done among plastic factory workers. Using a random sampling technique, 190 individuals (95 subjects and 95 control) above 18 years of age were recruited. Data were obtained with a validated questionnaire and Spirometry was done. Result: The mean age of the study group and control were 30.27 ± 7.38 and 25.92 ± 4.63 respectively (t = 4.877;p Conclusion: Workplace exposure to plastic fumes can lead to development of respiratory symptoms and impaired pulmonary function.

关键词： Plasticos Thermoset Thermoplastic Styrene 1 3-Butadiene Microplastics

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