A Comparative Study of Prevalence of Morbidities among Municipal Solid Waste Workers in Mumbai
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MEDICINE
A Comparative Study of Prevalence of Morbidities among Municipal Solid Waste Workers in Mumbai Pradeep S. Salve 1 Accepted: 28 July 2020 # Springer Nature Switzerland AG 2020
Abstract Paper investigates the association between labour intensive work of solid waste collection and street sweeping with the development of skin disease, respiratory disease, eye infection, musculoskeletal disorders (MSDs) and MSDs-related disabilities during the service. A primary survey was conducted with 540 municipal employees adopting multistage stratified systematic sampling in 6 out of 24 municipal wards in Mumbai. The data was collected between March and September 2015, and analysis was performed in STATA13. The prevalence of self-reported morbidities among municipal workers varies from 7 to 46% in the reference period of the past 6 and 12 months. Adjusted odds of major morbidities show that the waste collectors significantly more likely to have injury/accident (OR = 11.36; p < 0.01), skin disease (OR = 4.971; p < 0.01), eye infections (OR = 3.03; p < 0.01) and MSDs (OR = 2.04; p < 0.05) in reference to comparison group. Similarly, street sweepers significantly more likely to have injury/accident (OR = 4.08; p < 0.01), skin disease (OR = 4.50; p < 0.01), respiratory disease (OR = 2.63; p < 0.01), MSDs (OR = 2.17; p < 0.01) and disability (OR = 1.92; p < 0.05) in reference to comparison group. Propensity score matching method analysis suggests that the waste collecting and street sweeping occupation significantly increases the prevalence of morbidities among exposed workers than the matched non-exposed workers. The mean expenditure on treatment of morbidities show that street sweepers spends significantly (p < 0.05) higher amount of money for injury/accident, eye infections and MSDs followed by waste collectors compared with comparison group. Workers associated with the street sweeping and waste collecting occupation has higher burden of developing morbidities and health expenditure compared with other occupation. Keywords Municipal solid waste . Waste collector . Street sweeper . Musculoskeletal disorder . Mumbai
Introduction The management of solid waste generated by the overcrowded population in metropolitan cities encompasses a wide range of activities including waste collection, transportation of collected waste to the disposal field, sorting recyclable materials and disposing off before it pollutes environment. In developing countries, solid waste management (SWM) department is mainly labour intensive and required continues engagement. Waste collectors in developing countries manually handle the solid waste and dump community garbage containers into the operational trucks. These workers are at the risk of
This article is part of the Topical Collection on Medicine * Pradeep S. Salve [email protected]; [email protected] 1
Population Research Centre, JSS Institute of Economic Research, Dharwad, Karnataka 580 004, India
development of health problems during waste collection on the field, transportati
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