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Saturday, November 12, 2011

The 18th World Congress on Ergonomics 2012

Designing a Sustainable Future




The 18th World Congress on Ergonomics will be held February 12-16, 2012, in Recife, Brazil.
The congress will be a joint conference with ULAERGO – the Union of Latin-American Ergonomics Societies and ABERGO – the Brazilian Ergonomics Association. ABERGO is the official host of the Congress.
The congress theme of “Designing a Sustainable Future”, expresses a current concern with the design of resources which aim to meet human needs while preserving the environment so that these needs can be met not only in the present but also in the future. As a discipline which is involved in the designing of the interactions among humans and other elements of a system, ergonomics must consider “sustainability” as a key aspect in optimizing resources to improve human well-being and overall system performance. So, one of the major challenges in the field of ergonomics for the 21st Century will be the design and management of systems that satisfy custom demands in terms of the requirements for human compatibility and at the same time consider sustainability.
http://www.iea2012.org/index.htm

Congress Program  http://www.iea2012.org/congressprogram.htm


Keynote Plenary Sessions

In the early evening there will be a choice of various keynote speakers, highlighting actual trends in ergonomics and related fields of expertise.

Each plenary session will last 60 minutes. There will be simultaneous translation from English to Portuguese.


Kapila Jayaratne

Consultant Community Physician,
Family Health Bureau, Ministry of Health, Sri Lanka




Short Bio:
Dr. Kapila Jayaratne is a medical doctor specialized in public health and child health. He holds master's and doctorate degrees in Community Medicine from the University of Colombo, Sri Lanka, and had the post-doctoral training at the University of Melbourne in Australia.
He currently directs the National Program of Maternal and Child Mortality and Morbidity Surveillance in the Family Health Bureau of the Ministry of Health of Sri Lanka. Dr. Jayaratne has authored several studies on ergonomic factors in the school environment and its influence on the health of school children. In these studies, he has looked at the problem of backpacks carried by children. He designed a healthy model of a backpack in accordance with ergonomic standards, which resulted in a national campaign to popularize and adopt this model in Sri Lanka from year 2011, which benefited nearly four million children.
Dr. Jayaratne initiated many knowledge transfer programs on ergonomics for children in both paper and electronic mass media. He also contributed to World Health Organization (WHO)’s Guidelines on Children’s Environmental Health Units.
Dr. Jayaratne is the coordinator of the National Healthy Schoolbag Campaign and also the chair person of the Working Committee on the Development of Standards for Schoolbags of Sri Lanka Standards Institute.


Keynote:
Inculcating the ergonomic culture in developing countries: National Healthy Schoolbag Initiative in Sri Lanka

Sri Lanka is an industrially-developing country boasting of better health indices that are on a par with industrially-developed countries. To optimize the compatibility between the user population and the operating environment, an ergonomic perspective is essential. School constitutes an important environment for the child where ‘productivity’ in terms of attainment of expected educational levels is of prime importance to the child, the family and the country as a whole.


A school-based cross-sectional study was conducted in a district in Sri Lanka to assess the situation with regard to ergonomic factors of the school educational environment and its influence on negative health outcomes among school children. A sample of 1607 school children of Grade 6, 7 and 8 were selected from 55 schools using a stratified multi-stage cluster sampling method.

The study revealed the need for major improvements in several ergonomic parameters within the classrooms. Observations included: the need to improve seating arrangements in relation to location of the blackboard and to make the chair and desk combination to be ergonomically optimal. It was noted that the students carried heavy bags in an unhealthy manner and that schoolbags were not ergonomically modeled.

Children perceived severe general tiredness and reported discomfort linked with carrying their schoolbag. Many children reported musculoskeletal pain with one third, suffering from recurrent pain. Ergonomic mismatches were identified as risk factors of recurrent musculoskeletal pain. A smaller proportion of children were found to have significant lateral deviation of the spine.

Research findings necessitated identification of priority areas and formulation of feasible solutions with the involvement of major stakeholders. Issues related to schoolbag were recognized as major concerns. Solutions were contemplated on: strategies for bag-weight reduction, introduction of a model healthy bag and “bag behaviour change”. Findings were disseminated through local mass media and at international forums to share and update good practice evidence. Advocacy of policy makers, ministers, administrative officers, health program managers and health care professionals of both health and education sectors, played a crucial role. The sharing of the research outcome and recommendations with the Ministry of Education (MoE) stimulated further research by MoE into exploring strategies to lighten the schoolbag. Text books were split into several volumes. The size of exercise books was limited to 80 pages. A healthy schoolbag was modeled by the principal investigator in accordance with ergonomic standards. The Sri Lanka Standards Institute was consulted on physical quality assurance. Bag manufacturers were registered and were educated on the criteria to be met in full in manufacturing a “healthy bag”.
A schoolbag regulatory committee was established to monitor implementation of the national healthy schoolbag campaign. Sample bags from bag manufacturers were evaluated by the regulatory committee and bags that complied with healthy standards were awarded a ‘healthy bag’ logo certified by Ministry of Education. Healthy school bags were introduced at national level at the commencement of the academic year 2011.
Children, parents and teachers were made knowledgeable through mass media, leaflets and at exhibitions on a healthy bag and bag behaviour. Nearly four million school children will be the beneficiaries of this project. In addition to promoting a healthy school environment for the child, this work attempted to inculcate an ergonomic culture in a country where industrial development is likely to take an important place in the development scenario.





Saturday, October 15, 2011

Regional Workshop on Integrated Approaches to Prevent and Manage Pneumonia and Diarrhea for achievement of MDG 4 - Dhaka, Bangladesh 27-30 Sep 2011


Background: In the context of MDG4, resource-poor countries can accelerate their progress by implementing a framework for pneumonia and diarrhoea prevention and control which improves access to interventions of proven effectiveness across a continuum of -- addressing risk factors (protection) -- providing vaccination (prevention) --- and integrated case management (treatment) to children when they develop pneumonia or diarrhoea.


Purpose: The intent of the workshop was to catalyze the work of different programmes at country level to achieve maximum impact. The pneumonia and diarrhoea control strategies were used as a vehicle to increase the coverage of interventions within on-going, integrated approaches to child survival such as IMCI and primary health care.

The primary focus was on finding synergies among three interventions: exclusive breastfeeding, vaccination and integrated case management. However, countries are encouraged to include other interventions relevant to their specific situation, e.g. HIV, malaria, water and sanitation, and environment-related interventions.

The Sri Lanka delegation included; Dr. Kapila Jayaratne (National IMCI Manager), Dr, Virgini Mallawarachchi (Epidemiology Unit), Dr. Anoma Jayathilaka (WHO) and Dr. Supriya Warusavithana (WHO).

Situation Analysis of Pneumonia and diarrhoea in Sri Lanka was presented by Dr. Jayaratne and Country Action plan by Dr, Mallawarachchi.

Sunday, April 3, 2011

Hon Minister of Health updated on National Healthy Schoolbag Campaign



Recently Hon Minister of Health, Mr. Maithripala Sirisena was updated on the progress of the National Healthy Schoolbag Campaign at Ministry of Health, Suwasiripaya.


Dr. Kapila Jayaratne described Hon minister of healthy features of the ergonomic bag and the implementation process of the campaign hand in hand with Ministry of Education.


Dr. Ravindra Ruberu, Secretary of Ministry of Health and Mr. Mervin Gunasena, Private Secretary to Minister of Health also participated at this occasion.













Wednesday, March 23, 2011

President's Secretary briefed on National Healthy Schoolbag Campaign


Mr. Lalith Weeratunga, Secretary to President of Sri Lanka, was briefed on the National Healthy Schoolbag Campaign.

Dr. Kapila Jayaratne described him the research work done in this regard and how the outcome of the study was translated in to practice. He explained the progress of the campaign at present and requested secretary to add momentum to this project which would improve the health of nearly 4 million school children in the country.

Monday, January 10, 2011

School bags - health issue




By Edward Arambewala







An epidemiological research was carried out in a representative district of Sri Lanka with the participation of 1,607 school children on Ergonomic factors in the educational environment and their influence on school-going early adolescents.




This was stated by Family Health Bureau Health Schoolbag project coordinator and Consultant community physician Dr Kapila Jayaratne when speaking to Daily News Health Watch.



Research findings



Many children experienced discomfort due to sub-standard seating arrangements in the classroom. A significant proportion had to turn their necks to see the blackboard. Seating locations were not changed for many children.


There is wide-spread incompatibilities of classroom furniture with anthropometric dimensions of children Majority of children perceived discomfort due to mismatched furniture There were gross deficiencies with regard to carrying school bags. Deficiencies were noted in weight, model, ergonomic features and the carrying behaviour.



Children experienced several negative effects, such as muscular-skeletal pain, attributable to mismatched ergonomic factors Research outcomes further revealed that a majority of children carried bags with unhealthy features and they were too heavy according to international standards. Text books and other writing books accounted for more than two thirds of the school bag weight. Bag behaviour was not healthy. Many children reported negative health consequences. It is evident that a 'big health issue' exists in Sri Lankan schools with regard to carriage of school bags. These findings necessitated formulation of feasible solutions with the involvement of major stakeholders.



We considered it important to translate research findings into action.

We adopted three strategies

  • Dissemination of research findings
  • Provision of feasible solutions
  • Advocacy

Research findings necessitated identification of priority areas and formulation of feasible solutions to improve the current status. Taking into account, several factors including feasibility of implementation and acceptability by the adolescents and their parents, it was considered that issues related to schoolbags should be a priority area for intervention.
Solutions were contemplated on - strategies for bag-weight reduction, introduction of a model healthy bag and bag behaviour changes.




The main conclusions were shared with Education Ministry and other stakeholders. Dissemination of research findings through multitude of mass media sensitized students, teachers, parents, general public and administrators of health and education sectors.
Research outcomes were even shared at international forums to obtain further inputs and update good practice evidence. Solutions were contemplated on; strategies for bag weight reduction, introduction of a model healthy bag and bag behaviour change.
When findings and recommended solutions were shared with the Education Ministry for education authorities themselves to find solutions to heavy schoolbag. Education Publication Department Commissioner W M N J Pushpakumara took the lead role. He initiated another research project to be undertaken to explore strategies to lighten the schoolbag. Text books were split in to several volumes. Only page-80 exercise books were recommended.



Introduction of the model school bag



The need for modelling a healthy schoolbag was imperative. Inputs were obtained from the International Ergonomic Association and from consultations with experts. Healthy bags designed ergonomically in other countries were also studied.
School Health Unit of FHB, for their role, initiated designing a model school bag. Dr Kapila Jayaratne, being a member of the Technical Committee of International Ergonomic Association on Ergonomics for Child Educational Environments (ECEE), consulted several international ergonomic experts on healthy features of a bag.
Several bag models were studied and a sample schoolbag with ergonomic features was manufactured to suit Sri Lankan contexts.




The model bag was evaluated by a team of experts including Paediatricians, Orthopaedic Surgeons, Community Physicians, Psycho-ergonomic consultants and Physiotherapists. It was field-tested at a Colombo suburb school and children, teachers and principals responded on local adaptability.



Our bag



A healthy schoolbag adapted for Sri Lankan children was modelled according to ergonomic standards. This sample bag was locally manufactured based on an ergonomically designed healthy bags approved by the Australian Chiropractic Association.



Once the sample bag was evaluated by experts and children, recommendations were sent to the Education Ministry. Sri Lanka Standards Institute was consulted for physical quality assurance.
Registration of bag manufacturers
Bag manufacturers were registered by the Education Ministry and they were educated on the healthy bag concept.
A successful awareness program for bag manufacturers on healthy schoolbag was held. More than 400 manufacturers from all over Sri Lanka on participated at this meeting. Dr. Kapila Jayaratne, described the research background: focusing on burden of the problem, why the ergonomic features are essential to safeguard health of children and what is expected from local manufacturers. Sri Lanka Standards Institute Chamari Geeganage explained physical quality aspects and the process of developing standards on schoolbag. Mr. Tissa Vitana of Ministry of Education elaborated on registration procedure, evaluation of bags by the National Advisory Committee on Schoolbag, the process of awarding logo of the 'healthy schoolbag' and post-market surveillance system for quality assurance.



The project was pioneered under the supervisory guidance of Prof Dulitha Fernando.


Tuesday, January 4, 2011

Children’s Environmental Health Units

The World Health Organization has released its latest publication on Children’s Environmental Health Units.

www.who.int/entity/ceh/publications/childrensunit.pdf


Health care providers are well placed to detect, treat, and prevent environmentally-related diseases and health conditions. Few mechanisms and structures are in place to enhance the recognition of environmental influences on human health, serve as repositories and sources of information for those concerned about children’s health and the environment, and promote action towards healthier and safer environments for children of today and adults of the future.

For health professionals to effectively protect children from environmental threats, specialized training is useful. Evidence shows that health providers are generally not provided the training that they need to address the complex environmental health issues with respect to air, water, soil, and products (Pope & Rall, 1995) Diarrhoeal diseases often recur frequently when underlying causes such as contaminated water are not taken into account by the health provider, understood by the community or adequately addressed by governments. The complexity of children’s environmental health (CEH) issues is compounded by the combination of legacy environmental issues, such as water quality and sanitation service delivery, with modern challenges such as transboundary contamination by persistent toxic substances, ozone depletion and hence ultraviolet and ionising radiation, global climate change, and exposure to endocrine-disrupting chemicals). For children in developing countries, the presence of all such risks represent a ‘triple burden of disease’ – a high level of communicable diseases, the increasingly severe burden of non-communicable diseases, and emerging risks from new diseases and additional stressors from the social and physical environment.

Definition of a Children’s Environmental Health Unit
A Children’s Environmental Health Unit (CEHU) is a centre that advances the ongoing training of health care providers, the ongoing education of the public and other sectors concerned about CEH on the protection of children from environmental threats, the management of children with known or suspected exposure to environmental stressors, and the diagnosis, management, and treatment of children with illnesses that are derived from environmental stressors.


Children’s Environmental Health Units educate health care professionals and others about preventing environmental exposures and about diagnosing and treating environmentally-related diseases. Their policy advice to government officials can strengthen governmental responses to environmental health problems. By maintaining databases and collaborating with partners in the health community, they can contribute to the knowledge base on children’s environmental health issues.


The development of this document was funded by the U.S. Environmental Protection Agency under assistance agreement CR 831028 to the World Health Organization.
This publication was coordinated at WHO by Jenny Pronczuk de Garbino, Marie-Noel Bruné, and Ruth Etzel with the assistance of Tania Gavidia from the WHO Collaborating Centre in Perth, Australia.

The following people contributed to this publication:

Martha Berger
Irena Buka
Enrique Cifuentes
Lilian Corra
Fernando Díaz Barriga
Luis Roberto Escoto
Adriana Grebnicoff
Michael Hatcher
Raul Harari
Kapila Jayaratne
Amalia Laborde
Philip Landrigan
Sang-il Lee
Siobhan McNally
Helia Molina
Juan Antonio Ortega-García
Enrique Paris
Jerry Paulson
Leslie Rubin

Standards for schoolbags

Sri Lanka Standards Institute is in the process of developing standards for schoolbags. A working group comprised of healthcare professionals, ergonomists, university academics, representatives from Ministry of Trademm textile engineers and selected bag manufacturers is involved in the process.


Dr. Kapila Jayaratne serves as the chairman of the working group on developing standards for schoolbags.

Once the specifications and standards are finalized, they would be accepted as the legal standards.