Suchergebnisse

This article argues that as radical instructors who prioritize the role of antiracism in the classroom, we can use Reproductive Justice to create both reimaginings for those resistant to the movement and space for those doing this work. In white male spaces and institutions, it is important for us to hold up racist and sexist institutions and structures, such as ideas around health and the practice of health care, as central to our understandings of the globe. The writer discusses how beginning from the Reproductive Justice framework radically changed the classroom in her course titled the Global Politics of Gender and Health.

This paper considers the eighteenth-century 'voyages of discovery' to the Americas within the framework of colonial history and the development of modern scientific practice and method. It uses a feminist methodological approach toward concepts of natural knowledge and knowledge production. The essay looks specifically at knowledges of particular plants from the Caribbean and their properties, focusing on one plant still used for fertility throughout the region. I investigate the centrality of Caribbean natural knowledge to the development of differing historical perspectives on nature as well as the relationship between the development of European botanical sciences and natural knowledge in the Americas.

This article argues that Jamaica Kinkaid's short prose piece "Girl" (1978)—sometimes referred to as a poem, sometimes a short story—merits a rereading based on the politics of contraception and natural knowledge in the Caribbean. In sparse and delicate prose, Kincaid manages to reflect on the historical ability of women to be both creative and practical in managing the relationship between their bodies and the natural world. A central theme of the story is the often-overlooked disappearance of particular forms of knowledge in particular places. The story is also about how human knowledge can arise from necessity and can provide individuals and communities with both power and agency. One of the key lessons in the story links Kincaid's characters to the Caribbean practice of resisting gender norms and colonialism through the use of plant-based abortifacients.

Abstract

Introduction
Despite world-leading measures in place to protect employees from second-hand smoke exposure in workplaces in the United Kingdom, workers who deliver health and social care in private homes remain unprotected legally in this setting from second-hand smoke exposure (SHS).


Methods
Fourteen individuals took part in either an in-depth telephone interview (n = 11) or an online focus group discussion (n = 3), including home-care workers (n = 5) and managers (n = 5) based in Lanarkshire (Scotland) and local/national policy makers (n = 4). Participants were asked about the extent to which exposure to SHS is an issue during home visits and possible additional measures that could be put in place to eliminate exposure.


Results
Participants highlighted the difficulties in balancing the provision of care in a person's own home with the right of workers to be able to breathe clean air and be protected from SHS. Current strategies to reduce staff exposure to SHS during home visits were often reported as inadequate with SHS not a hazard considered by managers beyond protecting pregnant staff or those with pre-existing respiratory conditions such as asthma. Simple respiratory protective equipment (as used during the COVID-19 pandemic) was rightly identified as being ineffective. Methods such as nicotine replacement therapy and e-cigarettes were identified as potential ways to help people who smoke achieve temporary asbstinence prior to a home visit.


Conclusion
Implementing appropriate and proportionate measures to protect home-care workers from the harms posed by SHS should be a priority to help protect the health of this often overlooked occupational group.

Abstract

Objectives
Second-hand tobacco smoke (SHS) is a serious cause of ill-health, and concern around SHS exposure at work has driven legislation in public places. In Scotland, most workers are now protected from SHS at work. However, home care workers (HCWs) may still be exposed, as they enter private homes where smoking is unregulated. In this study, we aimed to understand the extent, duration and intensity of that exposure among HCWs in Lanarkshire, Scotland.


Methods
We surveyed HCWs in four organisations involved in providing care at home: a public healthcare agency (NHS Lanarkshire), two local government entities and a private healthcare company. We also conducted personal exposure monitoring (PEM) of exposure to airborne nicotine and SHS-related fine particulate matter (PM2.5) with 32 HCWs.


Results
The vast majority of HCWs surveyed reported being exposed to SHS at work (395/537, 74%), and 50% of those who reported exposure in the home indicated daily exposure. We conducted PEM over 82 home visits, with 21% (17) demonstrating PM2.5 concentrations in excess of the WHO's 2010 air quality guideline limit for 24 h exposure. Duration of exposure to SHS tended to be short and as a result all nicotine samples were below the limit of quantification.


Conclusions
Most HCWs are exposed to minimal levels of SHS at work. However, a minority may be exposed to concentrations which affect health. Policies to mitigate this exposure should be considered, such as the use of respiratory protective equipment, improved ventilation during visits, and interventions to reduce smoking in homes.

Second-hand tobacco smoke (SHS) is an avoidable and harmful exposure in the workplace but >25000 prison staff continue to be exposed on a daily basis in the UK and many more worldwide. SHS exposures in prisons are incompletely understood but may be considerable given the large proportion of smoking prisoners and limited ventilation. This study characterized the exposure of prison staff to SHS in all 15 prisons in Scotland using multiple methods. Exposure assessment strategies included 6-day area measurement of fine Particulate Matter (PM2.5) and airborne nicotine in each prison together with short (30-minute) measurements of PM2.5 covering a range of locations/activities. Pre- and post-shift saliva samples were also gathered from non-smoking staff and analysed for cotinine to estimate exposure. There was evidence of exposure to SHS in all prisons from the results of PM2.5 and nicotine measurements. The salivary cotinine results from a sub-sample of non-smoking workers indicated SHS exposures of similar magnitude to those provided by the 6-day area measurements of PM2.5. There was a high degree of exposure variability with some locations/activities involving exposure to SHS concentrations that were comparable to those measured in bars in Scotland prior to smoke-free legislation in 2006. The median shift exposure to SHS-PM2.5 was ~20 to 30 µg m−3 and is broadly similar to that experienced by someone living in a typical smoking home in Scotland. This is the most comprehensive assessment of prison workers' exposure to SHS in the world. The results are highly relevant to the development of smoke-free policies in prisons and should be considered when deciding on the best approach to provide prison staff with a safe and healthy working environment.