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A questionnaire survey to determine the socio economic and health status of street sweepers of Mekelle city, Ethiopia was held during April and May 2019. The random sample chosen was 137 out of a total of 297 street sweepers of the city. The major lot (86.13%) worked both in the morning and evening shifts whereas the rest 13.87% worked only in the morning shift in all days of the week. They served for a poor monthly salary of 500-1500 Birr. As a result of continuous working with municipal solid waste they developed several health problems. The most wide spread health issues were cuts and laceration (84.67%), respiratory and eye problems (58.39%) and musculoskeletal problems (53.28%). In addition, sweepers reported cases such as fracture by fall, joint pain, cough, asthma, low back pain and dysentery during the previous one year of their service. The study result also showed significant differences in health issues of different sub cities. Sweepers of Qedamay Weyane subcity were worst affected. These sweepers received no medical aid from their employers. In addition they faced several challenges at work place particularly bad weather of early morning, insults and sexual harassments by miscreants on the road. It was reckoned that 97.81% of sweepers had no job satisfaction. It is concluded that the socio economic and health status of street sweepers of Mekelle city was deplorable. In this study suggestions for improving their socio economic status and controlling or minimizing their occupational health hazards are given.
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PMID:Socio economic and health status of street sweepers of Mekelle city, Ethiopia. 3190 18

BACKGROUND Adenosquamous carcinoma of the lung (ASC) is a rare subtype of non-small-cell lung carcinoma (NSCLC), histologically defined by the presence of both squamous cell carcinoma and adenocarcinoma components. This aggressive malignancy has been rarely described in young female patients. Due to its low incidence and difficult-to-establish preoperative diagnosis, little is known about the complete clinical course for young patients with this specific NSCLC subtype. Moreover, a history of smoking is positively associated with ASC, but evidence for an association with exposure to secondhand smoke is sparse. CASE REPORT We present the case of a previously healthy 29-year-old woman with a long-standing history of secondhand smoke exposure, who was ultimately diagnosed with advanced ASC via fiberoptic bronchoscopy with transbronchial biopsy after a number of different investigations and treatments performed outside our service. She had visited many clinicians in 4 months of symptoms, initially presented as thoracic pain and cough thought to be due to a complicated pneumonia. Symptoms progressed despite empiric treatment and eventually included low back pain, weight loss, and night sweats. The hypothesis of tuberculosis was then investigated and discarded, at which point, 3 months after the onset of symptoms, she had a CT scan of the chest, revealing a pulmonary mass. She was referred to our hospital to further investigate this finding via fiberoptic bronchoscopy with transbronchial biopsy. During the procedure, she experienced an acute exacerbation of the low back pain, which prompted her admission in the Emergency Department, and she was later admitted to our pneumology ward. An extensive treatment plan including chemotherapy and radiotherapy was initially started, but could not be completed due to rapid disease progression, defined by pulmonary and spine metastatic implants, which limited treatment to palliative care. The patient died 6 months after the initial onset of symptoms. CONCLUSIONS This case report shows the clinical course of a difficult and rare diagnosis, and demonstrates the high level of suspicion required for the early diagnosis of lung neoplasms in young patients.
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PMID:An Uncommon Lung Neoplasm in a Young Patient: Diagnostic Challenges. 3306 May 57


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