Publications by authors named "Paul Demers"

Introduction: Raynaud's phenomenon (RP) is linked to occupational exposures such as vibration, cold temperature, and chemicals. However, large cohort studies examining RP by occupation and sex are scarce. To address this gap, this study aimed to assess risk of RP by both occupation and sex in a large cohort of workers in Ontario, Canada.

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Background: Carpal tunnel syndrome (CTS) is a prevalent cumulative strain injury associated with occupational risk factors such as vibration, repetitive and forceful wrist movements, and awkward wrist postures. This study aimed to identify Ontario workers at elevated risk for CTS and to explore sex differences in CTS risk among workers.

Methods: The Occupational Disease Surveillance System (ODSS) links accepted lost time compensation claims to health administrative databases.

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Background: This study characterized the risk of new-onset asthma among workers in Manitoba, Canada.

Methods: Accepted time loss claims from the Workers' Compensation Board of Manitoba from 2006 to 2019, containing workers' occupations and industries, were linked with administrative health data from 1996 to 2020. After restricting the cohort to the first claim per person in an occupation and applying age and coverage exclusions, the cohort comprised 142,588 person-occupation combinations.

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Normative issues associated with the design and implementation of population-based lung cancer screening policies are underexamined. This study was an exposition of the ethical justification for screening and potential ethical issues and their solutions in Canadian jurisdictions. A qualitative description study was conducted.

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Background: Increased lung-cancer risks for low socioeconomic status (SES) groups are only partially attributable to smoking habits. Little effort has been made to investigate the persistent risks related to low SES by quantification of potential biases.

Methods: Based on 12 case-control studies, including 18 centers of the international SYNERGY project (16,550 cases, 20,147 controls), we estimated controlled direct effects (CDE) of SES on lung cancer via multiple logistic regression, adjusted for age, study center, and smoking habits, and stratified by sex.

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Objective: Working-age individuals have been disproportionately affected by the opioid crisis, prompting interest in the potential role of occupation as a contributor. This study aimed to estimate the risk of opioid-related poisonings and mental and behavioural disorders by occupation and industry within a cohort of 1.7 million formerly injured workers.

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Article Synopsis
  • - The study aimed to understand how target populations perceive the benefits and harms of lung cancer screening using low dose computed tomography, citing a lack of knowledge in this area.
  • - A systematic review analyzed 49 studies and found that while many people viewed screening positively for early detection and reassurance, concerns about radiation and screening anxiety, particularly among current smokers and low-income individuals, were also prevalent.
  • - The study concludes that targeted populations often justify physical harms of screening for the sake of early detection, highlighting the need for screening programs to communicate benefits clearly and design them in a non-stigmatizing manner while considering equity.
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  • Contemporary asbestos exposure is now primarily linked to construction and maintenance work involving asbestos-containing materials (ACM), with the Ontario Asbestos Workers Register (AWR) created in 1986 to track exposure among workers.* -
  • A study linked 26,204 AWR registrants to health databases, revealing elevated rates of asbestos-related diseases (ARD) like mesothelioma and pulmonary fibrosis, particularly among those with longer exposure times.* -
  • Despite Canada banning asbestos in new products, existing ACM still poses a risk during construction activities, emphasizing the need for continued monitoring of asbestos-related health issues.*
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A job-exposure matrix (JEM) is a tool that can estimate diesel engine exhaust (DEE) exposures. JEMs based on expert judgment or measurement data are limited by the information available at the time of development. Over time, more information about hazardous exposures is understood through additional measurements and peer-reviewed publications.

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Although a significant body of evidence has attributed certain occupational exposures with leukemia, such as benzene, formaldehyde, 1,3-butadiene and ionizing radiation, more research is needed to identify work environments at increased risk for this disease. Our study aimed to identify occupational and industry groups associated with an elevated incidence of leukemia using a diverse cohort of workers' compensation claimants from Ontario, Canada. A total of 2,363,818 workers in the Occupational Disease Surveillance System (ODSS) cohort, with claims between 1983-2019, were followed for malignant leukemia diagnoses up to 31 December 2019.

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Article Synopsis
  • The study aimed to explore cancer risk in Ontario's workforce by comparing cancer rates using both internal (ODSS workers) and external (general population) reference groups.
  • Researchers analyzed data from about 2.3 million workers with compensation claims to calculate standardized incidence ratios (SIRs) for various cancer types from 1983 to 2018.
  • Results showed that SIRs were usually similar or lower when compared to the general population, revealing differences in cancer rates depending on the reference group used, highlighting the significance of reference group selection in occupational cancer risk evaluations.
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Objectives: The role of work-related injuries as a risk factor for opioid-related harms has been hypothesized, but little data exist to support this relationship. The objective was to compare the incidence of opioid-related harms among a cohort of formerly injured workers to the general population in Ontario, Canada.

Methods: Workers' compensation claimants (1983-2019) were linked to emergency department (ED) and hospitalization records (2006-2020).

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  • Study investigates sex-specific differences in COPD risk linked to various occupational exposures.
  • High COPD risks were identified for both males and females in occupations like construction, transport operations, farming, and cleaning, with specific jobs like cooking and bartending showing increased risk for females.
  • Findings suggest significant occupational hazards contribute to COPD, emphasizing the importance of monitoring and protective measures in the workplace.
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Background: Carpal tunnel syndrome (CTS) is associated with occupational high-force repetitive tasks and vibration. This project examines the relationship between CTS and work to: (1) identify jobs and industries with increased CTS risk; (2) explore whether there is a sex difference in the risk of CTS after controlling for occupation; and (3) determine whether any observed relationships persist after excluding Workers Compensation Board (WCB) accepted time-loss CTS claims.

Methods: We linked 95.

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  • The study assessed how different dimensions of the quantitative job-exposure matrix (SYN-JEM) impact the correlation between silica exposure and lung cancer risk, using data from 16,901 lung cancer cases and 20,965 controls from global studies.
  • The analysis revealed that including all dimensions of SYN-JEM resulted in the best fit for predicting lung cancer odds, while omitting job-specific estimates led to a poor model fit.
  • The findings suggest that to accurately model the exposure-response relationship between silica and lung cancer, it’s crucial to use all relevant factors, including job specifics, time, and region in the analysis.
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Background: While much research has been done to identify individual workplace lung carcinogens, little is known about joint effects on risk when workers are exposed to multiple agents.

Objectives: We investigated the pairwise joint effects of occupational exposures to asbestos, respirable crystalline silica, metals (i.e.

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Background: Worldwide, lung cancer is the second leading cause of cancer death in women. The present study explored associations between occupational exposures that are prevalent among women, and lung cancer.

Methods: Data from 10 case-control studies of lung cancer from Europe, Canada, and New Zealand conducted between 1988 and 2008 were combined.

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The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, has rapidly evolved since late 2019, due to highly transmissible Omicron variants. While most Canadian paramedics have received COVID-19 vaccination, the optimal ongoing vaccination strategy is unclear. We investigated neutralizing antibody (NtAb) response against wild-type (WT) Wuhan Hu-1 and Omicron BA.

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  • Paramedics face potential cancer risks due to exposure to carcinogens in their line of work, and there’s limited research on this issue.
  • The study analyzed data from 7240 paramedics in Ontario from 1996 to 2019 and found a significant increase in the risk of various cancers, including melanoma and prostate cancer, while also noting a reduced risk for lung cancer.
  • These findings align with similar studies on firefighters and police, suggesting that shared exposures, like vehicle exhaust and shift work, may contribute to elevated cancer risks among emergency medical services workers.
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  • * Researchers analyzed blood samples and questionnaires to assess symptoms and depression severity related to both known and unknown prior SARS-CoV-2 infections.
  • * They found no significant connection between a prior COVID-19 infection (either known or unknown) and the presence of post-COVID symptoms among the vaccinated group.
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Benzene has been classified as carcinogenic to humans, but there is limited evidence linking benzene exposure to lung cancer. We aimed to examine the relationship between occupational benzene exposure and lung cancer. Subjects from 14 case-control studies across Europe and Canada were pooled.

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Objective: We performed a meta-analysis of epidemiological results for the association between occupational exposure as a firefighter and cancer as part of the broader evidence synthesis work of the program.

Methods: A systematic literature search was conducted to identify cohort studies of firefighters followed for cancer incidence and mortality. Studies were evaluated for the influence of key biases on results.

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Objectives: Radon is a ubiquitous occupational and environmental lung carcinogen. We aim to quantify the association between radon progeny and lung cancer mortality in the largest and most up-to-date pooled study of uranium miners.

Methods: The pooled uranium miners analysis combines 7 cohorts of male uranium miners with 7754 lung cancer deaths and 4.

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Purpose: Canada was a major global asbestos producer and consumer. Geographic patterns of Canadian asbestos use and mesothelioma, a highly fatal cancer linked to asbestos exposure, have not been previously reported. This study summarized key trends in mesothelioma incidence by geography and time in two Canadian provinces, Ontario and British Columbia (BC), and explored how past workforce characteristics and geographic trends in asbestos production and use may shape variations in regional rates of mesothelioma.

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