225229 Mitigating malaria risk for extractive industry workers operating in endemic countries

Monday, November 8, 2010

Malick Diara, MD, MBA, MPH , Medicine and Occupational Health, ExxonMobil, Houston, TX
Nancy C. Wojcik, MS , Epidemiology & Health Surveillance Section, ExxonMobil Biomedical Sciences, Inc., Annandale, NJ
Richard Dockins, MD, MPH , Medicine and Occupational Health, ExxonMobil, Houston, TX
Inspired by the World Health Organization, the company adopted the ABCD malaria mitigation framework to protect our workforce. As a result, no employee got sick from 2004–2008, the number of malaria cases among contractors dropped by 95.0%, and 98.8% of the workers tested worldwide in 2009 were compliant with the malaria chemoprophylaxis program. Malaria is a common disease in tropical countries where extractive industries operate. With a globally mobile workforce, thousands of nonimmune workers are exposed to malaria. Malaria episodes can cause serious personal consequences and company disruptions.. The company's malaria program provides awareness through education to workers going to malaria-endemic countries; employees must have a “malaria visa” prior to travel that confers basic knowledge on malaria, protective measures, chemoprophylaxis requirements, and treatment guidance. Bite prevention combines the use of skin repellents, insecticide-treated clothes and mosquito nets, indoor and outdoor spraying, larva control, and screened buildings. Chemoprophylaxis offers medicine supplies and compliance testing to insure adequate protection of the workforce. Diagnosis and early treatment include a 24/7, globally available malaria hotline with emergency medical response system for hospitalization and evacuation, on-site medical services, and a rapid diagnostic test with standby treatment supplied to all travelers. Integrating the malaria program into company safety and health procedures combined with business partnerships for malaria services and supplies, and institutional commitment assure effective implementation and exceptional achievements.

Learning Areas:
Occupational health and safety
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Evaluate the risk and business consequences of disease in nonimmune workers operating in malaria-endemic locations. 2. Describe the core components of a comprehensive malaria prevention and control program designed for workforces operating in malaria-endemic locations. 3. Identify success factors for the malaria control program implementation in malaria-endemic countries for extractive industry workers.

Keywords: Occupational Health Programs, Infectious Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee occupational health / malaria programs for workers and have been working in malaria control and prevention at the community, district, national and global levels for more than 20 years. I have already moderated a panel of presenters on malaria during APHA 2006: Malaria: History, Equity, and Prevention Tuesday, November 7, 2006 (2:30 PM–4:00 PM)
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.