Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra

Background: A walk through the Agbogbloshie e-waste recycling site shows a marked heterogeneity in the spatial distribution of the different e-waste processing activities, which are likely to drive clustering of health conditions associated with the different activity type in each space. Objective o...

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Autores principales:	Abenaa Adusei, John Arko-Mensah, Mawuli mdzodzomenyo, Judith Stephens, Afua Amoabeng, Saskia Waldschmidt, Katja Löhndorf, Kwame Agbeko, Sylvia Takyi, Lawrencia Kwarteng, Augustine Acquah, Paul Botwe, Prudence Tettey, Andrea Kaifie, Michael Felten, Thomas Kraus, Thomas Küpper, Julius Fobil
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/120c5381ef6e4a43b2b9044198c94767
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spelling	oai:doaj.org-article:120c5381ef6e4a43b2b9044198c947672021-12-02T09:36:25ZSpatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra2214-999610.5334/aogh.2630https://doaj.org/article/120c5381ef6e4a43b2b9044198c947672020-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2630https://doaj.org/toc/2214-9996Background: A walk through the Agbogbloshie e-waste recycling site shows a marked heterogeneity in the spatial distribution of the different e-waste processing activities, which are likely to drive clustering of health conditions associated with the different activity type in each space. Objective of study: To conduct a spatial assessment and analysis of health conditions associated with different e-waste activities at different activity spaces at Agbogbloshie. Methods: A choropleth showing the various activity spaces at the Agbogbloshie e-waste site was produced by mapping boundaries of these spaces using Etrex GPS device and individuals working in each activity spaces were recruited and studied. Upon obtaining consent and agreeing to participate in the study, each subject was physically examined and assessed various health outcomes of interest via direct physical examination while characterizing and enumerating the scars, lacerations, abrasions, skin condition and cuts after which both systolic and diastolic blood pressure values were recorded alongside the administration of open and close ended questionnaires. All individuals working within each activity space and consented to participate were recruited; giving a total of one hundred and twelve (112) subjects in all. Results: A study of the choropleth showed that health conditions associated e-waste processing activities were clustered in a fashion similar to the corresponding distribution of each activity. While a total of 96.2% of all the study subjects had cuts, the dismantlers had higher mix of scars, lacerations and abrasions. Abrasions were observed in 16.3% of the dismantlers. Scars were the most common skin condition and were observed on the skins of 93.6% of the subjects. Prevalence of burns among the study subjects was 23.1%. Developing hypertension was not associated with activity type and while a total of 90.2% of subjects had normal blood pressure and 9.8% of them were hypertensives. Finally, 98.2% of respondents felt the need to have a first aid clinic at the site with 96.4% and 97.3% willing to visit the clinic and pay for services respectively. Conclusion: We conclude that while the observed injuries were random and were due purely to accidents without any role of spatial determinants such as the configuration, slope, topography and other subterranean features of the activity spaces, a strong association between the injuries and activity type was observed.Abenaa AduseiJohn Arko-MensahMawuli mdzodzomenyoJudith StephensAfua AmoabengSaskia WaldschmidtKatja LöhndorfKwame AgbekoSylvia TakyiLawrencia KwartengAugustine AcquahPaul BotwePrudence TetteyAndrea KaifieMichael FeltenThomas KrausThomas KüpperJulius FobilUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Abenaa Adusei John Arko-Mensah Mawuli mdzodzomenyo Judith Stephens Afua Amoabeng Saskia Waldschmidt Katja Löhndorf Kwame Agbeko Sylvia Takyi Lawrencia Kwarteng Augustine Acquah Paul Botwe Prudence Tettey Andrea Kaifie Michael Felten Thomas Kraus Thomas Küpper Julius Fobil Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra
description	Background: A walk through the Agbogbloshie e-waste recycling site shows a marked heterogeneity in the spatial distribution of the different e-waste processing activities, which are likely to drive clustering of health conditions associated with the different activity type in each space. Objective of study: To conduct a spatial assessment and analysis of health conditions associated with different e-waste activities at different activity spaces at Agbogbloshie. Methods: A choropleth showing the various activity spaces at the Agbogbloshie e-waste site was produced by mapping boundaries of these spaces using Etrex GPS device and individuals working in each activity spaces were recruited and studied. Upon obtaining consent and agreeing to participate in the study, each subject was physically examined and assessed various health outcomes of interest via direct physical examination while characterizing and enumerating the scars, lacerations, abrasions, skin condition and cuts after which both systolic and diastolic blood pressure values were recorded alongside the administration of open and close ended questionnaires. All individuals working within each activity space and consented to participate were recruited; giving a total of one hundred and twelve (112) subjects in all. Results: A study of the choropleth showed that health conditions associated e-waste processing activities were clustered in a fashion similar to the corresponding distribution of each activity. While a total of 96.2% of all the study subjects had cuts, the dismantlers had higher mix of scars, lacerations and abrasions. Abrasions were observed in 16.3% of the dismantlers. Scars were the most common skin condition and were observed on the skins of 93.6% of the subjects. Prevalence of burns among the study subjects was 23.1%. Developing hypertension was not associated with activity type and while a total of 90.2% of subjects had normal blood pressure and 9.8% of them were hypertensives. Finally, 98.2% of respondents felt the need to have a first aid clinic at the site with 96.4% and 97.3% willing to visit the clinic and pay for services respectively. Conclusion: We conclude that while the observed injuries were random and were due purely to accidents without any role of spatial determinants such as the configuration, slope, topography and other subterranean features of the activity spaces, a strong association between the injuries and activity type was observed.
format	article
author	Abenaa Adusei John Arko-Mensah Mawuli mdzodzomenyo Judith Stephens Afua Amoabeng Saskia Waldschmidt Katja Löhndorf Kwame Agbeko Sylvia Takyi Lawrencia Kwarteng Augustine Acquah Paul Botwe Prudence Tettey Andrea Kaifie Michael Felten Thomas Kraus Thomas Küpper Julius Fobil
author_facet	Abenaa Adusei John Arko-Mensah Mawuli mdzodzomenyo Judith Stephens Afua Amoabeng Saskia Waldschmidt Katja Löhndorf Kwame Agbeko Sylvia Takyi Lawrencia Kwarteng Augustine Acquah Paul Botwe Prudence Tettey Andrea Kaifie Michael Felten Thomas Kraus Thomas Küpper Julius Fobil
author_sort	Abenaa Adusei
title	Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra
title_short	Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra
title_full	Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra
title_fullStr	Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra
title_full_unstemmed	Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra
title_sort	spatiality in health: the distribution of health conditions associated with electronic waste processing activities at agbogbloshie, accra
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/120c5381ef6e4a43b2b9044198c94767
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Spatiality in Health: The Distribution of Health Conditions Associated with Electronic Waste Processing Activities at Agbogbloshie, Accra

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