{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T03:30:15Z","timestamp":1787887815730,"version":"build-2784847793"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:00:00Z","timestamp":1727913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the sanitation sector, occupational injuries among sanitary workers (SWs) are prevalent due to hazardous working conditions and poor environmental surroundings. Despite the significant risks faced by these workers, the issue has received limited attention, and no comprehensive global meta-analysis on occupational injuries among sanitary workers has been conducted to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In this study, we aimed to conduct a systematic review and meta-analysis of occupational injuries among sanitary workers globally from 2000 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed for the screening process, and the Population, Intervention, Comparison, Outcome and Study (PICOS) framework was to formulate search questions. Published articles from 2000 to 2023 were retrieved using various search engines. The keywords used were as follows: \u201cOccupation Job Injuries\u201d *OR \u201cWork Injuries\u201d *OR \u201cOccupational Injuries\u201d AND \u201cSanitary workers\u201d (\u201cStreet sweepers\u201d [SS] *OR \u201chealth facilities cleaners\u201d [HCFC]) *OR \u201cSolid waste collectors\u201d [SWCs] *OR \u201cSewage workers\u201d [STW] were used. Data analysis was performed using Stata Version 17MP. The overall effect size was calculated using the random-effects model combined with the restricted maximum likelihood (REML) approach, known as the Random-Effect REML Model. A 95% confidence interval (CI: 95%) was applied, and a\n                      <jats:italic>p<\/jats:italic>\n                      -value of less than 0.05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Studies were sourced from PubMed (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200934), Medline (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200939), Embase (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200923), Global Health (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200937), other databases (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200954), and review studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910), resulting in a total of 197 studies. Of these, only 23 studies fully met the inclusion criteria. Among 8,138 sanitary workers (SWs), 4,469 (55%) were solid waste collectors (SWCs), 2,317 (28%) were street sweepers (SS), 1,144 (14%) were health facility cleaners (HCFC), and 208 (3%) were a combination of SS and SWCs. Globally, the pooled prevalence of occupational injuries among SWs was 36.49% (95%CI: 0.29\u20130.45). Specifically, 39.14% (95%CI: 0.24\u20130.53) prevalence was observed in high-income countries, while 35.22% (95%CI: 0.36\u20130.44) was reported in low-income countries. Year-by-year analysis showed a prevalence of 36.70% (95%CI:0.28\u20130.46) from 2001 to 2015 and 36.45% (95% CI:0.25\u20130.48) from 2016 to 2022. The overall heterogeneity of the studies was substantial, with an I-squared value of 90.03% and a heterogeneity index of 214.43 (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u20090.05), indicating statistically significant heterogeneity among the eligible studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This systematic review and meta-analysis revealed that sanitation and hygiene workers face an increased risk of occupational injuries, largely due to insufficient attention to occupational safety and health services in their work environments. To mitigate these risks, the review recommends policy amendments, national regulations, and international initiatives aimed at improving occupational health and safety (OHS) services for these workers. These measures are crucial for reducing the prevalence of work-related injuries in the sanitation sector.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2024.1425904","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T09:28:41Z","timestamp":1727947721000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Global prevalence of occupational injuries among sanitation workers: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"12","author":[{"given":"Sina Temesgen","family":"Tolera","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tesfaye","family":"Gobena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nega","family":"Assefa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Geremew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,3]]},"reference":[{"key":"ref1","volume-title":"Health, safety and dignity of sanitation workers: an initial assessment. Guidelines on sanitation and health","year":"2018"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2392","DOI":"10.3390\/ijerph120302392","article-title":"Environmental factors and WASH practices in the perinatal period in Cambodia","volume":"12","author":"Bazzano","year":"2015","journal-title":"Int J Env Res Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1164\/ajrccm.164.4.2012146","article-title":"Work is related to a substantial portion of adult-onset asthma incidence in the Finnish population","volume":"164","author":"Karjalainen","year":"2001","journal-title":"Am J Respir Crit Care Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"237","DOI":"10.18203\/2394-6040.ijcmph20150476","article-title":"Sweeping practices, knowledge about OSH hazards in Dhaka city, Bangladesh: a qualitative inquiry","volume":"2","author":"Kabir","year":"2015","journal-title":"Int J Commun Med Pub Health"},{"key":"ref5","volume-title":"New report exposes horror of working conditions for millions of sanitation workers in the developing world","year":"2019"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"3061","DOI":"10.14260\/jemds\/2020\/669","article-title":"Threatening health impacts and challenging life of sanitary workers","volume":"9","author":"Gomathi","year":"2020","journal-title":"J Evol Med Dent Sci"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.scitotenv.2006.05.016","article-title":"Exposure to aerosolized bacteria and fungi among collectors of commercial waste","volume":"370","author":"Lavoie","year":"2006","journal-title":"Sci Total Environ"},{"key":"ref8","volume-title":"The heroes behind sanitation - an insight into faecal sludge management workers in Zambia","author":"Sperandeo","year":"2020"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4236\/oalib.1101087","article-title":"Magnitude and factors of occupational injury among workers in large scale metal in Ethiopia","volume":"1","author":"Habtu","year":"2014","journal-title":"Open Access Library"},{"key":"ref10","volume-title":"An assessment of the repetitive manual tasks of cleaners","author":"Weigall","year":"2005"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1002\/ajim.20106","article-title":"Blood and body fluid exposure risks among health care workers: results from the Duke Health and Safety Surveillance System","volume":"46","author":"Dement","year":"2004","journal-title":"Am J Ind Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.ajic.2003.03.003","article-title":"Occupational exposure to needle stick injuries and hepatitis B vaccination in Egypt","volume":"31","author":"Talaat","year":"2003","journal-title":"Am J Infect Control"},{"key":"ref13","volume-title":"Safe management of wastes from health-care activities manual","year":"2014"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1177\/0734242X05048037","article-title":"Vaccinations for waste-handling workers: a review of the literature","volume":"23","author":"Tooher","year":"2005","journal-title":"Waste Manag Res"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"701","DOI":"10.13075\/ijomeh.1896.01576","article-title":"Occupational health hazards of street cleaners - a literature review considering prevention practices at the workplace","volume":"33","author":"Van Kampen","year":"2020","journal-title":"Int J Occup Med Environ Health"},{"key":"ref16","volume-title":"Guidelines on the promotion of decent work and road safety","year":"2019"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.2147\/RMHP.S308323","article-title":"Prevention of occupational hazards among sanitary workers: KAP survey in Bulehora, Ethiopia","volume":"14","author":"Degavi","year":"2021","journal-title":"Risk Manag Health Policy"},{"key":"ref18","volume-title":"Incidence rates1 of nonfatal occupational injuries and illnesses by industry and case types","year":"2008"},{"key":"ref19","first-page":"207","article-title":"Prevalence and risk factors associated with musculoskeletal discomfort among street sweepers in Chiang Rai province, Thailand","volume":"30","author":"Pintakham","year":"2016","journal-title":"J Health Res"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.19082\/1515","article-title":"Use of artificial neural networks (ANNs) for the analysis and modeling of factors that affect occupational injuries in large construction industries","volume":"7","author":"Mohammadfam","year":"2015","journal-title":"Electron Physician"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1080\/10803548.2014.11077052","article-title":"Applying hierarchical loglinear models 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reviews","volume":"37","author":"Amir-Behghadami","year":"2020","journal-title":"Emerg Med J"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1097\/XEB.0000000000000054","article-title":"Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and incidence data","volume":"13","author":"Munn","year":"2015","journal-title":"Int J Evid Based Healthc"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"862","DOI":"10.1186\/s12889-016-3483-1","article-title":"Prevalence and associated factors of occupational injuries among MSW collectors, Amhara, Ethiopia","volume":"16","author":"Eskezia","year":"2016","journal-title":"BMC"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"237","DOI":"10.15406\/mojph.2019.08.00313","article-title":"Factors contributing to occupational injuries among solid waste collectors in a municipal in Tanzania","volume":"8","author":"Mamuya","year":"2019","journal-title":"MOJ Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2021\/6914529","article-title":"Prevalence and determinants of occupational injuries among solid waste collectors of Zoomlion Ghana limited","volume":"2021","author":"Ephraim","year":"2021","journal-title":"J Environ Pub Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1186\/1471-2458-14-169","article-title":"Assessment of occupational injuries among Addis Ababa city MSW collectors","volume":"14","author":"Bogale","year":"2014","journal-title":"BMC Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/9024160","article-title":"Occupational risks associated with solid waste Management in the Informal Sector of Gweru, Zimbabwe","volume":"2016","author":"Steven","year":"2016","journal-title":"J Environ Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"2415","DOI":"10.2147\/RMHP.S276790","article-title":"Occupational health conditions among MSW collectors in Addis Ababa, Ethiopia","volume":"13","author":"Melaku","year":"2020","journal-title":"Risk Manag Healthc Policy"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"117863022211040","DOI":"10.1177\/11786302221104025","article-title":"Occupational injuries and associated factors among municipal solid waste collectors in Harar town, eastern Ethiopia: a cross sectional study","volume":"16","author":"Temesgen","year":"2022","journal-title":"Sage Environ Health Insights"},{"key":"ref33","volume-title":"Assessment of magnitude and associated factors of occupational injuries among waste collectors in Yeka City, Addis Ababa, Ethiopia","author":"Marew","year":"2015"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2021\/5530064","article-title":"Occupational health risk of waste pickers: a case study of northern region of South Africa","volume":"2021","author":"Uhunamure","year":"2021","journal-title":"J Environ Pub Health"},{"key":"ref35","first-page":"243","article-title":"Accidents at work in a company of urban waste collection","volume":"18","author":"Pinho","year":"2010","journal-title":"J Cad Sa\u00fade Colet"},{"key":"ref36","volume-title":"Assessment of occupational injuries and its associated factors among waste cleaners in governmental hospitals of Addis Ababa Ethiopia","author":"Ayzohbel","year":"2021"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1093\/occmed\/kqn028","article-title":"Epidemiology of occupational injury among cleaners in the healthcare sector","volume":"58","author":"Alamgir","year":"2008","journal-title":"Occup Med"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2011\/382510","article-title":"Nonfatal occupational injury rates and musculoskeletal symptoms among housekeeping employees of a hospital in Texas","volume":"2011","author":"Salwe","year":"2011","journal-title":"J Environ Public Health"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"S12","DOI":"10.1016\/S0140-6736(21)01498-7","article-title":"Awareness and prevalence of needle stick injuries among cleaners and health-care providers in Gaza strip hospitals: a cross-sectional study","volume":"398","author":"Alwali","year":"2021","journal-title":"Lancet"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s12889-015-2642-0","article-title":"Prevalence of percutaneous injuries and associated factors among health care workers in Hawassa referral and adare district hospitals, Hawassa, Ethiopia, January 2014","volume":"16","author":"Kaweti","year":"2016","journal-title":"BMC Public Health"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"54","DOI":"10.18295\/squmj.2020.20.01.008","article-title":"Needle stick and sharp injuries among healthcare workers: a retrospective six-year study","volume":"20","author":"Saadeh","year":"2020","journal-title":"Sultan Qaboos Univ Med J"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1053\/jhin.2001.1097","article-title":"Sharps injuries among hospital support personnel","volume":"49","author":"Shiao","year":"2001","journal-title":"J Hosp Infect"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"90","DOI":"10.61386\/imj.v13i2.191","article-title":"Occupational hazards and health problems among street sweepers in Uyo, Nigeria","volume":"13","author":"Johnson","year":"2020","journal-title":"IBOM Med J"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"500","DOI":"10.3760\/cma.j.cn121094-20210629-00314","article-title":"Investigation on occupational injury of sanitation workers in Shenzhen City, China","volume":"40","author":"Weng","year":"2022","journal-title":"Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"654","DOI":"10.21608\/jhiph.2009.20859","article-title":"Awareness of occupational health hazards among street sweepers at Beni-Suef city, Egypt","volume":"39","author":"Rahma","year":"2009","journal-title":"Inst Public Health"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"79","DOI":"10.21608\/ejom.2013.773","article-title":"Occupational health-related morbidities among street sweepers and waste collectors at Beni-Suef, Egypt","volume":"37","author":"Ewis","year":"2013","journal-title":"Egypt J Occup Med"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s12995-020-00265-0","article-title":"The prevalence of occupational injury and its associated factors in Ethiopia: a systematic review and meta-analysis","volume":"15","author":"Alamneh","year":"2020","journal-title":"J Occup Med Toxicol"},{"key":"ref48","article-title":"Heterogeneity, and 9.6. Investigating heterogeneity","volume-title":"Cochrane handbook for systematic reviews of interventions","author":"Higgins","year":"2011"},{"key":"ref49","first-page":"227","article-title":"Occupational health hazard exposure and health problems among solid waste collectors Thailand","volume":"19","author":"Sangkham","year":"2021","journal-title":"J Infrastr Policy Dev"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.ergon.2005.08.001","article-title":"Musculoskeletal ill health amongst cleaners and recommendations for work organizational change","volume":"36","author":"Woods","year":"2006","journal-title":"Int J Ind Ergon"},{"key":"ref51","volume-title":"Working conditions and occupational health of urban waste workers [Master\u2019s thesis]","author":"Coelho","year":"2012"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2024.1425904\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T09:28:48Z","timestamp":1727947728000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2024.1425904\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,3]]},"references-count":51,"alternative-id":["10.3389\/fpubh.2024.1425904"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2024.1425904","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,3]]},"article-number":"1425904"}}