Introduction: Ethiopia has recently adopted lifelong antiretroviral therapy (ART) for all HIV‐positive pregnant and breastfeeding women (Option B+ strategy), regardless of CD4 count or clinical stage. However, the exact timing and predictors of loss to follow‐up (LFU) are unknown. Thus, we examined the levels and determinants of LFU under Option B+ among pregnant and breastfeeding women initiated on lifelong ART for prevention of mother‐to‐child transmission (PMTCT) in Ethiopia.Methods: We conducted a retrospective cohort study among 346 pregnant and breastfeeding women who started ART at 14 public health facilities in northeast Ethiopia from March 2013 to April 2015. We defined LFU as 90 days since the last clinic visit among those not known to have died or transferred out. We used Kaplan‐Meier and Cox proportional hazards regression to estimate cumulative LFU and identify the predictors of LFU, respectively.Results: Of the 346 women included, 88.4% were pregnant and the median follow‐up was 13.7 months. Overall, 57 (16.5%) women were LFU. The cumulative proportions of LFU at 6, 12 and 24 months were 11.9, 15.7 and 22.6%, respectively. The risk of LFU was higher in younger women (adjusted hazard ratio (aHR) 18 to 24 years/30 to 40 years: 2.3; 95% confidence interval (CI): 1.2 to 4.5), in those attending hospitals compared to those attending health centres (aHR: 1.8; 95% CI: 1.1 to 3.2), in patients starting ART on the same day of diagnosis (aHR: 1.85; 95% CI: 1.1 to 3.2) and missing CD4 cell counts at ART initiation (aHR: 2.3; 95% CI: 1.2 to 4.4).Conclusions: The level of LFU we found in this study is comparable with previous findings from other resource‐limited settings. However, high early LFU shortly after ART initiation is still a major problem. LFU was high among younger women, those initiating ART on the day of HIV diagnosis, those missing baseline CD4 count and those attending hospitals. Thus, targeted HIV care and treatment programmes for these patients should be part of future interventions to improve retention in care under the Option B+ PMTCT programme.

Compelling evidence shows that trees and greenspaces positively impact human well-being and the environment and offer economic benefits. Nevertheless, there exists a knowledge gap regarding the extent to which this evidence is efficiently incorporated into existing urban planning decision-making processes. This scoping review identified the extent to which urban planning decision-making frameworks, models, and tools consider the health, environmental, and economic benefits of trees and greenspace. Out of 28 reviewed studies, 11 (39%) reported on frameworks, models, and tools that take into account the health, environmental, and economic dimensions of trees and greenspace. Additionally, seven studies provided comprehensive coverage of at least one of the three key dimensions. However, none of the decision support frameworks, models, or tools comprehensively integrated all three dimensions, with only two tools (7%) scoring above 50% (five or more out of nine) in terms of comprehensiveness. This review highlights the urgent need to incorporate the true economic and monetary values of the health and environmental benefits of trees and greenspace to inform urban development decision making.

Greenhouses are enclosed structures which have various characteristics that enhance crop productivity, but the implications for workers’ pesticide exposure and uptake are not well understood. A narrative literature review was conducted to explore the mechanism/s of interactions between greenhouse characteristics and occupational pesticide exposure. Using a “work”, “worker” and “workplace” conceptual framework, the greenhouse environment (hot and humid microclimate, limited space and dense crop arrangements) combines with work characteristics (high work and pesticide use intensity, multi-tasking, predominantly manual spraying techniques and quick reentry to treated farms) to potentially increase occupational pesticide exposure, compared with open field farming. Greenhouse environments, are variable but have been shown to influence pesticide availability, route, pathways and frequency of exposure, deposition and distribution on a worker’s body as well as use and performance of exposure control methods. Training programs can emphasize the differences in exposure potential between greenhouse and open field farming. Development of tailored guidelines for exposure control strategies to better suit the level of uniqueness of greenhouse agriculture seems warranted.

Hands and forearms are the principal sites of dermal exposure to organophosphate insecticides, which makes glove use one of the most important components of an exposure control strategy. However, the selection of suitable gloves depends on issues such as task, type, and concentration of organophosphate as well as cost. In addition, chemical protection performance of gloves may be temperature dependent, which is of increasing concern in a warming climate. Two recommended reusable glove materials (polyvinylchloride and nitrile butadiene rubber) and one single-use glove (nitrile/neoprene) were tested for permeation resistance to actual formulations of organophosphate insecticides with active ingredients dimethoate and malathion. Chemical resistance parameters were measured using American society for testing and materials permeation test cells and compared across glove, organophosphate type, and temperature. The three gloves demonstrated comparable and adequate chemical resistance (less than one µg cm⁻²min⁻¹ for up to 8 hr exposure; 25–60 °C) for dilute forms of dimethoate and malathion, used during spraying activities. However, the single-use nitrile/neoprene glove is not designed to fully cover the elbow which limits its suitability. In permeation tests that reflect “worst case” exposure scenario to concentrated (neat) organophosphate formulations, as in mixing/loading tasks, a significant variation in chemical resistance between gloves was observed. While polyvinylchloride offered the maximum resistance, physical degradation of nitrile butadiene rubber after 3 hr of continuous exposure makes it unsuitable for handling neat dimethoate. The single-use nitrile/neoprene glove material had considerably poorer permeation resistance (up to 155-fold greater permeation and 6-fold shorter breakthrough) against neat formulations. Overall, elevated temperature (>40 °C) was shown to result in significantly greater (P < 0.05) cumulative permeation of neat formulation insecticides. This work demonstrates the variation in glove performance and potential for greater exposure risk particularly when mixing concentrated pesticides at elevated temperature conditions such as an occluded human skin or hot greenhouses. Training and guidance on testing, selection, use, and storage of gloves should consider in-use exposure scenarios and temperature-induced reduction in chemical protective performance.

Introduction: Research training and research collaboration have been identified as a means of improving the standing and impact of occupational health and hygiene (OHH) professionals, especially in rapidly industrializing countries. The 2 key measures of research achievement relate to publication in high-impact (Q1) peer-reviewed journals and awarding of competitive research grants. However, there appears to be little formal research training guidance in the OHH field. In order to address the OHH training need, 2 introductory modules addressing publications and grants were developed by the University of Adelaide and the University of Indonesia and trialled in Indonesia. Methods: The Carpe Diem course design approach, with team-based storyboarding, was used. The training was delivered in hybrid mode to postgraduate and PhD students and early career researchers. The modules provided a focus on the value and context of OHH research and key elements scrutinized by editors, reviewers, and selection panels. Characterization of research “players,” gamification and storytelling were used to enhance interest amongst the relatively young audience. Results: Feedback from participants was positive, including design, interest, and meeting expectations. In an online survey, respondents stated that they would attend a similar training activity, and 96% would recommend this training to others. Discussion and conclusions: This research training activity is the first to focus on OHH research, and was successfully piloted in a country where industry and occupational hygiene are rapidly growing. Young researchers appreciated the novel learning design. Research training in developing countries may assist in making untapped exposure data available, expanding and enriching the OHH literature.