Inconsistencies in Guidelines for Visual Health Surveillance of VDT Workers

Objectives: In Europe, 25% of workers use video display terminals (VDTs). Occupational health surveillance has been considered a key element in the protection of these workers. Nevertheless, it is unclear if guidelines available for this purpose, based on EU standards and available evidence, meet currently accepted quality criteria. The aim of this study was to appraise three sets of European VDT guidelines (UK, France, Spain) in which regulatory and evidence-based approaches for visual health have been formulated and recommendations for practice made. Methods: Three independent appraisers used an adapted AGREE instrument with seven domains to appraise the guidelines. A modified nominal group technique approach was used in two consecutive phases: first, individual evaluation of the three guidelines simultaneously, and second, a face-to-face meeting of appraisers to discuss scoring. Analysis of ratings obtained in each domain and variability among appraisers was undertaken (correlation and kappa coefficients). Results: All guidelines had low domain scores. The domain evaluated most highly was Scope and purpose, while Applicability was scored minimally. The UK guidelines had the highest overall score, and the Spanish ones had the lowest. The analysis of reliability and differences between scores in each domain showed a high level of agreement. Conclusions: These results suggest current guidelines used in these countries need an update. The formulation of evidence-base European guidelines on VDT could help to reduce the significant variation of national guidelines, which may have an impact on practical application.

Radon measurements in the cave houses of Crevillente (Spain)

This paper focuses on the cave houses of Crevillente (Spain) as a traditional housing experience which takes advantage of local environmental conditions through simple architectural proposals, paying particular attention to the presence of radon gas inside these underground constructions. Our aim is twofold: first, to analyse the architectural conditions of the different excavated typologies found in the municipality and second, to relate them to the existing radon gas levels after checking internal concentration by means of E-PERM® long-term devices placed inside the cave houses in 2011. The measurements corresponding to the main typologies in normal use conditions show that the highest values are 881.9 Bq/m3 in the cave typology, 484.1 Bq/m3 in the cave + attached constructions typology and 373.4 Bq/m3 in the cave + house typology, with geometric mean values of 572.1, 114.0 and 75.5 Bq/m3, respectively. It can be inferred from these results that cave house levels sometimes exceed those included in the 90/143/Euratom European Commission Recommendation on the protection of the public against indoor exposure to radon. The reason why cave houses are more susceptible to radon accumulation in their spaces lies in their direct and permanent contact with the ground where they are located.