Dr Emma Austin

Overweight and obesity has reach pandemic levels, with two-thirds (67%) of adult Australians classified as overweight or obese. As two of the most significant behavioral risk factors for obesity are modifiable (diet and exercise), there exists an opportunity for treatment through workplace health promotion initiatives. As one of Australia's largest industries with its own unique workplace factors, the mining industry has previously reported higher than population levels of overweight and obesity. This represented an opportune setting to test the RESHAPE workplace wellness program. RESHAPE is an eight-step framework (based on the WHO 'Health Workplace Framework and Model') which aims to provide a sustained approach to wellness in the workplace. This paper presents baseline findings from a pilot study that aimed to implement RESHAPE at three mine sites in NSW, Australia, and investigates the issue of overweight and obesity in the coal mining industry. Across three mine sites, 949 coal miners were examined cross-sectionally on a range of workplace, wellness, health, diet, and exercise factors using a paper-based survey. This was a predominantly male sample (90.4%) with the majority (59.2%) of participants aged 25-44 years. Selfreported height and weight measures indicated that less than 20 percent (18.9%) of participants were in a healthy BMI range, while there were effectively equal numbers of overweight (40.9%) and obese (39.1%) participants. Only 3.5% of participants met the daily recommendation for vegetables (5 serves) and shift-workers had greater association with elevated BMI compared to non-shift workers (B = 1.21, 95% CI: 0.23, 2.20, p = 0.016). Poor nutrition is likely to be a key component in elevated levels of overweight and obesity within this industry, with workplace factors compounding challenges workers face in implementing health behavior change. Future studies would benefit from assessing diet and physical activity knowledge in relation to recommendations and serving sizes.

Pneumoconiosis, or occupational lung disease, is one of the world¿s most prevalent work-related diseases. Silicosis, a type of pneumoconiosis, is caused by inhaling respirable crystalline silica (RCS) dust. Although silicosis can be fatal, it is completely preventable. Hundreds of thousands of workers globally are at risk of being exposed to RCS at the workplace from various activities in many industries. Currently, in Australia and internationally, there are a range of methods used for the respiratory surveillance of workers exposed to RCS. These methods include health and exposure questionnaires, spirometry, chest X-rays, and HRCT. However, these methods predominantly do not detect the disease until it has significantly progressed. For this reason, there is a growing body of research investigating early detection methods for silicosis, particularly biomarkers. This literature review summarises the research to date on early detection methods for silicosis and makes recommendations for future work in this area. Findings from this review conclude that there is a critical need for an early detection method for silicosis, however, further laboratory-and field-based research is required.

There is a recognised gap between what climate science can currently provide and what end users of that information require to make robust adaptation decisions about their climate-related risks. This issue has been identified as a major barrier to successful climate change adaptation outcomes and is emphasised within the water resource management and agricultural sectors because of high uncertainty surrounding precipitation projections. This paper details the outcomes of a survey and workshop aimed at better understanding this gap. To bridge the gap, it is recommended that communication and packaging of climate information be improved via a formalised 'knowledge broker'. It is also suggested that a 'terms of reference' for key climate change-related terms be developed and agreed upon by both climate science providers and end users to reduce the misuse of terminology and subsequent confusion. Further, it is recommended that additional research be conducted into natural variability and baseline risk to provide a realistic background on which climate change projections and associated uncertainties are assessed. Finally, for successful climate change adaptation, new tools and methods are needed that deal explicitly with end user needs and the practical limitations end users face (e.g. time, funding, human resources, politics) when attempting to make robust decisions under climate change-related uncertainty.