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BACKGROUND: Hepatitis B virus (HBV) poses one of the most serious workplace health risks facing healthcare workers, especially nurses, due to occupational exposure. The HBV vaccination coverage among healthcare workers in Ethiopia ranged from 5.4 to 21.9%. However, little is known about HBV vaccination coverage and associated factors among nurses in Ethiopia. Therefore, the aim of this study was to assess HBV vaccination coverage and associated factors among nurses working in health centers in Addis Ababa, Ethiopia, in 2023. METHODS: An institutional-based cross-sectional study was conducted from March 2 to March 31, 2023, among 428 nurses working in 32 health centers in Addis Ababa, Ethiopia. Data were entered into Epi-Info version 7.2.5.0 and then exported to SPSS version 27 for analysis. Descriptive statistics (frequencies and proportions) were used to summarize the data on the study variables. Bivariate and multivariate logistic regression analyses were conducted to determine the strength of the association, and the statistical significance of associations between the variables was determined using adjusted odds ratio with a 95% CI and p values < 0.05. RESULTS: HBV-full vaccination coverage among 428 nurses in health centers in Addis Ababa, Ethiopia, was 36.9%. Male nurses [AOR = 1.78, 95% CI: 1.08, 2.95], taking training on infection prevention [AOR = 1.73, 95% CI: 1.08, 2.78], having good knowledge about HBV vaccine [AOR = 1.98, 95% CI: 1.28, 3.04], and testing for HBV [AOR = 1.98, 95% CI: 1.08, 3.64] were more likely to have HBV full vaccination coverage, whereas monthly salary ≤ 7,071 Ethiopian Birr was 54% less likely to have HBV full vaccination coverage [AOR = 0.46, 95% CI: 0.25, 0.85] at p-value < 0.05. CONCLUSION: This study revealed that the full HBV vaccination coverage of nurses working in health centers in Addis Ababa, Ethiopia, was low (36.9%), and consequently, the majority of nurses are at a high risk of being infected with HBV. Therefore, the Ministry of Health and health centers should promote awareness, implement prevention programs, provide diagnostic, treatment, and care services, enhance information generation and utilization, and strengthen the health system to increase vaccination coverage among nurses.

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Contaminated soil and vegetables have continued to instigate threat to human health globally and specially in developing countries. This study was aimed to determine concentrations of certain heavy metals in soil and vegetables (cabbage and tomato) from Koka area of central Ethiopia using Inductively Coupled Plasma Optical Emission Spectrophotometer (ICP-OES). The amounts of As, Pb, Cd, Zn, Cu, Hg and Co detected in soil samples were found to surpass the reference values for agricultural soil. Similarly, the concentrations of As, Pb, Cd, Cr and Hg obtained in both tomato and cabbage samples have exceeded the recommended values with the mean levels generally ranging from 0.93-6.76, 1.80-7.26, 0.33-1.03, 0.86-5.16 and 3.23-4.36 mg/kg dry weight, respectively. The result obtained have signified that leafy vegetable has hoarded heavy metals more than non-leafy vegetable. The total hazard quote for As and Hg from tomato ingestion and for As, Hg and Co from cabbage ingestion were greater than unity, signifying potential health hazard to the public. The health index (HI) owing to tomato and cabbage ingesting were 5.44 and 14.21, respectively, signifying likely adversative health implication to the population from the ingestion of the vegetables. The Total Cancer Risk (TCR) analysis have uncovered the possible cancer hazard persuaded by Cd, Hg, As and Ni from the ingestion of both vegetables. From the outcomes this study, it can be concluded that the soil and vegetables from Koka areas are possibly contaminated with toxic metals and hence demand strict monitoring to safeguard the public around the study area and beyond.

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Environmental pollution by paint-based heavy metals have been continued to be a great concern. Thus, this study was aimed at investigating the levels of selected heavy metals (Ni, Cd, Cr, Zn, and Pb) in oil-based paint samples being manufactured and sold in Ethiopia. An optimized acid digestion procedure using conc. HNO3, conc. HClO4, and 30% H2O2 mixture by volume ratio of 3:4:1 mL, respectively, for 2 h at 200 °C were used for paint samples digestion, and the contents of heavy metals were assayed by flame atomic absorption spectroscopy. The 13 out of 14 (92.9%) analyzed paint samples had contained Pb > 90 mg/kg with the highest content of 51,200 mg/kg (dry weight) in the orange colored paint. Likewise, the levels of Cr, Ni, and Zn obtained were ranged from 43.75 to 50.00, 60.02 to 128.81, and 323.69 to 1102.16 mg/kg (dry weight), respectively, while Cd was not detected in all the paint samples. Generally, the mean contents of heavy metals in the investigated paint samples have followed the order: Pb > > Cr > Zn > Ni, demonstrating the occurrence of higher lead metal content. The elevated levels of heavy metals detected in the oil-based paint samples could be attributed to the continued usage of these metals in different form during paint manufacture. On the bases of the findings, a strict monitoring and evaluation of paints being produced in Ethiopia has been recommended so that the manufacturers comply with the national (policy issue) and/or international regulations on the levels of toxic metals in paints to ensure consumers safety.

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Health implications to the population due to the consumption of contaminated vegetables has been a great concern all over the world. In this study, the levels of heavy metals (Cr, Cd, Zn, Fe, Pb, As, Mn, Cu, Hg, Ni and Co) in soil and commonly consumed vegetables from Mojo area in central Ethiopia have been determined using Inductively Coupled Plasma Optical Emission Spectrophotometer (ICP-OES) and possible health risks due to the consumptions of the vegetables have also been estimated. The levels of As, Pb, Cd, Zn, Cu, Hg and Co were exceeded the reference level in agricultural soil. Likewise, As, Pb, Cd, Cr and Hg levels exceeded the recommended values in vegetable samples with concentrations ranging from 1.93-5.73, 3.63-7.56, 0.56-1.56, 1.49-4.63 and 3.43-4.23 mg/kg, respectively. It was observed that leafy vegetable (cabbage) has accumulated heavy metals to greater extent compared with tomato. The estimated daily intake (EDI) of toxic metals due to the consumption of the vegetables were below the maximum tolerable daily intake (MTDI). However, the total health quotient (THQ), calculated based on EDI of the heavy metals were found > 1 for As and Hg due to tomato consumption and for As, Hg and Co due to cabbage consumption, suggesting significant health risk. The health index (HI) due to the intake of toxic metals from the consumption of both vegetables were much > 1, with HI values of 7.205 and 15.078 due to tomato and cabbage consumption, respectively. This clearly suggests the possible adverse health effect to adult population from the consumption of tomato and cabbage from the study area. The total cancer risk (TCR) analysis have also revealed the potential adverse cancer risk induced by As, Cd, Hg, and Ni from the consumption of both tomato and cabbage as their TCR values were above the threshold level. Based on the results of this study, there would be a significant health risk (both non-carcinogenic and carcinogenic) to the consumer associated with the consumption of cabbage and tomato being cultivated in Mojo area. Consequently, we recommend a strict regulatory control on the safety of vegetables originated from the study area.

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Surface dusts from electronic and electrical material maintenance workshops may present significant environmental contamination. The aim of this study was to determine levels of selected heavy metals (Cu, Ni, Co, Cd, Cr, Pb, Zn, and Fe) in surface dust samples collected from electronic and electrical device maintenance workshops located in Ambo, Gedo, and Nekemte towns in Ethiopia. An optimized wet digestion procedure (acid mixture, 3 mL HNO3, 2 mL HClO4, and H2O2; digestion time, 2 h; digestion temperature, 200 °C) was employed prior to the metals determination by flame atomic absorption spectroscopy. The average amounts of the metals were found to be in the ranges of 73,970-58,980, 59,290-51,120, 8570-5778, 1273-1126, 708.9-261.6, 111.7-101.0, 114.9-89.50, and 12.30-9.620 mg/kg for Pb, Fe, Cu, Cr, Zn, Co, Ni, and Cd, respectively. The results showed that the investigated surface dust samples contained significant levels of the analyzed heavy metals compared to soil samples collected from the corresponding control sites. The heavy metal concentrations in the investigated samples from the three towns followed a decreasing order Pb > Fe >> Cu >> Cr > Zn > Co > Ni > Cd, indicating the presence of elevated amount of Pb in the surface dust samples. The significantly high levels of heavy metals detected in all surface dust samples from electronic and electrical device maintenance shops could be inferred to the seepage of these metals from electronic materials during the maintenance procedures. Based on the result obtained, we strongly recommend a strict monitoring and disposal (policy issue) of wastes generated from electronic and electrical device maintenance shops.

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