<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.1 20151215//EN" "JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1">
<front>
<journal-meta>
<journal-id journal-id-type="pmc">JAR</journal-id>
<journal-id journal-id-type="nlm-ta">JAR</journal-id>
<journal-id journal-id-type="publisher-id">JAR</journal-id>
<journal-title-group>
<journal-title>Journal of Animal Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">2249-6629</issn>
<issn pub-type="epub">2277-940X</issn>
<publisher>
<publisher-name>Association of Mastitis</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="other">JAR-11-01-0131</article-id>
<article-id pub-id-type="doi">10.30954/2277-940X.01.2021.17</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Paper</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Epidemiological Studies on Physical, Chemical, Zoonotic and Psychological Hazards among Veterinarians</article-title>
</title-group>
<contrib-group><contrib contrib-type="author">
<name><surname>Parmar</surname><given-names>Tanuja</given-names></name>
<xref ref-type="aff" rid="A1"/>
<xref ref-type="corresp" rid="cor001">*</xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Upadhyay</surname><given-names>A.K.</given-names></name>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Maansi</surname></name>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Rautela</surname><given-names>Richa</given-names></name>
<xref ref-type="aff" rid="A1"/>
</contrib></contrib-group>
<aff id="A1">Department of Veterinary Public Health and Epidemiology, College of Veterinary and Animal Sciences, GBPUAT, Pantnagar, INDIA</aff>
<author-notes>
<corresp id="cor001"><label>*</label>Corresponding author: T Parmar; E-mail: <email>tanujaparmar277@gmail.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>02</month>
<year iso-8601-date="2021">2021</year>
</pub-date>
<volume>11</volume>
<issue>01</issue>
<fpage>131</fpage>
<lpage>136</lpage>
<history>
<date date-type="received" iso-8601-date="2020-12-07">
<day>07</day>
<month>12</month>
<year>2020</year>
</date>
<date date-type="revised" iso-8601-date="2021-01-02">
<day>02</day>
<month>01</month>
<year>2021</year>
</date>
<date date-type="accepted" iso-8601-date="2021-01-09">
<day>09</day>
<month>01</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; Association of Mastitis, India</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Association of Mastitis, India</copyright-holder>
</permissions>
<self-uri content-type="pdf" xlink:href="JAR-11-01-0131.pdf"></self-uri>
<abstract>
<title>ABSTRACT</title>
<p>The veterinary profession is complex and the demand of this profession expose veterinarians to various risks like traumatic injuries, zoonotic diseases and mental health hazards. This study reports physical, chemical, biological, psychological health hazards and awareness relevant to Indian veterinarians as obtained by self administered questionnaire. As many as 392 veterinarians were surveyed. Physical injuries reported were Bite (31.8%), scratch (65.1%), kick (62.8%), horn wound (14%), needle prick (89.2%), fracture (3.8%) and injuries due to falling/ lifting animals/ moving heavy equipments (61.3%). Majority of veterinarians experienced some form of allergy. Incidence of skin irritation was highest among (50.2%) veterinarians. Ringworm (13.5%) and fungal infection (26.5%) were most common zoonotic infection. Low level stress was reported in 45% of participants, 34% had moderate and 21% felt high level of psychological stress. The proportion of participants using protective equipments include 60% gloves, 1.1% goggles, and 39.8% apron The study showed that 171(43.6%), 122 (31.1%), 67 (17.1%), 32 (8.2%) veterinarians followed deworming at 6 month, 1 year, 2 year and more than 2 year intervals respectively. The awareness levels concerning occupational hazards among the veterinary health professionals was near optimal but the need was felt to implement efforts aimed at addressing deterrence of occupational hazards.</p>
<sec>
<title>HIGHLIGHTS</title>
<list list-type="bullet">
<list-item><p>Veterinarians are on risk for various health hazards during clinical practice.</p></list-item>
<list-item><p>Majority of veterinarians experienced some form of allergy.</p></list-item>
</list>
</sec>
</abstract>
<kwd-group>
<kwd>Awareness</kwd>
<kwd>Epidemiological study</kwd>
<kwd>Hazard</kwd>
<kwd>Veterinarian</kwd>
<kwd>Zoonotic</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="3"/>
<ref-count count="27"/>
<page-count count="6"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title/>
<p>Veterinary profession is one such occupation that primarily aims to protect the health of animals (<xref ref-type="bibr" rid="R2">Bonini <italic>et al.,</italic> 2016</xref>). A veterinarian is a person who interacts with a range of animals and thus in process carries the greatest risk of occupational hazards (<xref ref-type="bibr" rid="R3">Epp and Waldner, 2012</xref>). This veterinary profession is physically demanding and related to an increased risk of accidents, ranging from moderate to high, and the development of musculoskeletal disorders (<xref ref-type="bibr" rid="R14">Mishra and Palkhade, 2020</xref>). Clinically practicing veterinarians are exposed to zoonotic diseases and occupational hazards (<xref ref-type="bibr" rid="R19">Rood and Pate, 2019</xref>). Physical and mental illnesses or stress also serve as the potential risks to humans (<xref ref-type="bibr" rid="R5">Fritschi <italic>et al.,</italic> 2008</xref>). Chemical hazards include contact with antineoplastic drugs, hormones, pesticides, and anesthetic gases (<xref ref-type="bibr" rid="R9">Joni <italic>et al</italic>., 2017</xref>). The hazardous effect of chemicals such as chromium salts, nickel salts, acetamide and propanol used in veterinary practice include teratogenicity, corrosiveness, carcinogenicity, allergic reaction and lung damage. Biological risk is prevalent in all work activities where there is possibility of exposure to pathogenic microorganisms. Human brucellosis is major occupational hazard affecting dairy farmers, veterinarians, veterinary assistants and veterinary pharmacists (<xref ref-type="bibr" rid="R27">Yohannes and Gill, 2011</xref>). The main route of transmission of disease include needle prick injuries while vaccinating female calves, and contact with infected excretions and secretions of animals (<xref ref-type="bibr" rid="R13">Leggat <italic>et al</italic>., 2009</xref>; <xref ref-type="bibr" rid="R11">Kutlu <italic>et al</italic>., 2014</xref>). In addition to zoonotic diseases, veterinarians are also prone to develop allergies, sensitisation, allergic rhinitis, conjunctivitis, asthma and dermatitis (<xref ref-type="bibr" rid="R21">Samadi <italic>et al.,</italic> 2012</xref>).</p>
<p><bold>How to cite this article:</bold> Parmar, T., Upadhyay, A.K., Maansi and Rautela, R. (2021). Epidemiological studies on physical, chemical, zoonotic and psychological hazards among veterinarians. <italic>J. Anim. Res.,</italic> <bold>11</bold>(1): 131-136. <bold>Source of Support:</bold> None; <bold>Conflict of Interest:</bold> None The common sources of allergens are hair, dander, saliva and serum, in rabbits and rodents, main source of allergens is urine (<xref ref-type="bibr" rid="R15">Moghtaderi <italic>et al</italic>., 2014</xref>). Lack of awareness regarding the hazards is leading more veterinarians at risk and in turn succumbing to various hazards. The risk factors once removed will prevent many veterinarians facing the hazards.</p>
</sec>
<sec>
<title>MATERIALS AND METHODS</title>
<p>The study was a descriptive cross-sectional type of study in design and it occupied only qualitative and quantitative data collection methods. The data were collected by using a self-prepared questionnaire from thirteen districts of Uttarakhand and some places of Uttar Pradesh and Punjab states. The period of study was August 2017 to February 2018. Data were collected through personal interview with veterinarians at their hospitals, by distributing questionnaire to government V.O.&#x2019;s during their monthly meetings and posted to various veterinary hospitals.</p>
<p>The study population included field veterinarians of Uttarakhand state and academic veterinarians belonging to clinical departments of different institutions of Uttarakhand, Punjab and Uttar Pradesh states. The data collected from questionnaire were identified by numbers, coded numerically and entered into the MS Excel program and percentage frequencies were calculated on 40 questions based on the demographics and occupational hazards and preventive measures taken. Occupational hazards were further categorized into physical hazards, radiation hazard and safety, chemical hazards, zoonotic hazards and psychological hazards. Details of all these occupational hazards and preventive measures applied by veterinarians were categorized into different tables to present and evaluate information concerning different kind of attributes.</p>
</sec>
<sec>
<title>RESULTS AND DISCUSSION</title>
<sec>
<title>Background Characteristics of Respondents</title>
<p>Out of total 1000 questionnaire only 400 responses were achieved. Out of 400 responses, 8 were excluded from further analysis on account of unfilled, not completely filled. Field veterinarians were prompt (61.8%) compared to veterinarians in academics (38.2%). Moreover, maximum respondents were having 5 years&#x2019; service experience followed by 6-10 years and least having more than 20 years veterinary practice.</p>
</sec>
<sec>
<title>Hazards</title>
<sec>
<title>Physical injuries</title>
<p>Various studies on veterinary profession have revealed that veterinary work is physically challenging and poses a raised risk of severe injuries or trauma. Majority of veterinarians reported some sort of injuries within last five year. Out of total 392 respondents, 5.1% (20) reported no injury, 47.5% (186) respondents had 1-5 injuries, 32.1% (126) encountered 5-10 injuries and 15.3% (60) veterinarians had more than 10 injuries during last 5 years. From the analysis of survey we can avow that physical injuries remains one of the main risk factor for veterinarians (<xref ref-type="bibr" rid="R2">Bonini <italic>et al.,</italic> 2016</xref>).</p>
<p>Present study explain needle prick injuries are frequent in the veterinary (<xref ref-type="table" rid="t1">Table 1</xref>), this is found to be in alignment with the work of <xref ref-type="bibr" rid="R4">Fowler <italic>et al</italic>. (2016)</xref>. Needle stick injuries may involve the risk of self-injecting drugs and other harmful substances and the primary method to diminish needle stick injuries is to keep away from recapping needles or at the very least use &#x2018;one handed scooping technique&#x2019; to recap (<xref ref-type="bibr" rid="R24">Weese and Jack, 2008</xref>). Apart from needle prick injury, veterinarians were also injured by bite, scratch, kick, horn wound, fracture and injuries due to falling while lifting or restraining animals (<xref ref-type="table" rid="t1">Table 1</xref>). The ergonomic injuries have been acknowledged as physical hazards with recurring task and manual handling burden through lifting and restraining animals contributing too many physical problems among veterinarians (<xref ref-type="bibr" rid="R16">Moore <italic>et al</italic>., 1993</xref>).</p>
<table-wrap id="t1">
<label>Table 1</label>
<caption>
<p>Details of different kinds of physical injuries among veterinarians</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="JAR-11-01-0131-f001.jpg"/>
</table-wrap>
</sec>
<sec>
<title>Radiation hazards</title>
<p>The questionnaire also focused on radiological hazards and preventive measures taken for protection from harmful radiations in veterinary practices (<xref ref-type="table" rid="t2">Table 2</xref>).</p>
<table-wrap id="t2">
<label>Table 2</label>
<caption>
<p>Veterinarians using protective gears while taking x-rays</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="JAR-11-01-0131-f002.jpg"/>
</table-wrap>
<p>The dose of radiation depends on the numbers of x-ray taken by the person, type of machine and setting, involvement of veterinarian in physical restraining of animals and protective devices used by the person (Shirangi <italic>et al.,</italic> 2007). The low proportion of veterinarians 19.1%, taking x-ray is not consistent with an Australian study where 79% practicing veterinarians used radiography as diagnostic tool (Shirangi <italic>et al.,</italic> 2007). The reason for this variance may be unavailability of x-ray machines in government veterinary hospitals in India especially Uttrakhand. The results regarding using protective gears by veterinarians while performing x-rays revealed that 86.7% were using lead apron but other protective gears like lead gloves, personal monitor, protective glasses and lead sleeves were not common (<xref ref-type="table" rid="t2">Table 2</xref>), this proportion is nearly similar to those reported by <xref ref-type="bibr" rid="R7">Jacobson and Farowe (1964)</xref>; <xref ref-type="bibr" rid="R22">Shirangi <italic>et al.</italic> (2007)</xref>.</p>
</sec>
<sec>
<title>Chemical hazards</title>
<p>The common chemicals handled by veterinarians include drugs, disinfectants, antiseptics, pesticides etc (Shirangi <italic>et al.,</italic> 2007). Responses on chemical hazard linked sickness revealed that 47.7% (187) veterinarians were using antineoplastic agents to treat animals and out of 187 individuals, 2.1% (4) veterinarian accidently injected drugs to themselves. None reported any adverse effect due to self-injection. Adverse effects of disinfectant were reported by 8% (32) veterinarians. Adverse effects like headache, nausea, skin irritation etc. due to pesticides reported by 0.7% (3) veterinarians. Allergy due to latex gloves causing itching, skin rashes, skin irritation was reported in 10% (41) veterinarians. Chemical risk seems to be less pertinent than physical and biological risks but the threats from chemicals and drugs cannot be overlooked and the literature advocated the relevance of these threats (Fritschi, 2008).</p>
</sec>
<sec>
<title>Zoonotic hazards</title>
<p>Veterinarians confront various microbial hazards including viral, bacterial, fungal and parasitic infection acquired from animal contact (<xref ref-type="table" rid="t3">Table 3</xref>).</p>
<p>Ringworm and other fungal infection are most common zoonotic infection among veterinarians (<xref ref-type="table" rid="t3">Table 3</xref>), <xref ref-type="bibr" rid="R3">Epp and Waldner (2012)</xref> also reported similar result in their study among veterinarian of Western Canada.</p>
<p>The Influenza virus was reported in 78 (19.8%) veterinarians (<xref ref-type="table" rid="t3">Table 3</xref>) but there is no report of influenza in veterinarian except for 11% seroprevalence of swine influenza virus among veterinary students (<xref ref-type="bibr" rid="R25">Woods <italic>et al</italic>., 1981</xref>).</p>
<table-wrap id="t3">
<label>Table 3</label>
<caption>
<p>Veterinarians contracted various zoonotic diseases while dealing animals</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="JAR-11-01-0131-f003.jpg"/>
</table-wrap>
<p>Among bacterial zoonotic infection, tuberculosis was in 2 (0.5%) veterinarians but in a study conducted by <xref ref-type="bibr" rid="R10">Khattak <italic>et al.</italic> (2016)</xref> in Pakistan revealed that 0 veterinarians and 4 abattoir workers were tested positive for <italic>M. bovis</italic>. In our study there is no report of Brucellosis, Salmonellosis and Staphylococcosis (<xref ref-type="table" rid="t3">Table 3</xref>) but <xref ref-type="bibr" rid="R17">Mudaliar <italic>et al</italic>. (2003)</xref>; <xref ref-type="bibr" rid="R23">Shome <italic>et al.</italic> (2017)</xref> carried out a survey among veterinary workers in Delhi and Karnataka and reported seropositive cases as high as 27.7% and 7.02% respectively. Study conducted on veterinary students and doctors in the Netherlands revealed a lower MRSA carriage rate (<xref ref-type="bibr" rid="R26">Wulf <italic>et al</italic>., 2006</xref>). Various strains of <italic>S. aureous</italic> are responsible for food poisoning (<xref ref-type="bibr" rid="R6">Gaurav <italic>et al</italic>., 2019</xref>).</p>
<p>The presence of toxoplasmosis 2 (0.5%) was lower than as reported by <xref ref-type="bibr" rid="R20">Rosypal <italic>et al.</italic> (2015)</xref> which was 5.6% in veterinary student. Amoebiosis and scabies in veterinarian were 20 (5%) while other parasitic infection was 37 (9.5%). Our findings are suggestive of a low level of zoonotic diseases being rampant in the sampled population. Possible explanation for this could be, lack of proper medical checkup, under- reporting of zoonotic diseases.</p>
</sec>
<sec>
<title>Psychological hazards</title>
<p>Work overload, exhaustion due to handling with animals, dealing and satisfying animal&#x2019;s owner, going to visit patients at their places etc. all these lead to mental stress and loss of working days. Low level of stress was shown by 137 (45%), moderate level by 104 (34%) and high level of stress was reported by 64 (21%) veterinarians. The results of the study are consistent with <xref ref-type="bibr" rid="R4">Fowler <italic>et al</italic>. (2016)</xref> they reported recent feelings of depression in 204 (25%) respondents.</p>
</sec>
<sec>
<title>Preventive health measures taken by veterinarians</title>
<p>Protective equipments used by participants in survey include gloves by 60%, goggles by 1.1% and apron by 39.8%. However, 36.7% (134) participants did not use any of the protective gear during practices. All participants washed their hands properly after checking patients, similarly <xref ref-type="bibr" rid="R1">Aluko <italic>et al.</italic> (2016)</xref> showed that 100% health care worker followed effective hand washing before and after every clinical practice.</p>
</sec>
<sec>
<title>Veterinarians having vaccination</title>
<p>Lack of prophylactic vaccination against zoonotic diseases ranked second most important constraint in dealing with life savings from zoonoses (<xref ref-type="bibr" rid="R12">Landge <italic>et al</italic>., 2016</xref>). The study revealed that veterinarians have been vaccinated against diseases like Tetanus, Rabies and Measles. The 89% (350) participants were vaccinated against Tetanus, 66.3% (260) against Rabies and 81% (318) against Measles in their life time. The findings are comparable with the number of zoo veterinarians having vaccinations in Australia against Tetanus 95%, Rabies 70% and Measles 85% (<xref ref-type="bibr" rid="R8">Jeyaretnam, 2003</xref>).</p>
</sec>
<sec>
<title>Veterinarians following routine deworming</title>
<p>The study showed that 171(43.6%), 122 (31.1%), 67 (17.1%), 32 (8.2%) veterinarians followed deworming at 6 month, 1 year, 2 year and more than 2 year intervals respectively. <xref ref-type="bibr" rid="R18">Nigam and Srivastav (2011)</xref> analyzed the details of deworming practiced by the Indian wildlife professionals and it was inferred that only 40.7% reported carrying out deworming in the last 6 months, 22.2% in the last 1 year and 12.9% had done it once in the last two years. 24.1% of the respondents did not follow routine deworming.</p>
</sec>
</sec>
</sec>
<sec>
<title>CONCLUSION</title>
<p>In conclusion, the physical injuries were most prevalent among veterinarians. The awareness level concerning occupational hazards among the veterinary health professionals was near optimal but the need was felt to implement efforts aimed at addressing deterrence of occupational hazards by developing and executing improved safe handling practices and safety measures. There are several limitations of this study. The study design did not included serological testing of veterinarians to detect the prevalence zoonotic diseases. These findings are a preparatory point for further investigation into prevention of workplace hazards and a motivation for targeted injury prevention measures that could be instituted by individuals, practices, and veterinary governing bodies.</p>
</sec>
</body>
<back>
<ref-list>
<ref id="R1"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Aluko</surname>, <given-names>O.O.</given-names></string-name>, <string-name><surname>Adebayo</surname>, <given-names>A.E.</given-names></string-name>, <string-name><surname>Adebisi</surname>, <given-names>T.F.</given-names></string-name>, <string-name><surname>Ewegbemi</surname>, <given-names>M.K.</given-names></string-name>, <string-name><surname>Abidoye</surname>, <given-names>A.T.</given-names></string-name>, <string-name><surname>Popoola</surname>, <given-names>B.F.</given-names></string-name></person-group> <year>2016</year>. <article-title>Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers</article-title>. <source>BMC Res. Notes.</source>, <volume>9</volume>(<issue>1</issue>):<fpage>71</fpage>.</mixed-citation></ref>
<ref id="R2"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bonini</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Buonacucina</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Selis</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Peli</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Mutti</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Corradi</surname>, <given-names>M.</given-names></string-name></person-group> <year>2016</year>. <article-title>Occupational Hazards in Veterinarians: An Updating</article-title>. <source>J. Vet. Sci. Technol.</source>, <volume>7</volume>: <fpage>317</fpage>.</mixed-citation></ref>
<ref id="R3"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Epp</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Waldner</surname>, <given-names>C.</given-names></string-name></person-group> <year>2012</year>. <article-title>Occupational health hazards in veterinary medicine: Physical, psychological and chemical hazards</article-title>. <source>Can. Vet. J.</source>, <volume>53</volume>(<issue>2</issue>):<fpage>151</fpage>&#x2013;<lpage>157</lpage>.</mixed-citation></ref>
<ref id="R4"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Fowler</surname>, <given-names>H.N.</given-names></string-name>, <string-name><surname>Holzbauer</surname>, <given-names>S.M.</given-names></string-name>, <string-name><surname>Smith</surname>, <given-names>K.E.</given-names></string-name>, <string-name><surname>Scheftel</surname>, <given-names>J.M.</given-names></string-name></person-group> <year>2016</year>. <article-title>Survey of occupational hazards in Minnesota veterinary practices in 2012</article-title>. <source>J. Am. Vet. Med. Assoc.</source>, <volume>248</volume>(<issue>2</issue>):<fpage>207</fpage>-<lpage>218</lpage>.</mixed-citation></ref>
<ref id="R5"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Fritschi</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Shirangi</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Robertson</surname>, <given-names>I.D.</given-names></string-name>, <string-name><surname>Day</surname>, <given-names>L.M.</given-names></string-name></person-group> <year>2008</year>. <article-title>Trends in exposure of veterinarians to physical and chemical hazards and use of protection practices</article-title>. <source>Int. Arch. Occup. Environ. Health.</source>, <volume>81</volume>: <fpage>371</fpage>-<lpage>378</lpage>.</mixed-citation></ref>
<ref id="R6"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gaurav</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Nathiya</surname>, <given-names>P.</given-names></string-name>, <string-name><surname>Bhati</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Kataria</surname>, <given-names>A.K.</given-names></string-name></person-group> <year>2019</year>. <article-title>Detection of Enterotoxin Genes (seg, seh and sei) in Staphylococcus aureus Milk Isolates from Cow with Subclinical Mastitis</article-title>. <source>J. Anim. Res</source>., <volume>9</volume>(<issue>2</issue>):<fpage>275</fpage>-<lpage>280</lpage>.</mixed-citation></ref>
<ref id="R7"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Jacobson</surname>, <given-names>G.</given-names></string-name> and <string-name><surname>Van Farowe</surname>, <given-names>D.E.</given-names></string-name></person-group> <year>1964</year>. <article-title>Dental radiological health program</article-title>. <source>J. Mich. State. Dent. Ass</source>., <fpage>46</fpage>.</mixed-citation></ref>
<ref id="R8"><mixed-citation publication-type="web"><person-group person-group-type="author"><string-name><surname>Jeyaretnam</surname>, <given-names>J.S.</given-names></string-name></person-group> <year>2003</year>. <source>Occupational hazards and radiation safety in veterinary practice including zoo veterinary practice in Australia</source>. <ext-link ext-link-type="uri" xlink:href="https://ro.ecu.edu.au/theses/1306">https://ro.ecu.edu.au/theses/1306</ext-link> <date-in-citation>Dated: 04.12.2020</date-in-citation></mixed-citation></ref>
<ref id="R9"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Joni</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Scheftel, Brigid</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Elchos, Carol</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Rubin</surname></string-name>, and <string-name><given-names>John A.</given-names> <surname>Decker</surname></string-name></person-group>. <year>2017</year>. <article-title>Review of hazards to female reproductive health in veterinary practice</article-title>. <source>J. Am. Vet. Med. Assoc</source>., <volume>250</volume>(<issue>8</issue>):<fpage>862</fpage>-<lpage>872</lpage>.</mixed-citation></ref>
<ref id="R10"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Khattak, Mushtaq</surname>, <given-names>M.H.</given-names></string-name>, <string-name><surname>Ahmad</surname>, <given-names>M.U.D.</given-names></string-name>, <string-name><surname>Khan</surname>, <given-names>M.S.</given-names></string-name>, <string-name><surname>Haider</surname>, <given-names>J.</given-names></string-name></person-group> <year>2016</year>. <article-title>Zoonotic tuberculosis in occupationally exposed groups in Pakistan</article-title>. <source>J. Occup. Med.,</source> <volume>66</volume>(<issue>5</issue>):<fpage>371</fpage>&#x2013;<lpage>376</lpage>.</mixed-citation></ref>
<ref id="R11"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kutlu</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Ergonul</surname>, <given-names>O.</given-names></string-name>, <string-name><surname>Sayin- Kutlu</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Guven</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Usttun</surname>, <given-names>C.</given-names></string-name></person-group> <year>2014</year>. <article-title>Risk factors for occupational brucellosis among veterinary personnel in Turkey</article-title>. <source>Prev. Vet. Med.</source>, <volume>117</volume>: <fpage>52</fpage>-<lpage>58</lpage>.</mixed-citation></ref>
<ref id="R12"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Landge</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Tripathi</surname>, <given-names>H.</given-names></string-name>, <string-name><surname>Agarwal</surname>, <given-names>R.K.</given-names></string-name>, <string-name><surname>Banthiya</surname>, <given-names>V.</given-names></string-name></person-group> <year>2016</year>. <article-title>Knowledge Level of Veterinarians about Occupational Health Hazards and the Constraints Felt by them for Safe and Hazard Free Working Conditions</article-title>. <source>J. Vet. Pub. Hlth.,</source> <volume>9</volume>(<issue>2</issue>):<fpage>75</fpage>-<lpage>82</lpage>.</mixed-citation></ref>
<ref id="R13"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Leggat</surname>, <given-names>P.</given-names></string-name>, <string-name><surname>Smith</surname>, <given-names>D.</given-names></string-name>, <string-name><surname>Speare</surname>, <given-names>R.</given-names></string-name></person-group> <year>2009</year>. <article-title>Hand dermatitis among veterinarians from Queensland, Australia</article-title>. <source>Contact Dermatitis</source>., <volume>60</volume>: <fpage>336</fpage>&#x2013;<lpage>338</lpage>.</mixed-citation></ref>
<ref id="R14"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mishra</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Palkhade</surname>, <given-names>R.</given-names></string-name></person-group> <year>2020</year>. <article-title>Risk factors and prevalence of work-related injuries and accidents among veterinarians in India</article-title>. <source>Vet. World</source>., <volume>13</volume>(<issue>11</issue>):<fpage>2555</fpage>-<lpage>2564</lpage>.</mixed-citation></ref>
<ref id="R15"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Moghtaderi</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Farjadian</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Abbaszadeh Hasiri</surname>, <given-names>M.</given-names></string-name></person-group> <year>2014</year>. <article-title>Animal allergen sensitization in veterinarians and laboratory animal workers</article-title>. <source>J. Occup. Med.,</source> <volume>64</volume>(<issue>7</issue>):<fpage>516</fpage>-<lpage>520</lpage>.</mixed-citation></ref>
<ref id="R16"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Moore</surname>, <given-names>R.M.</given-names><suffix>Jr.</suffix></string-name>, <string-name><surname>Davis</surname>, <given-names>Y.M.</given-names></string-name>, <string-name><surname>Kaczmarek</surname> <given-names>R.G.</given-names></string-name></person-group> <year>1993</year>. <article-title>An overview of occupational hazards among veterinarians, with particular reference to pregnant women</article-title>. <source>Am. Ind. Hyg. Assoc. J</source>., <volume>54</volume>: <fpage>113</fpage>-<lpage>120</lpage>.</mixed-citation></ref>
<ref id="R17"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mudaliar</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Bhore</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Pandit</surname>, <given-names>D.</given-names></string-name></person-group> <year>2003</year>. <article-title>Detection of antibodies to Brucella abortus in animal handlers</article-title>. <source>Ind. J. Med. Sci</source>., <volume>57</volume>: <fpage>181</fpage>-<lpage>186</lpage>.</mixed-citation></ref>
<ref id="R18"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Nigam</surname>, <given-names>P.</given-names></string-name>, <string-name><surname>Srivastav</surname>, <given-names>A.</given-names></string-name></person-group> <year>2011</year>. <article-title>Assessing occupational hazards among Indian wildlife Assessing occupational hazards among Indian wildlife health professionals</article-title>. <source>Vet. Arhiv</source>., <volume>81</volume>: <fpage>731</fpage>-<lpage>741</lpage>.</mixed-citation></ref>
<ref id="R19"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Rood</surname>, <given-names>K.A.</given-names></string-name>, <string-name><surname>Pate</surname>, <given-names>M.L.</given-names></string-name></person-group> <year>2019</year>. <article-title>Assessment of Musculoskeletal Injuries Associated with Palpation, Infection Control Practices, and Zoonotic Disease Risks among Utah Clinical Veterinarians</article-title>. <source>J. Agromedicine</source>., <volume>24</volume>(<issue>1</issue>):<fpage>35</fpage>-<lpage>45</lpage>.</mixed-citation></ref>
<ref id="R20"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Rosypal</surname>, <given-names>A.C.</given-names></string-name>, <string-name><surname>Houk</surname>, <given-names>A.E.</given-names></string-name>, <string-name><surname>Zajac</surname>, <given-names>A.M.</given-names></string-name>, <string-name><surname>Lindsay</surname> <given-names>D.S.</given-names></string-name></person-group> <year>2015</year>. <article-title>Prevalence of IgG antibodies to Toxoplasma gondii in veterinary and undergraduate students at virginia tech, Blacksburg, Virginia</article-title>. <source>Zoonoses. Public. Hlth.,</source> <volume>62</volume>: <fpage>553</fpage>&#x2013;<lpage>556</lpage>.</mixed-citation></ref>
<ref id="R21"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Samadi</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Spithoven</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Jamshidifard</surname>, <given-names>A.R.</given-names></string-name>, <string-name><surname>Berends</surname>, <given-names>B.R.</given-names></string-name>, <string-name><surname>Lipman</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>Heederik</surname>, <given-names>D.J.</given-names></string-name>, <string-name><surname>Wouters</surname>, <given-names>I.M.</given-names></string-name></person-group> <year>2012</year>. <article-title>Allergy among veterinary medicine students in The Netherlands</article-title>. <source>Occup. Environ. Med.,</source> <volume>69</volume>(<issue>1</issue>):<fpage>48</fpage>&#x2013;<lpage>55</lpage>.</mixed-citation></ref>
<ref id="R22"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Shirangi</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Fritchi</surname>, <given-names>C.</given-names></string-name> and <string-name><surname>Holman.</surname> <given-names>D.J.</given-names></string-name></person-group> <year>2007</year>. <article-title>Prevalence of occupational exposure and protective practices in Australian female veterinarians</article-title>. <source>Aus. Vet. J</source>., <volume>85</volume>: <fpage>32</fpage>-<lpage>38</lpage>.</mixed-citation></ref>
<ref id="R23"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Shome</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Kalleshamurthy</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Shankaranarayana</surname>, <given-names>P.B.</given-names></string-name>, <string-name><surname>Giribattanvar</surname>, <given-names>P.</given-names></string-name>, <string-name><surname>Chandrashekar</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>Mohandoss</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>Rahman</surname>, <given-names>H.</given-names></string-name></person-group> <year>2017</year>. <article-title>Prevalence and risk factors of brucellosis among veterinary health care professionals</article-title>. <source>Pathog. Glob. Health.</source>, <volume>111</volume>(<issue>5</issue>):<fpage>234</fpage>-<lpage>239</lpage>.</mixed-citation></ref>
<ref id="R24"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Weese</surname>, <given-names>J.S.</given-names></string-name>, <string-name><surname>Jack</surname>, <given-names>D.C.</given-names></string-name></person-group> <year>2008</year>. <article-title>Needlestick injuries in veterinary medicine</article-title>. <source>Can. Vet. J.</source>, <volume>49</volume>(<issue>8</issue>):<fpage>780</fpage>.</mixed-citation></ref>
<ref id="R25"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Woods</surname>, <given-names>G.T.</given-names></string-name>, <string-name><surname>Schnurrenberger</surname> <given-names>P.R.</given-names></string-name>, <string-name><surname>Martin</surname> <given-names>R.J.</given-names></string-name>, <string-name><surname>Tompkins</surname> <given-names>W.A.F.</given-names></string-name></person-group> <year>1981</year>. <article-title>Swine influenza-virus in swine and man in Illinois</article-title>. <source>J. Occup. Environ. Med</source>., <volume>23</volume>: <fpage>263</fpage>&#x2013;<lpage>267.68</lpage>.</mixed-citation></ref>
<ref id="R26"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Wulf</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Van Nes</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Eikelenboom-Boskamp</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>de Vries</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Melchers</surname>, <given-names>W.</given-names></string-name>, <string-name><surname>Klaassen</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Voss</surname>, <given-names>A.</given-names></string-name></person-group> <year>2006</year>. <article-title>Methicillinresistant Staphylococcus aureus in veterinary doctors and students, the Netherlands</article-title>. <source>Emerg. Infect. Dis.</source>, <volume>12</volume>:<fpage>1939</fpage>&#x2013;<lpage>1941</lpage>.</mixed-citation></ref>
<ref id="R27"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Yohannes</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Gill</surname>, <given-names>J.P.S.</given-names></string-name></person-group> <year>2011</year>. <article-title>Seroepidemiological survey of human brucellosis in and around Ludhiana, India</article-title>. <source>Emerg. Health Threats J.</source>, <volume>4</volume>: <fpage>7361</fpage>.</mixed-citation></ref>
</ref-list>
</back>
</article>