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International Journal of Environmental Research and Public Health, Volume 14, Issue 1

2017 January - 108 articles

Cover Story: The prevalence of the use of electronic nicotine delivery systems (ENDSs) among U.S. high school students grew from 1.5% in 2013 to 16% in 2015, surpassing the prevalence of conventional cigarette use in this population. The Surgeon General’s report on e-cigarette use among youth and young adults calls for action to protect young people from using e-cigarettes as they pose long-term harm to brain development and respiratory health. Among tobacco control policies, warnings are an effective means to inform about health risks. Proposed in April 2014 and issued in May 2016, the U.S. food and drug administration (FDA) deemed that ENDSs and other covered products must display health warnings. Even before this proposal, many ENDS companies had some voluntary warnings such as California’s Proposition 65 warning. Some manufacturers went even further to list more potential risks in their “self-regulated” voluntary warnings that far exceed the FDA-proposed warnings.
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Articles (108)

  • Article
  • Open Access
6 Citations
6,157 Views
7 Pages

Introduction: In clinical settings, acute anterior uveitis (AAU) could be the first presentation of ankylosing spondylitis (AS). Based on this hypothesis, we investigate whether AAU is a risk factor in developing AS later by using National Health Ins...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
28 Citations
9,245 Views
13 Pages

Antioxidant Pre-Treatment Reduces the Toxic Effects of Oxalate on Renal Epithelial Cells in a Cell Culture Model of Urolithiasis

  • Tomislav Kizivat,
  • Martina Smolić,
  • Ivana Marić,
  • Maja Tolušić Levak,
  • Robert Smolić,
  • Ines Bilić Čurčić,
  • Lucija Kuna,
  • Ivan Mihaljević,
  • Aleksandar Včev and
  • Sandra Tucak-Zorić

Urolithiasis is characterized by the formation and retention of solid crystals within the urinary tract. Kidney stones are mostly composed of calcium oxalate, which predominantly generates free radicals that are toxic to renal tubular cells. The aim...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
45 Citations
8,114 Views
14 Pages

Alcohol is the root cause of numerous traffic accidents due to its pharmacological action on the human central nervous system. This study conducted a detection process to distinguish drunk driving from normal driving under simulated driving condition...

(This article belongs to the Special Issue Alcohol and Health)
  • Review
  • Open Access
212 Citations
17,901 Views
14 Pages

Global Sources and Pathways of Mercury in the Context of Human Health

  • Kyrre Sundseth,
  • Jozef M. Pacyna,
  • Elisabeth G. Pacyna,
  • Nicola Pirrone and
  • Rebecca J. Thorne

This paper reviews information from the existing literature and the EU GMOS (Global Mercury Observation System) project to assess the current scientific knowledge on global mercury releases into the atmosphere, on global atmospheric transport and dep...

(This article belongs to the Special Issue Mercury and Health: Current Perspectives and Future Directions)
  • Article
  • Open Access
8 Citations
7,048 Views
23 Pages

Toward a Socio-Territorial Approach to Health: Health Equity in West Africa

  • Lucie Vialard,
  • Clara Squiban,
  • Gilles Riveau,
  • Emmanuel Hermann,
  • Doudou Diop,
  • Florence Fournet,
  • Gérard Salem and
  • Ellen E. Foley

This study contributes to the literature about the effects of space and place on health by introducing a socio-territorial approach to urban health disparities in West Africa. It explores how urban spaces, specifically neighbourhoods, are shaped by s...

(This article belongs to the Special Issue Urban Place and Health Equity)
  • Article
  • Open Access
11 Citations
9,372 Views
9 Pages

A suicide prevention strategy was launched in Japan in 2006 to address the high suicide rate, which had increased considerably since 1998. The national strategy from 2007 involved the enhancement of psychiatric treatment services at emergency medical...

(This article belongs to the Special Issue From Understanding Suicide Risk to Preventing Suicide)
  • Article
  • Open Access
16 Citations
6,899 Views
18 Pages

Microbiological Contamination at Workplaces in a Combined Heat and Power (CHP) Station Processing Plant Biomass

  • Justyna Szulc,
  • Anna Otlewska,
  • Małgorzata Okrasa,
  • Katarzyna Majchrzycka,
  • Michael Sulyok and
  • Beata Gutarowska

The aim of the study was to evaluate the microbial contamination at a plant biomass processing thermal power station (CHP). We found 2.42 × 103 CFU/m3 of bacteria and 1.37 × 104 CFU/m3 of fungi in the air; 2.30 × 107 CFU/g of bacteria and 4.46 × 105...

(This article belongs to the Special Issue Indoor Air Quality and Health 2016)
  • Article
  • Open Access
5 Citations
5,804 Views
12 Pages

The infection dynamics of S. Java were examined in three consecutive rearing periods on a broiler farm in Northwestern Germany which had been persistently infected with S. Java for more than five years. The barn was investigated for Salmonella occurr...

(This article belongs to the Special Issue Emerging Infectious Disease (EID) Research, Management and Response)
  • Comment
  • Open Access
7 Citations
5,120 Views
3 Pages

In their recent article, Whiley makes an interesting case for the abolishment of routine testing in Legionella risk management and control plans. Here, we present our views regarding this suggestion, drawing upon our own experiences in the UK. We urg...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
20 Citations
9,290 Views
13 Pages

Employee problems arising from mental illnesses have steadily increased and become a serious social problem in recent years. Wood is a widely available plant material, and knowledge of the psychophysiological effects of inhalation of woody volatile c...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
78 Citations
11,430 Views
18 Pages

Exposure to volatile organic compounds (VOCs) has been an indoor environmental quality (IEQ) concern in schools and other buildings for many years. Newer designs, construction practices and building materials for “green” buildings and the use of “env...

(This article belongs to the Special Issue Indoor Air Quality and Health 2016)
  • Article
  • Open Access
20 Citations
8,470 Views
16 Pages

Introduction: The Guidelines for the implementation of Article 11 of the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) require that cigarette health warning labels should include pictures and take up 50% or more of th...

(This article belongs to the Special Issue Tobacco Control and Priority Groups)
  • Article
  • Open Access
52 Citations
7,544 Views
15 Pages

The relationship between biodiversity and ecosystem functioning is a central issue in ecology, but how this relationship is affected by nutrient stress is still unknown. In this study, we analyzed the phytoplankton diversity effects on community biom...

(This article belongs to the Section Environmental Health)
  • Review
  • Open Access
1,535 Citations
47,560 Views
16 Pages

Persistent heavy metal pollution poses a major threat to all life forms in the environment due to its toxic effects. These metals are very reactive at low concentrations and can accumulate in the food web, causing severe public health concerns. Remed...

(This article belongs to the Special Issue Heavy Metals: Environmental and Human Health)
  • Article
  • Open Access
94 Citations
11,567 Views
10 Pages

Workplace Violence against Health Care Workers in North Chinese Hospitals: A Cross-Sectional Survey

  • Peihang Sun,
  • Xue Zhang,
  • Yihua Sun,
  • Hongkun Ma,
  • Mingli Jiao,
  • Kai Xing,
  • Zheng Kang,
  • Ning Ning,
  • Yapeng Fu and
  • Mei Yin
  • + 1 author

This research aimed to determine the prevalence of workplace violence (WPV) against healthcare workers, explore the frequency distribution of violence in different occupational groups, and determine which healthcare occupation suffers from WPV most f...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
38 Citations
9,477 Views
15 Pages

The Momoge Nature Reserve is the research object of this study. Through field sampling, laboratory experiments and analysis, the contents, distribution characteristics, source identification, pollution levels and risk levels of polycyclic aromatic hy...

(This article belongs to the Special Issue Environmental Pollution and Human Health Risk)
  • Article
  • Open Access
39 Citations
12,927 Views
21 Pages

Water Quality, Sanitation, and Hygiene Conditions in Schools and Households in Dolakha and Ramechhap Districts, Nepal: Results from A Cross-Sectional Survey

  • Akina Shrestha,
  • Subodh Sharma,
  • Jana Gerold,
  • Séverine Erismann,
  • Sanjay Sagar,
  • Rajendra Koju,
  • Christian Schindler,
  • Peter Odermatt,
  • Jürg Utzinger and
  • Guéladio Cissé

This study assessed drinking water quality, sanitation, and hygiene (WASH) conditions among 708 schoolchildren and 562 households in Dolakha and Ramechhap districts of Nepal. Cross-sectional surveys were carried out in March and June 2015. A Delagua...

(This article belongs to the Special Issue Environmental Pollution and Human Health Risk)
  • Article
  • Open Access
15 Citations
6,177 Views
12 Pages

Comparison of Gastric versus Gastrointestinal PBET Extractions for Estimating Oral Bioaccessibility of Metals in House Dust

  • Kristina Boros,
  • Danielle Fortin,
  • Innocent Jayawardene,
  • Marc Chénier,
  • Christine Levesque and
  • Pat E. Rasmussen

Oral bioaccessibility estimates for six metals which are prevalent as contaminants in Canada (zinc, lead, cadmium, copper, nickel, and chromium) are investigated for house dust using the simple gastric phase versus the two-phase physiologically-based...

(This article belongs to the Special Issue Proceedings from the 3rd International Symposium on Environment and Health)
  • Review
  • Open Access
151 Citations
16,699 Views
25 Pages

Human exposure to mercury is still a major public health concern. In this context, children have a higher susceptibility to adverse neurological mercury effects, compared to adults with similar exposures. Moreover, there exists a marked variability o...

(This article belongs to the Special Issue Mercury and Health: Current Perspectives and Future Directions)
  • Article
  • Open Access
14 Citations
6,424 Views
11 Pages

Prevalence and Social Risk Factors for Hearing Impairment in Chinese Children—A National Survey

  • Chunfeng Yun,
  • Zhenjie Wang,
  • Jiamin Gao,
  • Ping He,
  • Chao Guo,
  • Gong Chen and
  • Xiaoying Zheng

Hearing impairment may affect children’s communication skills, social development, and educational achievement. Little is known about the prevalence of hearing impairment among Chinese children. Data were taken from the 2006 second China National Sur...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
13 Citations
6,176 Views
10 Pages

Endotoxins are common indoor biocontaminants. Their levels have been shown to link to many sources and factors. One of them is cockroach infestation but the role of cockroaches and contamination mechanisms are unclear. We hypothesized that not only i...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
34 Citations
6,978 Views
10 Pages

Transcriptome Profiling of the Lungs Reveals Molecular Clock Genes Expression Changes after Chronic Exposure to Ambient Air Particles

  • Pengcheng Song,
  • Zhigang Li,
  • Xiaoqian Li,
  • Lixin Yang,
  • Lulu Zhang,
  • Nannan Li,
  • Chen Guo,
  • Shuyu Lu and
  • Yongjie Wei

The symptoms of asthma, breathlessness, insomnia, etc. all have relevance to pulmonary rhythmic disturbances. Epidemiology and toxicology studies have demonstrated that exposure to ambient air particles can result in pulmonary dysfunction. However, t...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
17 Citations
5,394 Views
10 Pages

Studies to explore the relationship between self-reported snoring and dyslipidemia, especially high total cholesterol (TC) and high low-density lipoprotein cholesterol (LDL-C), in the general population are still lacking. Our study was designed to ex...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
26 Citations
7,337 Views
10 Pages

Background: In recent years, the lipoprotein lipase (LPL) polymorphism has been extensively investigated as a potential risk factor for coronary artery disease (CAD). However, the results of these studies have been inconsistent. Therefore, we perform...

(This article belongs to the Section Global Health)
  • Short Note
  • Open Access
12 Citations
5,611 Views
5 Pages

An Electrostatic-Barrier-Forming Window that Captures Airborne Pollen Grains to Prevent Pollinosis

  • Yoshihiro Takikawa,
  • Yoshinori Matsuda,
  • Teruo Nonomura,
  • Koji Kakutani,
  • Shin-Ichi Kusakari and
  • Hideyoshi Toyoda

An electrostatic-barrier-forming window (EBW) was devised to capture airborne pollen, which can cause allergic pollinosis. The EBW consisted of three layers of insulated conductor wires (ICWs) and two voltage generators that supplied negative charges...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
35 Citations
7,645 Views
10 Pages

The relationship between students’ school environment and exercise habits is complex, and is affected by numerous factors. However, the few studies that have been conducted on this relationship have reported inconsistent results, especially regarding...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
36 Citations
6,931 Views
16 Pages

Spatial Analysis of Human Health Risk Due to Arsenic Exposure through Drinking Groundwater in Taiwan’s Pingtung Plain

  • Ching-Ping Liang,
  • Yi-Chi Chien,
  • Cheng-Shin Jang,
  • Ching-Fang Chen and
  • Jui-Sheng Chen

Chronic arsenic (As) exposure continues to be a public health problem of major concern worldwide, affecting hundreds of millions of people. A long-term groundwater quality survey has revealed that 20% of the groundwater in southern Taiwan’s Pingtung...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
62 Citations
20,978 Views
23 Pages

Neighborhood Design, Physical Activity, and Wellbeing: Applying the Walkability Model

  • Adriana A. Zuniga-Teran,
  • Barron J. Orr,
  • Randy H. Gimblett,
  • Nader V. Chalfoun,
  • David P. Guertin and
  • Stuart E. Marsh

Neighborhood design affects lifestyle physical activity, and ultimately human wellbeing. There are, however, a limited number of studies that examine neighborhood design types. In this research, we examine four types of neighborhood designs: traditio...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
29 Citations
6,567 Views
11 Pages

This study aimed to evaluate the comparative effects of aflatoxin-contaminated corn on the thymus and bursa of Fabricius (BF) in chickens by detecting histopathological lesions, cell cycle phase distribution and apoptosis. A total of 900 COBB500 male...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
10 Citations
5,223 Views
10 Pages

Several studies reported that commercial barbecue restaurants likely contribute to the indoor emission of particulate matters with a diameter of 2.5 micrometers or less (PM2.5) while pan-frying meat. However, there is inadequate knowledge of exposure...

(This article belongs to the Section Global Health)
  • Review
  • Open Access
68 Citations
9,636 Views
18 Pages

Climate change has been predicted to increase the global mean temperature and to alter the ecological interactions among organisms. These changes may play critical roles in influencing the life history traits of the intermediate hosts (IHs). This rev...

(This article belongs to the Special Issue Extreme Weather and Public Health)
  • Article
  • Open Access
103 Citations
9,842 Views
28 Pages

The ubiquitous occurrence of emerging micropollutants (EMPs) in water is an issue of growing environmental-health concern worldwide. However, there remains a paucity of data regarding their levels and occurrence in water. This study determined the oc...

(This article belongs to the Special Issue Organic Micro-Pollutants and Human Exposure)
  • Article
  • Open Access
16 Citations
5,029 Views
11 Pages

Background: To analyze dentists’ knowledge of blood-borne infections, their attitudes towards infected patients, and to determine the frequency of the contact with infectious material; Methods: We surveyed 192 dentists using an anonymous questionnair...

(This article belongs to the Section Global Health)
  • Review
  • Open Access
96 Citations
16,279 Views
18 Pages

New Immunotherapy Strategies in Breast Cancer

  • Lin-Yu Yu,
  • Jie Tang,
  • Cong-Min Zhang,
  • Wen-Jing Zeng,
  • Han Yan,
  • Mu-Peng Li and
  • Xiao-Ping Chen

Breast cancer is the most commonly diagnosed cancer among women. Therapeutic treatments for breast cancer generally include surgery, chemotherapy, radiotherapy, endocrinotherapy and molecular targeted therapy. With the development of molecular biolog...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
185 Citations
28,939 Views
13 Pages

Health Benefits of Urban Allotment Gardening: Improved Physical and Psychological Well-Being and Social Integration

  • Masashi Soga,
  • Daniel T. C. Cox,
  • Yuichi Yamaura,
  • Kevin J. Gaston,
  • Kiyo Kurisu and
  • Keisuke Hanaki

With an ever-increasing urban population, promoting public health and well-being in towns and cities is a major challenge. Previous research has suggested that participating in allotment gardening delivers a wide range of health benefits. However, ev...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
77 Citations
9,307 Views
10 Pages

Effects of Ambient Fine Particles PM2.5 on Human HaCaT Cells

  • Qiao Li,
  • Zhihua Kang,
  • Shuo Jiang,
  • Jinzhuo Zhao,
  • Shuxian Yan,
  • Feng Xu and
  • Jinhua Xu

The current study was conducted to observe the effects of fine particulate matter (PM2.5) on human keratinocyte cell line (HaCaT) cells. The potential mechanism linking PM2.5 and skin was explored. HaCaT cells were cultured and then accessed in plate...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
34 Citations
8,225 Views
10 Pages

Impact of Dental Fluorosis, Socioeconomic Status and Self-Perception in Adolescents Exposed to a High Level of Fluoride in Water

  • Nelly Molina-Frechero,
  • Martina Nevarez-Rascón,
  • Alfredo Nevarez-Rascón,
  • Rogelio González-González,
  • María Esther Irigoyen-Camacho,
  • Leonor Sánchez-Pérez,
  • Sandra López-Verdin and
  • Ronell Bologna-Molina

Objective: To identify adolescents’ self-perception of dental fluorosis from two areas with different socioeconomic levels. Methods: A cross-sectional, descriptive study was conducted with 15-year-old youths by applying a questionnaire designed and v...

(This article belongs to the Section Environmental Health)
  • Review
  • Open Access
266 Citations
34,075 Views
13 Pages

Mercury Exposure and Heart Diseases

  • Giuseppe Genchi,
  • Maria Stefania Sinicropi,
  • Alessia Carocci,
  • Graziantonio Lauria and
  • Alessia Catalano

Environmental contamination has exposed humans to various metal agents, including mercury. It has been determined that mercury is not only harmful to the health of vulnerable populations such as pregnant women and children, but is also toxic to ordin...

(This article belongs to the Special Issue Mercury and Health: Current Perspectives and Future Directions)
  • Article
  • Open Access
10 Citations
5,562 Views
9 Pages

Demographic and Substance Use Factors Associated with Non-Violent Alcohol-Related Injuries among Patrons of Australian Night-Time Entertainment Districts

  • Kerri Coomber,
  • Richelle Mayshak,
  • Shannon Hyder,
  • Nicolas Droste,
  • Ashlee Curtis,
  • Amy Pennay,
  • William Gilmore,
  • Tina Lam,
  • Tanya Chikritzhs and
  • Peter G. Miller

This study examined the relationship between patron demographics, substance use, and experience of recent alcohol-related accidents and injuries that were not due to interpersonal violence in night-time entertainment districts. Cross-sectional interv...

(This article belongs to the Special Issue Alcohol and Health)
  • Article
  • Open Access
13 Citations
7,820 Views
11 Pages

Perceptions of E-Cigarettes among Black Youth in California

  • Catherine A. Hess,
  • Tamar M. J. Antin,
  • Rachelle Annechino and
  • Geoffrey Hunt

Research suggests that Black youth are less likely to use e-cigarettes than their white counterparts, yet little is known as to why. We examined perceptions of e-cigarettes among Black young adults (ages 18–25) to explore the meanings these youth asc...

(This article belongs to the Special Issue E-Cigarettes: Epidemiology, Policy and Public Health)
  • Article
  • Open Access
12 Citations
6,713 Views
14 Pages

Background: Alzheimer’s disease (AD) is a significant public health issue. AD has been linked with methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism, but the findings have been inconsistent. The purpose of this meta-predictive analysis i...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
9 Citations
6,148 Views
12 Pages

Socio-Environmental and Hematological Profile of Landfill Residents (São Jorge Landfill–Sao Paulo, Brazil)

  • Vivianni Palmeira Wanderley,
  • Fernando Luiz Affonso Fonseca,
  • André Vala Quiaios,
  • José Nuno Domingues,
  • Susana Paixão,
  • João Figueiredo,
  • Ana Ferreira,
  • Cleonice De Almeida Pinto,
  • Odair Ramos Da Silva and
  • Rodrigo Daminello Raimundo
  • + 3 authors

We are experiencing an unprecedented urbanization process that, alongside physical, social and economic developments, has been having a significant impact on a population’s health. Due to the increase in pollution, violence and poverty, our modern ci...

(This article belongs to the Section Global Health)
  • Review
  • Open Access
109 Citations
11,559 Views
21 Pages

This review presents scientific findings concerning the use of bioactive nanocomposites in the field of tissue repair and regeneration. Bioactivity is the ability of a material to incite a specific biological reaction, usually at the boundary of the...

(This article belongs to the Special Issue Nanomaterials-Based New Techniques, New Drugs, and Antibacterial Reagents)
  • Article
  • Open Access
69 Citations
8,810 Views
13 Pages

The impact of heat stress on human health has been extensively studied. Similarly, researchers have investigated the impact of heat stress on workers’ health and safety. However, very little work has been done on the impact of heat stress on occupati...

(This article belongs to the Special Issue Effecting a Safe and Healthy Environment in Construction)
  • Article
  • Open Access
35 Citations
6,266 Views
9 Pages

Incidence and Simple Prediction Model of Hyperuricemia for Urban Han Chinese Adults: A Prospective Cohort Study

  • Jin Cao,
  • Chunxia Wang,
  • Guang Zhang,
  • Xiang Ji,
  • Yanxun Liu,
  • Xiubin Sun,
  • Zhongshang Yuan,
  • Zheng Jiang and
  • Fuzhong Xue

Background: Hyperuricemia (HUA) contributes to gout and many other diseases. Many hyperuricemia-related risk factors have been discovered, which provided the possibility for building the hyperuricemia prediction model. In this study we aimed to explo...

(This article belongs to the Section Global Health)
  • Article
  • Open Access
26 Citations
7,264 Views
13 Pages

Monitoring Lead (Pb) Pollution and Identifying Pb Pollution Sources in Japan Using Stable Pb Isotope Analysis with Kidneys of Wild Rats

  • Hokuto Nakata,
  • Shouta M. M. Nakayama,
  • Balazs Oroszlany,
  • Yoshinori Ikenaka,
  • Hazuki Mizukawa,
  • Kazuyuki Tanaka,
  • Tsunehito Harunari,
  • Tsutomu Tanikawa,
  • Wageh Sobhy Darwish and
  • Mayumi Ishizuka
  • + 2 authors

Although Japan has been considered to have little lead (Pb) pollution in modern times, the actual pollution situation is unclear. The present study aims to investigate the extent of Pb pollution and to identify the pollution sources in Japan using st...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
11 Citations
7,460 Views
19 Pages

Disability Weights for Chronic Mercury Intoxication Resulting from Gold Mining Activities: Results from an Online Pairwise Comparisons Survey

  • Nadine Steckling,
  • Brecht Devleesschauwer,
  • Julia Winkelnkemper,
  • Florian Fischer,
  • Bret Ericson,
  • Alexander Krämer,
  • Claudia Hornberg,
  • Richard Fuller,
  • Dietrich Plass and
  • Stephan Bose-O’Reilly

In artisanal small-scale gold mining, mercury is used for gold-extraction, putting miners and nearby residents at risk of chronic metallic mercury vapor intoxication (CMMVI). Burden of disease (BoD) analyses allow the estimation of the public health...

(This article belongs to the Special Issue Mercury and Health: Current Perspectives and Future Directions)
  • Short Communication
  • Open Access
168 Citations
29,525 Views
14 Pages

Institutional foodborne illness outbreaks continue to hit the headlines in the country, indicating the failure of food handlers to adhere to safe practices during food preparation. Thus, this study aimed to compare the knowledge, attitude, and self-r...

(This article belongs to the Section Global Health)

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Int. J. Environ. Res. Public Health - ISSN 1660-4601