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Articles by Peter SMith
mRNA Cancer Vaccine Significantly Reduces Melanoma Recurrence in Phase 3 Trial
A landmark Phase 3 clinical trial has confirmed that a personalized mRNA cancer vaccine, developed through a collaboration between Moderna and Merck, provides a significant reduction in the risk of recurrence for patients with high-risk melanoma. As reported by The New York Times on August 19, 2026, the study underscores a transformative shift in how oncologists approach adjuvant therapy for aggressive skin cancers.
Self-care should be a routine part of primary care
If the NHS is serious about shifting from treatment to prevention, it must confront an uncomfortable truth: the public is already doing far more self-care than the system recognises, and far more than many professionals realise. The real problem is not a lack of willingness among patients, but a lack of alignment between public behaviour, professional attitudes, and the support structures needed to make self-care safe and effective.
Effectiveness of a theory-driven Brazilian jiu-jitsu-based medical self-defense training for nurses facing workplace violence: A multicenter quasi-experimental study
Section snippets What is already known • Self-defense training is widely recognized as an effective strategy for managing violent encounters in health-care settings. • Existing workplace violence interventions typically lack a structured, theory-driven approach tailored to nurses across diverse hospital settings and specialties.
Designing the Dummies
The icon indicates free access to the linked research on JSTOR. In trying to design safer vehicles, car manufacturers use crash test dummies to simulate human bodies and the effects of crashes on those bodies. You may have seen videos of crash tests: a vehicle speeds into a wall or is hit from the side, its occupants a family of mannequins that rise, fall, and flail as the physics of high-impact forces send them airborne.
Factors contributing to increased workplace violence against nurses during COVID-19 in the healthcare settings of a lower middle-income country- A qualitative study
This paper is only available as a PDF. To read, Please Download here. Abstract To provide the perceptions of nurses, nursing supervisors, and nursing administrators about factors contributing to increased workplace violence against nurses within the healthcare settings in Pakistan during the first wave of COVID-19 pandemic. This study employed a Descriptive Qualitative design, with a purposive sampling technique.
New technologies to map environmental crime in the Amazon Basin (commentary)
Environmental crimes like land grabbing, illegal deforestation, and poaching hinder climate action, deter investment in sustainable practices, and threaten biodiversity across major biomes worldwide. Despite challenges such as vast territories difficult to police and weak rule of law, new technologies like geospatial and predictive analytics are being leveraged to enhance the detection and disruption of these activities.
Variation in occupational exposure risk for COVID-19 workers’ compensation claims across pandemic waves in Ontario
Footnotes Contributors PMS, FS and CM developed the study idea. QL performed the analysis with assistance from VL, FS and PMS. All authors discussed interpretation of the study findings. PMS wrote the first draft of the manuscript. All authors provided substantive comments and suggestions. All authors have reviewed the final version of the manuscript and have approved it for submission. PS is guarantor for the paper.
Variation in occupational exposure risk for COVID-19 workers’ compensation claims across pandemic waves in Ontario
Abstract Objectives To understand rates of work-related COVID-19 (WR-C19) infection by occupational exposures across waves of the COVID-19 pandemic in Ontario, Canada. Methods We combined workers’ compensation claims for COVID-19 with data from Statistics Canada’s Labour Force Survey, to estimate rates of WR-C19 among workers spending the majority of their working time at the workplace between 1 April 2020 and 30 April 2022.
Fostering transparency through the DFSA’s public register
Dubai International Financial Centre (DIFC). Image: Bloomberg The DFSA maintains a public register on its website that enables anyone to access information about which Firms and Individuals are authorised by the DFSA and what financial services they can provide in or from the Dubai International Financial Centre (DIFC).
From Occupation to Health: The Unseen Impact of Work
If public health bodies and policymakers put greater focus on improving the work environment, it could achieve major gains in population health and reduce health inequities. (Shutterstock) Work has long been considered a social determinant of health. Like housing, education, income security and other matters of economic and social policy, work can be a key factor in creating, maintaining or exacerbating unequal health outcomes across different societal groups.
Work as a social determinant of health in high-income countries: past, present, and future
1. Diseases of workers (original title: De Morbis Artificum Diatriba). Hafner, New York1964 2. Townsend PB Whitehead M Davidson N Inequalities in health. The Black report. Penguin, Harmondsworth1982 3. Marmot MG Shipley MJ Rose G Inequalities in death—specific explanations of a general pattern?. Lancet. 1984; 1: 1003-1006 4. Marmot MG Smith GD Stansfeld S et al. Health inequalities among British civil servants: the Whitehall II study. Lancet. 1991; 337: 1387-1393 5.
How has COVID-19 changed healthcare professionals’ attitudes to self-care? A mixed methods research study
PLOS ONE, Jul 2023 Background The COVID-19 pandemic fundamentally changed the way services are delivered. Self-care, including good hygiene practices and avoidance of risk was emphasised as the key measure to tackle the pandemic in the early stages. Objective To understand how self-reported professional attitudes, perceptions and practices of self-care have changed as a result of the COVID-19 pandemic. Design Cross-sectional online survey and semi-structured qualitative interview.
Commentary: methodological approaches to understanding mechanisms and ‘what if’ questions in occupational health research
http://orcid.org/0000-0001-8286-4563Peter M Smith1,2,3 1Institute for Work & Health, Toronto, Ontario, Canada 2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada 3Department of Epidemiology and Preventive Medicine, Monash University, Clayton, Victoria, Australia Correspondence to Dr Peter M Smith, Institute of Work & Health, Toronto, Ontario, Canada; psmith{at}iwh.on.ca Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this...
Mental health service use among Canadian veterans within the first 5 years following service: methodological considerations for comparisons with the general population
http://orcid.org/0000-0002-5858-7612Kate St.Cyr1,2, Paul Kurdyak3,4, http://orcid.org/0000-0001-8286-4563Peter M Smith1,5, Alyson L Mahar6 1 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada 2 MacDonald Franklin OSI Research Centre, St Joseph's Health Care London, London, Ontario, Canada 3 ICES, Toronto, Ontario, Canada 4 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada 5 Institute for Work & Health,...
Are Police Dogs Actually Throwing Officers Off The Scent?
The 911 call came early the morning of April 24, 2020: A man was reportedly at the home where his estranged wife lived, violating the protective order she had against him. Police arrived, spotlighting the backyard with flashlights. Jeffery Ryans, a 36-year-old Black man, stood outside smoking a cigarette. According to body camera footage, officer Nickolas Pearce ordered him to the ground and warned that if Ryans didn’t comply, he’d release his dog, K9 Tuco.
Letter for the article Patient Satisfaction and Sensory Attributes of | PPA
Back to Journals » Patient Preference and Adherence » Volume 17 Authors Scadding GK , Smith PK , Hellings PW Received 24 July 2023 Accepted for publication 25 July 2023 Published 29 July 2023 Volume 2023:17 Pages 1881—1883 DOI https://doi.org/10.2147/PPA.S431247 Checked for plagiarism Yes Editor who approved publication: Dr Johnny Chen Glenis K Scadding,1,* Peter K Smith,2,* Peter W Hellings3,4,* 1Department of Allergy & Rhinology, Royal National ENT Hospital; Division of Immunity...
Mental health service use among Canadian veterans within the first 5 years following service: methodological considerations for comparisons with the general population
http://orcid.org/0000-0002-5858-7612Kate St.Cyr1,2, Paul Kurdyak3,4, http://orcid.org/0000-0001-8286-4563Peter M Smith1,5, Alyson L Mahar6 1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada 2MacDonald Franklin OSI Research Centre, St Joseph's Health Care London, London, Ontario, Canada 3ICES, Toronto, Ontario, Canada 4Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada 5Institute for Work & Health, Toronto,...
Measuring the impact of employment on persons with a disability as a means of improving the quality of employment outcomes
For most youth with autism spectrum disorders (ASD), employment upon graduation from high school or college is elusive. Employment rates are reported in many studies to be very low despite many years of intensive special education services. This paper presented the preliminary results of a randomized clinical trial of Project SEARCH plus ASD Supports on the employment outcomes for youth with ASD between the ages of 18-21 years of age.
Gender differences in authorship prior to and during the COVID-19 pandemic in research submissions to Occupational and Environmental Medicine (2017-2021) | Occupational & Environmental Medicine
Conclusions Research article submissions are an indicator of productivity in academic settings. Among submissions to OEM, we observed a gender gap in authorship of submissions over the first year of the COVID-19 pandemic, largely driven by a sharp increase in research productivity among male authors that did not occur to the same extent among female authors.
Incidence of outbreak-associated COVID-19 cases by industry in Ontario, Canada, 1 April 2020-31 March 2021
Strengths and limitations Our study is not without limitations. We restricted our analyses to workplace outbreak-associated cases; as a result, these should not be interpreted as overall rates of COVID-19 among workers. In addition, not all included outbreak-associated cases were acquired in the workplace, or while on duty, we were unable to distinguish risks incurred in work areas versus work-related circumstances (eg, carpooling or breaks).
Lessons for the next pandemic: - Rehab & Community Care Medicine Magazine
We need better data By Peter Smith, Andrew Curran and Letitia Davis From the beginning of the COVID-19 pandemic, public health agencies around the world failed to collect the information we needed to truly understand the role of work and workplaces in the spread of the virus. We saw this failure in Canada, the United States and the United Kingdom—our respective countries—with consequences for the effectiveness of pandemic responses.
Gender differences in authorship prior to and during the COVID-19 pandemic in research submissions to Occupational and Environmental Medicine (2017-2021) | Occupational & Environmental Medicine
Gender differences in authorship prior to and during the COVID-19 pandemic in research submissions to Occupational and Environmental Medicine (2017–2021) Free http://orcid.org/0000-0002-2868-5748Christa Orchard1,2,3, http://orcid.org/0000-0001-8286-4563Peter M Smith1,2,4, http://orcid.org/0000-0002-4233-1890Hans Kromhout5 1Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada 2Institute for Work and Health, Toronto, Ontario, Canada 3Mental Health & Addictions...
Incidence of outbreak-associated COVID-19 cases by industry in Ontario, Canada, 1 April 2020-31 March 2021
Incidence of outbreak-associated COVID-19 cases by industry in Ontario, Canada, 1 April 2020–31 March 2021 Free Sarah A Buchan1,2, http://orcid.org/0000-0001-8286-4563Peter M Smith2,3, Christine Warren4, http://orcid.org/0000-0003-4649-6913Michelle Murti1,5, http://orcid.org/0000-0002-0747-8870Cameron Mustard2,3, Jin Hee Kim5,6, Sandya Menon1, Kevin A Brown1,2, Trevor van Ingen7, http://orcid.org/0000-0003-2785-1246Brendan T Smith2,4 1Health Protection, Public Health Ontario, Toronto,...
Book Review: A History of Monsanto and Its Toxic Legacy
Monsanto Co’s Roundup for sale in Encinitas, California, June 2017. Photo: Reuters/Mike Blake/File Photo Monsanto’s foundational strategy was to become a wizardly handmaiden to industry rather than going direct to consumers. The product that made the firm profitable was caffeine, launching production a few years after the opening of the plant in 1902 and selling primarily to Coca-Cola.
A History Of Monsanto And Its Toxic Legacy
File photo By Peter Andrey Smith When your main character is Monsanto, the former name for a St. Louis chemical company that, at least in some circles, is seen as evil incarnate (nickname: “Monsatan”), the Hollywood treatment calls for a rabble-rousing attorney who exposes it all. Unfortunately, environmental history and epidemiology rarely proceed along such neat narrative arcs. Bartow J. Elmore’s book, "Seed Money: Monsanto’s Past and Our Food Future", opens like a typical blockbuster.
Lessons from COVID-19 for the next pandemic: We need better data on workplace transmission
Public health databases should collect information on the occupation, the industry in which they work and the name or location of the workplace of infected people. Credit: Unsplash/Jason Goodman From the beginning of the COVID-19 pandemic, public health agencies around the world failed to collect the information we needed to truly understand the role of work and workplaces in the spread of the virus.
Lessons from COVID-19 for the next pandemic: We need better data on workplace transmission
From the beginning of the COVID-19 pandemic, public health agencies around the world failed to collect the information we needed to truly understand the role of work and workplaces in the spread of the virus. We saw this failure in Canada, the United States and the United Kingdom — our respective countries — with consequences for the effectiveness of pandemic responses.
Broader health coverage is good for the nation's health: evidence from country level panel data
1 Introduction The potential social and economic consequences of broader access to health services have been highlighted by several commentators. For example, an influential report concluded that (Commission on Macroeconomics and Health (2001), foreword).
Occupational physical activity and cardiovascular disease in the United States
Occupational physical activity and cardiovascular disease in the United States http://orcid.org/0000-0002-0172-062XTyler D. Quinn1,2, Patrick L. Yorio1, http://orcid.org/0000-0001-8286-4563Peter M. Smith3,4, Yongsuk Seo1, Geoffrey P.
Who Has the Right to Repair Medical Equipment?
If a simple latch breaks, a lifesaving device could be down for months. Should hospitals be allowed to fix their machines themselves? In early 2020 during the first surge of COVID-19, J. Scot Mackeil was helping the state of Massachusetts evaluate some ventilators it had received from the federal government stockpile. Mackeil, a senior biomedical electronics technician for Massachusetts General Hospital, found that one of the machine’s DC power connectors had been crushed during shipment.
Incidence of outbreak-associated COVID-19 cases by industry in Ontario, Canada, April 1, 2020- March 31, 2021
Abstract Objectives The objective of our study was to estimate the rate of workplace outbreak-associated cases of COVID-19 by industry in labour market participants aged 15-69 years who reported working the majority of hours outside the home in Ontario, Canada. Methods We conducted a population based cross-sectional study of COVID-19 workplace outbreaks and associated-cases reported in Ontario between April 1, 2020 and March 31, 2021.
Australia's women's team turned in a much-improved performance ahead of the fast-looming Olympic Games to earn a scoreless draw against world No.5 Sweden The Matildas had lost three matches to open the tenure of new coach Tony Gustavsson but they looked far more assured against the Rio 2016 silver medallists in Kalmar on Wednesday morning (Australian time).
The effect of distance on maternal institutional delivery choice: Evidence from Malawi
Abstract In many low- and middle-income countries, geographical accessibility continues to be a barrier to health care utilization. In this paper, we aim to better understand the full relationship between distance to providers and utilization of maternal delivery services. We address three methodological challenges: non-linear effects between distance and utilization; unobserved heterogeneity through non-random distance “assignment”; and heterogeneous effects of distance.
Bulls unfazed for A-League finals despite Wellington loss
Macarthur FC coach Ante Milicic is unconcerned about a costly final-round defeat against Wellington Phoenix that saw his side slip to sixth and set to be without influential midfielder Loic Puyo due to suspension. The A-League new boys went into Friday night’s match at their Campbelltown Stadium home eyeing third and a home semi-final, but instead slipped to sixth just one point clear of the Phoenix, with a one-sided 3-0 scoreline.
Work-related mental illnesses cost more than physical injuries
When people are physically hurt on the job and need time off work — for example, when they strain their low back or shoulder — employers generally know how to help them safely return to work. But it’s a different story when it comes to psychological injuries. When workers suffer from chronic stress or other mental illnesses related to their work, many organizations are at a loss. So, too, are workers’ compensation systems and health-care providers.
Work-related mental illnesses cost more than physical injuries do - OHS Canada Magazine
When workers suffer from chronic stress or other mental illnesses related to their work, many organizations are at a loss. (blacksalmon/Adobe Stock) When people are physically hurt on the job and need time off work — for example, when they strain their low back or shoulder — employers generally know how to help them safely return to work. But it’s a different story when it comes to psychological injuries.
Life as Scary Monsters, or Big C & Lil’ c
Art Therapy I recently was diagnosed with colon cancer. I thought I was sick with COVID-19, then appendicitis, but then I was told it was cancer. Myrphys, California Big C and Lil’ c. I recently was diagnosed with colon cancer. I thought I was sick with COVID-19, then appendicitis, but then I was told it was cancer. I have been taking art seriously since I was 17 years old.
Occupational physical activity and cardiovascular disease in the United States
Occupational physical activity and cardiovascular disease in the United States http://orcid.org/0000-0002-0172-062XTyler D. Quinn1,2, Patrick L. Yorio1, http://orcid.org/0000-0001-8286-4563Peter M. Smith3,4, Yongsuk Seo1, Geoffrey P.
Could This One Change Help Curb the Opioid Crisis?
To prescribe an effective bridge to addiction treatment, emergency physicians must get special training and receive a waiver. Making that process easier—or eliminating the requirement altogether—could make a big impact. The arrival of the COVID-19 pandemic only exacerbated the ongoing opioid crisis. Treatment disruptions, lack of access to mental health services, job losses and overall stress have increased the risk of opioid use and relapse.
Maine Voices: Stop ruining hearts - reinstate harm reduction now
First, I want to thank the Portland City Council for keeping the city-run syringe exchange program open – even if its meetings about the program are not. In February, I know Portland often fills with bright red hearts. These hearts, no doubt, are intended as a feel-good community gesture, but I’d like city councilors to think about what they’re doing to people’s actual hearts.
Imagine You Are An Aluminum Atom: Discussions with “Mr Aluminum
“If one aspect … is abundantly clear, it is that aluminium writ large in the etiology of human disease is already a burgeoning pandemic.” Christopher Exley, P.91 If you were not aware of this pandemic before reading this statement, you will understand how the author can confidently say this by the time you finish reading this excellently written book.
Implications of the ISCHEMIA Trial for CABG Surgery
The ISCHEMIA trial (International Study of Comparative Health Effectiveness with Medical and Invasive Approaches) is one of the most anticipated, important, and complicated clinical trials ever conducted.[1] Its objective was to answer whether, in stable patients with at least moderate ischemia on stress testing, there is a benefit to cardiac catheterization and, if feasible, revascularization on top of optimal medical therapy.
Reasons to Be Cheerful in 2020 - Parts 1 to 10 — Procurement With Purpose
Well, 2020 was an awful year, wasn’t it? Let’s not go through the detail again, but it is easy to feel sad, miserable and generally down at the moment, even if you have been fortunate enough to avoid actually suffering personally from the Covid virus.
Trends in the prevalence of depression and anxiety disorders among working-age Canadian adults between 2000 and 2016
Skip to main content Skip to "About this site" by Kathleen G. Dobson, Simone N. Vigod, Cameron Mustard, and Peter M.
Scotland’s drug crisis is about to get even worse | ITV News
Tomorrow, in what’s become Scotland’s annual day of shame, the yearly drug death statistics will be published. ITV News has learned they will be worse than ever before - the worst, in fact, on record.
Animal Welfare Issues - and Who Knew About Denmark's Fur Farms? — Procurement With Purpose
The Covid pandemic has taught us many things, but one of the most surprising emerged last week with the news that mink kept on farms in Denmark have developed a new and potentially very dangerous type of “mutant coronavirus”, which has spread to humans.
UK Water Firms Criticised for Worsening Performance – a Warning to “Wild Swimmers”! — Procurement With Purpose
One of my close friends, along with her family and others, regularly swims in the Thames – her partner is a serious triathlete and trains on the Henley to Maidenhead stretch. I’ve never been tempted to join them, being a poor swimmer and not fond of freezing water, but there are other dangers as well, as you might guess.
Heath care workers lacking personal protective equipment suffer from more anxiety and depression
Credit: Unsplash/CC0 Public Domain While all workers across Canada and around the world are being affected by COVID-19, health-care workers as a group are most heavily feeling its impact. This is because of their pivotal role in the treatment of people infected with the virus and their high COVID-19 exposure as part of their job.
Heath-care workers lacking PPE suffer from more anxiety and depression
While all workers across Canada and around the world are being affected by COVID-19, health-care workers as a group are most heavily feeling its impact. This is because of their pivotal role in the treatment of people infected with the virus and their high COVID-19 exposure as part of their job. As such, maximizing efforts to enable the health-care workforce to remain free of COVID-19 infection, and stay in good physical and mental health, is essential to the response and management of COVID-19.
The associations of shift work, sleep quality and incident of hypertension in Ontario adults: a population-based study
Abstract Background Relatively few population-based studies have explored the relationship and potential mechanisms between exposure to shift work and hypertension. The study objectives for this study were to determine: ( 1 Puttonen S. Härmä M. Hublin C. Shift work and cardiovascular disease—pathways from circadian stress to morbidity. Scand J Work Environ Health. 2010; : 96-108 ) if history of shift work was associated with increased rates of hypertension among working adults; and, ( 2 Manohar S.
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