encounter several health hazard and health problems while working. This study was conducted to determine the occupa- tional hazards, health problems and safety practices of petrol station attendants and subsequently to train the PSAs on the identified occupational hazard, associated health problems and safety practices while working. Methods: This is an intervention study carried out among all consenting attendants working in filling stations owned by independent petroleum marketers in Enugu. Data was collected using semi structured interviewer-administered questionnaire cast in English language. The data was analyzed using statistical package for social sciences version 23. Descriptive and inferential statistics were calculated. Level of significance was set at 5%. Results: A total of 400 respondents participated in the study. The mean age of respondents was 24.3  4.6 years for the male and female respectively. Hazards reported included inhalation of petrol fumes, confrontation from customers, armed robbery attack and noise. Health problems reported included headache, low back pain, sciatic pain, muscle spasm, eye irritation, dizziness, cough and nausea. Awareness about the correct use of personal protective equipment was very poor prior to the intervention but increased up to 94.5% immediately after the intervention. The results of this study shows that the PSAs who participated in this study were exposed to various health hazards. Awareness and use of PPE was very poor prior to the commencement of this study but significantly increased after the intervention. Conclusions: Therefore, it’s important to engage various stakeholders in this sector to ensure that owners of filling stations take responsi- bility for the health safety of their workers and ensure regular health education on safety practices. Key messages:  This study was conducted to determine the occupational hazards, health problems and safety practices of petrol station attendants and to train them.  Relevant means and standard deviation were calculated. Inferential statistics were calculated using t-test, analysis of variance and Chi-square test. Occupational exposure for asbestos-related disease groups: geomapping of the last 5 years in Italy Antonio Vinci A Vinci 1 , F Ingravalle 1 , M D’Ercole 1 , S Mancinelli 2 , F Lucaroni 2 , L Palombi 2 1 School of Specialization in Hygiene and Preventive Medicine, University of Rome, Rome, Italy 2 Department of Biomedicine and Prevention, University of Rome, Rome, Italy Contact: antonio.vinci.at@hotmail.it Background: Asbestos-related diseases are a public health challenge in Italy: the country has been a major producer and user of asbestos since World War II until complete ban in 1992. Several contaminated sites and structures across the country have never been decontaminated: incidence peak of asbestos-related diseases is expected somewhen between 2015 and 2020. Study objective is to investigate incidence of asbestos-related diseases in Italy in the last 5 years, from both a chronological and geographical perspective. Methods: Ascertained diagnoses of asbestos-related diseases among workers were collected from the INAIL public registry from 2014 to 2018. Yearly incidence rate was estimated per province (incident cases per million workers) and mapped by year. Global incidence quota by working sector and sub-sector was also calculated. Results: 8.620 cases have been reported. Incidence rate rapidly increased from 2014, peaking at 7,2 new cases per 100.000 workers in 2015. Afterwards, the number of ascertained cases decreased. There is a clear gradient distribution between northern and southern Italian provinces, with the highest rates in Northern Italy (especially in year 2014) and declining over time. Mesothelioma (all variants) was the most common disease, (2.995 cases, 35% of total), followed by pleural plaques (2.955 cases, 34%), pneumoconiosis (1.327 cases, 15%) and cancer of lungs/respiratory tract (1.298 cases, 14%). Most affected category was that of metal workers, but construction, transportation and electricity workers were also affected. Conclusions: Detailed surveillance with mapping support is an effective tool for public health servants to locally manage prevention programs targeted on occupational risk. This is especially true for areas with active industries in the most affected sectors. Key messages:  Asbestos does not mean mesothelioma, but also other diseases that impact on workforce health status. Pneumoconiosis and other oral and respiratory cancers are also associated with asbestos exposure.  Risk management should be tailored for a wider array of worker types than usually considered, since such exposure happens in sectors that are not traditionally related to asbestos exposure. Work ethic and societal norms influence sick leave and return to work: Tales of transformation Isa Moldvik I Moldvik 1 , C Sta ˚ hl 2,3 , U Mu ¨ ssener 1 1 Department of Health, Medical and Caring Sciences, Linko ¨ ping University, Linko ¨ ping, Sweden 2 Department of Behavioural Sciences and Learning, Linko ¨ ping University, Linko ¨ ping, Sweden 3 HELIX Competence Centre, Linko ¨ ping University, Linko ¨ ping, Sweden Contact: isa.moldvik@liu.se Background: Evidence of a positive association between work and health has been gathering up for years and can be explained by social status, contributions to society and the self-worth that work provides. This is maintained through the ideal of work ethic, where working is seen as the moral way of life. Not living up to the morally worthy identity can cause feelings of inadequacy, shame and stigmatisation. Considering this, it is relevant to investigate how people on sick leave manage societal norms and values related to work, and how this influences the sick leave and rehabilitation process. The literature on return to work is extensive and has investigated the issue from different perspectives. How norms influence the return to work process and how individuals and other stakeholders relates to such norms are less commonly explored, which is the focus of the present study. Methods: This was a longitudinal interview study with a narrative approach, comprising 38 interviews with 11 indivi- duals on long-term sick leave. Data collection was conducted in two phases and analysed iteratively through content analysis. Results: The results suggest that work ethics and societal norms influence individuals’ views of themselves and the sick leave and rehabilitation process. Conforming one’s personal values to the work norm can create internal conflicts and cause feelings of shame for not being able to live up to the established norm. The strong work norm may create unrealistic expecta- tions, which in some cases may result in constraining the return to work process. Conclusions: To transform a sick leave narrative into a positive one, societal norms and their influence on identity needs to be recognised. Stakeholders involved in the process can contribute to a positive transformation by not only supporting return to work, v1036 European Journal of Public Health, Volume 30 Supplement 5, 2020 Downloaded from https://academic.oup.com/eurpub/article/30/Supplement_5/ckaa166.1355/5915420 by guest on 06 March 2023