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Global HSE / Practice / 04 · Workforce Health Research
04
Line of Practice Epidemiology · AI · Evidence

Evidence, built
where the work happens.

Applied field epidemiology, surveillance research, and AI-enabled health screening – built in partnership with the universities, ministries, and workforce institutions where the prevention question actually lives. CIHR-funded silicosis-and-TB programme with UBC, UCT, and SAMA.

The Brief

Evidence built in the laboratory stays in the laboratory. Evidence built in the field changes the disease curve.

Occupational health research that does not reach the workforce it studied has, by an exacting standard, failed. The research literature on silicosis, TB co-morbidity, and occupational lung disease is large and well-developed; the disease itself is concentrated in the populations the literature has consistently failed to reach.

Our research practice exists to close that translation gap. We co-design research with the workforce institutions, ministries, and university partners who hold the implementation levers – CIHR co-applicant status with the University of British Columbia and the University of Cape Town, in partnership with the Southern Africa Miners Association, drawing on a cohort representing three million workers.

The work is applied, not academic. The deliverable is a tool, a model, a protocol, or an evidence brief that functions inside an existing prevention system – not a paper read by other researchers in adjacent specialties.

Principle · 01
Research is co-designed, not delivered.

Workforce institutions, ministries, and universities each hold a piece of the question. We design the study with all of them at the table from the beginning.

Principle · 02
Evidence is actionable, not adjacent.

The deliverable has to fit inside an existing prevention system on day one. If a regulator, an inspectorate, or a workforce body cannot use it, it is the wrong deliverable.

Principle · 03
AI is a tool, not an answer.

Machine-learning models for radiograph reading are useful when they are governed, audited, and embedded in human workflow. We work on the governance layer at least as carefully as we work on the model.

What we deliver

Six lines of applied research & evidence work.

Programmes are co-designed with university and field partners. The services below are the recurring lines of work; most programmes combine three or four.
i.
Applied field epidemiology
Cohort and cross-sectional studies in workforce populations – silicosis, TB co-morbidity, occupational lung disease, hearing, musculoskeletal disease, and emerging-hazard surveillance. Designed for implementation, conducted to peer-review standard.
Deliverables Study protocol Field results Peer publication
ii.
AI & radiograph reading
CIHR-funded research with UBC and UCT on AI-assisted detection of silicosis and TB in mining cohorts – model training, external validation, equity audit, and integration with ILO B-reader workflow. Applied to the SAMA cohort.
Deliverables Model Validation set Deployment brief
iii.
Surveillance system research
Research on the surveillance systems themselves – case-finding performance, data-quality audit, reporting-pathway integrity, and the comparative effectiveness of different national-OSH information architectures.
Deliverables System audit Performance set Reform brief
iv.
Evidence briefs & policy translation
Synthesis of research evidence into instruments policy bodies can use – evidence briefs, regulatory-impact submissions, parliamentary testimony, and ministerial briefings. The bridge between research output and policy input.
Deliverables Evidence brief Policy memo Hearings pack
v.
University & institutional partnership
Joint research programme design with universities, research institutes, and workforce bodies – grant authorship, ethics architecture, data-sharing governance, and joint-IP frameworks for international occupational health research.
Deliverables Programme design Ethics frame Data agreement
vi.
Books & monographs
Long-form synthesis – forthcoming book on National OSH Information Systems in the Caribbean, monograph contributions, and edited volumes on occupational disease in developing-country mining and industrial settings.
Deliverables Monograph Edited volume Chapter
The Method

How a research programme actually runs.

Every applied-research programme – from a single cohort study to multi-country evidence translation – moves through the same four stages. The question changes; the discipline does not.
01
Stage · Diagnose
Co-design the question

Question framing with workforce, ministry, and university partners. The implementation use-case is set here – not at the publication stage.

02
Stage · Measure
Run the field study

Study protocol, ethics, field data collection, and quality assurance – conducted to peer-review standard with the implementation partner inside the workflow.

03
Stage · Engineer
Synthesise the evidence

Analysis, peer review, and translation into the artefact the implementation partner can actually use – model, protocol, brief, or guideline.

04
Stage · Embed
Deploy & follow up

Adoption support, deployment audit, and post-deployment evaluation. Evidence that does not change practice is filed; we measure adoption.

Recent & current

Three programmes, in shape.

Active and recent applied-research engagements – university-led, field-partnered, ministry-facing.
Research areas

Where the research sits.

Active and recent research lines – applied, partnered, and concentrated on the disease categories where the prevention gap is widest.
Silicosis detection
CIHR · UBC · UCT
Silica – TB co-morbidity
SADC cohorts
AI radiograph reading
Model + governance
Engineered-stone disease
Accelerated silicosis
Occupational lung
Surveillance research
National OSH info
CARICOM monograph
Standards evidence
ISO/TC 283 DCCG
Migrant workforce
GCC + SADC
Compensation systems
Comparative research
Heat & climate
Outdoor workforce
OSH inspector
Capacity research
Equity audit
ML model fairness
Dr. Nayab Sultan
Research that does not reach the workforce it studied has, by an exacting standard, failed. We measure ourselves by adoption.
Dr. Nayab Sultan
Director · Principal Consultant
Engage the practice

Speak with the director about a research collaboration.

Every research collaboration begins with a 45-minute consultation. We discuss the question, the implementation partner, the funding pathway, and what a publishable and adoptable deliverable would look like in the third year.