Jesus, performed the miracle of the multiplication of the loaves. The bread is at the center of the Christian Eucharist; it is "sacramental bread," "singing bread," or "angel's bread." Jesus defines himself as "the bread of life" (John 6:35). Divine "grace" is called "the bread of the strong" and preaching, religious teaching, "the bread of the word of God." In Hebrew, Bethlehem means "house of bread," and Jesus was born in a city called Bread. Roman Catholic patron saints In Roman Catholic tradition, the patron saint of bakers and pastry chefs is Honoratus of Amiens (Honoré), a sixth-century bishop of Amiens in northern France for whom the St. Honoré cake is named. Lazarus of Bethany (Lazare) was originally a competitor to Honoré for the title of patron saint of bakers, but in the 17th century the French bakers' guild settled in favor of Honoré. As a surname Baker is an easily recognizable English surname of medieval occupational origin; Baxster is the female form. Equivalent family names of occupational origin meaning "baker" exist in other languages: Boulanger, Bulinger, Dufour, and Fournier in French, Bäcker in German, and Piekarz in Polish. Duties and occupational hazards According to the Occupational Outlook Handbook (OOH) published by the Bureau of Labor Statistics of the United States Department of Labor, Bakers encounter a number of occupational hazards. OOH reports that bakeries, "especially large manufacturing facilities, are filled with potential dangers such as hot ovens, mixing machines, and dough cutters. As a result, bakers have a higher rate of injuries and illnesses than the national average. Although their work is generally safe, bakers may endure back strains caused by lifting or moving heavy bags of flour or other products. Other common risks include cuts, scrapes, and burns. To reduce these risks, bakers often wear back supports, aprons, and gloves." Baker's asthma—commonly caused by flour allergens and the microbial enzymes (often Aspergillus-derived) used to facilitate breadmaking—is one of the common causes of occupational asthma worldwide. Comparison with pastry chef Both bakers and pastry chefs make desserts and breads. In some restaurants and shops, a single individual serves in both roles. In other environments, there is a distinction between the two positions, with bakers making breads, rolls, and muffins, and pastry chefs making desserts, such as cakes, pies, tarts, and cookies. Even when both bakers and pastry chefs work in the same place, however, there may be overlap. Equipment