ABSTRACT
Workers from a variety of industries rapidly shifted to remote work at the onset of the COVID-19 pandemic. While existing work has examined the impact of this shift on office workers, little work has examined how shifting from in-person to online work affected workers in the informal labor sector. We examine the impact of shifting from in-person to online-only work on a particularly marginalized group of workers: sex workers. Through 34 qualitative interviews with sex workers from seven countries in the Global North, we examine how a shift to online-only sex work impacted: (1) working conditions, (2) risks and protective behaviors, and (3) labor rewards. We find that online work offers benefits to sex workers' financial and physical well-being. However, online-only work introduces new and greater digital and mental health risks as a result of the need to be publicly visible on more platforms and to share more explicit content. From our findings we propose design and platform governance suggestions for digital sex workers and for informal workers more broadly, particularly those who create and sell digital content. © 2022 Owner/Author.
ABSTRACT
OBJECTIVES: COVID-19 infection has been compared to seasonal influenza as an argument against non-pharmacological population-based infection control measures known as "lockdowns". Our study sought to compare disease severity measures for patients in Ireland hospitalised with COVID-19 against those hospitalised with seasonal influenza. STUDY DESIGN: This is a retrospective population-based cohort study. METHODS: COVID-19 hospital episodes and seasonal influenza hospital episodes were identified using relevant International Classification of Disease (ICD-10) codes from the Irish national hospitalisation dataset. The occurrences of key metrics of disease severity, length of stay, intensive care admission, ventilatory support, haemodialysis and in-hospital mortality were measured and compared between the two groups using odds ratios with 95% confidence intervals (CIs), stratified by age. RESULTS: Hospitalised COVID-19 episodes had a mean length of stay more than twice as long as hospitalised influenza episodes (17.7 days vs 8.3 days). The likelihood of all measures of disease severity was greater in COVID-19 episodes, and the odds of in-hospital mortality were five-fold higher in this group compared with seasonal influenza episodes (OR 5.07, 95% CI 4.29-5.99, P < 0.001). Greater likelihood of increased disease severity was observed for COVID-19 episodes in most age groups. CONCLUSIONS: COVID-19 is a more severe illness than seasonal influenza in hospitalised cohorts. It is imperative that public health professionals ensure that evidence-based advocacy is part of the response to COVID-19 to tackle a dangerous "infodemic" that can undermine public health control measures.