Nurses' Experiences as Worker during the Covid-19 Pandemic

Background: The Covid-19 pandemic has had a significant impact on nurses. Nurses as workers face various health hazards in the workplace (hospital). Nurses are a group at risk of contracting the virus when providing nursing care to Covid-19 patients. This study aimed to determine the meaning of nurses' experience as workers during the Covid-19 pandemic. Design: This research is qualitative research with a descriptive phenomenological approach. Methods: Data collection was done using in-depth interviews with online interviews using the zoom application. The interview data were analyzed using the Colaizzi method. Results: The results of this study identified four main themes, namely feelings of insecurity, dangers faced by nurses, active nurses in preventing transmission, and meaning for nurses. Conclusion: This study provides information that nurses during the Covid-19 pandemic face various health hazards. The implications of this research, as input to occupational health nursing science regarding the danger nurses faced during the Covid-19 pandemic. Suggestions from this research are expected to optimize efforts to promote and protect the health and safety of nurses during the Covid-19 pandemic. © Asia Pacific Higher Learning Sdn Bhd., Lincoln University College. All Rights Reserved.

Health in the Skies: A Narrative Review of the Issues Faced by Commercial Airline Pilots.

While the health of airline pilots is crucial to ensuring the safe travel of millions of people worldwide, they remain vulnerable to a variety of health challenges due to the nature of their job. The purpose of this narrative review is to provide a comprehensive summary of the most common health issues experienced by commercial airline pilots. By examining the published literature on this topic, we sought to identify areas where further research is needed to understand better the health risks associated with being a pilot and to develop effective interventions to address these risks. We also highlight how recent technological advances in digital health can be leveraged to conduct research into the potential usefulness of telehealth assessments for identifying occupational hazards in the aviation sector and providing targeted interventions. Overall, addressing the challenges of taking care of pilots' health and ensuring public safety will require a collaborative effort among airlines, governments, and regulators. Prioritizing pilot health and safety can actually improve profitability in the aviation sector by reducing costs associated with absenteeism, turnover, and accidents.

Visual analysis of the trend of mental health changes among Chinese college students in the context of the normalisation of the new crown epidemic

Public health events are sudden, public in nature and have serious social hazards. The COVID-19 outbreak coincided with the Lunar New Year, which had a direct or indirect impact on all areas of society. Previous studies related to emergencies have found that a considerable number of college students lacked experience in dealing with emergencies, were not emotionally stable enough, lacked analysis and decision-making ability, were easily suggestible and acted more impulsively. Therefore, in this paper, based on the existing actual information, combined with the awareness and understanding of college students' mental health, and based on the existing research results, the Hopfield-mental health model is used as a theoretical basis to study the trend of changes in college students' mental health. The results of the study show that 83.21% of the people are more concerned about the situation of this new crown pneumonia epidemic and they think that the new crown epidemic has seriously affected their living habits;65.45% thought that this new crown pneumonia epidemic did not have any major impact on their school life. The five sources of psychological stress, including academic, employment, economic, interpersonal relationship and love, were calculated and analysed in the model, which showed that employment stress, academic stress and economic stress were the largest sources of psychological stress among college students in this new pneumonia epidemic, accounting for 89%, 81% and 93%, respectively. They were followed by interpersonal and romantic stress, with 31% and 52%, respectively. © 2022 Liping Zhang.

Air pollution with pm10 for the municipality of Burgas and the monthly cases of disease with COVID 19, 2021

An important environmental problem for the Municipality of Burgas is the relatively high levels of PM10 pollution. Particulate matter PM10 is defined as the fraction of particles with an aerodynamic diameter smaller than 10 pm. The article provides statistical processing and evaluation of daily data on the concentration of PM10 in the air by quarters fix Burgas, 2021. A histogram of the frequency distribution of concentrations by quarters was prepared. A regression model for calculating the monthly concentrations in the atmospheric air is derived The tests and inspections performed show that the performed modelling is suitable for evaluation, analysis and forecast. Air pollution harms human health and the environment. Exposure ID air pollution is associated with a wide range of acute and chronic health effects, ranging from irritating effects to death From the end of 2019 until now in the world, Europe and in particular Bulgaria is raging a dangerous respiratory disease known as COVD19. The average monthly new cases of COVD19 for Burgas were assessed, as well as the respective maximum and minimum monthly values. A qualitative assessment of the relationship between the monthly concentrations of PM10 and the incidence of COVID19 was made.

Need of Technological Interventions for Indoor Air Quality and Risk Assessment Upon Short-Term Exposure: A Futuristic Approach

The variation in ambient air pollution hampers indoor air quality (IAQ), and even the short-term variation is very hazardous for the exposed population. Technological interventions including sensors, smartphones and other gadgets are implemented to build smart environments. However, these interventions are still not fully explored in developing countries like India. The COVID-19 pandemic has made it very important to keep a tab on the air we breathe in as those already suffering from respiratory troubles are prone to fall victim to the deadly disease. In such a scenario, even a rise in pollution for a short duration is dangerous to the exposed pollution. Such short-term exposure facilitated by the meteorological creates a disaster for environmental health. The short-term rise in the concentration of pollutants makes things worse for the exposed people, even indoors. It is therefore critical to come up with a concrete solution to predict the IAQ instantly and warn the exposed population which can be only achieved by technological interventions and futuristic Internet of Things-based computational predictions. This chapter is intended to elaborate the health hazards linked to short-term rise in pollutants, which often goes unnoticed but has a critical impact and how with the help of IoT-based applications, the short-term variation can be predicted through different strategies. Similarly, the assessment of the health impact associated with short-term exposure to air pollution is also significant, and different exposure assessment models and computational strategies are discussed in the course of the study. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Antecedents of Booster Vaccine Intention for Domestic and International Travel

Herd immunity through vaccination has been a major technique for long-term COVID-19 infection management, with significant consequences for travel willingness and the recovery of the hospitality and tourism industries. However, indications that vaccine-induced immunity declines over time imply the need for booster vaccines. This could minimize the perceived health hazards of travel while enhancing travel propensity. This study integrated the theory of basic human values, the norm activation model, and the theory of planned behavior to investigate the role of cognitive aspects of individuals' booster vaccine intention on domestic and international travel intention. More importantly, the study examined the role of value in activating moral responsibility and individuals' beliefs to take the booster vaccine before traveling. A total of 315 Korean samples were collected to test the proposed conceptual model using structural equation modeling. In general, the results supported the proposed hypotheses. Notably, the intention to take the booster vaccine has a substantial impact on the intention to travel internationally. Furthermore, the communal values accept benevolence have an influence on personal morals and beliefs about receiving booster vaccines before international traveling.

Post-pandemic revisit intentions: how shopping value and visit frequency matters

PurposeThis paper examines the effect of shopping value (utilitarian, hedonic and social) on shopping satisfaction and store revisit intention in the post-pandemic phase. Additionally, the authors investigate how shoppers' COVID-responsible behaviour and visit frequency are contingent on their shopping value evaluations.Design/methodology/approachData were collected (n = 527) using the store intercept method during March 2022 (a recovery phase from the third wave of COVID-19 in India). The authors adopted structural equation modelling to test the proposed model.FindingsShopping values significantly impacted shopping satisfaction and store revisit intentions. The effects of utilitarian and hedonic value on satisfaction were stronger for frequent shoppers than infrequent shoppers. While utilitarian value contributes to stronger satisfaction of COVID-responsible shoppers, COVID-non-responsible shoppers are better satisfied with social value. The impact of hedonic and social value on satisfaction has reduced significantly from the pre- to post-pandemic phase.Practical implicationsPractising managers should recognise that positive shopping value evaluations are important for generating satisfaction. Notably, the utilitarian value becomes more important in times of environmental exigencies. The study provides insights to devise strategies to attract and retain frequent shoppers who are major contributors to the store's profit.Originality/valueThis study is one of the few studies which focuses on in-store shopping and consumers' shopping value evaluations in a COVID-19 recovery phase. This study is one of the first that compares the post-pandemic shopping value judgement to a pre-pandemic phase. The authors provide valuable insights into store revisit intentions of shoppers who behave responsibly in a challenging environment.

COVID-19, long-COVID and return-to-work a questionnaire to investigate the experience of the occupational physicians from an Italian region

IntroductionThe issues related to return-to-work (RTW) after COVID-19, and the impact of long-COVID on workers' health engaged in different occupations are far to be fully acknowledged. Occupational Physicians (OPs) represent an important and competent source for the evaluation of these issues in workplaces, scant considered in research up now.Material And MethodsA literature search was performed to develop a questionnaire targeting the Italian OPs. The survey collects data on COVID-19 related RTW issues and on long-COVID symptoms occurrence in workers of Emilia-Romagna region (Italy).ResultsThe questionnaire involves three sections. The first with general information on the OPs activity (industrial sector and types of companies followed, main occupational hazards, health surveillance programs carried out). The second section is about long-COVID, defined according to the World Health Organization and the U.S. Centers for Disease Control and Prevention. A list of 22 symptoms based on a systematic search in MedLine has been developed asthenia;air hunger;chest tightness;memory/concentration problems;mental confusion;joint/muscle pain;sleep disorders;heart palpitations;dizziness;tingling/dysesthesia;gastrointestinal problems;depression and/or anxiety;tinnitus;inappetence;low-grade fever;high-grade fever;cough;headache;sore-throat;changes in smell/taste;skin rashes;other symptoms (to be specified). The main characteristics of the workers with long-COVID (age, gender, concomitant diseases, vaccination, smoking habit, body weight and previous infections etc.) and the frequency of the long-COVID symptoms are collected. The last section investigates RTW issues, to quantify the impact of the phenomenon in terms of workers involved, main characteristics of subjects with RTW problems, and implications for their work-ability.ConclusionsUsing the OPs direct experience as source of information, the study is aimed to develop new knowledge on the long-term impacts of the SARS-CoV-2 pandemic on workers' health, specifically considering RTW issues and the occurrence of long-COVID symptoms.

Advancing global health with occupational epidemiology

This presentation will explore the essential role of occupational epidemiology in global health. Our field provides critical perspectives – relevant not only for the identification of health hazards at work but in global health more broadly – on the identification of risk factors for disease in populations, the weighing of evidence for causality, and the design and implementation of public health interventions. This presentation is informed by analyses of recent health crises including the COVID-19 pandemic, the epidemic of ‘deaths of despair' in the U.S. and the increasing toll of heat illnesses on a warming planet.In addition to study design and data analytic methods, occupational epidemiologists are trained to understand the physical and social environments in which work is conducted as well as the biological processes that link exposure to disease, and how all this impact population health. This multi-disciplinary training enables occupational epidemiologists to identify hazards and interventions that may be overlooked by other disciplines. Occupational epidemiologists learn that economic and political forces have powerful effects on the work environment, and this shapes their perspective on how evidence is weighed in public health decision-making. Rather than using rigid evidence to decision frameworks inspired by randomized controlled trials, evaluating evidence for action uses triangulation among diverse types and qualities of evidence to guide prevention. In occupational epidemiology, the precautionary principle can be understood as one aspect of the fundamental perspective that there is no pre-defined level of certainty that is needed before taking preventive action;instead, there are different amounts and qualities of evidence that are sufficient for each specific proposed intervention.A continuing supply of occupational epidemiologists is needed to respond to future global health challenges. Professional training programs are needed to ensure this workforce;training which includes epidemiology and biostatistics, physiology, occupational hygiene, engineering and the social and economic aspects of work and health. Occupational epidemiology should be core training in global health programs.

Visibility Improvement in Air Pollution Scene by Joint Sharpness - Contrast Enhanced Dehazing

In the latter half of the 1980s, PM2.5 pollution in Beijing became a serious problem, and there were concerns about health hazards. It was expected that China's emissions must be reduced from 2013 to 2016, and the lockdown effect of Covid-19 would bring about an end, but it is still reluctant to regulate CO2 emissions. Again, in Beijing in November 2021, a visibility of 500 m or less has been observed, then road traffic is dangerous in addition to health. After that, the center of pollution has moved from India to Mongolia, and now Nepal, Qatar and Saudi Arabia. The situation is still serious in developing countries. Image restoration to remove the effects of haze and fog has been a long-standing concern of NASA, and their original Visual Servo has been put into practical use. Though the mainstream moved to the technique based on atmospheric physics. He et al.'s Dark Channel Priority (DCP) logic has had a certain effect on heavily polluted PM 2.5 scenes, but there is a limit to the restoration of detailed visibility. The observed images are affected by two spatial inhomogeneities of 1) atmospheric layer and 2) illumination. As a countermeasure, we have improved DCP process with the help of Retinex and introduced the veil coefficient as reported in CIC24. Recently, a variety of improvements in single image Dehazing, using FFA-net, BPP-net, LCA-net, or Vision-based model are in progress. However, in each case, visibility of details is still a common problem. This paper proposes an improvement in detail visibility by (1) joint sharpness-contrast preprocess (2) adjustment in Dehaze effect with veil coefficient v Lastly, we challenge numerical evaluation of improvement in detail visibility by the two ways of attenuation of high-frequency Fourier spectrum and the expansion rate of the color gamut. © 2022 Society for Imaging Science and Technology.

Perceptions of family caregivers in the caring for COVID-19 patient: self-sacrificing management, fear, and loneliness to protect the patient - a qualitative content analysis

This study aimed to evaluate the perception of family caregivers in the care process of patients with COVID-19. This study was conducted on 19 family caregivers, who were selected using purposive sampling from 2021 to 2022. Unstructured interviews were used to collect data. The data were analyzed using the Kyngas conventional content analysis approach. The analysis of data led to three main themes, including unremitting efforts in physical care in the light of traditional medicine, accuracy, and intelligence in psychological attention and trying to maintain environmental health. According to the results, family caregivers provide high levels of self-sacrificing, continuous, and comprehensive, combined with fear and loneliness care in different dimensions with little or no support from the family, community, and health team.

Real-life toxicants as an emerging challenge in the rehabilitation of COVID-19 survivors

Awareness of COVID-19 infection, as a public crisis, makes an emergency condition for survivors. Regarding the importance of early rehabilitation, we should pay particular attention to the potential risk of real-life toxicants in COVID-19 survivors. The adverse effects underlying COVID-19 infection lead to persistent sequelae in survivors. In addition, complete rehabilitation is challenging in seriously-ill patients due to cytokine storm severity, inflammation, oxidative stress, and cell death contributing to multi-organ damage. Different foods, environmental/occupational pollutants, and unhealthy lifestyles are real-life examples of toxicants that can pose redox imbalance and oxidative damage to the biological system. The key concept is that survived patients with persistent tissue damage, low-grade inflammation, oxidative stress, and fibrosis are susceptible to real-life toxic stressors, which have the potential for oxidative stress. Moreover, fibrosis are susceptible to toxic stressors, which can induce harmful effects by promoting oxidative stress and pro-inflammatory components. This paper attempted to elucidate a vital toxicological concept in which the existing sequelae of COVID-19 survivors increase the potential risk of real-life toxicants and to propose a practical strategic approach to reduce toxicant exposure.

COVID-19 impacts on the AEC industry with a focus on Africa

PurposeThe unexpected spread of COVID-19 rapidly switched from a health crisis to an economic one. The Architectural, Engineering and Construction (AEC) industry experienced drastic impacts, especially in Africa. Several studies investigated COVID-19 impacts on the AEC industry, but very few were conducted in Africa. This study aims to cover this gap, address detailed overview of negative and positive impacts of COVID-19 on the AEC field, especially in the different African regions, and highlight their causes and the measures taken to overcome them.Design/methodology/approachThe authors combined a Preferred Reporting Items for Systematic Reviews and Meta-Analyses-based Systematic Literature Review (SLR) and a survey involving 87 AEC companies operating in Africa. The SLR initially used four scientific databases;however, considering the limited Africa-related found data, institutional and governmental databases were also included.FindingsGlobally, implementing the mandated restrictive measures against COVID-19 caused significant losses for developers, designers and contractors but helped the information and communication technologies operators to thrive. In the five African regions, the AEC industry experienced 22 heavy impacts that can be split into four categories: financial, managerial/strategic, operational and opportunities. This paper thoughtfully explains the causes of COVID-19 impacts and presents the undertaken measures by the African private and public sectors to overcome them. Generally, the African AEC industry lost 51% of the total sales in 2020.Originality/valueThis paper contains all aspects related to health hazard influences on the AEC industry, especially in Africa. Researchers and decision-makers may use it to build new approaches or strategies related to risk management or design technological solutions.

Progress in the distribution characteristics and risks of bioaerosols from anthropogenic sources

In recent years, the global outbreak of COVID-19 has aroused public attention to the potential risks of bioaerosols and the studies about the potential health hazards of bioaerosols from anthropogenic sources have been increasing. We introduced the research status of four main anthropogenic bioaerosols in recent years, compared the distribution and composition characteristics of bioaerosols from different anthropogenic sources, and analyzed the main factors affecting the characteristics and potential risks of bioaerosols. The average concentration of bioaerosol is high in animal farms, moderate in wastewater treatment plants and landfills, and low in hospitals. The microbial composition of bioaerosols at different sites is closely associated with the bioaerosol source and affected by the environmental conditions. Furthermore, this work prospected the main research directions of anthropogenic bioaerosols in the future, aiming to lay a foundation for the establishment of bioaerosol control standards and the development of control technology.

Risk of SARS-CoV-2 infection in a large cohort of Ontario workers

IntroductionWork is a key determinant of COVID-19 outcomes, however occupational surveillance is a critical information gap in many countries, including Canada. Understanding the risk of SARS-CoV-2 by occupation can identify high risk groups that can be targeted for prevention strategies.Materials and MethodsThe cohort includes 1,205,847 former workers compensation (non-COVID-19) claimants (aged 15–65) linked to health databases in Ontario, Canada. Incident cases were defined as either having a confirmed positive polymerase chain reaction (PCR) test in the Ontario Laboratory Information System (OLIS), or an International Classification of Diseases (ICD-10-CA) diagnostic code of U07.1 in hospitalization or emergency department records (February 2020-December 2021). Workers were followed until diagnosis, death, emigration, age 65 or end of follow-up. Sex- and age-adjusted Cox proportional hazards models were used to estimate hazards ratios (HR) and 95% confidence intervals (CI) by occupation, compared to all other cohort members. Analyses were also conducted to examine occupational trends in testing and diagnosis during waves of infection.ResultsOverall, 80,740 COVID-19 cases were diagnosed among workers during follow-up, of those, 80% were diagnosed with a positive PCR test. Associations were identified between COVID-19 diagnosis and employment in nursing (HR=1.44, CI95%=1.40–1.49), air transport operating (HR=1.61, CI95%=1.47–1.77), textile/fur/leather products fabricating, assembling, and repairing (HR=1.38, CI95%=1.25–1.54), apparel and furnishing services (HR=1.38, CI95%=1.19–1.60), and janitor and cleaning services (HR=1.11, CI95%=1.06–1.16). Restricted analyses where health care workers were omitted from the comparison group strengthened some associations for other high-risk workers. Test positivity ranged between 4–16% across major occupation groups. Risks varied over time and with changes in protective measures in workplaces and in broader communities.ConclusionsElevated risk of SARS-CoV-2 infection in health care, manufacturing, transportation, and service workers were identified, underscoring the importance of including occupational data in COVID-19 surveillance. Occupational trends in severe outcomes and vaccination are also being explored.

Risk for hospitalization due to COVID-19 in relation to occupational exposures as estimated by two different job-exposure matrices

IntroductionThe COVID-19 pandemic has profoundly challenged occupational safety and health. We assessed risk for hospitalization for COVID-19 in relation to potential routes and degree of occupational exposure.Material and MethodsThe study includes 1 105 042 subjects in the county of Stockholm of age 18–64 years, with an occupational code, followed regarding hospitalization from 1 March 2020 until 15 September 2022. We used two different job-exposure matrices (JEMs), based on survey data (Office for National Statistics 2020) and expert assessment (Oude Hengel et al 2022, module for Denmark), respectively. Hazard ratios (HRs) and 95% confidence intervals (CI) were obtained with Cox´s proportional hazards models. Fully adjusted models included age, sex, vaccination (time-dependent), household size, living space per person, income quintile, proportion of smokers in the occupation, and country of birth.ResultsWe observed 6523 hospitalizations with COVID-19 as the main diagnosis. HRs increased incrementally with the exposure dimensions in both JEMs and were increased already from the low-exposed categories.The fully adjusted HRs (95% CI) for the highest exposure category were for the survey-based JEM: Closeness to other people (very close, almost touching): 1.51 (1.42–1.59);Exposure to other people´s diseases (daily): 1.41 (1.33–1.50). Similarly, we found for the expert-based JEM: Number of co-workers in close vicinity (>30/day): 1.47 (1.39–1.57);Nature of contact with other people (regular contact with COVID-19 patients): 1.51 (1.40–1.63);Location of work (>4h/day indoors): 1.25 (1.19–1.31);Inability to keep social distancing (can never maintain >1m): 1.42 (1.33–1.51).ConclusionsDimensions of potential occupational exposure in both the survey- and expert-based JEMs were consistently associated with hospitalization for COVID-19 and may thus guide risk assessment. Increased risks observed already in the lower exposure categories indicate a need for enhanced preventive measures also in those settings.

Tracking COVID-19 in sewers and in patients to help halt the pandemic

In this article, experts highlighted their experiences with employing a wastewater-based epidemiological surveillance (WBE) approach to track coronavirus infection levels in local communities in an online symposium. The objective of the Water Research Commission (WRC)-hosted symposium was to share knowledge on the progress that has been made in South Africa in monitoring the spread of COVID-19 using the WBE approach. With insights from collaborating partners, the establishment of South African Collaborative COVID-19 Environmental Surveillance System (SACCESS) has become one of the most significant development to date in terms of WBE surveillance in South Africa. With SACCESS and WBE, advance warnings about outbreaks can be made, such that the data collected using the WBE approach enabled researchers to predict the surge in clinical cases in April in KwaZulu-Natal three weeks before it happened. But risk is still prevalent for the health of wastewater workers or in the reuse of treated effluents, as well as the absence of WBE surveillance in non-sewered communities. With this, research has been made on developing and optimising the methodology for SARS-CoV-2 detection, quantification and monitoring in different types of samples from non-sewered environments. The detection of SARS-CoV-2 RNA in 98% of the wastewater samples collected has demonstrated the proof of concept for using WBE surveillance to track COVID-19. Continued WBE sampling at priority sites will allow for the expansion of pandemic trend monitoring. In terms of the impact on public health decision-making, only the City of Cape Town and the Western Cape Provincial Department of Health have incorporated WBE into their local responses.

Laser-Induced Smoke in Dermatologic Practice: A Survey to Explore Hazard Perceptions, Safety Measures and Unmet Needs.

Introduction: Inhalation of laser-induced smoke is a potential health hazard to exposed physicians and laser operators. To date, little is known about the perception of health hazards related to laser-induced smoke exposure among physicians and the actual use of safety measures to mitigate these risks. Methods: In May 2020, 514 members of the European Society for Lasers and Energy-Based Devices (ESLD) were invited by email to participate in an online survey. The survey comprised 16 questions including multiple-choice and open-ended questions. Results: Responses were received from 109 participants. The majority (90%) were aware of potential hazards and highlighted a desire for better protective measures (60%). A smoke evacuation system was frequently used with ablative lasers (66%) and fractional ablative lasers (61%), but less the case with non-ablative lasers (30%) and hair removal lasers (28%). The COVID-19 outbreak had no clear effect on the use of smoke evacuation systems. Prior to the COVID-19 outbreak, mainly surgical masks were used (40-57%), while high filtration masks (FFP1, FFP2 or FFP3) were used by only a small percentage (15-30%). Post COVID-19 outbreak, the use of high filtration masks increased significantly (54-66%), predominately due to an increase in the use of FFP2 masks. Reasons mentioned for inadequate protective measures were sparse knowledge, limited availability, discomfort, excessive noise, high room temperatures, and financial costs. Conclusion: While there is considerable awareness of the hazards of laser-induced smoke among physicians and laser operators, a substantial number of them do not use appropriate protective measures. The implementation of regulations on safety measures is hampered by sparse knowledge, limited availability, discomfort, excessive noise, financial issues, and high room temperatures.

Risk communication and community engagement as an emerging pillar of health emergency management in Iran: Achievements and the way forward.

This article is part of the Research Topic Health Systems Recovery in the Context of COVID-19 and Protracted Conflict. Risk communication and community engagement (RCCE) is an essential component of emergency preparedness and response. In Iran, RCCE is a relatively new area of public health. During the COVID-19 pandemic in Iran, the national task force relied on conventional methods, which is to utilize existing primary health care (PHC) structure to implement RCCE activities around the country. The PHC network and the community health volunteers embedded in it enabled the country to bridge the health system and communities from the very beginning of the COVID-19 pandemic. The RCCE strategy to respond to COVID-19 was adapted over time with the development of a national program, commonly known as the "Shahid Qassem Soleimani" project. This project consisted of six steps including case detection, laboratory testing through the establishment of sampling centers, scale up of clinical care to vulnerable groups, contact tracing, home care for vulnerable population, and COVID-19 vaccination roll out. Nearly 3 years into the pandemic, the importance of designing RCCE for all types of emergencies, allocating a dedicated team to RCCE, coordinating with different stakeholders, improving the capacity of RCCE focal points, practicing more efficient social listening, and using social insight for better planning were identified as some lessons learned. Further, Iran's RCCE experience during the COVID-19 pandemic underscores the importance of continuing to invest in the health system, particularly PHC.

Is the pandemic masking waste management?–A review on fallout of the COVID-19 viral contagion

The global outbreak of SARS-CoV-2 has spurred a reassessment of Municipal Solid Waste management strategies and approaches. A significant need for sanitation and hygiene was accentuated for disease prevention and control with the onset of the pandemic. With an alteration of the status quo in waste management system, an unprecedented amount of face masks, protective equipment, and other biological wastes was generated in the form of Municipal Solid Waste. This upsurge of potentially infected wastes originated a risk of transmission amongst frontline workers. Furthermore, the potential contamination of Municipal Solid Waste was rendered as a legitimate threat due to improper collection practices, disposal and handling of solid waste. Several novel waste disposal techniques and waste management policies were also introduced during this period. However, the sanitation-policy making-occupational safety nexus remains inadequately explored under the prevalent COVID-19 scenario. Through the prism of shifting waste composition, this review offers a global assessment of existing solid waste management systems during the COVID-19 pandemic. The physiological and psychological hazards faced by the frontline workers were explored and instances of best-case and worst-case policies on solid waste handling were recorded. Modern methods of waste disposal and latest trends of policymaking were evaluated. A model study of unsupervised learning via Partition Around Medoids cluster analysis was undertaken to reveal underlying patterns of waste management policies. Although, the clusters were formed devoid of any socio-economic parameters, this study strives to indicate proof of concept and can serve as a precursor to advanced clustering studies. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.