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Introduction: The world is going through an unprecedented phase of COVID-19. Safe and healthy workplace are integral part of Occupational Health. Unsafe work practices anywhere are a constant threat, both for our health and sustainable business of an organization. Screening involves testing asymptomatic individuals who do not have known or suspected exposure to COVID-19. There is no screening strategy to exclude anyone contagious entering workplace. Objective(s): Workplace-based testing for COVID-19 and thus help to prevent or reduce further transmission. Methodology: A cross-sectional study was conducted through screening for COVID-19 by Rapid Antigen Test (RAT) or RTPCR test (TrueNat) of 860 workers who appeared for initial and periodical medical examinations (IME / PME) under Occupational Health Service of a mine hospital in Jharkhand. Study period: December 2020 to April 2021. Chi-Square test was used for statistical analysis. Result(s): Study revealed, mean age of employees 32.09+/-8.42 years. Total 28 (3%) workers were tested COVID-19 positive, mostly asymptomatic (64%). Among COVID positive cases, 16 (57%) were in age group of 21-30 years and 25 (89%) were male. Among the symptomatic cases (n=10), 50% presented with generalized weakness. 20% workers presented with fever, 20% with cough and 10% workers had sore throat. Generalized weakness was significantly associated (p< 0.05) with COVID positive cases (x2=8.944, p=0.003). Conclusion(s): Screening is important part of health check-up to maintain safety in workplace, especially in time of pandemic. Most of the affected persons were asymptomatic and would have been caused of more positive cases at workplace, community at large. Our study emphasized the need for implementation of population-based screening programs at shop floors to prevent spread of COVID-19 among the mining workers.
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The proceedings contain 32 papers. The topics discussed include: assessment of workplace indoor fine particle exposure and pulmonary function parameters among ceramic tile industry workers of West India;respiratory morbidities in school children of critically polluted industrial area of Gujarat - a prospective observational study;morbidities among workers of an organochlorine pesticide industry;identifying interventions to reduce NCDs in workplaces in India: a stakeholder's assessment;examining toxic metals in biological samples and residential PM2.5 to evaluate their risk in adolescent children;ergonomics hazard assessment reduction in large scale petrochemical complex, Vadodara;factors associated with work related quality of life among garment factory employees in South India;factors associated with work related quality of life among garment factory employees in South India;and screening for COVID-19 among workers attending medical examinations under occupational health service of an open cast iron ore mine in Jharkhand: a cross-sectional study.
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Introduction: Occupational health professionals (OHP) have played an important role in surveillance, prevention and control against COVID-19 at the workplace. Objective(s):To determine the risk factors associated with exposure to SARS-CoV-2 during the first and second waves of the Pandemic in Peru. Material(s) and Method(s): A cross-sectional study and secondary data analysis were made. OHP were virtually asked about exposed to COVID-19 at work and its social, educational and labor factors. Result(s): Of the 2,863 answers, we found in the multivariate analysis: there was more frequency of exposure to COVID-19 in the mining (p value=0.046);nutrition sector (p value=0.009);in the public sector (p value <0.001), manufacturing (p value<0.001);if the professional performs care work (p value<0.001);if they perform occupational medical evaluations (p value=0.001), who are nursing technicians (p value=0.016) and who are medical technologists (p value<0.001);On the other hand, there were less exposure when they were older (p value=0.006) and among those who had a specialty in occupational health (p value=0.025). Discussion(s): Important factors were associated with occupational exposure of OHP professionals, which can serve to prioritize professionals who should take care of themselves and to include into complete vaccination schedule.Copyright © 2022, Accion Medica S.A.. All rights reserved.
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Introduction: Occupational Health Services (OHS) promotes the partnership between employees and their mental well-being at the workplace to ensure the safety and health of the employees by setting and enforcing standards, to minimize fatigue, injury, and ill-health from workplaces. This paper deals with analytical tools especially Machine Learning Modelling which combines operational data with data analysis of stress-related mental disorders due to the COVID pandemic to present complex and competitive medical information to OHS physicians and management. Objective(s): To predict the mental health disorder trends from medical history and Covid-19 data samples due to the ongoing COVID pandemic Material(s) and Method(s): The Case study of the computing analytical tools by using data available (COVID 19 positive cases in industry setup) of employees and will be used to track signs and symptoms of mental health disorders of employees and is user friendly and helpful to key decision-makers. This paper deals with attributes of stressrelated disorders depending on signs and symptoms and classifies patients into mild, moderate, and severe stress categories. Result(s): The resultant mental disorder tendency in employees is related to a stressful environment, both at home and work due to the surge in COVID 19 cases. It may be a cause for mental disorders in the future also. Thus, OH physician may suggest remedial measures to give early-stage treatment for mental health disorders that may impair the mental health and vitality of employees leading to accidents and also preventing potential chronic mental health diseases in future Conclusion(s): This analysis will provide healthy, happy & productive employees at the workplace by helping OH physicians in identifying mental health disorders at an early stage and suggesting employees continue positive mental attributes which will promote their health and longevity. Thus, this tool helps in the promotion, prevention, and protection of the health of employees especially the mental aspect which is often ignored.
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Introduction: The Oil and Gas industry has been adversely affected by the fallout of the Covid-19 pandemic which are the country's essential and strategic resources and sustaining hydrocarbon operations becomes even more critical under this exceptional circumstances. This paper discusses best practices followed by Occupational Health Services, Uran Plant in formulating Covid-19 response framework premised on preserving "Men, material and Resources". Methodology: The initiative, response action, decisions during pre-lockdown and lockdown 1,2,3 and 4 included awareness campaigns, safety measures, employee engagement, operational continuity, employee morale preventive and curative services using digital technology, Standard operating procedure for Covid-19 including quarantine measures, hospitalization for complicated cases for Covid-19 as well as other ailments, OPD and IPD prescriptions through digital mode, social distancing measures, wearing of masks and Sanitization of workplaces. Result(s): Total strength of employees (regular, contractual, direct employee, CISF) is approximately 1500. The Covid-19 positive cases of active employees detected till date were 66 (4.4%) of which all recovered due to best preventive and curative services of ONGC, Uran Plant. Conclusion(s): Various measures, well planned and coordinated efforts by OHS and management helped in mitigating the challenges emerging out of Covid-19.
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Introduction: Low back pain continues to be one of the main symptoms in personnel carrying out loads, but this was not widely investigated in the context of COVID-19. Objective: To determine the socio-occupational factors associated with low back pain in technicians and nurses of critical medical services who treated COVID-19 patients. Material and Methodos: Cross-sectional analytical study. Through a virtual survey, information was collected from the nursing staff of the general ICU, COVID-19 ICU and Traumatology services of a Social Security hospital in Lima-Peru. The main variable was low back pain, this was crossed with other variables of interest through descriptive and analytical statistics. Results: Of the 265 responses, 62% (165) reported having low back pain. In the multivariate model, it was found that there was a greater suffering from low back pain according to having more years of work (RPa: 1,03;CI: 95%: 1,01-1,06;p-value=0,008) and if they had previously had a work disability (RPa: 1.45;95% CI: 1.25-1.68;p-value=<0.001), on the other hand, the older the respondents, the less low back pain (RPa: 0.97;CI95%: 0.95-0.99;p value=0.0013), adjusted for five variables. Discussion: The majority of respondents had low back pain, being associated with more years of work, having previously had a work disability and age. This situation may be repeating itself in similar populations, so occupational health services should carry out evaluations and interventions to improve this reality.
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Objective: To describe the clinical and epidemiological characteristics of workers kept under occupational medical surveillance conducted by an occupational safety and health service. Materials and methods: An observational, descriptive, retrospective, longitudinal study of a group of workers diagnosed with COVID-19 kept under occupational medical surveillance from March 18 to July 31, 2020. The data was analyzed using the Stata Statistical Software: Release 15. Results: Males were more severely affected than females (77.16 %), among which the 20- to 39-year-old age group prevailed (63.30 %). On the other hand, study subjects with no comorbidities accounted for 81.11 %. However, the remaining 18.9 % presented one or more comorbidities, with obesity being the most frequent one (61.95 %), followed by asthma (11.09 %). Sore throat and cough were the most common symptoms with 20.67 % and 19.78 %, respectively. Conclusions: The study population mainly consisted of young male adults with no comorbidities, who neither showed predominant symptoms nor required hospitalization.
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Background: Poor knowledge of the language has been identified as a barrier to up-to-date occupational safety and health information, however, this question has not been addressed in the context of occupational safety and health expert competence in providing advice for employers in a small, non-English speaking country. Objectives: To analyze the available data on the use of languages for searching professional information by occupational safety and health (OSH) experts, and the sources of information on COVID-19 during the first wave of the pandemic in Latvia, and to assess if the knowledge of the English language among these experts is sufficient to react rapidly and effectively in case of emergency. Methods: Data were compiled from several different sources: three web-based surveys of occupational safety and health experts (data from 2006, 2010, and 2018) and ten focus group discussions with employers and occupational safety and health experts (data from 2020). Results: The results of the surveys show that between 2006 and 2018, the percentage of respondents using only one language (Latvian) for searching professional information in occupational safety and health has increased from 25 to 35.3%. In 2018, the English language was mentioned by only 42.8% of respondents and Russian by 46.8%. During the focus group discussions, the use of English was mentioned for obtaining trustful information from international organizations, for analysis of information received within international companies, for searching international experience, and for finding county-specific information. Discussion: Our study shows that knowledge of the English language for occupational safety and health experts working in Latvia is not sufficient. The companies providing external occupational safety and health services should establish a well-functioning internal training system to provide their non-English speaking experts with up-to-date information. Occupational safety and health-related non-governmental institutions should strengthen their capacity in sharing information related to different occupational safety and health aspects into the national language (Latvian in this particular case).
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COVID-19 , Occupational Health , COVID-19/epidemiology , COVID-19/prevention & control , Humans , Language , LatviaABSTRACT
Background: Peru has been one of the countries with the highest burden of disease due to COVID-19. The Government of Peru has established basic guidelines for the preparation and registration of plans for the surveillance, prevention, and control of COVID-19 at work (PVPC) of Peruvian institutions. Objective:To characterize the PVPC of health sector institutions in Peru. Materials and Methods: retrospective descriptive secondary database study. The PVPCs of the health sector registered in the SISCOVID-Empresas platform of the Ministry of Health of Peru, mandatory registration for the reactivation of activities during the COVID-19 pandemic, were evaluated. Results: 1263 PVPC records from the health sector registered on the SISCOVID-Empresas platform were analyzed. Of the registered PVPCs, 5.8% of companies do not have a supervisor or committee for occupational safety and health, and 38.6% of companies with more than 20 workers do not have a health professional. Conclusions: A high non-compliance with what is required in the PVPCs in institutions of the Peruvian health sector was identified. It is necessary to reinforce and supervise the adequate fulfillment of the PVPC in these institutions.
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Background. The incidence of hepatitis A virus (HAV) infection has been rising in the US since 2016, and in New York State since 2019. New York City has also seen an increase of HAV infection among high risk populations. We present a case of acute HAV infection in an inpatient psychiatry unit which has its own unique isolation and management challenges. Methods. A patient was admitted on 3/21/21 from a group home. He developed abdominal pain, diarrhea and vomiting on 4/15, with elevated liver function tests (LFT). He was transferred to Medicine on 4/17 and HAV IgM and IgG resulted positive on 4/18. Visitation to the unit has been halted for over a year, and no outside food has been allowed. The patient has not been observed to have any sexual exposure to others. Investigation. Exposure window: 15 days prior to start of symptoms. Patients in the unit were screened for symptoms, tested for HAV IgM/IgG, LFTs. Discharged patients were contacted and referred straight for vaccination (difficult to have multiple visits). Staff members with contact to the unit were screened, via email and phone calls. If no previous vaccination and there was presence of exposure or symptoms, staff were referred to Occupational Health Services (OHS). Other Measures: The unit was terminally cleaned and daily enhanced cleaning with bleach ensued. Daily assessment of patients and staff for symptoms. Admissions were held for 2 days until all the patients were tested and given vaccine. Further admissions were screened for HAV. Results. 32 inpatients screened. One patient was positive for HAV IgM, but was asymptomatic with normal LFTs. On investigation, patient had acute hepatitis in February 2021. Patients with no immunity were vaccinated. Two immunocompromised patients were also given HAV immunoglobulin. On chart review, 6 out of 29 discharged patients had evidence of immunity. 133 staff were screened and 54 referred to OHS (see table). Conclusion. As evident with numerous COVID outbreaks in inpatient Psychiatry units, communicable diseases are difficult to control. Patients are in an interactive communal setting and participate in group sessions. For better care and safety of patients and staff, our unit will screen and offer HAV vaccine to new admissions.
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BACKGROUND: In 2020, the first year of the COVID-19 pandemic, there were a number of factors affecting employees, employers, and consequently, both directly and indirectly, the occupational health service (OHS). The purpose of this publication is to analyze the activity of physicians and OHS units in this period in Poland. MATERIAL AND METHODS: The analysis of the number of physicians, OHS units and their activities was performed on the basis of the MZ-35 and MZ-35A statistical forms, which represent obligatory medical reporting. RESULTS: There were 6349 occupational medicine physicians in Poland, who are entitled to conduct prophylactic examinations of employees and provide preventive health care, necessary due to working conditions (less by 248 [3.8%] compared to 2019). At the same time, the number of OHS basic units decreased to 5784 (by 3.2%). In 2020, occupational health physicians reported 4 314 520 prophylactic examinations of employees and job applicants, what is over 1 million 231 thousand (22.2%) less than in the year preceding the pandemic. In addition, they reported the performance of 255 887 prophylactic examinations related to the practical vocational training of pupils, students, participants in qualification vocational training and Ph.D. candidates (less by 157 220 [38.1%]). In 2020, they performed 1 933 355 preliminary examinations (23.9% less), 1 924 929 periodic examinations (25.1% less) and 456 236 follow-up examinations (5.1% more). In 2020, there was also a significant decrease in the number of visits to entire workplaces (from 6437 to 3625) and individual positions (from 46 197 to 26 389) carried out by OHS units. Also in 2020, an almost threefold increase (to 2183) in the number of suspected occupational diseases was reported by OHS physicians. In 2019, the duty to submit an annual report regarding prophylactic activities on the MZ-35A form has been obeyed by only 3607 (56.8%) obliged physicians. CONCLUSIONS: The COVID-19 pandemic has significantly affected preventive activities carried out by occupational physicians. Med Pr. 2022;73(1):19-24.
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COVID-19 , Occupational Health Services , Occupational Health , Humans , Pandemics , Poland/epidemiology , SARS-CoV-2ABSTRACT
Introduction: Occupational diseases are annually responsible for the death of approximately 2.0 million people worldwide. Healthcare workers are at higher risk of developing several occupational diseases such as infectious diseases, musculoskeletal disorders and mental distress. This study aims to provide a profile of the main notified occupational diseases and the affected workers in a Portuguese hospital over the last 5 years. Materials and Methods: A cross-sectional observational study was conducted using data from the Occupational Health Service of Centro Hospitalar do Baixo Vouga for the notified occupational diseases in hospital workers between July of 2016 and June of 2021. Results and Conclusions: A total of 355 cases of occupational diseases were notified among hospital workers in these 5 years. Our data showed that COVID-19 infection was the most reported disease since the onset of the current pandemic, with a total of 269 cases, 72 in the year 2020 and 197 in the first semester of 2021. Musculoskeletal disorders were the second most notified group of diseases, representing about 20% of all cases, and the most commonly reported diseases in the pre-pandemic years. Occupational diseases were more prevalent in nurses, followed by hospital aides and physicians. The notification of these diseases was highest among female workers. Ultimately, changes in working conditions and the introduction of new agents may give rise to emerging occupational health risks and diseases. The detection and investigation of these new diseases are essential from a perspective of early recognition and prevention.
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Introduction: Reliable health information systems (HIS) are crucial for sound decision-making for occupational health services (OHS). Strengthening OHS is essential for a healthy and safe healthcare workforce during the COVID-19 pandemic. This study aimed to assess the presence and utilization of OHS HIS in South African hospitals during the COVID-19 pandemic. Methods: A cross-sectional survey was utilized to assess OHS HIS use to inform the COVID-19 outbreak response to protect health workers (HWs) in four hospitals. A validated online questionnaire was administered among purposively selected hospital managers, trade unions and OHS teams. Data were then transferred to Stata for analysis. Results: Seventy-three HWs, representing a combined workforce of 14,743 HWs, participated. Fifty-five percent were female and 65% had an undergraduate qualification. OHS HIS reports were deemed poorly organized by 64%;31% indicated poor data collection;37% noted poor data storage, and ≥ 33% were unhappy or frustrated with the use of HIS for OHS planning. Over 67% felt OHS HIS needed reforms;≤ 14% reported access to IT developers, and 52% access to IT infrastructure. Only 33% knew the minimum set of OHS indicators, and 51% reported that there was demand for OHS information. None of the hospitals were utilizing electronic OHS HIS including for COVID-19. Conclusions: Overall there is poor knowledge and utilization of OHS HIS, despite the availability of an electronic system in two of the hospitals. It is essential, that all the hospitals are provided with access to OHS HIS, and training and awareness conducted to improve OHS management.
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Introduction: Emergency healthcare workers (HCW) are the first point of contact for patients with traumatic injuries and acute illnesses. These professionals are at increased risk for respiratory and blood borne infections, as is the case of hepatitis B virus (HBV) infection and coronavirus disease 2019 (COVID-19). Vaccination is a major tool for preventing HBV infections. The protection provided by the COVID-19 vaccines are yet under evaluation. The objective of this study is to evaluate the HBV and COVID-19 vaccination coverage and the serological hepatitis B immunity among nurse aides working in the emergency department (EM) in a secondary hospital in Portugal. Material and Methods: A descriptive cross-sectional study was conducted by analyzing the Occupational Health Service database of Centro Hospitalar do Baixo Vouga in Aveiro, considering active nurse aides working in the EM in August 2021. Results and Conclusions: Of the total 71 workers included in the study, 61 (85.9%) had completed the vaccination against HBV. From these fully vaccinated HCW, 45 (73.7%) had confirmation of protective Hepatitis B surface antibody (HBsAb) levels (>10 mIU/mL) and 11 (18.3%) had unknown HBsAb levels. Regarding COVID-19 vaccination, 68 (95.7%) of the 71 total workers, had complete vaccination. From these, 43 (63.2%) had the last shot more than 6 months ago. Overall, there is a good adherence of nurse aides working in the EM to HBV and COVID-19 vaccination. In what concerns to HBV vaccination, it is important to implement a more robust system to diminish cases of workers only partially vaccinated or with unknown immunity status.
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Introduction: The 19th National Congress of the Communist Party of China in October 2017 and 1st Session of the 13th National People’s Congress in March 2018 play key role in promoting development of Chinese society. This article present updated information on reform of occupational health (OH) management. Methods: The related information were collected and current practices were introduced. Results: National Health Commission (NHC) of State Council, established on basis of National Health and Family Planning Commission, is responsible all management work related OH, except for supervision of coal mine safety work, still by newly established Ministry of Emergency Management (former SAWS). The State Council strives to implement the advancing reform to delegate power, streamline administration and optimize government services and has an inter-ministerial joint annual conference system for occupational disease prevention and control. New agency entitled with Division of Occupational Health within NHC was established. NHC has revised several regulations, e.g, OH management in workplaces, classification of occupational hazards，diagnosis of occupational diseases， OH services management. Against pneumoconiosis, NHC, jointly with other 9 Ministries and approved by State Council, announced Action plan for pneumoconiosis prevention and treatment in 2019 and has promoted construction of pneumoconiosis rehabilitation stations in some provinces. To prevent Covid-19 epidemic, NHC released several guidelines to instruct the enterprises how to do. Conclusion: The improvement of systematicness of OH management system is still expected.
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Introduction: Botswana has 828 schools with 30 000 teachers. When COVID -19 broke out schools were ill-prepared to deal with the infections. This paper examines the relationship between Occupational Safety and Health and Occupational Health in the fight against COVID-19 and the impact it has had on teachers. Occupational Safety and Health(OSH) and Occupational Health(OH) are critical factors in ensuring the safety and health of employees and in reducing the risks of contracting COVID-19 by teachers in schools. The fight against COVID-19 in schools has been a major challenge in Botswana due to inadequate OSH instruments that can be used in Occupational Health to provide services for teachers. A survey that randomly sampled 10% of urban and rural schools from August 2021 to January 2022. Methods: 1. Observational study based on a 10% sample of schools in urban and rural areas. 2. Examination of official COVID-19 statistics compiled during the pandemic 3. Assess the strength and weakness of the available legislation (the latest version of Factories Act enacted in 1973). Results: A good number of teachers in Botswana contracted COVID-19 and many more were affected through the loss of life. The study is expected to yield the following results: - Whether sampled schools were properly designed ( the existence of OSHMS) Hierarchy of controls, Risk Management Plans and adherence to health protocols. - increased number of infected teachers. - The extent at which legislation has helped or failed the situation. Conclusion: Inadequate legislation compromised the health of teachers OH services was provided by unskilled personnel.
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Introduction: Sickness absenteeism among caregivers is of particular importance during this COVID-19 pandemic period, as health care workers are front-line personnel;however, this implies that they are highly exposed to SARS-CoV-2 as well as to psychosocial risks Materials and Methods: Our study is a retrospective descriptive survey of all absences due to illness declared to the occupational health service by the nursing staff of the CHUIR, over a period from 31 August to 1 November 2020. Our objective is to determine the reasons for absence as well as the characteristics of these cases of work stoppage Results: Our study included 120 cases of absences. The Female sex represented 76.6% of the cases. The average age was 33.61 years;the age range was 23 to 60 years. Average professional tenure was 8.07 years;the seniority range was 3 months to 40 years. Absent staff were nurses in 62.5% of cases. The average length of absence was 16.92 days. The most affected services were medical services in 44.16%, followed by hematology-oncology services in 20% and intensive care departments in 15%. Psychiatric and psycho-social affections represented 30% of cases, including 18% for depression, 10% for burnout and 2% for chronic psychosis;COVID-19 accounted for 20% of cases and pathological pregnancies 16.66% Conclusion: The identification of the reasons for sickness absenteeism among caregivers is essential during this COVID-19 pandemic, in order to orientate preventive measures towards this front-line personnel and allow a more efficient impact of the occupational physician in his action of prevention of professional risks
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Introduction: Restrictive measures put in place by the Belgian National Security Council against Covid-19, impacted the well-being of workers. Material and Methods: During periodical medical exams, carried out by a large Occupational Health Service in Belgium, employees are asked to report their Subjective Units of Distress (SUD) score (1 to 10;score ≥ 7 = red flag). Descriptive analysis and logistic regression are performed on scores and the relation with sociodemographic factors. Results: Data of 2308 employees were available (81.5% female, mean age: 43.2, Health sector 85.6%, Government 7.6%, Services 7.6%, Education 4.0%). Red flags were found for traumatogenic stress in 3.3% of the employees (1.2% in men, 3.8% in women– mean age: 46.7), for problematic mood in 0.9% (0.2% in men, 1.1 in women– mean age: 46.1) and for exhaustion in 4.6% (1.2% in men, 5.3% in women– mean age 45.2). The regression model showed a higher risk for red flags in women and older employees. Significant p-values were found for women (OR=3.12) and age (OR=1.03) on the traumatogenic stress level, and for women (OR=4.70) on the exhaustogenic stress level. No differences were found between sectors. More data will be available by the end of 2021. Conclusion: The COVID-19 pandemic has a direct impact on physical health, but the indirect effects of the restrictive measures on health should not be underestimated. Preliminary results of our study confirm the findings of the COVID-19-Gezondheidsenquêtes of Sciensano in Belgium: women and older employees are more at risk for problematic stress levels.
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Introduction: After more than one year of coronavirus disease 2019 (COVID-19) pandemic, there are still scarce studies on healthcare workers and particular risk factors for infection, with most published papers focusing on the psychological impact of the pandemic. Our group analyzed infection rates by professional category, hospital service, as well as initial symptom onset and description in our hospital center. Material and Methods: We conducted a descriptive study of our hospital center’s healthcare workers that were infected with COVID-19 from the 13th of march of 2020 until the 31st of march of 2021. The information was mostly based on the occupational health service’s database and confirmed by consulting TRACE-COVID, a platform that gathered information on every COVID-19 patient, nationwide. Results: From March 2020 to March 2021, about 13.7% of our hospital’s staff was diagnosed with COVID-19, with the most affected being nurses and nurses’ aides, and healthcare professionals working in the emergency department, as well as infirmaries of internal medicine and general surgery. Conclusions: In our center, known high risk scenarios in the workplace were not particularly met with high incidence rate of infection, probably because of a particular compliance in the use of personal protective equipment. Although the SARS-Cov-2 pandemic remains a challenging event for hospital centers worldwide, occupational health services should use this opportunity to better study infection rates in their work environment and optimize prevention measures to further protect our professional’s health and safety.