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Background. Since the start of the COVID-19 pandemic, Chad has had 7,417 confirmed cases and 193 deaths, one of the lowest in Africa. Objective. This study assessed SARS-CoV-2 immunity in N'Djamena. Methods. In August-October 2021, eleven N'Djamena hospitals collected outpatient data and samples. IgG antibodies against SARSCoV- 2 nucleocapsid protein were identified using ELISA. "Bambino Gesu" Laboratory, Rome, Italy, performed external quality control with chemiluminescence assay. Results. 25-34-year-old (35.2%) made up the largest age group at 31.9 12.6 years. 56.4% were women, 1.3 women/men. The 7th district had 22.5% and the 1st 22.3%. Housewives and students dominated. Overall seroprevalence was 69.5% (95% CI: 67.7-71.3), females 68.2% (65.8-70.5) and males 71.2% (68.6-73.8). >44-year-old had 73.9% seroprevalence. Under-15s were 57.4% positive. Housewives (70.9%), civil servants (71.5%), and health workers (9.7%) had the highest antibody positivity. N'Djamena's 9th district had 73.1% optimism and the 3rd district had 52.5%. Seroprevalences were highest at Good Samaritan Hospital (75.4%) and National General Referral Hospital (74.7%). Conclusion. Our findings indicate a high circulation of SARS-CoV- 2 in N'Djamena, despite low mortality and morbidity after the first two COVID-19 pandemic waves. This high seroprevalence must be considered in Chad's vaccine policy.
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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.
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Background: Studies show that wearing personal protective equipment (PPE) for long periods of time can lead to discomfort such as headaches, which could affect the performance of healthcare workers. The aim of this study was to determine the prevalence and risk factors of headaches related to PPE in healthcare workers at a COVID-19 referral hospital. Methods: A cross-sectional study was conducted involving 174 healthcare workers in a COVID-19 referral hospital in Bali. We conducted interviews using a questionnaire that consisted of three main parts: characteristics of the subjects, PPE usage, and PPE-associated headaches. A multiple logistic regression was used to analyze the data. Results: The analysis results showed that the PPE-associated headaches had a prevalence of 63.8% and were gradual in onset, pressure-like in quality (46%), and mild in intensity (80.1%). PPE level III-associated headache was the most common type. The majority of the participants had headaches up to 6 hours after using the protective gear, but improving within 15-30 minutes of removal and/or after pharmacotherapy. A Chi-squared analysis showed a statistically significant association between duration of PPE use, working units, and PPE levels (p<0.05). A logistic regression analysis found a significant relationship between PPE level and headache occurrence (OR=4.826;95%CI: 2.433-9.572;p<0.001). Conclusion: The frequency of PPE-associated headache was high and the PPE level was a risk factor of headache among healthcare workers. Better strategies are needed to reduce the duration of PPE exposure so that the work performance and quality of life of healthcare workers are not significantly affected.
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Introduction: The COVID-19 pandemic has had effects on the health of health workers, including obstetricians, but the consequences in this occupational group are unknown. Objective: Determine the consequences of COVID-19 on the physical, psychological and social health of obstetricians in Peru. Methods: Observational, descriptive, cross-sectional study, carried out on 511 attending obstetricians, in the first line of care. An online questionnaire, previously validated and reliable, was applied to measure the variables: general characteristics and exposure to COVID-19, physical health, psychological health, and social health. Data were analyzed using descriptive statistics. Results: 468 (91.6%) obstetricians are women, 287 (56.2%) aged 40-59 years, 213 (41.7%) married, 292 (57.1%) working at the first level of care;216 (42.3%) were infected with COVID-19, 165 (32.3%) had headache, 127 (24.9%) sore throat and 121 (23.7%) fatigue;167 (77.3%) required outpatient treatment and 3 (1.3%) intensive care. Obesity reported by 102 (20.0%) obstetricians was the main comorbidity, followed by hypertension with 38 (7.4%) and diabetes with 14 (2.7%);263 (51.5%) reported depressive symptoms and 464 (90.8%) stress;238 (46.6%) felt discrimination and 118 (23.1%) carried the workload of the home alone. Conclusions: The physical, psychological and social health of obstetricians is affected by the pandemic;generates disorders of overweight/obesity, depression, stress;as well as discrimination and work overload at home. © 2023, Editorial Ciencias Medicas. All rights reserved.
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This essay discusses the intervention possibilities of occupational therapy in the field of work in the pandemic period, as well as points out the challenges and perspectives of post-pandemic actions. Interventions were discussed from three stages: i) pre -pandemic preparation;ii) pandemic preparedness strategies;iii) post-pandemic recovery, considering the micro, meso and macrostructural levels, from the perspective of a practice centered on the person and the work environment. Attention to work (in)capacities and acting in the process of returning to work were considered the main interventions of the occupational therapist, articulated with the various actors, institutions, services and class entities, in order to expand actions and promote a network integrated care. The new configurations of work resulting from technological innovation have expanded the interdisciplinary dialogue between occupational therapy and the field of work. It is expected to contribute with theoretical reflections about professional practice and the strengthening of this field in contemporary times.
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The aim of the law is to ensure personal, material and organisational conditions for safe work without endangering human health, to prevent work accidents and occupational diseases by defining the rights and obligations of the state, employers and employees. Since 2003, the concept of occupational safety and health commissioning has been included in the law, which plays a prominent role in the commissioning of dangerous technology or work equipment in health care. [...]of the epidemic, not only the so-called back office area, but also in patient care, the concept of remote work appeared in the field of telemedicine, and some other areas, such as in the case of finding analysis. According to the legislation, the employer must register and Investigate all accidents at work. [...]of this, a wave of insourcing started and in several health institutions they started to employ their own doormen again, wh ich raises further problems.
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Background: Companies had to find quick solutions for continuing to work due to the pandemic in spring 2020. However, working conditions at home (teleworking) do not always comply with the basic principles and quality criteria of workplace health promotion (WHP). Objectives: How strongly is the approach of health-promoting telework (working at home) established in companies and what influences the strategic anchoring and the use of supporting materials? Materials and methods: Theoretically derived hypotheses were operationalised and 1858 Austrian companies were invited to participate in an online survey. The sample (n = 192) represents a broad mix of company sizes, sectors and regions. Results: Workplaces vary widely in their intention to implement health-promoting telework in the future. A part can be explained by multivariate path models, with behavioural control and social norms playing a central role. The former is determined by the degree of preparation for telework and its implementation in the company. In particular, teleworking culture, in addition to teleworking readiness, is shown to be responsible for the strength of social norms towards its implementation. Conclusions: Teleworking has so far received too little attention in the sense of holistic WHP. Such an implementation strongly depends on the health-promoting corporate structures and processes, the culture, and the decision-makers' scope for action. Companies are recommended to follow the concept of capacity building in order to build up competencies and knowledge and to enable appropriate measures.
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Background: Workers whose occupations put them in contact with infected persons and the public are at increased risk of coronavirus disease (COVID-19) infection. Recommendations: The Collegium Ramazzini calls on governments at all levels to protect worker health by strengthening public health systems;maintaining comprehensive social insurance systems;establishing policies that presume all COVID-19 infections in high-risk workers are work-related;enforcing all occupational health standards;and developing pandemic preparedness plans. The Collegium Ramazzini calls on all employers-large and small, public and private-to protect the health of all workers by developing disease preparedness plans;implementing basic infection control measures;establishing disease identification and isolation policies;reducing hazardous exposures;supporting personal protective equipment (PPE) programs;and restricting unnecessary travel. Conclusion(s): Governments and employers have legal obligations to protect worker health. They are not relieved of these duties during pandemics.Copyright © 2020 American College of Occupational and Environmental Medicine.
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Objective: The study aimed at identifying the influence of socio-demographic factors on perceived stress during the first and the second "waves" of the COVID-19 pandemic among patients with depression and anxiety in remission compared to controls. Method: The study was designed as case-control, cross-sectional and non-interventional, and included 60 outpatients with depressive and anxiety disorders in remission and 60 controls with or without family history of affective disorder. A self-assessment scale (Perceived Stress Scale, PSS-10) was used to evaluate perceived stress. The remission was objectified by the Clinical Global Impression scale (CGI-S 2) and a questionnaire about the socio-demographic features and clinical characteristics of the disorders was completed. Results: By using multiple logistic regression, it was found that the diagnostic category and/or the relevant family history did not predict higher levels of perceived stress during the COVID-19 pandemic (p > 0.05). Females were associated with higher risk of moderate or high stress (OR=2.613, p=0.017), as well as those working from home during the pandemic (OR=4.00, p=0.026). Conclusions: Addressing the COVID-19 effects on mental health in a biopsychosocial manner, the study shows the impact of socio-demographic factors such as gender and work environment in times of a psychosocial crisis. The lack of differences in stress perception by the patients in remission and healthy controls implicates the importance of adequate maintenance treatment and easy access to mental health services in times of crisis.
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The purpose of this qualitative phenomenological study is to examine the lived experiences of K-12 school leaders who were presented with a variety of challenges during the COVID-19 pandemic. The first primary research question was: What are the lived experiences of K-12 school leaders as it pertains to the social, emotional, and mental health difficulties and challenges while leading during the COVID-19 pandemic (March 2020 to August 2021)? Saturation was reached in this study with 8 participants, who were K-12 school leaders during the COVID-19 pandemic (March 2020 to August 2021), due to no new categories or patterns being discovered (Creswell, 2007). The research methodology was phenomenological and used interviews and an online questionnaire. From the data gleaned from the lived experiences of K-12 school leaders, who participated in the study, experience, facing the challenges, overcoming stressors, putting mitigation and preventative strategies into place, and advocating for self-care and well-being became the main themes related to the research questions. The COVID-19 pandemic exposed compassion fatigue and the extreme need to promote self-care for those in the field of K-12 school leadership during the pandemic, and for immediate and consistent access to mental health, educational and fiscal resources. The pandemic has overwhelmingly necessitated and precipitated into the lived experiences of K-12 school leaders as they faced conflict, challenges, struggle, stressors, and fatigue in the areas of social, emotional health and well-being. The disruption school leaders faced during the COVID-19 crisis, has brought forth how necessary it is for the voices of school leaders, educators and needs of the students to be heard and acted on. Findings from the data from this study provide evidence for crisis measures to be put into place for K-12 school leaders as they respond to such as a pandemic, recover from crisis, and to strengthen their resilience, faith, and promotion of self-care and well-being for any future crises. The data also support an increase in research related to school leaders and having resiliency when bouncing back from crisis. The school leader's plan always needs prepared, in sight, and ready to implement, just in case. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The article discusses a study from Gaffney and colleagues, published within the issue which provides evidence for the fundamental role that workplace transmission played in differences in the risk of COVID-19 infection. Topics include the impact of occupational transmission of COVID-19;reasons for the denial on the role of work in the risk of disease, injury and death;and means by which work as a fundamental determinant of health can be targeted.
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This research aimed to understand the effects of the Covid-19 pandemic on the mental health of workers of hotel housekeeping departments in the city of Joao Pessoa/PB. A quantitative analysis was carried out, to measure the information gathered from workers of three medium-sized hotels in the capital of the state of Paraiba, using a questionnaire to gather data, and descriptive analysis for the data analysis. It was found that the Covid-19 pandemic had caused impacts on the mental health of workers in this area, mainly in terms of financial worries;fear of losing their jobs;fear of contracting the disease while at work;and fear that if infected, they might pass it on to other members of the family. Added to this were physical fatigue, obsession with cleaning, and stress.
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Objective: This study aims to find out the frequency and risk factors responsible for COVID-19 infection among healthcare workers in a large-scale university teaching hospital. Methods: This case-control study was conducted on 185 healthcare workers sampled from the database of 1309 participants maintained at Dr. Ruth K. M. Pfau Civil Hospital, Karachi. Both the cases and controls were derived from the hospital's database of COVID-19 Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) and COVID-19 antibody tests were performed on the said population. The participants included were physicians working in the hospital. They were grouped into cases and controls based on the positive diagnostic tests. We administered a simple structured questionnaire over the telephone and face to face for the interview. Statistical analyses were performed on IBM SPSS version 25. Results: The mean age of the cases was significantly different than controls [cases (32.7±9.9) vs controls (38.8±10.6), [p-value=0.002]. More cases 29/37 (78.3%) were working at a single setting compared to controls 54/148 (36.5%) (p-value<0.001). The use of Personal Protective Equipment (PPE), exposure to COVID-19 patients and experiencing symptoms also had statistical significance with the odds of infection (p-value<0.05). Conclusion: This study concludes that younger age, exposure to a known COVID-19 patient and longer duration of exposure among the hospital physicians is associated with positive COVID-19 results. Therefore, it is imperative that adequate measures be undertaken to limit the exposure to COVID-19 patients in this age group. [ FROM AUTHOR] Copyright of Annals of Abbasi Shaheed Hospital & Karachi Medical & Dental College is the property of Knowledge Bylanes and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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The mental health discourse need not involve the creation or invention of a whole new experience or dogma. When workers feel respected, valued, cared for and viewed holistically, rather than as "cogs in a system," the natural outflow will be mental health- "state of someone functioning at a satisfactory level of cognitive, emotional and behavioral adjustment." (U.K. OSH adviser, personal communication, 2022) In a social context, the safety and health team may facilitate a psychosocial hazard identification and risk assessment process, but the follow-up actions are likely to relate to people management systems. [...]this responsibility could sit with line management, human resources or an organizational effectiveness group.
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Introduction: In Peru, mining companies had to register and implement the Plan for the surveillance, prevention, and control of COVID-19 at work (requested by the Ministry of Health), prior to restarting activities suspended due to the pandemic. Objective: To describe the situational status of the plans for the surveillance, prevention, and control of COVID-19 at work in the mining sector (1st and 2nd phases of economic reactivation, 2020). Methods: A cross-sectional study was carried out of the database from the SISCOVID-Empresas system. Frequencies and proportions of the characteristics of the plans were reported (region of origin, number of workers, number of health professionals, existence of an occupational health and safety committee or supervisor, status of registration and budget report) according to the number of company workers. Results: In total 2,236 plan records were reviewed. Of the total, 6.2% of the registered plans indicate that they do not have an occupational health and safety supervisor or committee, and 71.5% do not have a health professional. Furthermore, 81.2% of the companies with more than 500 workers had medicine and nursing professionals, and 89.2% of companies with 1 to 20 workers did not have health professionals. Conclusions: Three out of 4 companies in the mining sector fail to comply with the requirements of the plan for the surveillance, prevention, and control of COVID-19 at work. © 2023, Editorial Ciencias Medicas. All rights reserved.
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Health is a multifaceted issue and providing and promoting all its dimensions is an interdisciplinary task. Examination of crisis conditions shows that the retention of health human resources is very important due to the high volume of work in these conditions. Due to the severity of the prevalence of COVID-19, the health system must have an acceptable plan for dealing with this disease. Therefore, the purpose of this study is to investigate the factors affecting the retention and stability of human resources in crises. We used a critical review method using specific keywords ("human resources retention", "COVID-19", and some other related keywords) in, Pubmed, Scopus, Google Scholar, and SID databases until September 2022 without time limitation. Reviewers screened founded studies separately and finally, we summarized the main results of 12 eligible articles. Four main strategies (Organizational management and leadership, risk reduction, improving the mental health of health workers, and financial and welfare support) are possible solutions to reduce healthcare workers' burnout and increase their resilience to this hard situation. It seems that planning, appropriate policy-making to implement the solutions found, division of tasks, and compilation of a national document on human resource protection in crises with the cooperation of people and officials can be very helpful.
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Background: Monitoring the spread of SARS-CoV-2 has been considered by the World Health Organization (WHO). We examined the prevalence of anti-SARS-CoV-2 immunoglobulin antibodies in southwestern Iran in spring 2020. The circulation of SARS-CoV-2 is high in the general population, especially among health care workers (HCWs) who are in close contact with patients. Objectives: The aim of this study was to determine the prevalence of anti-SARS-CoV-2 antigen in high-risk occupational and low-risk groups to investigate risk factors for serum positivity in Shiraz, southwestern Iran. Methods: A cross-sectional survey was performed on 366 participants (204 from high-risk and 162 from low-risk subjects). IgG and IgM antibodies were detected using Pishtaz Teb COVID-19 ELISA Kits to evaluate SARS-CoV-2-antigen in serum samples. After enzyme-linked immunosorbent assay (ELISA), serum prevalence, as well as IgG/IgM positive factors, was determined using logistic regression. Results: From July to September 2020 (a few months after reporting the first case of COVID-19 cases in Iran), out of 366 survived people, 72 (40.9%) were IgG positive, and 50 (27.5%) were IgM positive. The frequency of positive serology for IgG and IgM antibodies in individuals aged < 30 years was higher in the low-risk group than in the high-risk group. Multivariate logistic regression showed that headache (OR 0.312 [95% CI: 0.136 - 0.717]) and cough (OR 0.427 [95% CI: 0.182 - 1.004]) factors were associated with IgG or IgM positive serology. Conclusions: Between July and September 2020, the prevalence of anti-SARS-CoV-2 antigen was high in Shiraz. The prevalence of SARS-CoV-2 IgG/IgM antibodies in the high-risk group and their family as low risk was shown to increase viral infection due to close contact with COVID 19 patients than in the general population. Several factors were found to be related to the prevalence of anti-SARS-CoV-2 antigen that needs to be considered by policymakers to determine what to do about the SARS-CoV-2 pandemic.
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Health-care providers or health-care workers (HCWs) are at higher risk of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection when compared to the general population. An early routine screening of both symptomatic and asymptomatic HCWs is essential to prevent transmission of infection and thus the nosocomial spread. The cumulative prevalence of SARS-CoV-2 infection among Indian HCWs is unknown. This systematic review was aimed to analyse the prevalence of SARS-Co-V2 disease (COVID-19) among Indian HCWs. Data were collected from a comprehensive computerised search in PubMed, Google Scholar, ScienceDirect, ResearchGate, Scopus and Web of Science using the terms 'Prevalence of COVID-19 among HCWs in India' and 'prevalence of SARS-CoV-2 among HCWs in India'. Results of original research papers and meta-analysis published were collected and data analysed. Results of seven studies on 31656 HCWs in India were pooled. Overall, average prevalence of COVID-19 among the HCWs was 12.3%. Majorities were frontline workers irrespective of the gender. Most of the cases were symptomatic, with cough and fever as major clinical presentations. Findings suggest that adequate organisation of clinical wards and personnel, appropriate personal protective equipment supply and training of all workers directly and repeatedly exposed to COVID-19 patients should be prioritised to decrease the risk of infection. Furthermore, the duty time of HCWs who works in COVID treating area should be minimised.