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Ann Glob Health ; 86(1): 79, 2020 07 07.
Article in English | MEDLINE | ID: covidwho-730147


Background: Workers whose occupations put them in contact with infected persons and the public are at increased risk of 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: Governments and employers have legal obligations to protect worker health. They are not relieved of these duties during pandemics.

Coronavirus Infections/prevention & control , Infection Control/organization & administration , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Occupational Health , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Betacoronavirus , Coronavirus Infections/transmission , Global Health , Humans , Personal Protective Equipment , Pneumonia, Viral/transmission , Societies, Medical , Travel
Epidemiol Health ; 42: e2020051, 2020.
Article in English | MEDLINE | ID: covidwho-721580


OBJECTIVES: We aimed to identify occupational groups at high-risk of coronavirus disease 2019 (COVID-19) infection in Korea, to estimate the number of such workers, and to examine the prevalence of protective resources by employment status. METHODS: Based on the sixth Standard Occupational Classification codes, 2015 census data were linked with data from the fifth Korean Working Conditions Survey, which measured how frequently workers directly come into contact with people other than fellow employees in the workplace. RESULTS: A total of 30 occupational groups, including 7 occupations from the healthcare and welfare sectors and 23 from other sectors, were classified as high-risk occupational groups involving frequent contact with people other than fellow employees in the workplace (more than half of the working hours). Approximately 1.4 million (women, 79.1%) and 10.7 million workers (46.3%) are employed in high-risk occupations. Occupations with a larger proportion of women are more likely to be at a high-risk of infection and are paid less. For wage-earners in high-risk occupations, protective resources to deal with COVID-19 (e.g., trade unions and health and safety committees) are less prevalent among temporary or daily workers than among those with permanent employment. CONCLUSIONS: Given the large number of Koreans employed in high-risk occupations and inequalities within the working population, the workplace needs to be the key locus for governmental actions to control COVID-19, and special consideration for vulnerable workers is warranted.

Coronavirus Infections/epidemiology , Employment/statistics & numerical data , Occupations/statistics & numerical data , Pneumonia, Viral/epidemiology , Coronavirus Infections/prevention & control , Female , Humans , Labor Unions/statistics & numerical data , Male , Occupational Health/statistics & numerical data , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Republic of Korea/epidemiology , Risk Assessment
Work ; 66(2): 381-382, 2020.
Article in English | MEDLINE | ID: covidwho-711398


Staying at home for the prevention of COVID-19 is an accepted fact. Office workers are a group of people, who had to wake up early in the morning and at least had a fixed pattern of sleeping and working. In this situation, complaints about the neck, shoulder and lower back tend to increase and this is a good time to learn and do some practical exercises at home. This letter presents some of the home-based exercise notes for prevention of musculoskeletal disorders among office workers, following the guidelines prepared by the American College of Sports Medicine.

Exercise , Occupational Health , Quarantine , Workplace/statistics & numerical data , Adult , Betacoronavirus , Coronavirus , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Female , Humans , Male , Muscle Stretching Exercises , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control
Humanidad. med ; 20(2)2020.
Article in Portuguese | LILACS (Americas) | ID: covidwho-709155


Introducción: La alta transmisibilidad y expansión del nuevo coronavirus (SARS-CoV-2) en el mundo constituyen un alto riesgo laboral para los profesionales de la salud, especialmente las enfermeras. Objetivo: Identificar las dificultades y los temores de las enfermeras que enfrentan la pandemia de COVID-19 en Brasil. Métodos: Este es un estudio exploratorio y cualitativo, realizado en marzo de 2020, con enfermeras de varias instituciones de salud. La recopilación de datos se realizó a través de la aplicación WhatsApp, con un cuestionario. Para el análisis de datos se utilizó el análisis de contenido. Resultados: Las dificultades y los temores presentados se relacionaron con el riesgo diario de exposición al virus, los problemas de acceso y uso de equipo de protección personal, las dudas en el diagnóstico diferencial así como la sobrecarga de trabajo y la mayor demanda de atención de pacientes y familiares. Discusión: La vulnerabilidad de las enfermeras en el estudio es preocupante, porque carecen de apoyo y atención y ello interfiere en la salud y la calidad de la atención. Esta suma de factores aumenta el miedo, la ansiedad, la inseguridad y la incertidumbre para enfrentar el futuro.(AU)

Introduction: The high transmissibility and expansion of the new coronavirus (SARS-CoV-2) in the world constitute a high occupational risk for health professionals, especially nurses. Objective: To identify the difficulties and fears of nurses facing the COVID-19 pandemic in Brazil. Methods: This is an exploratory and qualitative study, carried out in March 2020, with nurses from various health institutions. The data collection was done through the WhatsApp application, with a questionnaire. Content analysis was used for data analysis. Results: The difficulties and fears presented were related to the daily risk of exposure to the virus, problems of access and use of personal protective equipment, doubts in the differential diagnosis as well as work overload and the increased demand for care with patients and relatives. Discussion: The vulnerability of the nurses in the study is worrying, since they lack support and care, they interfere with health and the quality of care. This sum of factors increases the fear, anxiety, insecurity and uncertainty facing the future.(AU)

Humans , Anxiety/psychology , Occupational Health , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Fear/psychology , Nurses/psychology , Brazil
Medicine (Baltimore) ; 99(32): e21548, 2020 Aug 07.
Article in English | MEDLINE | ID: covidwho-705597


Novel coronavirus disease (COVID-19) emerged in Wuhan in December 2019, has spread in many countries affected people globally. In response to the economic requirement of the nation and meet the need of patient's, a momentous event was going back to work step by step as fighting against COVID-19. Safety in clinical work is of priority as elective surgery in the department of surgery progressing. We used checklists based on our experiences on COVID-19 control and reality of clinical work from February to March in the West China Hospital, involving events of screening patient, chaperonage, and healthcare workers. Checklist summarized the actual clinical nursing work and management practices, hope to provide a reference for the order of surgery during the epidemic prevention and control, and standardize the clinical nursing work of surgery during pandemic.

Checklist/methods , Coronavirus Infections/prevention & control , Elective Surgical Procedures/methods , Infection Control/organization & administration , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Vascular Surgical Procedures/organization & administration , Chi-Square Distribution , China , Coronavirus Infections/epidemiology , Female , Humans , Male , Medical Staff, Hospital , Occupational Health , Outcome Assessment, Health Care , Pandemics/statistics & numerical data , Pneumonia, Viral/epidemiology , Surgery Department, Hospital/organization & administration
Emerg Microbes Infect ; 9(1): 1835-1842, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-684751


Staff and employees "Zero infection" has been achieved during the whole medical activities in the COVID-19 Fangcang Shelter Hospital in Wuhan, China. This study analyses the personnel and environmental protection status of the East-West Lake Fangcang Shelter Hospital. The HCWs were mostly composed of national medical rescue teams, from different provinces in China. Before the COVID-19 outbreak, 82.64% of the HCWs had already known the proper procedure of wearing masks and other personal protective equipment (PPE). For the total of 634 participants entering the inpatient areas, 99.8% of them took occupational protection trainings via various methods. By carefully training and supervision, most of them were competent to work in the inpatient areas six hours/d, three-four times/week. Besides, 7.8% experienced different types of occupational exposure, which mainly caused by the damage of PPE. Once exposed, the HCWs would disinfect skin or mucous in time. No SARS-CoV-2 RNA was detected in 48 air and environmental samples after regular disinfection and cleaning. To conclude, the bundle including intensive training, strengthened personal protection, strict environmental disinfection and timely remedial measures for occupational exposure had ensured the safety of the East-West Lake Fangcang Shelter Hospital.

Betacoronavirus/physiology , Coronavirus Infections/prevention & control , Health Personnel/statistics & numerical data , Occupational Exposure/prevention & control , Pandemics/prevention & control , Personal Protective Equipment , Pneumonia, Viral/prevention & control , Adult , Betacoronavirus/genetics , China , Coronavirus Infections/transmission , Coronavirus Infections/virology , Female , Hospitals, Special/statistics & numerical data , Humans , Male , Middle Aged , Occupational Health , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Young Adult
Stroke ; 51(8): 2587-2592, 2020 08.
Article in English | MEDLINE | ID: covidwho-680789


The coronavirus disease 2019 (COVID-19) pandemic has in some regions overwhelmed the capacity and staffing needs of healthcare systems, necessitating the provision of resources and staff from different disciplines to aid COVID treatment teams. Stroke centers have multidisciplinary clinical and procedural expertise to support COVID treatment teams. Staff safety and patient safety are essential, as are open lines of communication between stroke center leaders and hospital leadership in a pandemic where policies and procedures can change or evolve rapidly. Support needs to be allocated in a way that allows for the continued operation of a fully capable stroke center, with the ability to adjust if stroke center volume or staff attrition requires.

Coronavirus Infections/therapy , Hospital Departments/organization & administration , Pandemics , Patient Care Team/organization & administration , Pneumonia, Viral/therapy , Communication , Delivery of Health Care , Humans , Leadership , Occupational Health , Organizational Policy , Personnel Staffing and Scheduling
Anesth Analg ; 131(2): 351-364, 2020 08.
Article in English | MEDLINE | ID: covidwho-665311


Health care systems are belligerently responding to the new coronavirus disease 2019 (COVID-19). The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a specific condition, whose distinctive features are severe hypoxemia associated with (>50% of cases) normal respiratory system compliance. When a patient requires intubation and invasive ventilation, the outcome is poor, and the length of stay in the intensive care unit (ICU) is usually 2 or 3 weeks. In this article, the authors review several technological devices, which could support health care providers at the bedside to optimize the care for COVID-19 patients who are sedated, paralyzed, and ventilated. Particular attention is provided to the use of videolaryngoscopes (VL) because these can assist anesthetists to perform a successful intubation outside the ICU while protecting health care providers from this viral infection. Authors will also review processed electroencephalographic (EEG) monitors which are used to better titrate sedation and the train-of-four monitors which are utilized to better administer neuromuscular blocking agents in the view of sparing limited pharmacological resources. COVID-19 can rapidly exhaust human and technological resources too within the ICU. This review features a series of technological advancements that can significantly improve the care of patients requiring isolation. The working conditions in isolation could cause gaps or barriers in communication, fatigue, and poor documentation of provided care. The available technology has several advantages including (a) facilitating appropriate paperless documentation and communication between all health care givers working in isolation rooms or large isolation areas; (b) testing patients and staff at the bedside using smart point-of-care diagnostics (SPOCD) to confirm COVID-19 infection; (c) allowing diagnostics and treatment at the bedside through point-of-care ultrasound (POCUS) and thromboelastography (TEG); (d) adapting the use of anesthetic machines and the use of volatile anesthetics. Implementing technologies for safeguarding health care providers as well as monitoring the limited pharmacological resources are paramount. Only by leveraging new technologies, it will be possible to sustain and support health care systems during the expected long course of this pandemic.

Betacoronavirus/pathogenicity , Coronavirus Infections/therapy , Critical Care/organization & administration , Delivery of Health Care, Integrated/organization & administration , Health Resources/organization & administration , Health Services Accessibility/organization & administration , Infection Control/organization & administration , Pneumonia, Viral/therapy , Clinical Laboratory Techniques , Coronavirus Infections/diagnosis , Coronavirus Infections/transmission , Coronavirus Infections/virology , Health Services Needs and Demand/organization & administration , Humans , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Needs Assessment/organization & administration , Occupational Exposure/adverse effects , Occupational Exposure/prevention & control , Occupational Health , Pandemics , Patient Care Team/organization & administration , Pneumonia, Viral/diagnosis , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Point-of-Care Systems/organization & administration , Point-of-Care Testing/organization & administration , Risk Factors , Severity of Illness Index
Rev Esp Salud Publica ; 942020 Jul 23.
Article in Spanish | MEDLINE | ID: covidwho-662436


BACKGROUND: In times of this global pandemic situation, population's mental health is compromised, especially in those groups that are at the forefront of defence against the virus such as healthcare professionals. The objective of this study was to analyze the impact of the SARS-CoV-2 outbreak on healthcare professionals' mental health. METHODS: A systematic review was carried out following the PRISMA format in Pubmed, Scopus, Web of Science, CINAHL, PsycINFO and ScienceDirect electronic databases between January and May 2020. Methodological quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal tools for non-randomized studies. RESULTS: A total of 13 studies were included in this review. Professionals' mental health and mental functions were compromised, being especially affected those professionals on the front line of battle against the virus. However, these stats were below the general population data. Although there is wide variability of results, medium-high levels of anxiety (26,5%-44,6%), depression (8,1%-25%), concern and insomnia are detected (23,6%-38%). Paradoxically, stress levels were below expectations (3,8%-68,3%). CONCLUSIONS: The mental well-being of health professionals working on the front line is compromised in times of pandemic by presenting medium-high levels of anxiety, depression, nervousness and insomnia, and, to a lesser extent, stress.

Coronavirus Infections/psychology , Health Personnel/psychology , Pneumonia, Viral/psychology , Anxiety , Betacoronavirus , Burnout, Professional , Delivery of Health Care , Depression , Humans , Mental Health , Occupational Health , Pandemics , Sleep Initiation and Maintenance Disorders , Spain/epidemiology , Stress, Psychological