P1288 HEALTHCARE WORKERS CONTINUE TO BE AT RISK OF OCCUPATIONAL EXPOSURES TO BLOODBORNE VIRUSES IN THE UK

2014 ◽  
Vol 60 (1) ◽  
pp. S519
Author(s):  
B. Rice ◽  
S. Tomkins ◽  
F. Ncube
Keyword(s):  
At Risk ◽  
Healthcare Workers ◽  
Occupational Exposures ◽  
The Uk ◽  
Bloodborne Viruses

Healthcare workers and measles-mumps-rubella (MMR) status: how worried should we be about further outbreaks?

2013 ◽  
Vol 142 (8) ◽  
pp. 1688-1694 ◽  
Author(s):  
S. BASU ◽  
P. GIRI ◽  
A. ADISESH ◽  
R. McNAUGHT
Keyword(s):  
At Risk ◽  
Healthcare Workers ◽  
Age Groups ◽  
Positive Serology ◽  
Entry Level ◽  
Point Of Entry ◽  
The Uk

SUMMARYRecently, a number of outbreaks of measles and mumps have occurred within the UK and Europe. Healthcare workers (HCWs) are at risk of contracting and transmitting disease to patients and staff. To examine this risk at the point of entry to healthcare, we assessed the serological results of new HCWs presenting for pre-placement clearance without evidence of measles-mumps-rubella (MMR) immunity between 1 April 2010 and 31 March 2012. Overall rates of serological positivity to MMR across all age groups were 88·2%, 68·8% and 93·9%, respectively. With regard to measles and mumps, there were statistically significant decreases in the percentage of HCWs born after 1980 that had positive serology (P < 0·05). No such differences were seen between healthcare groups. Most seronegative HCWs accepted MMR vaccination. Despite our entry-level findings, the ongoing risk of a MMR outbreak within this cohort of HCWs appears low.

scholarly journals Use of Personal Protective Equipment and Operating Room Behaviors in Four Surgical Subspecialties: Personal Protective Equipment and Behaviors in Surgery

1999 ◽  
Vol 20 (02) ◽  
pp. 110-114 ◽  
Author(s):  
Deniz Akduman ◽  
Lynn E. Kim ◽  
Rodney L. Parks ◽  
Paul B. L'Ecuyer ◽  
Sunita Mutha ◽  
...  
Keyword(s):  
Operating Room ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Hand Surgery ◽  
Occupational Exposures ◽  
Protective Equipment ◽  
Care Hospital ◽  
Exposure Rate ◽  
Total Exposure

AbstractObjective:To evaluate Universal Precautions (UP) compliance in the operating room (OR).Design:Prospective observational cohort. Trained observers recorded information about (1) personal protective equipment used by OR staff; (2) eyewear, glove, or gown breaks; (3) the nature of sharps transfers; (4) risk-taking behaviors of the OR staff; and (5) needlestick injuries and other blood and body-fluid exposures.Setting:Barnes-Jewish Hospital, a 1,000-bed, tertiary-care hospital affiliated with Washington University School of Medicine, St Louis, Missouri.Participants:OR personnel in four surgical specialties (gynecologic, orthopedic, cardiothoracic, and general). Procedures eligible for the study were selected randomly. Hand surgery and procedures requiring no or a very small incision (eg, arthroscopy, laparoscopy) were excluded.Results:A total of 597 healthcare workers' procedures were observed in 76 surgical cases (200 hours). Of the 597 healthcare workers, 32% wore regular glasses, and 24% used no eye protection. Scrub nurses and medical students were more likely than other healthcare workers to wear goggles. Only 28% of healthcare workers double gloved, with orthopedic surgery personnel being the most compliant. Sharps passages were not announced in 91% of the surgical procedures. In 65 cases (86%), sharps were adjusted manually. Three percutaneous and 14 cutaneous exposures occurred, for a total exposure rate of 22%.Conclusion:OR personnel had poor compliance with UP. Although there was significant variation in use of personal protective equipment between groups, the total exposure rate was high (22%), indicating the need for further training and reinforcement of UP to reduce occupational exposures.

scholarly journals Testing Times: The Place of the Citizenship Test in the UK Immigration Regime and New Citizens’ Responses to it

Sociology ◽  
2016 ◽  
Vol 51 (2) ◽  
pp. 323-338 ◽  
Author(s):  
Bridget Byrne
Keyword(s):  
At Risk ◽  
The State ◽  
The Uk ◽  
Equal Citizenship ◽  
Successful Integration

Citizenship tests are designed to ensure that new citizens have the knowledge required for successful ‘integration’. This article explores what those who have taken the test thought about its content. It argues that new citizens had high levels of awareness of debates about immigration and anti-immigration sentiment. Considering new citizens’ views of the test, the article shows how many of them are aware of the role of the test in reassuring existing citizens of their fitness to be citizens. However, some new citizens contest this positioning in ‘acts of citizenship’ where they assert claims to citizenship which are not necessarily those constructed by the state and implied in the tests. The article will argue that the tests and the nature of the knowledge required to pass them serve to retain new citizens in a position of less-than-equal citizenship which is at risk of being discursively (if less often legally) revoked.

Healthwise: Part 1. Maintaining a healthy body weight

2021 ◽  
Vol 15 (4) ◽  
pp. 169-173
Author(s):  
Linda Nazarko
Keyword(s):  
Body Weight ◽  
Death Rate ◽  
Healthcare Workers ◽  
Poor Health ◽  
The Third ◽  
Lifestyle Choices ◽  
The World ◽  
Healthy Body Weight ◽  
The Uk ◽  
Healthy Body

Coronavirus (COVID-19) has claimed the lives of over 150 000 people in the UK ( UK Government, 2021 ). The UK has the third highest death rate in the world and the fourth highest obesity rate ( Lobstein, 2021 ). Although the UK is a developed nation, many people in the UK experience poor health, as a result of being overweight and inactive. Healthcare workers are not immune from these issues. This article, the first in a series, explores how readers can remain healthy and well by making lifestyle choices that promote health.

scholarly journals Musculoskeletal Tuberculosis in Bradford – A 6-Year Review

2007 ◽  
Vol 89 (4) ◽  
pp. 405-409 ◽  
Author(s):  
JC Talbot ◽  
Q Bismil ◽  
D Saralaya ◽  
DAG Newton ◽  
RM Frizzel ◽  
...  
Keyword(s):  
At Risk ◽  
World Wide ◽  
Surgical Intervention ◽  
Indian Subcontinent ◽  
Anatomical Site ◽  
At Risk Populations ◽  
Recorded Data ◽  
The Uk ◽  
Ethnic Distribution ◽  
Radiological Intervention

INTRODUCTION Tuberculosis (TB) remains the most common cause of death from infectious disease world-wide. In the UK, the incidence of TB has risen by 25% over the last 10 years; extrapulmonary diagnosis remains challenging and can be delayed. This study evaluates the epidemiology of musculoskeletal tuberculosis in a large multi-ethnic UK city. PATIENTS AND METHODS A review of prospectively recorded data of incidence, anatomical site, ethnic distribution, treatment and drug resistance of musculoskeletal tuberculosis over a 6-year period was performed. RESULTS From January 1999 to December 2004, there were 729 TB notifications; 61 cases (8.4%) had musculoskeletal involvement. Of the patients, 74% were immigrants from the Indian subcontinent; nearly 50% had spinal involvement; 24 patients underwent surgical intervention; 29 were subjected to either diagnostic or therapeutic radiological intervention; and resolution of symptoms was achieved in 59 out of 61 cases. CONCLUSIONS This study highlights the high proportion of musculoskeletal TB in immigrant patients in an area with a relatively large at-risk population, but will also serve to alert physicians, in areas with smaller at-risk populations, of the possibility of musculoskeletal TB.

scholarly journals Iodine status of consumers of milk-alternative drinks v. cows’ milk: data from the UK National Diet and Nutrition Survey

2020 ◽  
pp. 1-9
Author(s):  
M. Dineva ◽  
M. P. Rayman ◽  
S. C. Bath
Keyword(s):  
At Risk ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
Iodine Concentration ◽  
Iodine Intake ◽  
Urinary Iodine Concentration ◽  
Nutrition Survey ◽  
Iodine Status ◽  
Adults And Children ◽  
The Uk

Abstract Milk is the main source of iodine in the UK; however, the consumption and popularity of plant-based milk-alternative drinks are increasing. Consumers may be at risk of iodine deficiency as, unless fortified, milk alternatives have a low iodine concentration. We therefore aimed to compare the iodine intake and status of milk-alternative consumers with that of cows’ milk consumers. We used data from the UK National Diet and Nutrition Survey from years 7 to 9 (2014–2017; before a few manufacturers fortified their milk-alternative drinks with iodine). Data from 4-d food diaries were used to identify consumers of milk-alternative drinks and cows’ milk, along with the estimation of their iodine intake (µg/d) (available for n 3976 adults and children ≥1·5 years). Iodine status was based on urinary iodine concentration (UIC, µg/l) from spot-urine samples (available for n 2845 adults and children ≥4 years). Milk-alternative drinks were consumed by 4·6 % (n 185; n 88 consumed these drinks exclusively). Iodine intake was significantly lower in exclusive consumers of milk alternatives than cows’ milk consumers (94 v. 129 µg/d; P < 0·001). Exclusive consumers of milk alternatives also had a lower median UIC than cows’ milk consumers (79 v. 132 µg/l; P < 0·001) and were classified as iodine deficient by the WHO criterion (median UIC < 100 µg/l), whereas cows’ milk consumers were iodine sufficient. These data show that consumers of unfortified milk-alternative drinks are at risk of iodine deficiency. As a greater number of people consume milk-alternative drinks, it is important that these products are fortified appropriately to provide a similar iodine content to that of cows’ milk.

scholarly journals SAT0588 Healthcare workers are not more at risk to low back pain than other occupations

2017 ◽  
Author(s):  
F Kemta Lekpa ◽  
MS Doualla ◽  
HB Ngahane Mbatchou ◽  
AS Mkoh ◽  
H Namme Luma
Keyword(s):  
At Risk ◽  
Low Back Pain ◽  
Back Pain ◽  
Healthcare Workers ◽  
Low Back
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