scholarly journals K-03 A global disease but a local phenomenom

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A1.3-A1
Author(s):  
Jackie Benschop
Keyword(s):  
At Risk ◽  
Rural Communities ◽  
Personal Protective Equipment ◽  
Intervention Strategies ◽  
Vaccination Status ◽  
Protective Equipment ◽  
Intervention Measures ◽  
Human Animal ◽  
Animal Vaccination ◽  
New Zealanders

Leptospirosis is a globally important multi-host, multi-pathogen zoonosis with over 1 million cases and 60,000 deaths annually. Humans are infected through contact with urine from infected mammals including wildlife, rodents, farmed species and pets. Despite extensive nationwide intervention measures, leptospirosis remains an unacceptable burden on New Zealanders particularly those living in rural communities and on Māori. Famers and meat-workers remain most at risk and key intervention strategies for these occupations are the use of personal protective equipment (PPE) and animal vaccination. I will present our work on leptospirosis at the human-animal interface with focus on meat-workers who are required to use PPE yet have no say in the vaccination status of animals they are exposed to.

Developing Trust With Early Medical School Graduates During the COVID-19 Pandemic

10.12788/3463 ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. 367-369 ◽  
Author(s):  
Benjamin Kinnear ◽  
Matthew Kelleher ◽  
Andrew PJ Olson ◽  
Dana Sall ◽  
Daniel J Schumacher
Keyword(s):  
At Risk ◽  
Medical School ◽  
Healthcare System ◽  
Personal Protective Equipment ◽  
Healthcare Providers ◽  
Protective Equipment ◽  
Multiple Resources ◽  
Hospital Systems

The coronavirus disease of 2019 (COVID-19) pandemic has strained the healthcare system by rapidly depleting multiple resources including hospital space, medications, ventilators, personal protective equipment (PPE), clinical revenue, and morale. One of the most essential at-risk resources is healthcare providers. Healthcare providers have been overwhelmed as hospital systems have experienced local surges in COVID-19 patients. Compounding this is the fact that providers are more likely to contract COVID-19, which could sideline portions of an already taxed workforce.

scholarly journals How did the COVID-19 pandemic change the practice of Paediatric Endoscopists in Europe?

2020 ◽  
Author(s):  
Ilektra Athiana ◽  
Corinne Légeret ◽  
Patrick Bontems ◽  
Luigi Dall'Oglio ◽  
Paola De Angelis ◽  
...  
Keyword(s):  
At Risk ◽  
United Kingdom ◽  
European Society ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
The Novel ◽  
Endoscopic Procedures ◽  
Viral Spread ◽  
Novel Coronavirus ◽  
Time Point

Abstract Background: As endoscopists are at risk to get infected by the novel Coronavirus SARS-CoV-2 during endoscopic procedures, the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) published recommendations regarding protection for the paediatric endoscopist and endoscopy suite staff. The aim of this survey was to investigate whether European paediatric gastroenterology centres applied the recommendations and how this extraordinary situation was handled by the different centres.Results: Twelve Paediatric European gastroenterology centers (from Belgium, Greece, Italy, Portugal, Slovenia, Spain, Switzerland, and United Kingdom) participated. Nine centres (75%) screened their patients for a possible COVID-19 infection before the procedure, the same amount of hospitals changed their practice based on the ESPGHAN recommendations. 67% of the centres reduced the staff in the endoscopy suite, 83% of the units used FFP2/3 masks and protective goggles during the procedure and 75% wore waterproof gowns.Conclusion: The global situation caused by COVID-19 changed so rapidly, and hospitals had to react immediately to protect staff and patients and could not wait for guidelines to be published. Furthermore, uniform guidelines could not be applied by all European hospitals at a certain time point of the viral spread, as different regions of Europe were not only affected differently by COVID-19, but also had different access to personal protective equipment.

scholarly journals Pengendalian Bahaya Fisik pada Pekerjaan Dokter Gigi

e-GIGI ◽  
2020 ◽  
Vol 8 (1) ◽  
Author(s):  
. Juliatri
Keyword(s):  
At Risk ◽  
Ionizing Radiation ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Occupational Hazards ◽  
Extreme Temperatures ◽  
Physical Hazards ◽  
Hazard Control ◽  
Percutaneous Exposure ◽  
Control Hierarchy

Abstract: Dentists are at risk of experiencing a number of occupational hazards including physical hazards. Potential physical hazards include noise, lighting, ionizing and non-ionizing radiation, percutaneous exposure incident (PEI), and extreme temperatures. Efforts to control physical hazards based on the hierarchy of hazard control in the work of dentists are substitution, engineering, administration, and the use of personal protective equipment (PPE).Keywords: physical hazards, hazard control hierarchy Abstrak: Dokter gigi merupakan salah satu profesi yang berisiko mengalami sejumlah bahaya akibat pekerjaan, termasuk bahaya fisik. Potensi bahaya fisik antara lain kebisingan, pencahayaan, radiasi ionisasi dan nonionisasi, percutaneous exposure incident (PEI), dan suhu ekstrim. Upaya pengendalian bahaya fisik berdasarkan hierarki pengendalian bahaya pada pekerjaan dokter gigi yaitu substitusi, rekayasa engineering, administrasi, dan penggunaan alat pelindung diri (APD).Kata kunci: bahaya fisik, hierarki pengendalian bahaya

scholarly journals The use of Personal Protective Equipment in Hazmat Incidents

2002 ◽  
Vol 9 (3) ◽  
pp. 171-176 ◽  
Author(s):  
RSD Yeung ◽  
JTS Chan ◽  
LLY Lee ◽  
YL Chan
Keyword(s):  
At Risk ◽  
Personal Protective Equipment ◽  
Hazardous Materials ◽  
Medical Personnel ◽  
Single Type ◽  
Protective Equipment ◽  
Dermal Contact ◽  
Adequate Level ◽  
Toxic Materials ◽  
The One

Medical personnel are at risk when handling victims of Hazmat incidents. Special clothing and respiratory equipment are required to protect them from absorbing these toxic materials through inhalation or through dermal contact. Personal Protective Equipment (PPE) refer to both clothing and equipment used to shield or isolate individuals from chemical, physical and biological hazards that may be encountered at a hazardous materials incident.1,2 No single type of PPE can protect all hazards and incorrect use can cause harm to the wearer. In general, the greater the protection, the greater the associated risks.2 Therefore, the level of PPE selected should be the one that can provide adequate level of protection.

scholarly journals Access to personal protective equipment in exposed healthcare workers and COVID-19 illness, severity, symptoms and duration: a population-based case-control study in six countries

2021 ◽  
Vol 6 (1) ◽  
pp. e004611
Author(s):  
Hyunju Kim ◽  
Sheila Hegde ◽  
Christine LaFiura ◽  
Madhunika Raghavan ◽  
Nancy Sun ◽  
...  
Keyword(s):  
At Risk ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Close Contact ◽  
Severe Disease ◽  
Protective Equipment ◽  
Symptom Duration ◽  
Medical Specialties ◽  
Limited Access ◽  
Increased Risk

BackgroundDespite the widespread implementation of personal protective equipment (PPE) in the COVID-19 pandemic, there are surprisingly few studies of its impact. To assess the risk, severity and duration of COVID-19 in relation to access to PPE in at-risk healthcare workers (HCWs).MethodsFrom 17 July to 25 September 2020, at-risk physicians and nurses registered as a provider in the Survey Healthcare Globus network in six countries (the UK, Germany, France, Italy, Spain and USA) were identified based on adult medical specialties with frequent and close contact with patients with COVID-19. Exposed HCWs completed a detailed questionnaire including demographics, medical, social and lifestyle factors. COVID-19 cases were defined as COVID-19 symptoms (fever, cough, fatigue, loss of taste or smell) and asymptomatic COVID-19 test positive cases.ResultsAmong 2884 exposed HCWs (94% medical doctors and 6% nurses or physician assistants), there were 514 reports of COVID-19 illness and 54 asymptomatic COVID-19 test positive cases. COVID-19 risk was significantly associated with close contact with COVID-19 cases both inside and outside the workplace, number of work shifts and hours worked per week. Limited access to PPE compared with access to a fresh mask, gown and gloves and face shield with each patient encounter was associated with a 2.2-fold to 22-fold increased risk of reporting COVID-19 symptoms (p<0.0001), a pattern consistent across all six countries. Further, limited access to PPE was associated with symptom duration greater than 2 weeks and the presence of moderate to severe symptoms such as difficulty breathing, abnormal chest X-ray, low oxygen saturations, respiratory distress and acute lung injury.ConclusionIn six countries, less access to PPE was strongly associated with both increased risk of reporting COVID-19 illness as well as more prolonged and severe disease course in frontline HCWs.

scholarly journals The Global Impact of COVID-19 on Craniomaxillofacial Surgeons: A Follow-Up Survey After One Year

2022 ◽  
pp. 194338752110578
Author(s):  
Tevfik Cicek ◽  
Justin van der Tas ◽  
Thomas Dodson ◽  
Daniel Buchbinder ◽  
Stefano Fusetti ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Elective Surgery ◽  
Virus Disease ◽  
Statistical Significance ◽  
Predictor Variable ◽  
Vaccination Status ◽  
Protective Equipment ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
The Impact

Study Design Comparative cross-sectional. The Objective To measure the impact that COrona VIrus Disease-19 (COVID-19) has had on craniomaxillofacial (CMF) surgeons after 1 year and compare it with 2020 data by ( 1) measuring access to adequate personal protective equipment (PPE), ( 2) performance of elective surgery, and ( 3) the vaccination status. This should be investigated because most CMF surgeons felt that hospitals did not provide them with adequate PPE. Methods The investigators surveyed the international AO CMF membership using a 30-item online questionnaire and compared it to a previous study. The primary predictor variable was year of survey administration. Primary outcome variables were availability of adequate personal protective equipment (adequate/inadequate), performance of elective surgery (yes/no), and vaccination status (fully vaccinated/partly vaccinated/not vaccinated). Descriptive and analytic statistics were computed. Binary logistic regression models were created to measure the association between year and PPE availability. Statistical significance level was set at P < .05. Results The sample was composed of 523 surgeons (2% response rate). Most surgeons reported access to adequate PPE (74.6%). The most adequate PPE was offered in Europe (87.8%) with the least offered in Africa (45.5%). Surgeons in 2021 were more likely to report adequate PPE compared to 2020 (OR 3.74, 95% CI [2.59–4.39]). Most of the respondents resumed elective surgery (79.5% vs 13.3% in 2020) and were fully vaccinated (59.1%). Conclusion Most CMF surgeons now have access to adequate PPE, resumed elective surgery, and are either fully or partly vaccinated. Future studies should investigate the long-term impact of the fast-evolving COVID-19 pandemic on CMF surgeons.

scholarly journals Handling and processing of pathology samples of suspected or confirmed COVID-19 patient

2020 ◽  
Vol 10 (2) ◽  
pp. 1766-1771
Author(s):  
Diksha Karki ◽  
Paricha Upadhyaya ◽  
Purbesh Adhikari ◽  
Mona Dahal ◽  
Jitendra Kumar Yadav
Keyword(s):  
Public Health ◽  
At Risk ◽  
Personal Protective Equipment ◽  
Health Concern ◽  
Protective Equipment ◽  
Public Health Concern ◽  
Major Public Health Concern ◽  
Risk Of Exposure ◽  
Pathology Samples ◽  
Definite Treatment

The SARS-CoV-2 has emerged as a major public health concern. Human to human transmission has been confirmed via droplets, contaminated surfaces, and hands. All the staffs and personnel working in the laboratory are also at risk of contracting this infection, especially during the handling and processing of samples from suspected or confirmed patients of COVID-19. With no definite treatment and vaccine in sight, the way forward is to break the chain of transmission by eliminating the risk of exposure to laboratory staffs by proper handling and processing of all the samples in an appropriate containment level laboratory, proper use of personal protective equipment with special attention on disposal and decontamination of work surfaces.

scholarly journals Occupational Asthma Occurrence Analysis and Factor Factors Affecting on Furniture Workers in Balongrejo Village Kecamatan Berbek Nganjuk

2019 ◽  
Vol 2 (2) ◽  
pp. 29-38
Author(s):  
Fitra Handika Hutama
Keyword(s):  
At Risk ◽  
Personal Protective Equipment ◽  
Occupational Asthma ◽  
Respiratory Diseases ◽  
Active Role ◽  
Dominant Factor ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Factors Affecting

Wood working or furniture workers are workers at risk of exposure to dust, whether derived from sawmill assembly or wooden welding, thus at risk of developing occupational diseases such as respiratory diseases such as asthma. Lack of self-discipline workers to use self-protection tool (APD) in the form, mask is one of the factors that influence the incidence of respiratory diseases with the main symptoms of cough. This happens because the workers inhale sawdust or wooden dust. This study is an obeservational study with cross sectional design. Samples and respondents are furniture workers in Balongrejo village, Berbek sub-district, Nganjuk regency, as many as 120 people taken by cluster random sampling of 94 people. The statistic test used is logistic regression. The result of statistical test shows that significant value <0.05 means H1 is accepted and H0 is rejected. This means that there is an influence between smoking, the use of personal protective equipment (masks), and the temperature of the workspace against occupational asthma events, and a significant value> of 0.05 means that H1 is rejected and H0 accepted This means no effect on the occurrence of occupational asthma, of influencing factors above the most dominant factor affecting the occurrence of occupational asthma in furniture workers is smoking and the use of personal protective equipment (masks). Efforts that can be done in overcoming this problem is the active role of Disnakertrans of Nganjuk Regency to make the order regulation to the owner of Furniture Trade Enterprise to provide PPE to the workers, the active role of health officer in giving health counseling for the furniture workers.

scholarly journals Flattening the Curve: The effects of intervention strategies during COVID-19

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kelly Reagan ◽  
Rachel Pryor ◽  
Gonzalo Bearman ◽  
David Chan
Keyword(s):  
Personal Protective Equipment ◽  
Transmission Rate ◽  
State Level ◽  
Sir Model ◽  
Intervention Strategies ◽  
Time Dependent ◽  
Protective Equipment ◽  
Social Distancing ◽  
Peak Number ◽  
Number Of Individuals

COVID-19 has plagued countries worldwide due to its infectious nature. Social distancing and the use of personal protective equipment (PPE) are two main strategies employed to prevent its spread. A SIR model with a time-dependent transmission rate is implemented to examine the effect of social distancing and PPE use in hospitals. These strategies’ effect on the size and timing of the peak number of infectious individuals are examined as well as the total number of individuals infected by the epidemic. The effect on the epidemic of when social distancing is relaxed is also examined. Overall, social distancing was shown to cause the largest impact in the number of infections. Studying this interaction between social distancing and PPE use is novel and timely. We show that decisions made at the state level on implementing social distancing and acquiring adequate PPE have dramatic impact on the health of its citizens.

Impact of COVID-19 on Nuclear Medicine in Germany, Austria and Switzerland: An International Survey in April 2020

2020 ◽  
Vol 59 (04) ◽  
pp. 294-299 ◽  
Author(s):  
Lutz S. Freudenberg ◽  
Ulf Dittmer ◽  
Ken Herrmann
Keyword(s):  
Nuclear Medicine ◽  
Health Systems ◽  
Personal Protective Equipment ◽  
Large Scale ◽  
Diagnostic Procedures ◽  
Protective Equipment ◽  
Current Crisis ◽  
Web Based ◽  
Public Versus Private ◽  
The Impact

Abstract Introduction Preparations of health systems to accommodate large number of severely ill COVID-19 patients in March/April 2020 has a significant impact on nuclear medicine departments. Materials and Methods A web-based questionnaire was designed to differentiate the impact of the pandemic on inpatient and outpatient nuclear medicine operations and on public versus private health systems, respectively. Questions were addressing the following issues: impact on nuclear medicine diagnostics and therapy, use of recommendations, personal protective equipment, and organizational adaptations. The survey was available for 6 days and closed on April 20, 2020. Results 113 complete responses were recorded. Nearly all participants (97 %) report a decline of nuclear medicine diagnostic procedures. The mean reduction in the last three weeks for PET/CT, scintigraphies of bone, myocardium, lung thyroid, sentinel lymph-node are –14.4 %, –47.2 %, –47.5 %, –40.7 %, –58.4 %, and –25.2 % respectively. Furthermore, 76 % of the participants report a reduction in therapies especially for benign thyroid disease (-41.8 %) and radiosynoviorthesis (–53.8 %) while tumor therapies remained mainly stable. 48 % of the participants report a shortage of personal protective equipment. Conclusions Nuclear medicine services are notably reduced 3 weeks after the SARS-CoV-2 pandemic reached Germany, Austria and Switzerland on a large scale. We must be aware that the current crisis will also have a significant economic impact on the healthcare system. As the survey cannot adapt to daily dynamic changes in priorities, it serves as a first snapshot requiring follow-up studies and comparisons with other countries and regions.

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