Preparedness Towards Chemical, Biological, Radiological, Nuclear, and Explosive (Cbrne) Threats Among Healthcare Personnel in Pasir Gudang, Johor, Malaysia

Employing doctors and nurses who were trained overseas has been standard practice since the inception of the British National Health Service (NHS) in 1948. However, by the twenty-first century, recruitment of doctors from Africa was being compared with the slave trade in terms of its exploitative and damaging effects: ‘current policies of recruiting doctors from poor countries are a real cause of premature death and untreated disease in those countries and actively contribute to the sum of human misery.’ The assertion that employing foreign doctors was causing poor health in those doctors’ countries of origin was echoed in two reports from global health organisations, which stressed the emigration of skilled healthcare personnel from the sub-Saharan region of Africa as being related to concomitant deterioration in populations ife expectancy and declared a ‘global health workforce crisis.

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Determination of attitudes of healthcare personnel working in surgical services towards the use of gloves

GULHANE MEDICAL JOURNAL ◽

10.26657/gulhane.00029 ◽

2018 ◽

Vol 60 (3) ◽

pp. 92

Author(s):

Murat Urkan ◽

Yasin Uzuntarla ◽

Fatma Uzuntarla

Keyword(s):

Healthcare Personnel ◽

Surgical Services

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Faculty Opinions recommendation of Support for seasonal influenza vaccination requirements among US healthcare personnel.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.14253961.15768062 ◽

2012 ◽

Author(s):

Mark Russi

Keyword(s):

Influenza Vaccination ◽

Seasonal Influenza ◽

Healthcare Personnel ◽

Seasonal Influenza Vaccination

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Doctor Retention in Ireland - What it may mean for the Global Health Workforce Reform Agenda Comment on "Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle"

International Journal of Health Policy and Management ◽

10.34172/ijhpm.2020.126 ◽

2020 ◽

Author(s):

Bernard Hope Taderera

Keyword(s):

Global Health ◽

Health Workforce ◽

Cross Sectional Study ◽

Early Career ◽

Healthcare Personnel ◽

Health Coverage ◽

Cross Sectional ◽

Middle Income ◽

Reform Agenda ◽

Medical Graduates

The study of healthcare personnel migration in Ireland reports that most medical graduates plan to leave the country’s health system. It may be possible to address this challenge by understanding and addressing the reasons why young doctors plan to leave. Future studies should contribute to the retention of early career doctors in highincome countries such as Ireland. This will help reduce the migration of doctors from low- and middle-income countries in order to address the global health workforce crisis and its impact on the attainment of universal health coverage in all health systems.

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SARS-CoV-2 Ig G among Healthcare Workers and the General Population

Pathogens ◽

10.3390/pathogens10040465 ◽

2021 ◽

Vol 10 (4) ◽

pp. 465

Author(s):

Gregorio P. Milani ◽

Mario G. Bianchetti ◽

Giuseppe Togni ◽

Andreas W. Schoenenberger ◽

Franco Muggli

Keyword(s):

General Population ◽

Healthcare Workers ◽

Geographical Area ◽

Healthcare Personnel ◽

Protein Subunit ◽

Positive Serology ◽

Seroprevalence Data ◽

And Gender ◽

Few Data ◽

Ig G

It is assumed that healthcare workers are at the highest risk to be infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, few data from healthcare workers who do not primarily take care of patients with SARS-CoV-2 infection support this assumption. We investigated the prevalence of immunoglobulin G (Ig G) against SARS-CoV-2 among healthcare workers who do not primarily take care of patients with SARS-CoV-2 infection and the general population in a well-defined geographical area. The first part of the study was conducted in May 2020 in Val Mesolcina (Southern Switzerland), a valley with ~8000 inhabitants. All healthcare workers were invited. All participants (n = 488) of the Swiss Longitudinal Cohort Study (SWICOS), a cohort representative of the general population, were also invited. Circulating Ig G against spike protein subunit 1 of SARS-CoV-2 were tested in each subject. Subjects with positive Ig G were tested again after 6 months. The condition of being a healthcare worker, rather than a part of the general population, was tested as a predictor of seroprevalence positivity by both simple and multiple (adjusted for age and sex) logistic regression. Eleven (2.6%) of the 423 SWICOS participants and 46 (16%) out of 289 healthcare workers were positive for antibodies against SARS-CoV-2. The seroprevalence OR was 7.01 (95% CI: 3.53–15.47) for healthcare workers as compared to SWICOS participants. After adjusting for age and gender, the seroprevalence OR was 5.13 (95% CI: 2.54–10.40). About three quarters of the subjects in the SWICOS (73%) and in healthcare (79%) group with a previous positive serology still presented positive Ig G against the SARS-CoV-2 after 6 months. The present seroprevalence data point out that the SARS-CoV-2 infection is seven times higher among healthcare workers than in the general population of Val Mesolcina. Efforts to effectively protect all the healthcare personnel are needed.

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Risk evaluation of duodenoscope-associated infections in the Netherlands calls for a heightened awareness of device-related infections: a systematic review

Endoscopy ◽

10.1055/a-1467-6294 ◽

2021 ◽

Author(s):

Judith A. Kwakman ◽

Nicole S. Erler ◽

Margreet C. Vos ◽

Marco J. Bruno

Keyword(s):

The Netherlands ◽

Multidrug Resistant ◽

Healthcare Personnel ◽

Endoscopic Retrograde ◽

Minimum Risk ◽

Actual Risk ◽

Molecular Matching ◽

Estimated Risk ◽

Technical Solutions ◽

Risk Ratios

Abstract Background The risk of exogenous infections from endoscopic procedures is often cited as almost negligible (1 infection in 1.8 million procedures); however, this risk is based on older literature and does not seem to match the number of infectious outbreaks due to contaminated duodenoscopes reported after endoscopic retrograde cholangiopancreatography (ERCP). Using Dutch data, we aimed to estimate the minimum risk of duodenoscope-associated infection (DAI) and colonization (DAC) in patients undergoing ERCP. Methods A systematic literature search identified all DAI outbreaks in the Netherlands reported between 2008 and 2019. Included cases were confirmed by molecular matching of patient and duodenoscope cultures. Risk ratios were calculated based on the total number of ERCPs performed during the study period. Results Three outbreaks were reported and published between 2008 and 2018, including 21 confirmed DAI cases and 52 confirmed DAC cases. The estimated number of ERCPs performed during the same period was 181 209–227 006. The calculated minimum estimated DAI risk was approximately 0.01 % and the minimum estimated DAC risk was 0.023 %–0.029 %. Conclusions The estimated risk of DAI in Dutch ERCP practice was at least 180 times higher than previously published risk estimates. The actual risk is likely to be (much) higher due to underreporting of infections caused by multidrug-resistant organisms and sensitive bacteria. Greater awareness by healthcare personnel involved in endoscopy and endoscope cleaning is required, as well as innovative technical solutions to contain and ultimately eliminate DAIs.

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