Experience with Combined Vaccination against Pertussis, Diphtheria, Tetanus and Influenza in Workers with Occupational Respiratory Disease Hazard

2020 ◽  
Vol 19 (2) ◽  
pp. 102-109
Author(s):  
N. A. Roslaya ◽  
N. A. Lugovskaya ◽  
I. O. Kholopov

Relevance. Respiratory diseases, flu and pertussis, in particular, are common causes of temporary disability at work place. Pertussis is the second most common infectious disease by incidents increase in the Russian Federation. Combined immunization is found to be an efficient method to prevent infections at work place.Objective. Research objective is to prove safety of combined influenza and the diphtheria-tetanus-pertussis vaccines for people with occupational hazard of respiratory diseases.Materials and methods. We have studied the vaccination process in 257 adults with 2-nd and 3-rd health groups. We evaluated post-vaccination reactions, their localization, severity, time onset, and duration. We identified two groups with weaker and stronger side effects after vaccination. We determined typical parameters of the vaccination process.Results. 50% people in examined group showed adverse reaction. Symptoms were weak as a rule and lasted up to 4 days mostly. 29 people (11%) had more severe and long reaction. 6 patients (2%) required supportive care, 2 (0.8%) showed severe symptoms lasting from 2 to up to 5 days.Conclusion. The application of influenza vaccination combined with diphtheria, tetanus and pertussis vaccinations simultaneously have demonstrated that it is safe to use in adults at risk of exposure for respiratory diseases at workplace. Minor side effects do not pose a health threat, and can be completely prevented.

2020 ◽  
Vol 19 (2) ◽  
pp. 102-109
Author(s):  
N. A. Roslaya ◽  
N. A. Lugovskaya ◽  
I. O. Kholopov

Relevance. Respiratory diseases, flu and pertussis, in particular, are common causes of temporary disability at work place. Pertussis is the second most common infectious disease by incidents increase in the Russian Federation. Combined immunization is found to be an efficient method to prevent infections at work place.Objective. Research objective is to prove safety of combined influenza and the diphtheria-tetanus-pertussis vaccines for people with occupational hazard of respiratory diseases.Materials and methods. We have studied the vaccination process in 257 adults with 2-nd and 3-rd health groups. We evaluated post-vaccination reactions, their localization, severity, time onset, and duration. We identified two groups with weaker and stronger side effects after vaccination. We determined typical parameters of the vaccination process.Results. 50% people in examined group showed adverse reaction. Symptoms were weak as a rule and lasted up to 4 days mostly. 29 people (11%) had more severe and long reaction. 6 patients (2%) required supportive care, 2 (0.8%) showed severe symptoms lasting from 2 to up to 5 days.Conclusion. The application of influenza vaccination combined with diphtheria, tetanus and pertussis vaccinations simultaneously have demonstrated that it is safe to use in adults at risk of exposure for respiratory diseases at workplace. Minor side effects do not pose a health threat, and can be completely prevented.


2020 ◽  
Vol 17 (3) ◽  
pp. 318-324 ◽  
Author(s):  
Khadije Saket ◽  
Jalil T. Afshari ◽  
Ehsan Saburi ◽  
Mahdi Yousefi ◽  
Roshanak Salari

From ancient times, medicinal plants have been usually utilized to treat many disorders, but today, interest in these herbs is again aroused, because of their fewer side effects and low-cost. In traditional medicine, for many diseases, various medicinal herbs have been suggested so far. Drimia maritime, also named squill, is an important medicinal plant for the treatment of many diseases, especially respiratory diseases. In the current evidence-based study, we conducted a review of the general characteristics, ingredients, administration form, and side effects of squill in traditional medicine. For this purpose, traditional Persian medicine literatures and electronic databases were examined including PubMed, Scopus, and Google Scholar. Many compounds are isolated from D.maritima, including scillaren, scillirubroside, scillarenin, and bufadienolide glycosides. Oxymel is the most commonly used form of squill for various diseases, especially respiratory diseases. Besides, squill has been used in the treatment of cardiovascular, digestive, and dermatological disorders, it is also used against various cancer cells for its antioxidant and cytotoxic properties. Moreover, there is relatively reliable evidence of its benefits for bacterial and helminthic infections, rheumatism, edema, gout, abortion induction, healing of wounds and urine induction. It seems that supplementary studies are required to explore the bioactive agents and their effective mechanisms.


Author(s):  
Mehdi Torabi ◽  
Ava Roughani Esfahani ◽  
Shiva Moeinaddini ◽  
Mohammad Reza Baneshi

 Objective: Epistaxis is one of the common causes of patients’ referral to the emergency departments. In the majority of cases, epistaxis is managed by traditional methods. We investigated the efficacy of nasal gel (NG) in comparison to anterior nasal packing (ANP) to stop mild-to-moderate anterior nasal bleeding.Methods: In this prospective, randomized clinical trial, patients were divided into two groups of ANP (n=60) and NG (n=40). We determined and compared the efficacy of treatment (bleeding stop time and recurrence), patients’ satisfaction at discharge (length of stay in the hospital, pain during the procedure, and procedural time), and safety (less side effects) in both groups.Results: The procedural time ≤2 min was observed in 90% and 58.33 % of NG group and ANP group, respectively (p<0.001). Pain score during procedure ≤4 and patients’ satisfaction ≥7 were, respectively, seen in 87.5% and 65% of NG group, but it was 43.33% and 41.7% in ANP group, respectively (p<0.001, p=0.02). The side effects in ANP group were 35%; however, no side effects were observed in NG group.Conclusion: In the management of mild-to-moderate anterior nasal bleeding although NG efficacy is equivalent to ANP, using NG may be more convenient and satisfactory for patients. In addition, the use of this gel may result in more safety and fewer side effects.


2021 ◽  
Vol 14 (9) ◽  
pp. 873
Author(s):  
Abanoub Riad ◽  
Barbora Hocková ◽  
Lucia Kantorová ◽  
Rastislav Slávik ◽  
Lucia Spurná ◽  
...  

mRNA-based COVID-19 vaccines such as BNT162b2 have recently been a target of anti-vaccination campaigns due to their novelty in the healthcare industry; nevertheless, these vaccines have exhibited excellent results in terms of efficacy and safety. As a consequence, they acquired the first approvals from drug regulators and were deployed at a large scale among priority groups, including healthcare workers. This phase IV study was designed as a nationwide cross-sectional survey to evaluate the post-vaccination side effects among healthcare workers in Slovakia. The study used a validated self-administered questionnaire that inquired about participants’ demographic information, medical anamneses, COVID-19-related anamnesis, and local, systemic, oral, and skin-related side effects following receiving the BNT162b2 vaccine. A total of 522 participants were included in this study, of whom 77% were females, 55.7% were aged between 31 and 54 years, and 41.6% were from Banska Bystrica. Most of the participants (91.6%) reported at least one side effect. Injection site pain (85.2%) was the most common local side effect, while fatigue (54.2%), headache (34.3%), muscle pain (28.4%), and chills (26.4%) were the most common systemic side effects. The reported side effects were of a mild nature (99.6%) that did not require medical attention and a short duration, as most of them (90.4%) were resolved within three days. Females and young adults were more likely to report post-vaccination side effects; such a finding is also consistent with what was previously reported by other phase IV studies worldwide. The role of chronic illnesses and medical treatments in post-vaccination side effect incidence and intensity requires further robust investigation among large population groups.


2021 ◽  
Vol 13 (4) ◽  
pp. 888-901
Author(s):  
Nishat Jahan ◽  
Fahad Imtiaz Rahman ◽  
Poushali Saha ◽  
Sadia Afruz Ether ◽  
ASM Roknuzzaman ◽  
...  

In response to the raging COVID-19 pandemic, Bangladesh started its vaccine administration in early 2021; however, due to the rapid development and launch of the vaccines in the market, many people had concerns regarding the safety of these vaccines. The purpose of this study was to evaluate the side effects that were experienced by the Bangladeshi residents after receiving the first dose of the Oxford-AstraZeneca’s Covishield vaccine (ChAdOx1nCoV-19). The study was conducted using both online and printed questionnaires and the data were analysed using SPSS. The results included the responses of 474 vaccine recipients from March–April 2021. Pain at the site of injection, fever, myalgia, fatigue and headache were the most commonly reported symptoms, and the overall side effects were found to be significantly more prevalent in the younger population (p ≤ 0.05). These findings were consistent with the results indicated by the clinical trial of ChAdOx1nCoV-19. Logistic regression analysis further revealed that compared to people aged 70 years or above, the incidence of reported side effects was significantly higher in people aged 18–30 years (odds ratio (OR) = 8.56), 31–40 years, (OR = 5.05), 41–50 years (OR = 4.08), 51–60 years (OR = 3.77) and 61–70 years (OR = 3.67). In addition, a significantly higher percentage of female participants suffered from post-vaccination side effects compared to males (OR = 1.51). It was concluded that the Covishield vaccine was well-tolerated among people of different age groups. Nevertheless, further long-term follow-up study with a larger sample size is warranted to establish the long-term safety of the COVID-19 vaccine.


Author(s):  
Alexander Chuchalin ◽  
Nikolai Khaltaev ◽  
Nikolay Antonov ◽  
Dmitry Galkin ◽  
Leonid Manakov ◽  
...  

2018 ◽  
Vol 8 (4) ◽  
pp. 745-747
Author(s):  
Sruthi James ◽  
Brijesh Sathian ◽  
Edwin Van Teijlingen ◽  
Mohammad Asim

In South Asia, the monsoon brings life to vegetation, but at the same time has potential to cause public health problems. Notably, the climate change due to global warming is affecting the extent of monsoon rainfall in the region causing flooding which increases the risks of major disease outbreaks.  Flooding and standing water after heavy rainfall increases the risk of vector-borne diseases such as dengue, malaria, plague, chikungunya, typhoid, cholera and Leptospirosis.  Worldwide, Leptospirosis is one of the most common and emerging zoonoses, except on the North and South Poles. Rat fever or leptospirosis is a bacterial infection caused by the spiral-shaped bacteria (spirochete) of the genus Leptospira. This infection is mainly seen in wild and even domesticated species of rodents. It is mainly transmitted to humans by exposure of the mucous membranes (oral, nasal & eye) and skin abrasions or cuts to the urine or tissues of infected rodents or soil contaminated by their urine. Rats are the primary reservoir of leptospirosis, although farm animals and livestock, such as horses, pigs, dogs or cattle, and even wild animals can also be a reservoir for the bacteria. However, human-to-human transmission seems to occur occasionally. It is also an occupational hazard with potential risk of exposure among outdoors workers such as farmers, cleaners, veterinarians, agricultural workers. Moreover, there exists an increased chance of a recreational hazard to those who swims and wades in contaminated waters .


2006 ◽  
Vol 42 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Philip Padrid

Noninfectious disorders of the respiratory tract, including laryngitis, tracheitis, bronchitis, and asthma are common problems in dogs and cats. Traditional therapies have often included corticosteroids and bronchodilators given by mouth or injection. Side effects of this form of treatment can be severe and can result in cessation of therapy. Inhaled corticosteroid drugs are not as absorbed into the systemic circulation, do not result in significant side effects, and are now the standard of care for dogs and cats with respiratory diseases that would otherwise be treated with systemic medications.


2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 35-35
Author(s):  
Paul A. Glare ◽  
Tanya Nikolova ◽  
Alberta Alickaj ◽  
Victoria Susana Blinder ◽  
Sujata Patil

35 Background: Early integration of palliative care (PC) with oncologic care means return to work (RTW) issues will apply to some patients. There is an extensive literature on RTW after completing definitive treatment but much less is known about RTW in patients with active disease and on treatment. Methods: Cross-sectional survey of patients in two Pain & Palliative Care (PC) clinics at a comprehensive cancer center. Respondents were aged 25-65 and had been in paid employment prior to or during their treatment. The survey consisted of 37 items covering three domains: clinical details and demographics; work status, occupation, and work ability; importance of work and factors interfering with work. Results: 105 surveys were completed. 54% respondents were females, median age 53. 79% had been working at the time diagnosis. The commonest primaries were breast, colorectal, lung, GYN, and melanoma/sarcoma. 80% reported having active disease, median 2 years since diagnosis, and 73% were currently on treatment. In patients with active disease (n=86), 47% were currently working, 63% of them full time, typically RTW after taking < 6 months off. Work was important to 80% them, making 83% "feel normal", and 58% feel like they are “beating the cancer”. 35% would have liked to work more hours. Fatigue interfered with work in 49%, pain in 38%, and side effects of pain medicines in 31%. Almost ¼ were anxious or depressed about their work situation. More than 20% experienced discrimination in the work place, although usually minor. Conclusions: It is not uncommon for patients with advanced cancer to RTW even when they are on treatment and are sick enough to need to be followed in a PC clinic. Work is important to them and many would like to work more. Symptoms and side effects may interfere with their work ability. Some may be experiencing discrimination in the work place. Interventions to overcome these problems should be part of comprehensive, interdisciplinary PC.


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