scholarly journals Medical workers of zhytomir oblast and assessment of the risks of their infection with SARS-COV-2 virus in the aspect of safety, occupational hygiene, and infectious control

2021 ◽  
pp. 4-13
Author(s):  
О.P. Yavorovskyi ◽  
◽  
Yu.M. Skaletskyi ◽  
R.P. Brukhno ◽  
L.V. Kharchuk ◽  
...  

Objective: We assessed safety, occupational health and infectious control at the institutions of public health of Zhytomyr oblast of Ukraine to improve the management of the risks of the infection of medical personnel with the SARS-CoV-2 virus and to reduce the occupational morbidity and mortality of medical workers from COVID-19. Materials and methods: We used bibliographic, hygienic, questionnaire and mathematical methods in the study. The results of our own observations, questionnaires for a survey of medical workers, data of the Ministry of Health of Ukraine, the Center for Public Health of the Ministry of Health of Ukraine, the State Service of Ukraine for Labour, and thematic scientific sources of information were used as a material for the study. Results: The work of medical workers, involved in COVID-19 pandemic overcoming, is classified as dangerous (extreme). Besides SARS-CoV-2 virus, concomitant physical, chemical factors, and high physical and neuro-emotional stress affect the formation of working conditions in medical workers. Nurses (38.57%), junior nurses (26.10%), paramedics (5.37%), general practitioners of family medicine (4.85%), surgeons (4.16%), anesthesiologists (2.54%), infectious disease doctors (2.08%), radiologists (1.85%) are among medical workers who have been diagnosed with an acute occupational COVID-19 disease in Zhytomyr oblast of Ukraine. Conclusions: The main reasons of the high levels of occupational morbidity in medical workers of Zhytomyr oblast include personal carelessness of the victims; non-use of personal protection equipment if available; work in the focus of the disease; absence or poor-quality instruction on labour protection; not full provision with personnel in Zhytomyr oblast and medical workers with personal protection equipment in the medical institutions; shortage of epidemiologists, hygienists, and occupational pathologists.

2020 ◽  
Vol 14 (06) ◽  
pp. 554-558
Author(s):  
Zhengze Lin ◽  
Hongmei Shu ◽  
Dongping Jiang ◽  
Yanlan He ◽  
Hongtao Xia ◽  
...  

In the early stages of the coronavirus disease 2019 (COVID-19) outbreak in Wuhan, many cross-infections occurred due to the limited number of wards and insufficient medical staff, which could not cope with the large number of patients visiting the hospital. A series of new infection control measures were implemented in our institution and a Wuhan hospital supported by our medical team, mainly including temporarily transforming the general ward into a passage for the staff to enter the infectious ward and standardizing the procedure for the wearing and removal of personal protection equipment (PPE). These measures significantly improved the situation, and no member of our medical staff was infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the middle and late stages of the disease epidemic. We hope that these experiences can provide references for medical institutions that may face an outbreak of COVID-19, especially those in underdeveloped countries and regions.


POPULATION ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 148-154 ◽  
Author(s):  
Yulia V. Burdastova

The article attempts to assess the necessity for a mentoring system in medical institutions in Moscow. It presents the results of a sociological study, conducted in 2019, which include the analysis of expert interviews (among the experts were heads of the medical institutions subordinate to Moscow Department of Health, institutions of secondary vocational education, additional vocational training, and relating higher educational institutions). Starting with consideration of the issues concerning the attitude of experts to the topic of mentoring, the author identified the need to introduce mentoring in medical institutions, as well as the conditions for organization of effective functioning of the mentoring system, such as choosing a mentor, encouraging him, the timing of mentoring, etc. The author emphasizes that the institution of mentoring is necessary both to help new employees adapt and to help young professionals gain practical skills. According to experts, there is a gap between basic theoretical training and practical experience of young employees, which can be filled with the help of a mentoring system in medical organizations. Analyzing the expert interviews, the author comes to the conclusion that due to the lack of a legal basis for the mentoring system inRussia, it should be said that mentoring is proactive. This article also provides a review of international experience, recommendations of international organizations concerning the personnel crisis in medicine, and the main problems of the world health systems hampering achievement of the millennium goals and economic growth. Among the main barriers highlighted by WHO are the following: lack of medical personnel, uneven geographical distribution of medical workers, lack of access to medical services among the population, poor quality of medical care, etc.


2021 ◽  
Vol 74 (5) ◽  
pp. 1241-1244
Author(s):  
Ihor Yu. Robak ◽  
Volodymyr A. Alkov ◽  
Hanna L. Demochko ◽  
Oleksandr V. Chernukha

The aim: The aim of the research is to determine and systematize administrative and medical measures aimed at curbing cholera in the city of Kharkiv in the time of the Russian Empire, to assess the relevance of the experience in fighting the disease, to determine the impact of epidemics and anti-epidemic measures on Kharkiv residents’ public health. Materials and methods: General scientific and specific historical methods were used, and methods of related sciences were applied as well. The main methods of historical research included, in particular, historical analytical, chronological and comparative historical; methods of medical statistics, etc. The historiography of the issue was analyzed, unpublished archival materials, local press were studied. Conclusions: Despite the progress made, mortality remained high in general, proving the public health system had to be reorganized. The death rate shocked the local community so much that the authorities had to apply an information blockade. Anti-epidemic components included explanatory work by priests and police, sanitary measures, measures on strict compliance with observation and quarantine, food supplies to the blocked city and free medicine dispensation, involvement of all available medical institutions, and the establishment of special temporary facilities, actual mobilization of medical personnel. It was impossible to act in the other way, because the treatment methods seemed to be ineffective, like today, under the COVID-19 pandemic. When the medical component is proved ineffective in fighting the epidemic, relatively effective administrative measures, tried and tested over the centuries reasonably seem to be useful, and this experience has not lost its relevance.


2020 ◽  
pp. 112067212095333 ◽  
Author(s):  
Christina Lim ◽  
Ian De Silva ◽  
George Moussa ◽  
Tahir Islam ◽  
Lina Osman ◽  
...  

Background: During the current coronavirus (COVID-19) pandemic, some ophthalmologists across the United Kingdom (UK) have been redeployed to areas of need across the National Health Service (NHS). This survey was performed to assess aspects of this process including training & education, tasks expected, availability of personal protection equipment (PPE) used and the overall anxiety of ophthalmologists around their redeployment. Method: Online anonymous survey around the existing guidance on safe redeployment of secondary care NHS staff and PPE use by NHS England and Public Health England respectively. The survey was open to all ophthalmologists across the UK irrespective of their redeployment status. Findings: 145 surveys were completed and returned during a 2-week period between 17th April 2020 and 1st May 2020, when 52% of ophthalmologists were redeployed. The majority of this group consisted of ophthalmologists in training (79%). 81% of those redeployed were assigned to areas of the hospital where patients with confirmed Coronavirus disease were being treated as inpatients. There was a statistically significant improvement in anxiety level following redeployment which was mainly attributed to the support received by staff within the redeployed area. 71% of the redeployed group were found to have sufficient PPE was provided for the area they worked in. Interpretation: This is the first national survey performed on redeployment of ophthalmologists in the UK. The study showed that ophthalmologists across all grades were able to contribute in most aspects of patient care. Anxiety of redeployment was reduced by prior training and good support in the redeployment area.


2020 ◽  
pp. 4-13
Author(s):  
A.P. Yavorovskyi ◽  
◽  
A.V. Shkurba ◽  
Yu.M. Skaletskyi ◽  
R.P. Brukhno ◽  
...  

Objective: We studied the dynamics and causes of acute occupational morbidity on COVID-19 in medical staff, changes in labour conditions and safety of medical workers, their protection with adequate and effective personal protective equipment in particular. Materials and methods: We applied bibliographic, hygienic, questionnaire and mathematical methods in the study. As a material for the study, we used the results of our own observations, questionnaires for a survey of medical staff, data of the WHO, the Ministry of Healthcare of Ukraine, the Center for Public Health of the Ministry of Healthcare of Ukraine, the State Labour Service of Ukraine, the State Statistics Service of Ukraine and thematic scientific sources of information. Results: The work of the doctors involved in COVID-19 pandemic overcoming is classified as dangerous (extreme). An increase in the degree of neuro-emotional stress and accumulation of fatigue was revealed in comparison with the data of the first report. A significant number of ergonomic and physiological and hygienic deficiencies in personal protective equipment were recorded. Nurses (38.43%), assistant nurses (22.69%) paramedics (3.72%), practicians of family medicine (2.91 %), therapists (2.86%) and anesthesiologists (2.52%) predominate among medical staff diagnosed with COVID-19 acute occupational disease. An extremely low number of commission investigations of the accidents (COVID-19 diseases in medical workers), completed as of June 22, 2020, was revealed. Conclusions: The incidence rates of medical workers for COVID-19 and a significant number of the deaths in medical staff as a result of the infection with SARS-CoV-2 coronavirus indicate the insufficient attention of the state to the issues of labour protection in medical industry.


Author(s):  
Tatiana Frolova ◽  
Anastasia Obraztsova

Topicality. The current study is based on the research «Media Consumption among schoolchildren: Information Age and Socialization of Children in a Post-Transition Society» (Faculty of Journalism, 2013-2016). The research shows how parents and teachers understand the effects media have on their children. The study describes how Russian children of school age use different sources of information nowadays and why they use them. It also analyzes the role and place of traditional mass media in children’s life, looks into the level of their immersion into the information environment. The authors discuss if the society needs accurate and relevant information in order to improve the approach to these processes, and to develop media content strategies that meet the needs of children’s socialization. Objective. The study determines the degree, to which different groups of school children are immersed in various information environments, types of social media they use and the role of older generations in children’s media consumption. Design. In this work, in-depth interviews with respondents are used as the main method of study. The interviews include questions regarding the following issues: family traditions of media consumption, children and mass media, new media and traditional media. Interviews with teachers included a block of questions dedicated to media education problems. These interviews were conducted in five Russian cities: Uglich, Yakutsk, Perm, Kaliningrad and Moscow. The respondents included 104 parents and 78 teachers. Results. The current research doesn’t underestimate the use of the mass media for children of school age. Still, there is no universal strategy of mass media's integration into the educational process. Conclusion. The results are quite contradictory. Parents argue that their children need mass media to analyze the reality and to get new knowledge, but their practical use of the media is focused primarily on entertainment. Talking about the control, parents often mention restraining measures. This points to a problem of digital divide between generations, as well as highlights the instability of the Russian media system, which produces content of quite poor quality.


2020 ◽  
Vol 27 (7) ◽  
pp. 1139-1141 ◽  
Author(s):  
Joseph M Plasek ◽  
Chunlei Tang ◽  
Yangyong Zhu ◽  
Yajun Huang ◽  
David W Bates

Abstract Data change the game in terms of how we respond to pandemics. Global data on disease trajectories and the effectiveness and economic impact of different social distancing measures are essential to facilitate effective local responses to pandemics. COVID-19 data flowing across geographic borders are extremely useful to public health professionals for many purposes such as accelerating the pharmaceutical development pipeline, and for making vital decisions about intensive care unit rooms, where to build temporary hospitals, or where to boost supplies of personal protection equipment, ventilators, or diagnostic tests. Sharing data enables quicker dissemination and validation of pharmaceutical innovations, as well as improved knowledge of what prevention and mitigation measures work. Even if physical borders around the globe are closed, it is crucial that data continues to transparently flow across borders to enable a data economy to thrive, which will promote global public health through global cooperation and solidarity.


2021 ◽  
Vol 20 (2) ◽  
pp. 49-57
Author(s):  
E. V. Agafonova ◽  
S. N. Kulikov ◽  
I. D. Reshetnikova ◽  
Yu. A. Tyurin ◽  
G. F. Gilyazutdinova ◽  
...  

Relevance. Age-related and occupational aspects of SARS-CoV-2 seroprevalence in healthcare workers are not well understood. Aims: Conduct a selective study of seroprevalence to the SARS-CoV-2 virus among 348 medical workers of 10 medical organizations in Kazan: seven multidisciplinary hospitals that have been re-profiled to provide medical care to patients with coronavirus infection, an ambulance station, a medical organization that carries out outpatient activities and a specialized clinic. Materials and methods. Among those surveyed on a professional basis, the groups «Doctors», «Nurses», «Junior medical personnel», «Other medical workers» were identified. The age structure of seroprevalence was studied in groups of 18–29, 30–39, 40–49, 50–59 and 60–69 years. For the determination of IgG, a solid-phase ELISA was used. Results. The proportion of medical workers (MR) of various medical organizations in Kazan seropositive for IgG to the SARS-CoV-2 virus is 16.4%. The wide variation in the seroprevalence value of MR groups of different medical organizations (3.3–30.8%) may indicate a different level of effectiveness of anti-epidemic measures in these institutions. The maximum rate was noted in the age groups – 18–29 years (21%) and 60-69 years (18.2%). According to the professional criterion, a comparable level of seroprevalence is shown for the categories «Doctors» and «Nurses» with a wide variation in indicators in professional groups, depending on a particular medical organization. The obtained results indicate the presence among medical workers who have suffered or have an asymptomatic course of infection caused by SARS-CoV-2, and confirm the relevance of further serological monitoring in medical organizations of various profiles. The results of serological monitoring, taking into account age and professional aspects, can serve as the basis for adjusting preventive measures on the basis of individual medical organizations, and taking into account the recommendations of Rospotrebnadzor and the selection of contingents for vaccination against SARS-CoV-2. Conclusions: For the MR of various medical institutions in Kazan, the seroprevalence for antibodies to the SARS-CoV-2 virus is 16.4%; Age aspects affect the level of seroprevalence in MR; The obtained results indicate the presence of persons among MR who have had or have an asymptomatic course of infection caused by SARS-CoV-2, and confirm the relevance of further serological monitoring in medical organizations of various profiles.


Author(s):  
A. B. Tsvetkova ◽  
B. V. Musatov ◽  
L. A. Danchenok ◽  
Zh. B. Musatova

In order to attract the attention of customers and build their loyalty the trade enterprise should stand out at the background of others. One factor promoting attainment of this goal is the shop atmosphere. This category is essential for the service sector. The idea of atmosphere is also topical for medical institutions as enterprises of the service sector. What are its components in the field of public health and how can they be used? Can the atmosphere of the medical institution influence patients’ mood? You can find answers to these questions in this article. Analysis of the degree of this problem development in Russian and overseas publications allow us to speak about insufficient attention to its marketing component. In overseas literature the atmosphere of medical institutions is discussed only from the point of view of its therapeutic effect for patients and medical personnel, while Russian publications have not considered this issue. The list of atmosphere parameters consists of well-known elements. Traditionally it is investigated in the field of retail trade, as it makes possible to create and strengthen communication with clients in places of goods selling, to increase sales of the product range and profit. Is the list of parameters the same in medical institution? This question is still topical. The authors identify important parameters of the atmosphere in the medical institution influencing the younger generation – customers of medical services.


1970 ◽  
Vol 5 (2) ◽  
pp. 63-65
Author(s):  
MY Ali ◽  
SA Fattah ◽  
MM Islam ◽  
MA Hossain ◽  
SY Ali

Nipah viral encephalitis is one of the fatal re-emerging infections especially in southeast Asia. After its outbreak in Malaysia and Singapore; repeated outbreaks occurred at western part of Bangladesh especially in Faridpur region. Besides, sporadic attacks appear to occur in the country throughout the year. Here two Nipah outbreaks in greater Faridpur district in 2003 and 2004 are described along with brief review on transmission of the virus. Where the history of illness among patients are very much in favour of man to man transmission. Moreover the death of an intern doctor from Nipah encephalitis who was involved in managing such patients in Faridpur Medical College Hospital strongly suggests man to man transmission of this virus. So, aim of this review article to make the health personnel and general people be aware about man to man transmission of virus, so that they can adapt personal protection equipment (PPE) for their protection against this deadly disease. DOI: 10.3329/fmcj.v5i2.6825Faridpur Med. Coll. J. 2010;5(2):63-65


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