scholarly journals COVID-19 among Health Workers in Germany—An Update

Author(s):  
Albert Nienhaus

This is an update of our report on COVID-19 among health and social welfare workers in Germany. Workers’ compensation claims for occupational diseases (OD) are recorded in a standardized database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). We analyzed which workers in the health and welfare sector are most often affected by COVID-19. For the different sectors in healthcare and welfare, the number of full-time workers is known (FTW), allowing for calculation of claim rates by sector. The period for data presentation was extended to 3 May 2021 for this update. The cumulative number of COVID-19 claims increased from 4398 by May 2020 to 84,728 by May 2021. The majority of claims concern nursing homes (39.5%) and hospitals (37.6%). Nursing is the profession most often concerned (68.8%). Relative to the number of workers, the claim rate is highest for hospitals (41.3/1000 FTW). Seventy-seven workers died (0.09%) and three hundred and seventy-five (0.4%) were hospitalized. A total of 65,693 (77.5%) claims were assessed, and for 81.4% of these claims, the OD was confirmed. The number of health and welfare workers affected by COVID-19 is high. With most HW vaccinated by now in Germany, within the next few weeks or months, the number of new cases should decrease.

Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
Mayumi Kataoka ◽  
Daisuke Nishi

Child welfare workers often experience work-related traumatic events and may be at risk of post-traumatic stress disorder (PTSD), which can hinder early interventions for child abuse. This study examined the association between each single work-related traumatic event experienced by child welfare workers and the cumulative number of traumatic event types with PTSD symptoms. A checklist of traumatic events was used to investigate work-related traumatic events. The PTSD checklist for DSM-5 (PCL-5) was used to screen for PTSD symptoms. Two multivariate analyses were performed. A total of 140 workers were included in the analyses. In the first multivariate analysis, the event, “Witnessed a parent violently beating, hitting, kicking, or otherwise injuring a child or the other parent during work” (β = 11.96; 95% CI, 2.11–21.80; p < 0.05) and resilience (β = −0.60; 95% CI, −0.84 to −0.36; p < 0.01) were significantly associated with PTSD symptoms, as was resilience in the second multivariate analysis (β = −0.60; 95%CI, −0.84 to −0.36; p < 0.01). The association between the cumulative number of event types and PTSD symptoms was not significant, but it was stronger when the cumulative number was four or more. The findings suggest the importance of reducing child welfare worker exposure to traumatic events.


Author(s):  
James S. Goodwin ◽  
Pooja Agrawal ◽  
Shuang Li ◽  
Mukaila Raji ◽  
Yong-Fang Kuo

Author(s):  
Alan H. Lockwood

Economics govern the relationship between what could be done and what is actually done. A fundamental rule of public health posits that it is medically and economically desirable to prevent rather than to treat an illness. Heat leads to more deaths than any weather-related cause. In the July 2006 California heat wave there were over 16,000 excess emergency room visits and 1,100 hospitalizations. In Washington, there were 3.1 heat-related workman’s compensation claims per 100,000 full time employees. In India the economic burden of dengue is over one billion dollars per year. Puerto Rican data suggest it is the most important and costliest vector-borne disease. Property loss and burdens associated with the production of climate change refugees add to the cost of rising sea level. It’s no surprise that careful studies in the US show that those with the highest social vulnerability will be the most seriously affected. Agriculture will suffer: the 2012 megadrought cost around $30 billion. Economists estimate that heat-related increases in crime will cost each US citizens between $20 and $30 per year by the end of the century.


2018 ◽  
Vol 64 (4) ◽  
Author(s):  
Marta Giezek ◽  
Rafał Iwański ◽  
Marta Kożybska ◽  
Paulina Zabielska ◽  
Monika Paszkiewicz ◽  
...  

ABSTRACTIntroduction: Selected aspects of securing the needs of dependent elderly persons by the social assistance sector from the perspective of law, society and economics, are presented in the article.The purpose of the article is to evaluate the sources of funding full-time long-term care services for the benefit of dependent elderly persons in Szczecin.Materials and methods: The analysis was based on statistical and financial data concerning the costs of maintenance in nursing homes in Szczecin provided for the benefit of dependent persons aged over 65.Results: Currently, the main costs of securing full-time care service needs fulfilled by social assistance institutions are borne by the city, which covers more than half of the expenses connected with care. One third of the cost is covered by the seniors themselves, while the involvement of families in payments does not exceed 5%.Conclusions: A reduction in the number of working age persons, increases in the number of elderly persons, an increasing demand for long-term care facilities, rising average annual costs of maintenance in nursing homes and the very low participation of families in those costs all result in the need to allocate greater amounts of funds in city budgets for providing care for dependent persons aged over 65.


2020 ◽  
Vol 6 (1) ◽  
pp. 78-84
Author(s):  
Ni Komang Purwaningsih ◽  
Agus Darma Yoga Pratama

An increasing number of elderly in Japan and Indonesia, especially Bali, has led to increased health needs to care for them in nursing homes. Health workers, such as caregivers, are the closest people to communicate directly with the elderly. Communication can be called interpersonal communication which is a process of direct information or transfer of understanding of two or more people. Good interpersonal communication will build closeness and intimacy in the process of delivering messages. Therefore this study tried to analyze the experience of caregivers in implementing interpersonal communication and also determine the form of directive speech acts used by caregivers in caring for the elderly in nursing homes. The method used in this research was a qualitative descriptive method by phenomenological approach. The results showed that interpersonal communication applied by caregivers in caring for the elderly provided verbal and non verbal interpersonal communication. In addition, in the communication process of caregive-elderly is also formed directive speech act including prohibitions, requests and questions. In conclusion, caregivers need to have the ability to communicate effectively with elderly.


Author(s):  
Rita I Wijaya ◽  
Muhammad Ilyas

Background: One of the health problems that can be caused by glutaralaldehyde is allergic contact dermatitis (ACD). However, the causal relationship between glutaraldehyde and DKA is still unclear, so it is necessary to look for some evidence regarding this relationship. The search for evidence is also equipped with a seven-step assessment of occupational diseases therefore it can assist occupational medicine doctors who find patients with ACD and have a history of exposure to glutaraldehyde. Methods: Literature search using Pubmed, Scopus and JSTOR databases. The keywords used are ‘healthcare worker OR healthcare personnel’, ‘glutaraldehyde’ and ‘allergic contact dermatitis. Article selection was performed using the defined inclusion and exclusion criteria. Selected articles will be critically reviewed based on etiological studies from the Oxford Center of Evidence-Based Medicine. Result: It was in six selected articles that met the inclusion and exclusion criteria. The main finding after a critical review was that glutaraldehyde may increase the risk of ACD. Conclusion: There is a relationship between 1% glutaraldehyde exposure and the incidence of ACD in health workers. To establish the diagnosis of occupational diseases in health workers who are exposed to glutaraldehyde, seven steps of diagnosis of occupational diseases are used.


2021 ◽  
Vol 18 (3) ◽  
pp. 361-381
Author(s):  
Cokorda Istri Inten Purwaningsih ◽  
Gede Sri Darma

This study aims to determine the factors that cause stress levels, resilience factors, and barriers for health workers in dealing with Covid-19 patients at the Denpasar City Hospital. This study uses a descriptive qualitative approach. Data was collected by using interviews, observation, and documentation techniques. Data analysis techniques include data reduction, data presentation, and drawing conclusions. Checking the validity of the data was carried out by displaying the participation of researchers, triangulation techniques using various sources, anchovies and methods, and persistence of observation. Research informants are doctors and nurses. The results showed that: The factors that influence the stress of health workers in dealing with Covid-19 in Denpasar City hospitals are the heavy workload during the pandemic, the lack of quality of work support facilities for health workers and the stigma of society towards health workers. The factors possessed by medical personnel for resistance to stress are the presence of self-motivation in the form of mindfulness and moral and professional responsibility as health workers, motivation from the patient's family as well as motivation and support from the organization. The obstacles encountered by health workers are the lack of quality and quantity of work support facilities and various patient behaviors that hinder the healing process of Covid-19 patients.


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