scholarly journals Assessment of the Biosafety and Biosecurity in the Reference Veterinary Laboratory of Parakou in Benin

2021 ◽  
Vol 6 (3) ◽  
pp. 146
Author(s):  
Vincent Dossou Sodjinou ◽  
Paul Ahoumènou Ayelo ◽  
Agué Germain Aïndé Achade ◽  
Dissou Affolabi ◽  
Dona Edgard-Marius Ouendo

Optimal biosafety and biosecurity are major requirements of global health security. This study assessed the biorisk management in the reference veterinary laboratory of Parakou (Benin). The study was cross-sectional, descriptive, and evaluative. The non-probability sampling method with the reasoned choice was used. The Food and Agriculture Organization laboratory mapping tool-safety was used to collect information from the laboratory team. Group discussion, working environment observation, and document exploitation were the data collection techniques. The biorisk management was rated good if the average indicator of the laboratory reached at least 80%. Otherwise, the biorisk management was rated insufficient. The overall laboratory biosafety and biosecurity score was insufficient (42.4%). Per area, the scores were 26.7% for engineering, 33.3% for administration, 53.8% for personal protective equipment, and 62.3% for the operational. There was no area or category score that reached 80%. Containment, waste disposal, and personal protective equipment disposal were the best performing categories with a score above 60%. The laboratory has no biosafety and accident prevention program. Its premises require renovation. The standard operating procedures for biosafety are not yet finalized, and the training mechanism is not optimal. Therefore, strong advocacy and implementation of a biorisk management improvement plan appear as urgent corrective actions which are required to help the reference veterinary laboratory of Parakou in its task to protect the livestock and, ultimately, the people of Benin from dangerous diseases and emerging pathogens.

2021 ◽  
Vol 10 (2) ◽  
pp. 100-107
Author(s):  
Manisha Joshi ◽  
Gita Dhakal Chalise ◽  
Sarala Shrestha

Background: Welding is a hazardous occupation where welders expose to a variety of work-related hazards. These hazards might cause occupational health problems. Safe working environment and utilization of personal protective equipment (PPE) play a vital role in preventing problems and promoting their health, safety and wellbeing. Therefore, this study aimed to identify the prevalence of occupational health problems, workplace environment and utilization of personal protective equipment among welders. Methodology: A descriptive cross- sectional study design was used.  Data was collected from 130 welders of 35 metal workshops in Banepa Municipality using semi-structured interview schedule in 2019. An observational checklist was used to collect information on the workplace environment of selected metal workshops. Data was analyzed by using SPSS version 20 and described by using descriptive and inferential statistical methods. Results: The most prevalent problems experienced by welders were accidents and injuries (99.2%) and eye and ear problems (98.4%). The most available PPE in 35 metal workshops were protective goggles (100%) and insulated gloves (71.4%). Similarly, 90.6% welders always used safety goggles, 41% sometimes used facemasks and 65.4% never used helmets while working.  Only 25.6% workshops had first aid kits available with no expired products and 11.4% had kept fire extinguishers in easily accessible locations. Almost all (97.1%) workshops did not have safety guidelines for their workers. Conclusion: Welders who work in metal workshops experience different types of occupational health problems (OHP) and do not use all types of PPE for their protection. Hence, metal workshops should develop safety guidelines for their workers and strictly implement it to prevent OHP.


2019 ◽  
Vol 13 ◽  
Author(s):  
Katia Maria Rosa Vieira ◽  
Francisco Ubaldo Vieira Junior ◽  
Zélia Zilda Lourenço de Camargo Bittencourt

Objetivo: analisar as condições de trabalho percebidas por técnicos de Enfermagem e sua relação com acidentes envolvendo material biológico. Método: trata-se de um estudo misto, descritivo, transversal, realizado em um hospital público. Elencaram-se 275 profissionais que responderam a um questionário com perguntas relacionadas ao número de acidentes, percepção das condições de trabalho e sugestões para minimizá-los. Detalha-se que a pesquisa foi do tipo probabilística aleatória simples, com distribuição proporcional nas unidades e turnos de trabalho e os resultados apresentados a partir de relatos e tabelas. Resultados: declarou-se, por 210 técnicos, ter sofrido acidente de trabalho. Revela-se que as variáveis ritmo de trabalho estressante, monotonia e influência do trabalho na saúde tiveram significância estatística, e o uso de equipamentos de proteção individual e diminuição da sobrecarga foram as medidas mais indicadas pelos respondentes. Conclusão: indicou-se, pela análise, relação positiva entre sobrecarga de trabalho e acidentes com material biológico. Percebe-se que, apesar de a instituição disponibilizar equipamentos de proteção individual aos trabalhadores, há forte indício do não uso ou uso parcial. Podem-se subsidiar, pelo instrumento utilizado nesta pesquisa, ações gerenciais para readequações dos processos de trabalho. Descritores: Riscos Ocupacionais; Acidentes de Trabalho; Hospitais Públicos; Ambiente de Trabalho; Condições de Trabalho; Enfermagem.   ABSTRACTObjective: to analyze the working conditions perceived by nursing technicians and their relationship with accidents involving biological material. Method: this is a mixed, descriptive, cross-sectional study conducted in a public hospital. 275 professionals answered a questionnaire with questions related to the number of accidents, perception of working conditions and suggestions to minimize them. It is noted that the research was of simple random probability type, with proportional distribution in units and work shifts and the results presented from reports and tables. Results: 210 technicians claimed to have suffered an accident at work. It is revealed that the variables stressful work rhythm, monotony and influence of work on health were statistically significant, and the use of personal protective equipment and decreased overload were the measures most indicated by respondents. Conclusion: the analysis indicated a positive relationship between work overload and accidents with biological material. Although the institution makes personal protective equipment available to workers, there is strong evidence of non-use or partial use. It can be subsidized, by the instrument used in this research, managerial actions to readjust the work processes. Descriptors: Occupational Risks; Occupational Acidentes; Public Hospitals; Workplace; Working Environment; Nursing.  RESUMENObjetivo: analizar las condiciones de trabajo percibidas por los técnicos de Enfermería y su relación con los accidentes que involucran material biológico. Método: este es un estudio mixto, descriptivo, transversal realizado en un hospital público. Fueron listados 275 profesionales respondieron un cuestionario con preguntas relacionadas con el número de accidentes, la percepción de las condiciones de trabajo y sugerencias para minimizarlos. Se observa que la investigación fue de tipo de probabilidad aleatoria simple, con distribución proporcional en unidades y turnos de trabajo y los resultados presentados a partir de relatos y tablas. Resultados: 210 técnicos afirmaron haber sufrido un accidente en el trabajo. Se revela que las variables ritmo de trabajo estresante, monotonía e influencia del trabajo en la salud fueron estadísticamente significativas, y el uso de equipo de protección personal y la disminución de la sobrecarga fueron las medidas más indicadas por los encuestados. Conclusión: el análisis indicó una relación positiva entre sobrecarga de trabajo y accidentes con material biológico. Si bien la institución pone a disposición de los trabajadores equipos de protección personal, existe una fuerte evidencia de falta de uso o uso parcial. Puede ser subsidiado, por el instrumento utilizado en esta investigación, acciones de gestión para reajustes de los procesos de trabajo. Descriptores: Riesgos Laborales; Accidentes de Trabajo; Hospitales Públicos; Ambiente de Trabajo; Condiciones de Trabajo; Enfermería.


2021 ◽  
Vol 2 (2) ◽  
pp. 1-5
Author(s):  
Vincent Dossou SODJINOU

Introduction: The International Health Regulations 2005 require countries to establish laboratory systems for rapid and safe confirmation of public health emergencies including zoonoses. Objectives: This study assessed the national veterinary laboratory system capacity for the confirmation of infectious threats to global health security in Benin. Method: The study was descriptive, cross-sectional and evaluative. The non-probability sampling method with selection of the two existing veterinary laboratories were used. Two questionnaires, one observation grid and the Food and Agriculture Organization laboratory mapping tool-core were used. The system capacity was rated good if each laboratory met at least 80% of the assessed criteria. Otherwise, the capacity was rated insufficient. Results: The national veterinary laboratory system capacity in Benin was insufficient. Bohicon laboratory satisfied 27.2% of assessed criteria; With the laboratory mapping tool-core, Parakou laboratory had an average indicator of 50.7%. Laboratory collaboration and networking was the best performing domain with 66.7%. Only basic supplies category reached 80%. Laboratory budget, sample accession and availaible technology had the lowest scores. The veterinary laboratory system is facing shortage of staffs. Avian influenza virus is confirmed by the two laboratories; Bacillus anthracis and rift valley fever virus are only confirmed by Parakou laboratory. Ebola and Lassa fever are not confirmed. There is no collaboration between the laboratories in the country. Conclusion: The veterinary laboratories are not able to ensure timely detection of zoonoses and inform health system for preparedness. The development and implementation of the veterinary laboratory system improvement plan is essential for the global health security in Benin.


2021 ◽  
Author(s):  
Reem Halabi ◽  
Geoffrey Smith ◽  
Marc Sylwestrzak ◽  
Brian Clay ◽  
Christopher A Longhurst ◽  
...  

UNSTRUCTURED With the emergence of the COVID-19 pandemic and shortage of adequate personal protective equipment (PPE), hospitals implemented inpatient telemedicine measures to ensure operational readiness and a safe working environment for clinicians. The utility and sustainability of inpatient telemedicine initiatives need to be evaluated as the number of COVID-19 inpatients is expected to continue declining. In this viewpoint, we describe the use of a rapidly deployed inpatient telemedicine workflow at a large academic medical center and discuss the potential impact on PPE savings. In early 2020, videoconferencing software was installed on patient bedside iPads at two academic medical center teaching hospitals. An internal website allowed providers to initiate video calls with patients in any patient room with an activated iPad, including both COVID-19 and non–COVID-19 patients. Patients were encouraged to use telemedicine technology to connect with loved ones via native apps or videoconferencing software. We evaluated the use of telemedicine technology on patients’ bedside iPads by monitoring traffic to the internal website. Between May 2020 and March 2021, there were a total of 1240 active users of the Video Visits website (mean 112.7, SD 49.0 connection events per month). Of these, 133 (10.7%) connections were made. Patients initiated 63 (47.4%) video calls with family or friends and sent 37 (27.8%) emails with videoconference connection instructions. Providers initiated a total of 33 (24.8%) video calls with the majority of calls initiated in August (n=22, 67%). There was a low level of adoption of inpatient telemedicine capability by providers and patients. With sufficient availability of PPE, inpatient providers did not find a frequent need to use the bedside telemedicine technology, despite a high census of patients with COVID-19. Compared to providers, patients used videoconferencing capabilities more frequently in September and October 2020. We did not find savings of PPE associated with the use of inpatient telemedicine.


2020 ◽  
Vol 10 (2) ◽  
pp. 100-7
Author(s):  
Manisha Joshi ◽  
Gita Dhakal ◽  
Sarala Shrestha

Introduction: Welding is a hazardous occupation where welders expose to a variety of work-related hazards. These hazards might cause occupational health problems. Safe working environment and utilization of personal protective equipment (PPE) play a vital role in preventing problems and promoting their health, safety and wellbeing. Objectives: This study aimed to identify the prevalence of occupational health problems, workplace environment and utilization of personal protective equipment among welders.Methods: A descriptive cross- sectional study design was used for the study. Data was collected from purposively selected 130 welders of 35 metal workshops in Banepa Municipality. By using semi-structured interview schedule, face to face interview was taken with each of them in May-June, 2019. An observational checklist was used to collect information on the workplace environment of selected metal workshops. Data was analyzed by using Statistical Package for Social Sciences (SPSS) version 20 and described by using descriptive and inferential statistical methods.Results: The study identified that 129 welders (99.2%) experienced accidents and injuries followed by eye and ear problems (128, 98.4%). Amongst all personal protective equipment, protective goggles was available in all 35 metal workshops and insulated gloves in 25 workshops (71.4%). Similarly, 118 welders (90.6%) always used safety goggles, 53 (41%) sometimes used facemasks and 85 (65.4%) never used helmets while working. Only 9 workshops (25.7%) had first aid kits available with no expired products and 4 (11.4%) had kept fire extinguishers in easily accessible locations. Among 35, 34 workshops (97.1%) did not have safety guidelines for their workers.Conclusion: Welders who work in metal workshops experience different types of occupational health problems (OHP) and do not use all types of PPE for their protection. Hence, metal workshops should develop safety guidelines for their workers and strictly implement it to prevent OHP.


2017 ◽  
Vol 50 (1) ◽  
pp. 19 ◽  
Author(s):  
Puspa Dila Rohmaniar ◽  
Titiek Berniyanti ◽  
Retno Pudji Rahayu

Background: Exposure of metals among dental technicians that come from the working environment can lead to the formation reactive oxygen species (ROS). ROS can cause mutations in the p53 gene (p53). The mutation is transversion mutation GuanineThymine. p53 mutations can lead to low expression of the wild-type p53 protein (p53). Wild-type p53 involved in many biological processes such as regulation of genes involved in cell cycle, cell growth after DNA damage, and apoptosis. However, exposure to metals among dental technicians can be prevented through the use of personal protective equipment (PPE) during work. Purpose: The purpose of this study was to analyze the correlation between the use of personal protective equipment to wild-type p53 protein levels among dental technicians in Surabaya. Method: This study was observational analytic with cross sectional approach. 40 samples were taken by random sampling. Data were retrieved through interviews and observations. Wild-type p53 was analyzed from saliva with indirect ELISA method. Analysis of data used Kolmogorov Smirnov normality test and a Pearson correlation test. Value significance was p<0.05 (95% confidence level). Result: There was a significant association between the use of personal protective equipment with wild-type p53 levels with p=0.002 Conclusion: The use PPE properly is positively correlated with the wild-type p53 protein levels of dental technicians in Surabaya.


2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Hariyani Hariyani ◽  
Indasah Indasah ◽  
Koesnadi Koesnadi

Prevention of infection in dentistry hospital by dentists, dental nurses, and clinical practice students plays an important role in controlling infection including maintaining hand hygiene, use of medical gloves, safe clothes, masks, protection of eyes and head and maintaining the sterility of equipment used for treatment patient. The purpose of this study was to analyze the effect of the use of work environments, equipment and personal protective equipment on practicing students on the incidence of infection of patients in dentistry hospital IIK Kediri. The research design used is quantitative research with observational analytic methods and uses a cross sectional approach. The sampling technique used was simple random sampling with a sample of 63 work environments, equipment and Personal Protective Equipment used by students practicing at dentistry hospital IIK Kediri. The results of the research data were analyzed by logistic regression test. The results of statistical analysis with logistic regression showed p = 0,000 (p <0,05), which means that there was influence of the work environment, equipment and personal protective equipment used by students to practice the incidence of infection in dentistry hospital IIK Kediri. Dental health professionals (dentists, dentistry students) who hold dental residencies and nurses and assistants must protect themselves and patients to avoid cross infection, cross contamination and work safety in dental practice


2021 ◽  
pp. 175717742110127
Author(s):  
Salma Abbas ◽  
Faisal Sultan

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.


2021 ◽  
Vol 15 ◽  
pp. 117863022110135
Author(s):  
Visal Moolasart ◽  
Weerawat Manosuthi ◽  
Varaporn Thienthong ◽  
Uajai Jaemsak ◽  
Winnada Kongdejsakda ◽  
...  

Introduction: Coronavirus disease (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-COV2). COVID-19 is highly contagious, potentially fatal, and a global public health concern. Combining optimized personal protective equipment (PPE) use and hand hygiene is the best strategy for preventing COVID-19 in health care workers (HCWs). Methods: We conducted a national cross-sectional web-based survey of HCWs in the infection control program (IPC) in Thailand between May 5, 2020 and May 15, 2020. The primary objective was the prevalence of optimized PPE use amongst HCWs. The secondary objective was identification of the independent predictors of optimized PPE use. Results: We received a response from 46% of HCWs (756/1650), and all those who responded were nurse or HCWs who were registered in the IPC network. Five HCWs were excluded because of missing data, and 751 were included in the final analysis. The prevalences of PPE use were 22% (168/751) for optimized PPE use, 78% (583/751) for non-optimized PPE use, 35% (263/751) for PPE overuse, and 43% (320/751) for PPE underused. In univariate analysis, optimized PPE use was significantly associated with age, education level, knowledge of appropriate negative pressure room selection, and knowledge of apparently milder symptom severity in children than adults. In multivariate analysis, independent predictors of optimized PPE use were knowledge of appropriate negative pressure room selection (aOR = 1.95, 95% CI = 1.18-3.22), the difference in symptom severity between children and adults (aOR = 0.55, 95% CI = 0.37-0.81), and education level (aOR = 1.54, 95% CI = 1.04-2.27). Conclusion: The prevalence of optimized PPE use amongst HCWs was 22%. Independent predictors of optimized PPE use were COVID-19 knowledge-based factors and education level. Therefore, the continued education training program should be implemented to ensure maintenance of appropriate practices during the COVID-19 pandemic.


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