Occupational health risk among healthcare workers of the Bashkortostan infectious diseases service

Author(s):  
Elvira Valeeva ◽  
Venera Akhmetshina ◽  
Lena Karamova ◽  
Vladimir Krasovskiy ◽  
Nelya Gazizova

The a priori and a posteriori factors of occupational health risks among workers of the infectious service have been studied. It has been shown that workers with a high a priori risk (harmful Class 3.3) have minimal risk levels in terms of occupational morbidity (Ипр = 0,0005). The occupational morbidity of healthcare workers in the infectious disease service does not reflect the levels of actual risk for their health. On physical examination, only 4 % of workers were found to be practically healthy, most often diagnosed with diseases of the musculoskeletal system and connective tissue (19.8 %), as well as diseases of the circulatory system (18.8 %). Psychosocial effects leading to stress reactions with the development of chronic fatigue and occupational burnout syndrome (OBS) rank first among health problems of workers. The formed OBS was observed in 19.2 % of doctors and 29.2 % of nursing staff. The studies conducted indicate the probability of the prediction of the development of a high posterior risk to the health of workers of the infectious disease service.

Author(s):  
Eman Casper

AbstractThe World Health Organization declared coronavirus infection 2019 (COVID-19) as a pandemic in March 2020. The infection with coronavirus started in Wuhan city, China, in December 2019. As of October 2020, the disease was reported in 235 countries. The coronavirus infection 2019 (COVID-19) is a disease with high morbidity and mortality. As of February 2021, the number of confirmed cases of COVID-19 globally is 102,942,987 and 2,232,233 deaths according to WHO report. This infection is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), which is a ribonucleic acid (RNA) β-coronavirus. The infection is mainly transmitted through respiratory droplets.Healthcare workers (HCWs) play an essential role at the front lines, providing care for patients infected with this highly transmittable disease. They are exposed to very high occupational health risk as they frequently contact the infective persons. In order to limit the number of infected cases and deaths among healthcare workers, it is crucial to have better awareness, optimistic attitude, efficient PPE, and adequate health practices about COVID-19.


Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 279
Author(s):  
Juan José Tejada-Pérez ◽  
Juan José Vázquez-Vicente ◽  
María Renée Herrera-Burgos ◽  
Francisco Gabriel Martín-Martín ◽  
Tesifón Parrón-Carreño ◽  
...  

Hepatitis B (HBV) is a pathogen virus with transmission mechanisms that include contact with the infected blood or bodily fluids of the infected organism. Nowadays, healthcare workers are one of the most exposed groups to HBV. Conventionally, completing a vaccine series dosage with Engerix B® lowers this risk by providing workers with immunity to the virus. However, through the years, we have encountered nonresponsive health personnel to the Engerix B® vaccine; hence, the Occupational Health Service of Poniente Hospital studied the Fendrix® adjuvanted vaccine as an alternative vaccine to develop immunological responses in healthcare workers who do not respond to vaccination with Engerix B®. In our study, we employed a vaccination schedule with the Fendrix® vaccine, performing serology tests on the cases after the application of each dose. The results obtained showed humoral immunity in 92.3% of the cases, with a remarkable increase in antibody titer after the first doses. These encouraging results support the future inclusion of this vaccine as one possible alternative for the immunization to HBV for healthcare workers nonresponsive to Engerix B®.


2003 ◽  
Vol 33 (5) ◽  
pp. 847-855 ◽  
Author(s):  
B. CANDY ◽  
T. CHALDER ◽  
A. J. CLEARE ◽  
A. PEAKMAN ◽  
A. SKOWERA ◽  
...  

Background. Infectious mononucleosis (IM) is a risk factor for chronic fatigue. Reduced activity is the most consistent factor found to be associated with poor outcome following the onset of infectious mononucleosis. However, little is known about the biological mechanisms involved in the pathogenesis of chronic fatigue following IM and no study, so far, has examined the relation between certain illness beliefs and poor outcome. This study explored immunological, endocrine, behavioural and cognitive responses to the acute illness and assessed which components of these groups of risk factors predicted a chronic course.Method. Using a prospective cohort design, 71 primary care patients with IM were enrolled onto the study and interviewed. Their recovery was explored by postal questionnaire up to 1 year later.Results. In the univariate analysis, increased baseline levels of immune activation were associated with fatigue at baseline and 3 months. Cortisol levels were not associated with fatigue at any point. Using multivariate models of clinical and psychosocial baseline factors, severity of symptoms and illness perceptions were found to predict fatigue 3 months later. At 6 months, fatigue was best predicted by female gender and illness perceptions, and at 12 months by female gender and a symptoms–disability factor.Conclusions. In the multivariate analysis no factors were found to predict poor outcome at all time-points. Instead the pattern of predictors changed over time, partly but not completely consistent with our a priori predictions. Larger studies are needed to explore further the predictive nature of biopsychosocial factors in the pathogenesis of chronic fatigue related to IM. The psycho-behavioural predictors found in this study are amenable to intervention. Such interventions should be tested in randomized controlled trials.


Author(s):  
Víctor A Vera-Monge ◽  
Mariona Alier ◽  
Christoper A Alarcon-Ruiz ◽  
Natalia Artigas-Graells ◽  
Montserrat Perez-Franco ◽  
...  

2018 ◽  
Vol 42 (9) ◽  
Author(s):  
Pilar Baylina ◽  
Carla Barros ◽  
Carla Fonte ◽  
Sónia Alves ◽  
Álvaro Rocha

2017 ◽  
Vol 98 (6) ◽  
pp. 1029-1033 ◽  
Author(s):  
A M Galieva ◽  
A Yu Vafin ◽  
I E Kravchenko ◽  
A N Galiullin

Aim. To conduct analysis of resource provision for medical care for patients with infectious pathology and to study primary infectious morbidity at the level of municipal districts of the Republic of Tatarstan. Methods. Study of primary infectious morbidity according to official statistics of the Federal Service for Supervision of Consumer Rights Protection and Human Well-Being in the Republic of Tatarstan based on form No. 2 with extracting data in 495 units, annual reports of Infectious Disease Service of the Ministry of Health of the Republic of Tatarstan for 2005-2015 - 66 units. The analysis of resource provision according to the central regional hospitals data, with extracting data in 70 units. Results. During the period of 2005-2015 the highest rates of primary infectious morbidity were observed in municipal districts where the administrative center is a city (13 054.01 per 100 000 population), the lowest - in rural areas (7953.6). The level of infectious morbidity in municipal districts is significantly lower than in average across the Republic of Tatarstan (р ˂0.05). 3 municipal districts having different types of administrative center are studied: Zainsky (urban population 72%), Apastovsky (rural people 73.9%), Drozhzhanovsky (rural people 100%) districts. The highest level of infectious morbidity in Zainsky District (2005 - 10 510; 2015 - 11 800.85 per 100 000 population), Apastovsky (7600.0 and 3612.44) and Drozhzhanovsky district (1629.68 and 4765.84). Differences in resource provision for infectious disease service are established: Zainsky district (there is an infectiologist, infectious beds, infectious disease office, specialized laboratory), Apastovsky district (service in infectious disease office is provided by part-time infectiologist), Drozhzhanovsky district (service in infectious disease office is provided by a nurse). In Drozhzhanovsky and Apastovsky districts there are no infectious beds and specialized laboratories. Conclusion. Level of infectious morbidity in municipal districts of the Republic of Tatarstan is closely related to the type of municipal district and resource provision for infectious disease service.


2017 ◽  
pp. 101-108 ◽  
Author(s):  
A.G. Migacheva ◽  
◽  
T.A. Novikova ◽  
V.F. Spirin ◽  
D.M. Shlyapnikov ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
pp. 34-36
Author(s):  
W John Martin

Society is witnessing an increasing incidence of illnesses with neuropsychiatric manifestations. Prominent examples include autism and learning disorders in children, depression and chronic fatigue syndrome in adults and neurodegenerative diseases in the elderly. Although clinically diverse, all of these illnesses could be contributed to by infectious agents. If so, one might expect to trace the occurrence and progression of various brain damaging illnesses among various family members. An example of this occurring in three generations of a family was unsuccessfully submitted for publication in another journal 2015; in part because of its Public Health implications. It is submitted to this journal because of definitive evidence for the transmission to humans of infectious cellular sequences incorporated into monkey-derived stealth adapted viruses.


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