Healthcare institutions’ recommendation regarding the use of FFP-2 masks and SARS-CoV-2 seropositivity among healthcare workers: a multicenter longitudinal cohort study

Background Health care workers (HCW) are heavily exposed to SARS-CoV-2 from the beginning of the pandemic. We aimed to analyze risk factors for SARS-CoV-2 seroconversion among HCW with a special emphasis on the respective healthcare institutions’ recommendation regarding the use of FFP-2 masks. Methods We recruited HCW from 13 health care institutions (HCI) with different mask policies (type IIR surgical face masks vs. FFP-2 masks) in Southeastern Switzerland (canton of Grisons). Sera of participants were analyzed for the presence of SARS-CoV-2 antibodies 6 months apart, after the first and during the second pandemic wave using an electro-chemiluminescence immunoassay (ECLIA, Roche Diagnostics). We captured risk factors for SARS-CoV-2 infection by using an online questionnaire at both time points. The effects of individual COVID-19 exposure, regional incidence and FFP-2 mask policy on the probability of seroconversion were evaluated with univariable and multivariable logistic regression. Results SARS-CoV-2 antibodies were detected in 99 of 2794 (3.5%) HCW at baseline and in 376 of 2315 (16.2%) participants 6 months later. In multivariable analyses the strongest association for seroconversion was exposure to a household member with known COVID-19 (aOR: 19.82, 95% CI 8.11–48.43, p < 0.001 at baseline and aOR: 8.68, 95% CI 6.13–12.29, p < 0.001 at follow-up). Significant occupational risk factors at baseline included exposure to COVID-19 patients (aOR: 2.79, 95% CI 1.28–6.09, p = 0.010) and to SARS-CoV-2 infected co-workers (aOR: 2.50, 95% CI 1.52–4.12, p < 0.001). At follow up 6 months later, non-occupational exposure to SARS-CoV-2 infected individuals (aOR: 2.54, 95% CI 1.66–3.89 p < 0.001) and the local COVID-19 incidence of the corresponding HCI (aOR: 1.98, 95% CI 1.30–3.02, p = 0.001) were associated with seroconversion. The healthcare institutions’ mask policy (surgical masks during usual exposure vs. general use of FFP-2 masks) did not affect seroconversion rates of HCW during the first and the second pandemic wave. Conclusion Contact with SARS-CoV-2 infected household members was the most important risk factor for seroconversion among HCW. The strongest occupational risk factor was exposure to COVID-19 patients. During this pandemic, with heavy non-occupational exposure to SARS-CoV-2, the mask policy of HCIs did not affect the seroconversion rate of HCWs.

Glare at Outdoor Workplaces—An Underestimated Factor of Occupational Risk

Lighting is an integral aspect of electrical engineering and public safety, as buildings, public areas—both indoors and outdoors—or any type of workplace must be illuminated in a way to prevent accidents. The sensation of glare, in particular, plays an important role in visual comfort and consequently influences occupational risk. The aim of this article is to draw attention to the problem of glare at outdoor workplaces. We have carried out an assessment of glare at outdoor workplaces in 19 different industrial plants. At 20 task areas (21.5% of the 93 examined) the determined degree of glare exceeded the limits specified in the standard. In eight categories of industrial plants (66.7% of 12 examined) defined in the standard, there was at least one task area where the requirements of the standard in terms of glare limitation were not met. The presented analysis leaves no doubt about drawing the conclusion that glare at outdoor workplaces is mostly underestimated or simply neglected, although it could cause high risk in workplaces.

Study of the harmful factors influence on the occupational risk level: the example of the Ukrainian mining industry

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METHODICAL APPROACHES TO IMPROVING THE INFORMATION PROVISION OF OCCUPATIONAL RISK MANAGEMENT

The article presents the results of the analysis of the current state of information support of the labor protection management system in the aspect of transition to the introduction of risk-oriented approach. It is noted that the system of labor protection management, which was formed in accordance with the command-administrative principles of the planned economy, in today's conditions was not effective enough, so it needs to improve its information support. One of the shortcomings of the existing information support of labor protection management can be considered unresolved issues of integration of various information systems (IS) in the field of labor protection, designed to solve management problems, which does not allow to form generalized information bases, to conduct analytical data processing. Assessment of occupational risks requires systematic monitoring of enterprise performance indicators, provides for forecasting the dynamics of changes in these indicators, as well as taking into account other factors that potentially affect occupational risks. To automate the process of collecting and analyzing initial data, modeling and calculating the forecast of occupational risk, it is proposed to create a specialized monitoring information system. Given the need for significant financial costs for the implementation of this project, other approaches to improving information support are the gradual creation of separate subsystems of the monitoring system. The main directions of improvement of information support of occupational risk management are formed, in particular modernization of information systems at the state level and enterprise level is offered. The statistics accumulated during the operation of these systems can be used as initial data for occupational risk assessment and further development of sound preventive measures.

STUDY OF OCCUPATIONAL RISK ASSESSMENT METHODOLOGY

In the course of work it was demonstrated that occupational risk is considered to be the probability of harm to health as a result of exposure to harmful and / or dangerous production factors during the labor process. A prerequisite for occupational safety in production activities is knowledge and assessment of the activities of sources of danger, risk assessment tools, the degree of impact of hazards on people and taking the necessary measures. Risk management is carried out in the performance of each production operation performed by employees of the enterprise, and is aimed at eliminating or reducing unacceptable risks through the implementation of appropriate protective measures. Without the analysis and management of occupational risks, it is impossible to create safe conditions, as well as reduce injuries and reduce occupational diseases. One of the main methods of occupational risk analysis that gives the best results is the method of analysis of causation using a dynamic model. In order to identify hazards, assess risks and implement protective measures that can ensure the acceptable level of risks of future work, it is necessary to consider the production task and visit the work site. Work is allowed if there are no additional hazards and protective measures of the Risk Assessment Map are actually implemented. It is forbidden to perform the work when identifying additional hazards that require reducing the risks of additional resources and the decision of management. It is strictly forbidden to perform the work until the rapid reduction of the level of risk to an acceptable level begins − with the identification of additional hazards that require the development and implementation of protective measures at the expense of personal resources.

Predictors of SARS-CoV-2 infection in a multi-ethnic cohort of United Kingdom healthcare workers: a prospective nationwide cohort study (UK-REACH)

Introduction Healthcare workers (HCWs), particularly those from ethnic minority groups, have been shown to be at disproportionately higher risk of infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) compared to the general population. However, there is insufficient evidence on how demographic and occupational factors influence infection risk among ethnic minority HCWs. Methods We analysed data from the United Kingdom Research study into Ethnicity And COVID-19 Outcomes in Healthcare workers (UK-REACH) cohort study. We used logistic regression to examine associations of demographic, household and occupational predictor variables with SARS-CoV-2 infection (defined by PCR, serology or suspected COVID-19) in a diverse group of HCWs. Results 2,496 of the 10,772 HCWs (23.2%) who worked during the first UK national lockdown in March 2020 reported previous SARS-CoV-2 infection. In an adjusted model, demographic and household factors associated with increased odds of infection included younger age, living with other key workers and higher religiosity. Important occupational risk factors associated with increased odds of infection included attending to a higher number of COVID-19 positive patients (aOR 2.49, 95%CI 2.03—3.05 for ≥21 patients per week vs none), working in a nursing or midwifery role (1.35, 1.15—1.58, compared to doctors), reporting a lack of access to personal protective equipment (1.27, 1.15 — 1.41) and working in an ambulance (1.95, 1.52—2.50) or hospital inpatient setting (1.54, 1.37 — 1.74). Those who worked in Intensive Care Units were less likely to have been infected (0.76, 0.63—0.90) than those who did not. Black HCWs were more likely to have been infected than their White colleagues, an effect which attenuated after adjustment for other known predictors. Conclusions We identified key sociodemographic and occupational risk factors associated with SARS-CoV-2 infection amongst UK HCWs, and have determined factors that might contribute to a disproportionate odds of infection in HCWs from Black ethnic groups. These findings demonstrate the importance of social and occupational factors in driving ethnic disparities in COVID-19 outcomes, and should inform policies, including targeted vaccination strategies and risk assessments aimed at protecting HCWs in future waves of the COVID-19 pandemic. Trial registration: ISRCTN 11811602