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

IF 5.3 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES
О.P. Yavorovskyi, Y. Skaletskyi, R. Brukhno, L. Kharchuk, I. Kyrychuk, V. Borys, V. P. Shuliarenko
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引用次数: 0

Abstract

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.
日托米尔州的医务工作者及其在安全、职业卫生和感染控制方面感染严重急性呼吸系统综合征冠状病毒2型的风险评估
目的:我们评估了乌克兰日托米尔州公共卫生机构的安全性、职业健康和传染病控制,以改善医务人员感染SARS-CoV-2病毒的风险管理,降低新冠肺炎医务人员的职业发病率和死亡率。材料和方法:采用文献资料法、卫生法、问卷调查法和数学方法进行研究。我们自己的观察结果、对医务工作者的调查问卷、乌克兰卫生部公共卫生中心、乌克兰国家劳工局的数据以及主题科学信息来源被用作研究材料。结果:参与新冠肺炎疫情防控的医务工作者的工作被归类为危险(极端)工作。除了严重急性呼吸系统综合征冠状病毒2型病毒,伴随的物理、化学因素以及高度的身体和神经情绪压力也会影响医务工作者工作条件的形成。在乌克兰日托米尔州,护士(38.57%)、初级护士(26.10%)、护理人员(5.37%)、家庭医学全科医生(4.85%)、外科医生(4.16%)、麻醉师(2.54%)、传染病医生(2.08%)、放射科医生(1.85%)是被诊断患有急性职业性新冠肺炎疾病的医务工作者。结论:日托米尔州医务人员职业病发病率高的主要原因是医务人员的个人疏忽大意;不使用个人防护设备(如有);在疾病的焦点工作;劳动保护方面缺乏或质量差的指导;没有为日托米尔州的工作人员和医疗机构的医务工作者提供充分的个人防护设备;缺乏流行病学家、卫生学家和职业病理学家。
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来源期刊
Environmental Health
Environmental Health 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
10.10
自引率
1.70%
发文量
115
审稿时长
3.0 months
期刊介绍: Environmental Health publishes manuscripts on all aspects of environmental and occupational medicine and related studies in toxicology and epidemiology. Environmental Health is aimed at scientists and practitioners in all areas of environmental science where human health and well-being are involved, either directly or indirectly. Environmental Health is a public health journal serving the public health community and scientists working on matters of public health interest and importance pertaining to the environment.
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