Long COVID Among Wisconsin Workers in the Workers' Compensation System: Associations With Sociodemographics, Vaccination, and Predominant Variant Period From March 1, 2020 to July 31, 2022.

OBJECTIVE: This analysis aimed to determine the likelihood of developing long COVID among Wisconsin workers while adjusting for sociodemographics, COVID-19 vaccination, industry, and occupation. METHODS: This retrospective analysis determined the odds ratios of developing long COVID among Wisconsin workers who were compensated for COVID-19 lost time during March 1, 2020 to July 31, 2022. RESULTS: A total of 234 workers (11.7%) were determined to have long COVID. Factors associated with long COVID were age ≥40 years, non-White race, infection occurrence during the initial and Omicron variant dominant periods, and the absence of COVID-19 vaccination. Workers in manufacturing and public administration were more likely to develop long COVID compared with those in health care and social assistance. CONCLUSIONS: Long COVID disproportionately affects some worker groups. This calls for more worker protection and preventative care to mitigate its impact.

Work and Life in the Balance: COVID-19 Mortality by Usual Occupation and Industry in Wisconsin.

INTRODUCTION: Work is central to the discourse surrounding the pandemic. Going to work during the COVID-19 pandemic put individuals at risk for both disease and death. This study assesses COVID-19 mortality by industry and occupation for working-age adults in Wisconsin and applies a health equity lens to understand COVID-19, demographics, work, and mortality in the state. METHODS: We used vital records data to evaluate COVID-19 mortality in Wisconsin. We assessed the demographics of working-age decedents using chi-square tests and logistic regression. We also classified decedents by usual occupation with Standard Occupational Classification (2018) and North American Industry Classification System (2017) codes to calculate mortality rates. We then calculated proportional mortality ratios to evaluate if mortality rates from COVID-19 in industry or occupation groups were significantly higher than the overall (ie, average) mortality rate from COVID-19 among all working-age Wisconsin adults. RESULTS: Both Asian/Pacific Islander and Hispanic individuals in Wisconsin had elevated likelihoods of dying from COVID-19. Lower levels of education also were associated with a higher likelihood of COVID-19-attributable death. Additionally, we found several occupations and industries that had elevated mortality rates from COVID-19. Proportional mortality ratios showed higher than expected mortality for several occupations including Protective Service; Office and Administrative Support; Farming, Fishing, and Forestry; and Installation, Maintenance, and Repair. Moreover, several industries had elevated proportional mortality ratios, including Agriculture, Forestry, Fishing, and Hunting; Finance and Insurance; Transportation and Warehousing; and Public Administration. DISCUSSION: The lessons of the pandemic are important for public health and worker safety. Understanding who bears disparate risks allows us to prepare, communicate, and mitigate risk.

Incidence of COVID-19 and Worker's Compensation Utilization Among Food Manufacturing in Wisconsin, October 1, 2020 - December 31, 2021.

BACKGROUND: The food manufacturing industry is a critical economic sector and has been a high-risk industry for COVID-19. This analysis aimed to describe COVID-19 cumulative case incidence rates among Wisconsin food manufacturing workers and their worker's compensation utilization. METHODS: This was a descriptive analysis of COVID-19 cases among food manufacturing industry workers in Wisconsin from October 1, 2020, through December 31, 2021. RESULTS: Occupations with the highest cumulative case incidence rate (per 1000 workers) were Packers and Packagers, Hand (275; 95% CI, 252-300), Packaging and Filling Machine Operators and Tenders (266; 95% CI, 254-277), and Laborers and Freight, Stock and Material Movers, Hand (261; 95% CI, 247-276). Two worker's compensation claims were paid to food manufacturing workers. DISCUSSION: Wisconsin food manufacturing workers were disproportionately affected by COVID-19, with a high cumulative case incidence rate exceeding that of the manufacturing industry overall, statewide non-institutionalized working-age adults, and the ambulatory health care industry. There was also a disproportionately low use of worker's compensation benefits in Wisconsin compared to the high COVID-19 disease incidence. Improved worker protections for occupational infectious diseases with high risk of transmission are needed as well as improvements to the worker's compensation system.