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1.
Rev. enferm. UERJ ; 28: e45920, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1097273

RESUMO

Objetivo: analisar a associação entre os riscos ocupacionais e os danos relacionados ao trabalho de enfermagem em sala de vacinação. Método: estudo transversal analítico realizado em salas de vacinação de unidades de atenção primária à saúde entre junho e julho de 2017, com 171 trabalhadores de enfermagem. Utilizou-se um instrumento com informações sobre dados sociodemográficos, laborais e riscos ocupacionais e a Escala de Avaliação dos Danos Relacionados ao Trabalho. Estudo aprovado pelo Comitê de Ética em Pesquisa. Resultados: a exposição ocupacional aos riscos físico e ergonômico esteve associada a todas as formas de adoecimento investigadas, enquanto que a exposição ao risco mecânico às formas de adoecimento relacionadas aos danos físicos e psicológicos. A exposição ao risco químico associou-se ao adoecimento físico. Conclusão: as condições de trabalho a que os profissionais da enfermagem são expostos nas salas de vacinação, expressadas em riscos ocupacionais, são associadas a danos à sua saúde.


Objective: to analyze the association between occupational risks and damages related to nursing work in the vaccination room. Method: analytical cross-sectional study conducted in the vaccination rooms of primary health care units in the city of Rio de Janeiro between June and July 2017, with 171 nursing workers. An instrument was used with information on sociodemographic, occupational and occupational risk data and the Work-Related Damage Assessment Scale. The study was approved by the research ethics committee. Results: occupational exposure to physical and ergonomic risk were associated with all forms of illness investigated, while exposure to mechanical risk to forms of illness related to Physical and Psychological Damage Exposure to chemical risk was associated to physical illness. Conclusion: the working conditions to which nursing professionals are exposed in vaccination room, expressed in occupational risks, negatively affect their health.


Objetivo: analizar la asociación entre riesgos laborales y daños relacionados con el trabajo de enfermería en la sala de vacunación. Método: estudio transversal analítico realizado en las salas de vacunación de las unidades de atención primaria de salud de la ciudad de Río de Janeiro entre junio y julio de 2017, con 171 trabajadores de enfermería. Se utilizó un instrumento con información sobre datos sociodemográficos, laborales y de riesgos laborales y la Escala de evaluación de daños relacionados con el trabajo. El estudio fue aprobado por el comité de ética de investigación. Resultados: la exposición ocupacional al riesgo físico y ergonómico se asoció con todas las formas de enfermedad investigadas, mientras que la exposición al riesgo mecánico a las formas de enfermedad relacionadas con el daño físico y psicológico La exposición al riesgo químico se asoció a la enfermedad física. Conclusión: las condiciones de trabajo a las que están expuestos los profesionales de enfermería en la sala de vacunación, expresados en riesgos laborales, afectan negativamente su salud.


Assuntos
Humanos , Masculino , Feminino , Adulto , Atenção Primária à Saúde , Exposição Ocupacional , Vacinação , Recursos Humanos de Enfermagem , Doenças Profissionais , Condições de Trabalho , Brasil , Estudos Transversais , Técnicos de Enfermagem , Enfermeiras e Enfermeiros , Assistentes de Enfermagem
3.
J Drugs Dermatol ; 19(9): 858-864, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-33026745

RESUMO

As the coronavirus epidemic continues, a host of new cutaneous complications is seen on the faces of frontline healthcare workers wearing personal protective equipment on a daily basis. To minimize the risk of COVID-19 infection, healthcare workers wear tight-fitting masks that lead to an excessive amount of pressure on the facial skin. Mechanical pressure, mask materials, and perspiration can all lead to various types of cutaneous lesions such as indentations of the face, skin tears, post-inflammatory hyperpigmentation, ulceration, crusting, erythema, and infection. The objective of this article is to provide effective and straightforward recommendations to those health care providers using facial masks in order to prevent skin-related complications. J Drugs Dermatol. 2020;19(9):858-864. doi:10.36849/JDD.2020.5259.


Assuntos
Infecções por Coronavirus/prevenção & controle , Dermatoses Faciais/etiologia , Traumatismos Faciais/etiologia , Máscaras/efeitos adversos , Pandemias/prevenção & controle , Equipamento de Proteção Individual/efeitos adversos , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/epidemiologia , Eritema/etiologia , Eritema/fisiopatologia , Exantema/etiologia , Exantema/fisiopatologia , Dermatoses Faciais/fisiopatologia , Traumatismos Faciais/epidemiologia , Traumatismos Faciais/fisiopatologia , Feminino , Saúde Global , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Medição de Risco
4.
BMJ Open Respir Res ; 7(1)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33023899

RESUMO

Patients with COVID-19 often need therapeutic interventions that are considered high aerosol-generating procedures. These are either being performed by healthcare providers with potentially inadequate personal protective equipment or the procedures are being delayed until patients clear their viral load. Both scenarios are suboptimal. We present a simple, cost-effective method of creating a portable negative pressure environment using equipment that is found in most hospitals to better protect healthcare providers and to facilitate more timely care for patients with COVID-19.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Exposição Ocupacional/prevenção & controle , Salas Cirúrgicas/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Campos Cirúrgicos , Aerossóis , Humanos , Pressão , Sucção
5.
Aust J Gen Pract ; 49(10): 656-661, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33015681

RESUMO

BACKGROUND: Patients with red eyes frequently present to general practitioners (GPs). Although infrequent, some patients with COVID-19 may present with features typical of viral conjunctivitis. SARS-CoV-2 is expressed at a low rate in tears, which may be a source of infection to GPs caring for patients at high risk of COVID­19. OBJECTIVE: The aims of this article are to outline: 1) ophthalmic complications of SARS-CoV-2 infection, 2) triage and management of patients with potential COVID-19 conjunctivitis, and 3) triage and management of patients with red eyes during the current COVID-19 pandemic. DISCUSSION: It is important that GPs: 1) have a high index of suspicion that patients with apparently typical viral conjunctivitis may have an uncommon presentation of COVID-19 illness, 2) develop appropriate telephone triage systems to reduce patient consultations, and 3) foster relationships with their ophthalmologist and optometrist colleagues who can provide phone advice, guidance on treatment initiation and definitive care when necessary.


Assuntos
Betacoronavirus/isolamento & purificação , Conjuntivite , Infecções por Coronavirus , Controle de Infecções , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias , Pneumonia Viral , Triagem/métodos , Comorbidade , Conjuntivite/diagnóstico , Conjuntivite/epidemiologia , Conjuntivite/virologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/fisiopatologia , Infecções por Coronavirus/terapia , Diagnóstico Diferencial , Técnicas de Diagnóstico Oftalmológico , Clínicos Gerais , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Exposição Ocupacional/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/fisiopatologia , Pneumonia Viral/terapia , Lágrimas/virologia
7.
Environ Monit Assess ; 192(10): 667, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-33006063

RESUMO

Dental prosthesis laboratories (DPLs) are among the workplaces where predominantly manual production takes place. In such working environments, during the manual manufacturing process, which involves fine smoothing and polishing of dental prostheses, fine particulate matter is released into the ambient air. In this study, the particulate matter (PM) concentrations and elemental content of the fine particles in the working ambient air were identified in six DPLs in Kocaeli, Turkey. PM2.5 mass concentrations, measured in all the DPLs, ranged between 80.8 and 1645 µg/m3 (mean 414 ± 406). As a result of the analyses performed with an ICP-MS device (Perkin Elmer Elan®DRC-e), trace elements of Be, Cd, Hg, and, notably, Co, Cr, Mo, and Ni were found. The researchers calculated the excess lifetime cancer risks and total hazard indexes. The average total cancer risk for all the DPLs was 8 × 10-3, which is higher than the acceptable limit of 1.0 × 10-6, and the total hazard index was 187, which is greater than the acceptable limit of 1.0. Considering these high-level risks, the study concluded that there is a need for new production methods, and strict application of occupational health and safety measures, to reduce the fine particle exposure of the workers in the laboratories. In addition, there are prescribed limit values for particulate matter only for respirable particles in working environments. The establishment of limit values, especially for PM2.5 concentrations, is important for the protection of the health of the employees.


Assuntos
Prótese Dentária , Exposição Ocupacional , Monitoramento Ambiental , Humanos , Material Particulado/análise , Turquia
9.
Aust J Gen Pract ; 49(10): 656-661, 2020 10.
Artigo em Inglês | MEDLINE | ID: covidwho-813278

RESUMO

BACKGROUND: Patients with red eyes frequently present to general practitioners (GPs). Although infrequent, some patients with COVID-19 may present with features typical of viral conjunctivitis. SARS-CoV-2 is expressed at a low rate in tears, which may be a source of infection to GPs caring for patients at high risk of COVID­19. OBJECTIVE: The aims of this article are to outline: 1) ophthalmic complications of SARS-CoV-2 infection, 2) triage and management of patients with potential COVID-19 conjunctivitis, and 3) triage and management of patients with red eyes during the current COVID-19 pandemic. DISCUSSION: It is important that GPs: 1) have a high index of suspicion that patients with apparently typical viral conjunctivitis may have an uncommon presentation of COVID-19 illness, 2) develop appropriate telephone triage systems to reduce patient consultations, and 3) foster relationships with their ophthalmologist and optometrist colleagues who can provide phone advice, guidance on treatment initiation and definitive care when necessary.


Assuntos
Betacoronavirus/isolamento & purificação , Conjuntivite , Infecções por Coronavirus , Controle de Infecções , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias , Pneumonia Viral , Triagem/métodos , Comorbidade , Conjuntivite/diagnóstico , Conjuntivite/epidemiologia , Conjuntivite/virologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/fisiopatologia , Infecções por Coronavirus/terapia , Diagnóstico Diferencial , Técnicas de Diagnóstico Oftalmológico , Clínicos Gerais , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Exposição Ocupacional/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/fisiopatologia , Pneumonia Viral/terapia , Lágrimas/virologia
10.
Artigo em Inglês | MEDLINE | ID: mdl-33003634

RESUMO

Healthcare workers (HCWs) worldwide are putting themselves at high risks of coronavirus disease 2019 (COVID-19) by treating a large number of patients while lacking protective equipment. We aim to provide a scientific basis for preventing and controlling the COVID-19 infection among HCWs. We used data on COVID-19 cases in the city of Wuhan to compare epidemiological characteristics between HCWs and non-HCWs and explored the risk factors for infection and deterioration among HCWs based on hospital settings. The attack rate (AR) of HCWs in the hospital can reach up to 11.9% in Wuhan. The time interval from symptom onset to diagnosis in HCWs and non-HCWs dropped rapidly over time. From mid-January, the median time interval of HCW cases was significantly shorter than in non-HCW cases. Cases of HCWs and non-HCWs both clustered in northwestern urban districts rather than in rural districts. HCWs working in county-level hospitals in high-risk areas were more vulnerable to COVID-19. HCW cases working in general, ophthalmology, and respiratory departments were prone to deteriorate compared with cases working in the infection department. The AR of COVID-19 in HCWs are higher than in non-HCWs. Multiple factors in hospital settings may play important roles in the transmission of COVID-19. Effective measures should be enhanced to prevent HCWs from COVID-19 infection.


Assuntos
Infecções por Coronavirus/epidemiologia , Pessoal de Saúde , Exposição Ocupacional , Pneumonia Viral/epidemiologia , Betacoronavirus , Humanos , Pandemias , Fatores de Risco
11.
Rev. esp. med. legal ; 46(3): 146-152, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192316

RESUMO

España ha sido uno de los países con mayor afectación por la pandemia COVID-19. Hasta la fecha, un 22% de los casos notificados son personal sanitario, siendo significativamente mayor este porcentaje entre las mujeres (76% del personal sanitario contagiado). Ante la evidencia de que muchos profesionales sanitarios pueden haberse contagiado en su puesto de trabajo, hemos revisado la problemática en el ámbito de la salud laboral que produce la COVID-19. Se describen los decretos publicados por el Gobierno de España y las recomendaciones de la Organización Internacional del Trabajo. Concretamente se analiza la clasificación del SARS-CoV-2 como agente biológico del grupo 3, su calificación como accidente de trabajo o enfermedad profesional y sus repercusiones en las situaciones de incapacidades (temporales y permanentes), secuelas y muerte, así como el estudio de las posibles demandas de aquellos que lo han sufrido como consecuencia de falta de medidas preventivas


Spain is one of the countries most affected by the COVID-19 pandemic. To date, 22% of reported cases are healthcare professionals, and 76% of them are women. Given that many healthcare professionals may have been infected in their workplace, we have reviewed the occupational health challenges posed by COVID-19. The Spanish laws and the recommendations of the International Labor Organization are described. The review covers the classification of SARS-CoV-2 as a biological agent in group 3 and of COVID-19 as an occupational accident or disease, its repercussions in temporary and permanent disabilities, sequelae and death, and the possible claims of those who may have developed the disease due to the lack of preventive measures


Assuntos
Humanos , Infecções por Coronavirus/epidemiologia , Exposição Ocupacional/legislação & jurisprudência , Licença Médica/legislação & jurisprudência , Doenças Profissionais/epidemiologia , Precauções Universais/legislação & jurisprudência , Controle de Doenças Transmissíveis/legislação & jurisprudência , Pessoal de Saúde/estatística & dados numéricos
12.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(4): 410-414, 2020 Aug 01.
Artigo em Chinês | MEDLINE | ID: mdl-32865360

RESUMO

OBJECTIVE: To understand the current cognition of acquired immunodeficiency syndrome (AIDS) occupational protection among the managers of multi-level stomatology medical institutions in efforts to provide a reference for formulating technical standards for occupational protection. METHODS: Eighteen managers of oral medical institutions were individually interviewed in-depth using asemi-structured questionnaire on issues related to AIDS occupational protection using the phenomenological research method. Nvivo 12.0 software was used to code and analyze the interview data, and relevant themes were extracted. RESULTS: Three themes were extracted from the data. Occupational protection measures for AIDS in dental medical institutions mainly based on the aspects of standardized operation, standardized prevention, and post-exposure treatment. However, the implementation of these protective measures was often inadequate. Occupational protection training for AIDS was carried out regularly at dental medical institutions, but the training effect was not generally tracked. Several limitations in AIDS occupational protection management; these limitations included the lack of a specific occupational protection system, the difficulty of AIDS screening for outpatients, and the difficulty of AIDS occupational protection supervision. CONCLUSIONS: Oral medical institutions should strengthen their occupational protection training and supervision approaches and formulate unified occupational protection standards to reduce occupational exposure and improve hospital management quality and efficiency.


Assuntos
Síndrome de Imunodeficiência Adquirida , Exposição Ocupacional , Medicina Bucal , Cognição , Humanos , Inquéritos e Questionários
13.
Otol Neurotol ; 41(9): 1175-1181, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32925833

RESUMO

: Since the beginning of 2020, the world has been confronted by the Covid-19 pandemic. The lock-down aims to limit the circulation of the virus and thus avoid overwhelming healthcare systems. Healthcare workers have had to adapt by postponing consultation and surgical activities. Otolaryngologists are particularly exposed to infection from the upper airway where the virus is highly concentrated. Literature has previously reported other human coronaviruses in the middle ear and mastoid, suggesting a risk of infection to staff during ear surgery where aerosolizing procedures are usually used. The aim of this article is to propose a strategy for planning consultations and surgeries for ear and lateral skull base diseases, in the context of the current active evolution of the pandemic and of the future gradual recovery to normal practice.


Assuntos
Infecções por Coronavirus/prevenção & controle , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador , Procedimentos Cirúrgicos Otológicos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Betacoronavirus , Simulação por Computador , Desinfecção , Orelha Média/cirurgia , Hospitalização , Humanos , Processo Mastoide/cirurgia , Salas Cirúrgicas , Otorrinolaringologistas , Pacientes Ambulatoriais , Período Pré-Operatório , Base do Crânio/cirurgia , Carga Viral
14.
J Occup Health ; 62(1): e12168, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32951286

RESUMO

OBJECTIVE: The aim of the study was to evaluate the oral healthcare workers' concerns, perceived impact, and preparedness in COVID-19 pandemic. METHODS: This cross-sectional study was carried out at 10 different dental hospitals in Pakistan from March to June 2020. A 35 items valid and reliable questionnaire was used to assess the concerns, perceived impact, and preparedness of oral healthcare workers (OHCW) in COVID-19 pandemic. Chi-squared test and logistic regression were used for analysis. RESULTS: A total of 583 OHCW participated in this study. The odds of having the awareness about the risk of exposure and fear of getting infected, were greater in the clinical than non-clinical OHCW (OR: 52.6; OR: 15.9). For social network concerns, the clinical OHCW were more likely to be concerned about their colleagues (OR: 6.0). The clinical OHCW have greater odds of worrying about telling the family/friends about the risk exposed to (OR: 2.55), being avoided because of the job (OR: 3.20) and more likely to be feeling stressed (OR: 4.31). Less than 50% of the participants felt that their institutions are well prepared and only 12.6% had attended an infection control training session. Most participants practiced self-preparation such as buying masks and disinfection (94.3%, 98.3%). CONCLUSION: The majority of OHCW felt concerned about their risk of exposure to infection and falling ill from exposure and infecting friends/family. There is a need for training of infection control and PPE and minimizing fear and psychological impact on OHCW should be the priority in any preparedness and planning for combating COVID-19.


Assuntos
Infecções por Coronavirus/psicologia , Odontologia , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Pneumonia Viral/psicologia , Adulto , Betacoronavirus , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/efeitos adversos , Paquistão , Pandemias , Inquéritos e Questionários , Adulto Jovem
15.
Med Lav ; 111(4): 249-268, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32869763

RESUMO

BACKGROUND: Criteria for diagnosis and compensation of occupational musculoskeletal diseases varies widely between countries as demonstrated by the large differences between countries with comparable economics and social systems (for example, within the European Union). Several countries have a list of occupational diseases and sometimes these lists include diagnostic and attribution criteria, but these criteria are usually not very specific, and they may also be very different. OBJECTIVES: The aim of this paper is to explicitly define what are the information needed for an evidence-based diagnosis and attribution of an occupational musculoskeletal disease. METHODS: Based on the general framework of evidence-based medicine, a review is presented of the information required to define: - when a musculoskeletal disease is present, according to the best available techniques; - how to define a relevant exposure to biomechanical risk factors, according to the best available techniques. RESULTS: Criteria are presented to combine information regarding the diagnosis of a musculoskeletal disease and exposure to biomechanical risk factors for an evidence-based attribution of the disease to the occupational exposure. The criteria use a probabilistic model that combine epidemiologic and medical findings, workplace exposure assessment, and non-occupational factors evaluation. DISCUSSION: The use of the proposed criteria may improve the process of diagnosis and attribution of an occupational musculoskeletal disease. In addition, it makes possible to associate a probability rank to the attribution and, ultimately, it may improve the overall quality of the decisional process of the occupational physician.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Exposição Ocupacional , Humanos , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Fatores de Risco , Local de Trabalho
16.
Med Lav ; 111(4): 269-284, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32869764

RESUMO

BACKGROUND: The eye is an important sensory organ occupationally exposed to ionizing radiation (IR) in healthcare workers (HCWs) engaged in medical imaging (MI). New evidence highlights the possible induction of cataract at IR exposure levels to be much lower than expected in the past. OBJECTIVE: Conduct an updated review on the current evidence on cataract risk in healthcare workers exposed to IR. METHODS: Published scientific studies on cataract risk in IR exposed healthcare workers were collected through a systematic search of two biomedical databases (MEDLINE and Scopus). Data from included studies was extracted and summarized. Study quality was also assessed. RESULTS: All 21 eligible studies reported an increased prevalence of cataract, especially posterior subcapsular cataract, in IR exposed  HCWs with a higher prevalence in interventional cardiology staff. DISCUSSION: Our review synthesizes the latest evidence to support the hypothesis of a significantly increased risk of occupational cataract in healthcare workers operating MI and exposed to IR, especially in interventional cardiologists. Data also support a dose-response relationship between IR exposure and the prevalence of opacities, especially posterior subcapsular opacities. CONCLUSIONS: Findings highlight the need for effective control measures including appropriate training, adherence to protective procedures, and a constant use of shields and eye personal protective equipment in healthcare workers with optical exposure to IR. Periodic health surveillance programs, possibly including lens evaluation, are also important to monitor cataract risk in these MI operators.


Assuntos
Catarata , Cristalino , Exposição Ocupacional , Lesões por Radiação , Radiação Ionizante , Pessoal de Saúde , Humanos
17.
Med Lav ; 111(4): 296-305, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32869766

RESUMO

BACKGROUND: Occupational pesticide poisoning is an important public health concern worldwide, especially in developing countries. OBJECTIVES: This study was aimed at determining the prevalence and risk factors of acute pesticide poisoning (APP) among the vegetable and fruit farmers in Karacabey District in northwest Turkey. METHODS: The study group consisted of 565 farmers. The dependent variable of the study is APP defined according to the World Health Organization's APP case definition matrix. The study's independent variables are the farmers' sociodemographic characteristics and the preventive measures they use when they are applying pesticides. The chi-square and logistic regression analysis analyzed the relationship between the dependent and independent variables. RESULTS: A total of 64 (11.3%) farmers reported APP and 75% of them presented to a health institution due to symptoms. The factors associated with increased risk of APP were: illiteracy (odds ratio (OR)=2.5), 14 years and less farming experience (OR=3.3), not reading the pesticide labels (OR=6.4), and contact with liquid pesticides (OR=2.3). -Conclusions: The study shows that approximately one out of ten farmers experience APP. Training programs should be planned and monitored to improve farmers' awareness of the dangers of pesticides, and they should be encouraged to adopt and implement protective measures.


Assuntos
Agricultura , Exposição Ocupacional , Praguicidas , Estudos Transversais , Fazendeiros , Frutas , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Praguicidas/envenenamento , Autorrelato , Turquia , Verduras
18.
Epidemiol Infect ; 148: e217, 2020 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-32951627

RESUMO

Coronavirus disease 2019 (COVID-19) has had a tremendous impact in China and abroad since its onset in December 2019 and poses a major threat to human health. Healthcare workers (HCWs) are at the forefront of the response to outbreaks. This study reviewed literature data and found that HCWs were at high risk of infection during the COVID-19 pandemic, especially at the early stage of the epidemic, and many factors greatly affected their occupational safety. Although SARS-CoV-2 transmission was controlled in China, the Chinese experience can help protect HCWs from COVID-19 and other respiratory diseases.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/prevenção & controle , Infecção Hospitalar/prevenção & controle , Exposição Ocupacional/prevenção & controle , Pandemias/prevenção & controle , Equipe de Assistência ao Paciente , Pneumonia Viral/prevenção & controle , Betacoronavirus/genética , China/epidemiologia , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecção Hospitalar/epidemiologia , Saúde Global , Comunicação em Saúde , Humanos , Equipamento de Proteção Individual , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Reação em Cadeia da Polimerase , Saúde Pública
20.
Ecotoxicol Environ Saf ; 205: 111100, 2020 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-32911453

RESUMO

Compared to the general population, firefighters are known to sustain greater levels of exposure to hazardous compounds, despite their personal protective equipment, also known as turnout gear. Among the most significant toxins that firefighters are chronically exposed to are polycyclic aromatic hydrocarbons (PAHs). Additionally, firefighters have also been noted to exhibit an increased incidence of certain types of cancer. Considering a probable link between exposure to PAHs and increased rates of cancer in the fire service, we aim to document ambient chemical concentrations in the firefighter work environment. Our strategy involves the use of silicone-based wristbands that have the capacity to passively sorb PAHs. To determine if wristbands can serve as an effective chemical monitoring device for the fire service, silicone wristbands were pilot-tested as personal sampling devices for work environment risk monitoring in active-duty firefighters. Recovered wristbands underwent multiple extraction steps, followed by GC-MS analysis to demonstrate their efficacy in monitoring PAHs in the firefighter environment. Initial findings from all wristband samples taken from firefighters showed multiple exposures to various PAHs of concern for the health of the firefighters when in a fire environment. In addition to PAH monitoring, we examined known and potential sources of PAH contamination in their work environment. To that end, profiles of elevated PAH concentrations were documented at various fire stations throughout South Florida, for individual firefighters both during station duties and active fire response.


Assuntos
Poluentes Ocupacionais do Ar/análise , Bombeiros , Exposição Ocupacional/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Carcinógenos/análise , Monitoramento Ambiental , Florida , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Neoplasias , Exposição Ocupacional/estatística & dados numéricos , Silicones/análise
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