The COVID-19 Impact in hospital healthcare workers: development of an occupational health risk management program
Abstract As with the SARS-CoV-1 outbreak in 2003-2004 and the MERS outbreak in 2012, there were early reports of frequent transmission to healthcare workers (HCW) in the SARS-CoV-2 pandemic. Our hospital center identified its first COVID-19 confirmed case on March 9, 2020, in a 6-day hospitalized pa...
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Published in | Portuguese journal of public health Vol. 38; no. suppl 1; pp. 26 - 31 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | Portuguese |
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Escola Nacional de Saúde Pública
01.06.2021
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Abstract | Abstract As with the SARS-CoV-1 outbreak in 2003-2004 and the MERS outbreak in 2012, there were early reports of frequent transmission to healthcare workers (HCW) in the SARS-CoV-2 pandemic. Our hospital center identified its first COVID-19 confirmed case on March 9, 2020, in a 6-day hospitalized patient. The first confirmed COVID-19 case in a HCW happened 3 days later, in a nurse with a probable epidemiological link related to the first confirmed patient. Our study’s first objective is to describe and characterize the impact of the first 3 months of the SARS-CoV-2 pandemic on the Centro Hospitalar Universitário Lisboa Norte (CHULN). Our second objective is to report the performance of the CHULN Occupational Health Department (OHD) and the impact of the pandemic on CHULN HCW and its adaptation across national, regional, and institutional epidemiological evolution. Over the first 3 months, 2,152 HCW were screened (which represent 29.8% of the total HCW population), grouped in 100 separate identifiable clusters, each one ranging from 2 to 98 HCW. The most prevalent profession screened were nurses (n = 800; 37.2%) followed by doctors (n = 634; 29.5%). The main source of potential infection and cluster generating screening procedures was co-worker related (n = 1,216; 56.5%). A patient source or a combined patient co-worker source was only accountable for 559 (26%) and 43 (2%) of cases, respectively. Our preliminary results demonstrate a lower infection rate among HCW than the ones commonly found in the literature. The main source of infection seemed to be co-worker related rather than patient related. New preventive strategies would have to be implemented in order to control SARS-CoV-2 spread. |
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AbstractList | Abstract As with the SARS-CoV-1 outbreak in 2003-2004 and the MERS outbreak in 2012, there were early reports of frequent transmission to healthcare workers (HCW) in the SARS-CoV-2 pandemic. Our hospital center identified its first COVID-19 confirmed case on March 9, 2020, in a 6-day hospitalized patient. The first confirmed COVID-19 case in a HCW happened 3 days later, in a nurse with a probable epidemiological link related to the first confirmed patient. Our study’s first objective is to describe and characterize the impact of the first 3 months of the SARS-CoV-2 pandemic on the Centro Hospitalar Universitário Lisboa Norte (CHULN). Our second objective is to report the performance of the CHULN Occupational Health Department (OHD) and the impact of the pandemic on CHULN HCW and its adaptation across national, regional, and institutional epidemiological evolution. Over the first 3 months, 2,152 HCW were screened (which represent 29.8% of the total HCW population), grouped in 100 separate identifiable clusters, each one ranging from 2 to 98 HCW. The most prevalent profession screened were nurses (n = 800; 37.2%) followed by doctors (n = 634; 29.5%). The main source of potential infection and cluster generating screening procedures was co-worker related (n = 1,216; 56.5%). A patient source or a combined patient co-worker source was only accountable for 559 (26%) and 43 (2%) of cases, respectively. Our preliminary results demonstrate a lower infection rate among HCW than the ones commonly found in the literature. The main source of infection seemed to be co-worker related rather than patient related. New preventive strategies would have to be implemented in order to control SARS-CoV-2 spread. |
Author | Almeida, Clara Correia, Ana Soares, Jorge Sousa-Uva, António Shapovalova, Olena Lobo, Rodrigo Mendonça-Galaio, Luís Sacadura-Leite, Ema França, Diana Serranheira, Florentino Raposo, João |
AuthorAffiliation | Centro Hospitalar Universitário Lisboa Norte University of Lisbon School of Medicine NOVA National School of Public Health Public Health Research Centre |
AuthorAffiliation_xml | – name: NOVA National School of Public Health – name: Centro Hospitalar Universitário Lisboa Norte – name: University of Lisbon School of Medicine – name: Public Health Research Centre |
Author_xml | – sequence: 1 givenname: Luís surname: Mendonça-Galaio fullname: Mendonça-Galaio, Luís organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 2 givenname: Ema surname: Sacadura-Leite fullname: Sacadura-Leite, Ema organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 3 givenname: João surname: Raposo fullname: Raposo, João organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 4 givenname: Diana surname: França fullname: França, Diana organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 5 givenname: Ana surname: Correia fullname: Correia, Ana organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 6 givenname: Rodrigo surname: Lobo fullname: Lobo, Rodrigo organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 7 givenname: Jorge surname: Soares fullname: Soares, Jorge organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 8 givenname: Clara surname: Almeida fullname: Almeida, Clara organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 9 givenname: Olena surname: Shapovalova fullname: Shapovalova, Olena organization: Centro Hospitalar Universitário Lisboa Norte – sequence: 10 givenname: Florentino surname: Serranheira fullname: Serranheira, Florentino organization: Public Health Research Centre – sequence: 11 givenname: António surname: Sousa-Uva fullname: Sousa-Uva, António organization: Public Health Research Centre |
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Keywords | COVID-19 Profissionais de saúde SARS-CoV-2 Health management software Software de gestão em saúde Occupational health Healthcare workers Saúde Ocupacional |
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References | Gorbalenya, AE; Baker, SC; Baric, RS; de Groot, RJ; Drosten, C; Gulyaeva, AA 2020 Iversen, K; Bundgaard, H; Hasselbalch, RB; Kristensen, JH; Nielsen, PB; Pries-Heje, M 2020; 20 Ghebreyesus, TA 2020 Xiao, J; Fang, M; Chen, Q; He, B 2020; 13 Seyran, M; Pizzol, D; Adadi, P; El-Aziz, TM; Hassan, SS; Soares, A 2021; 93 Lidström, AK; Sund, F; Albinsson, B; Lindbäck, J; Westman, G 2020; 125 Wu, Z; McGoogan, JM 2020; 323 2020 Jin, Y; Yang, H; Ji, W; Wu, W; Chen, S; Zhang, W 2020; 12 Oxman, AD; Lavis, JN; Lewin, S; Fretheim, A 2009; 7 Gorbalenya, AE; Baker, SC; Baric, RS; de Groot, RJ; Drosten, C; Gulyaeva, AA 2020; 5 Andersen, KG; Rambaut, A; Lipkin, WI; Holmes, EC; Garry, RF 2020; 26 Verschuuren, M; van Oers, H; Verschuuren, M; van Oers, H 2019 Thompson, KA; Pappachan, JV; Bennett, AM; Mittal, H; Macken, S; Dove, BK 2013; 8 2016 Folgueira, MD; Munoz-Ruiperez, C; Alonso-Lopez, MA; Delgado, R. 2020 Hunter, E; Price, DA; Murphy, E 2020; 395 Keeley, AJ; Evans, C; Colton, H; Ankcorn, M; Cope, A; State, A 2020; 25 Kluytmans-van den Bergh, MF; Buiting, AG; Pas, SD; Bentvelsen, RG; van den Bijllaardt, W; van Oudheusden, AJ 2020; 3 Sousa-Uva, AF. 2020 Lombardi, A; Consonni, D; Carugno, M; Bozzi, G; Mangioni, D; Muscatello, A 2020; 26 Porru, S; Carta, A; Monaco, MG; Verlato, G; Battaggia, A; Parpaiola, M 2020; 17 Lai, X; Wang, M; Qin, C; Tan, L; Ran, L; Chen, D 2020; 3 |
References_xml | – volume: 17 start-page: 5104 issue: 14 year: 2020 end-page: 5104 article-title: Health surveillance and response to SARS-CoV-2 mass testing in health workers of a large Italian hospital in Verona, Veneto publication-title: Int J Environ Res Public Health contributor: fullname: Porru, S; Carta, A; Monaco, MG; Verlato, G; Battaggia, A; Parpaiola, M – volume: 13 start-page: 843 issue: 6 year: 2020 end-page: 848 article-title: SARS, MERS and COVID-19 among healthcare workers A narrative review publication-title: J Infect Public Health contributor: fullname: Xiao, J; Fang, M; Chen, Q; He, B – year: 2020 article-title: A saúde ocupacional e a pandemia da COVID-19: situações de risco específico publication-title: Lisboa: Departamento de Saúde Ocupacional e Ambiental contributor: fullname: Sousa-Uva, AF. – volume: 93 start-page: 1204 issue: 3 year: 2021 end-page: 1206 article-title: Questions concerning the proximal origin of SARS-CoV-2 publication-title: J Med Virol contributor: fullname: Seyran, M; Pizzol, D; Adadi, P; El-Aziz, TM; Hassan, SS; Soares, A – volume: 5 start-page: 536 issue: 4 year: 2020 end-page: 544 article-title: The species Severe acute respiratory syndrome-related coronavirus classifying 2019-nCoV and naming it SARS-CoV-2 publication-title: Nat Microbiol contributor: fullname: Gorbalenya, AE; Baker, SC; Baric, RS; de Groot, RJ; Drosten, C; Gulyaeva, AA – volume: 7 start-page: S1 issue: Suppl 1 year: 2009 end-page: S1 article-title: SUPPORT Tools for evidence-informed health Policymaking (STP) 1 what is evidence-informed policymaking? publication-title: Health Res Policy Syst contributor: fullname: Oxman, AD; Lavis, JN; Lewin, S; Fretheim, A – year: 2020 publication-title: Listings of WHO's response to COVID-19: timeline. – volume: 323 start-page: 1239 issue: 13 year: 2020 end-page: 1242 article-title: Characteristics of and important lessons from the Coronavirus Disease 2019 (COVID-19) outbreak in China Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention publication-title: JAMA contributor: fullname: Wu, Z; McGoogan, JM – year: 2016 publication-title: European Health Information Initiative – year: 2020 publication-title: Novo Coronavírus COVID-19: relatório de situação: situação epidemiológica em Portugal, 30/06/2020. (Internet) – volume: 12 start-page: 372 issue: 4 year: 2020 end-page: 372 article-title: Virology, epidemiology, pathogenesis, and control of COVID-19 publication-title: Viruses contributor: fullname: Jin, Y; Yang, H; Ji, W; Wu, W; Chen, S; Zhang, W – volume: 20 start-page: 1401 issue: 12 year: 2020 end-page: 1408 article-title: Risk of COVID-19 in health-care workers in Denmark an observational cohort study publication-title: Lancet Infect Dis contributor: fullname: Iversen, K; Bundgaard, H; Hasselbalch, RB; Kristensen, JH; Nielsen, PB; Pries-Heje, M – volume: 3 issue: 5 year: 2020 article-title: Coronavirus Disease 2019 (COVID-2019) Infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China publication-title: JAMA Netw Open contributor: fullname: Lai, X; Wang, M; Qin, C; Tan, L; Ran, L; Chen, D – year: 2020 publication-title: Daily update of new reported cases of COVID-19 by country worldwide – volume: 8 issue: 2 year: 2013 article-title: Influenza aerosols in UK hospitals during the H1N1 (2009) pandemic-the risk of aerosol generation during medical procedures publication-title: PLoS One contributor: fullname: Thompson, KA; Pappachan, JV; Bennett, AM; Mittal, H; Macken, S; Dove, BK – year: 2019 publication-title: Population health monitoring: climbing the information pyramid contributor: fullname: Verschuuren, M; van Oers, H; Verschuuren, M; van Oers, H – volume: 26 start-page: 1413.e9 year: 2020 end-page: 1413.e13 publication-title: Characteristics of 1573 healthcare workers who underwent nasopharyngeal swab testing for SARS-CoV-2 in Milan contributor: fullname: Lombardi, A; Consonni, D; Carugno, M; Bozzi, G; Mangioni, D; Muscatello, A – volume: 395 start-page: e77 issue: 10234 year: 2020 end-page: e78 article-title: First experience of COVID-19 screening of health-care workers in England publication-title: Lancet contributor: fullname: Hunter, E; Price, DA; Murphy, E – volume: 3 year: 2020 publication-title: Prevalence and clinical presentation of health care workers with symptoms of coronavirus disease 2019 in 2 Dutch hospitals during an early phase of the pandemic contributor: fullname: Kluytmans-van den Bergh, MF; Buiting, AG; Pas, SD; Bentvelsen, RG; van den Bijllaardt, W; van Oudheusden, AJ – year: 2020 publication-title: Contact tracing: public health management of persons, including healthcare workers, having had contact with COVID-19 cases in the European Union: second update, 8 April 2020: technical report (Internet) – year: 2020 publication-title: População residente, média anual: total e por grupo etário (Internet) – volume: 26 start-page: 450 issue: 4 year: 2020 end-page: 452 article-title: The proximal origin of SARS-CoV-2 publication-title: Nat Med contributor: fullname: Andersen, KG; Rambaut, A; Lipkin, WI; Holmes, EC; Garry, RF – volume: 125 start-page: 305 issue: 4 year: 2020 end-page: 310 article-title: Work at inpatient care units is associated with an increased risk of SARS-CoV-2 infection; a cross-sectional study of 8679 healthcare workers in Sweden publication-title: Ups J Med Sci contributor: fullname: Lidström, AK; Sund, F; Albinsson, B; Lindbäck, J; Westman, G – year: 2020 publication-title: Infection prevention and control for the care of patients with 2019-nCoV in healthcare settings 2020: second update, 31 March 2020 – year: 2020 publication-title: SARS-CoV-2 infection in health care workers in a large public hospital in Madrid contributor: fullname: Folgueira, MD; Munoz-Ruiperez, C; Alonso-Lopez, MA; Delgado, R. – volume: 25 start-page: 2000433 issue: 14 year: 2020 end-page: 2000433 article-title: Roll-out of SARS-CoV-2 testing for healthcare workers at a large NHS Foundation Trust in the United Kingdom, March 2020 publication-title: Euro Surveill contributor: fullname: Keeley, AJ; Evans, C; Colton, H; Ankcorn, M; Cope, A; State, A – year: 2020 publication-title: WHO Director-General's remarks at the media briefing on 2019-nCoV on 11 February 2020 contributor: fullname: Ghebreyesus, TA – year: 2020 publication-title: Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19): interim guidance 27 February 2020 – year: 2020 publication-title: Severe acute respiratory syndrome-related coronavirus: the species and its viruses: a statement of the Coronavirus Study Group contributor: fullname: Gorbalenya, AE; Baker, SC; Baric, RS; de Groot, RJ; Drosten, C; Gulyaeva, AA |
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Title | The COVID-19 Impact in hospital healthcare workers: development of an occupational health risk management program |
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