Conversations on COVID-19 10th Webinar: Protecting Health Care Workers During the COVID-19 Pandemic
WEBINAR SERIES: WEEK TEN Protecting Health Care Workers During the COVID-19 Pandemic
This week’s webinar was co-hosted by the Society of Occupational Medicine (SOM).
The tenth webinar was held on Friday 22/05/2020 at 12:00 pm GMT/1PM Irish Time.
The full suite of resources shared by speakers is available under each of their individual recordings, along with a summary of the points they made. A full list of additional resources shared by participants and hosts during the webinar can be found at the bottom of the page.
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A SUMMARY OF POINTS MADE
Dr. Ivan Ivanov: Team Leader, Global Occupational and Workplace Health Team in the Headquarters of the WHO, Geneva.
– Currently serves as occupational health officer in the COVID-19 response team of WHO’s Global Emergencies Programme.
As of 20th May 2020, countries reported to WHO that over 45,000 health workers were infected with COVID-19. The true number is likely significantly higher due to under-reporting. These infections are due mainly to insufficient hand hygiene, lack of PPE/insufficient compliance with regulations, and many community transmissions due to lack of physical distancing in the general population.
There is an increasing level of violence and social stigma being seen against health workers. WHO has made clear it’s zero tolerance policy for violence against health workers. Furthermore, medical practitioners also face long working hours, shift work, high workload and other psycho-social hazards – this can lead to fatigue, occupational burnout, increased psychological distress or declining mental health. This data shows that we are not providing sufficient protections for healthcare workers globally. Workplace safety regulations are not sufficient, countries are now encouraged by the WHO to develop regulations specifically for healthcare workers. In LMICs, these issues are of particular importance. Dedicated supervisors for appropriate oversight of these guidelines are vital.
To view slides on Dr. Ivan’s points, CLICK HERE
Resources suggested by Dr. Ivan:
- WHO Occupational Safety and Health in Public Health emergencies
- COVID-19 in Africa: care and protection for frontline healthcare workers | Globalization and Health | Full Text
- Just 7.3% of Stockholm had Covid-19 antibodies by end of April, study shows | World news | The Guardian
Dr. Will Ponsonby: President (Chair) Society of Occupational Medicine
– Senior Lecturer in Occupational Medicine for the MSc in Occupational Medicine, University of Manchester.
“Hierarchy of Control” is a risk prevention tool: PPE is just one of many controls that can be used in addressing infectious disease
– Eliminate the hazard: Good COVID-19 testing, seperate COVID and Non-COVID wards in hospital
– Substitution of various controls to ensure best approach
– Environmental/Engineering controls: Ventilation, screens etc.
– Administrative controls: Testing, removing vulnerable healthcare workers etc
In LMICs, seperation of infected patients and other illnesses is vital, along with engineering controls and identification of vulnerable staff.
Occupational risk assessment is necessary to identify co-morbidity and mental health of workers, to ensure that vulnerable healthcare workers are supported. The UK was unprepared for a pandemic such as this, and so control mechanisms were inadequate. Lack of testing and lack of focus on non-hospital settings ie. Care homes etc also drove the increase in cases. Over 500 healthcare workers have died of COVID-19 in the UK, and this has disproportionately affected black and asian British workers.
Dr Will has published the following article: ” No NHS staff member should die from work-acquired COVID-19“
Professor Pierluigi Cocco: Professor of Occupational Medicine at the University of Cagliari
– Member of both the Modernet Consortium of the EU Occupational Health centres & the Planetary Protection Working Group of the European Space Agency.
A lack of preparedness led to the surge of cases in Italy, and a lack of information on the disease often led to healthcare workers taking more risks with their own health both mental and physical. Therefore, burnout has been a significant problem, along with fear, stress and anxiety.
In March, the Italian government, unions and employers organisations agreed to a system for those vulnerable healthcare workers to be furloughed. This required a huge amount of work to balance workers’ health and staffing hospitals. There have also been increased suicide rates in healthcare workers, though these statistics will need to be analysed to determine definite cause.
Retired healthcare workers have been brought back, and new staff hired, in order to ensure workers have more reasonable shift hours and support. A new hospital was built in Milan, but efforts to make it operational was a failure – this serves as an example of how poor preparedness can seriously affect a country’s disease response.
Suggested resource by Prof. Pierluigi: CDC Hierarchy of Controls Overview
Dr Joy Mugambi: General Practitioner, Nairobi, Kenya
– Secretary General of the World Organization for Family Physicians (WONCA), Africa region.
Kenya’s government began with attempts to eliminate exposure of vulnerable health care workers to COVID-19. PPE shortages were again seen here, but industry moved speedily to provide more stock, and shortages are not now as dire as at the outbreak. Kenya’s experience of diseases like ebola also left staff with experience to draw on rapidly.
To view her image presentation on Kenyan control measure of the virus, CLICK HERE
“Coughers” are segregated from other COVID-19 patients, and all healthcare workers are trained to test for the virus, rather than specific testing staff. Community testing has also been deployed as much as possible, including postmortem testing.
Shifts have been divided into three shifts, and group debriefs are held for all staff – this has helped with supporting staff mental health.
“Community engagement is key in everything we do”
Webinar Anchor: Ruairi Brugha, Professor Emeritus, Former Head of the Department of Public Health & Epidemiology at the Royal College of Surgeons in Ireland
Resources shared by Prof. Ruairi:
- COVID-19 Worldometer
- Supporting the well-being of healthcare workers during and after COVID-19
- “Just 7.3% of Stockholm had Covid-19 antibodies by end of April, study shows” – The Guardian
- Gender Based Inequalities Amplified by COVID-19 Pandemic – written by Prof. Father Michael Kelly
We also included a sample of the new ESTHER Short Video guidance series: Preparing Your Institution for COVID-19
Shared by IGHN:
- COVID-19 in Africa: care and protection for frontline healthcare workers
- Recommendations by WHO for health workers with low risk for COVID-19 infection
– Shared by Breda Gahan, Concern Worldwide:
- Rational use of Personal Protective Equipment for Coronavirus disease (COVID-19) and considerations during severe shortages (6 April 2020)
Shared by Nick Pahl, CEO of SOM:FULL WEBINAR ARCHIVE
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