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[员工针对导致COVID-19疾病的SARS-CoV-2冠状病毒感染的健康防护——当前知识现状与建议]

[Health protection of employees against SARS-CoV-2 coronavirus infection causing the COVID-19 disease - the current state of knowledge and recommendations].

作者信息

Świątkowska Beata, Walusiak-Skorupa Jolanta, Juszczyk Grzegorz, Gierczyński Rafał, Socha Krzysztof, Lipińska-Ojrzanowska Agnieszka

机构信息

Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Epidemiologii Środowiskowej / Department of Environmental Epidemiology).

Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland.

出版信息

Med Pr. 2021 Feb 3;72(1):69-87. doi: 10.13075/mp.5893.01042. Epub 2020 Dec 2.

Abstract

The COVID-19 pandemic, despite the restrictions and preventive measures applied, has rapidly spread and reached Poland. The adaptation to the dynamically changing epidemiological situation requires a prompt implementation of effective preventive measures. The aim of the publication is to provide current knowledge to all persons involved in the preventive care system, i.e., employees, employers and professionals of occupational medicine, about the epidemiological situation related to SARS‑CoV- 2, as well as recommendations and possible solutions. In order to analyze these issues, a review of literature was conducted based on medical research databases: PubMed, SCOPUS, and the Web of Science Core Collection. The literature was supplemented with studies found on websites of the Ministry of Health and the World Health Organization. Data on the cases of and deaths due to COVID-19 come from reports provided by the Ministry of Health, data published on the websites of the European Center for Disease Prevention and Control, and ourworldindata.org. By the time of submitting the publication, 34 154 cases and 1444 deaths due to coronavirus had been recorded in Poland. Data from published studies suggest that the virus is mainly transmitted via droplets or through contact with contaminated objects and surfaces. Therefore, in the absence of an effective vaccine, preventive actions are based mainly on strategies that minimize the risk of pathogen transmission. In addition to discussing the current epidemiological situation, diagnostic procedures, risk groups and COVID-19 characteristics, the paper presents recommendations and proposed solutions for employers and employees regarding the prevention of SARS‑CoV- 2, along with currently applicable laws and recommendations on employee prophylactic examinations during the pandemic. Subsequently, COVID-19 was discussed in the aspect of an occupational disease and other health threats related to the pandemics. The epidemiological situation regarding coronavirus indicates the need to take immediate and effective actions to minimize infection transmission among employees, and to develop procedures for a quick and effective ability to locate the COVID-19 outbreaks in workplaces. Med Pr. 2021;72(1):69-87.

摘要

尽管采取了限制措施和预防措施,但新冠疫情仍迅速蔓延并波及波兰。要适应动态变化的疫情形势,就需要迅速实施有效的预防措施。本出版物的目的是向预防保健系统中的所有相关人员,即员工、雇主和职业医学专业人员,提供有关与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)相关的疫情形势的最新知识,以及相关建议和可能的解决方案。为了分析这些问题,我们基于医学研究数据库:PubMed、SCOPUS和科学引文索引核心合集进行了文献综述。此外,还补充了在卫生部和世界卫生组织网站上找到的研究。关于新冠病毒病例和死亡的数据来自卫生部提供的报告、欧洲疾病预防控制中心网站上公布的数据以及ourworldindata.org网站。在提交本出版物时,波兰已记录到34154例冠状病毒病例和1444例死亡病例。已发表研究的数据表明,该病毒主要通过飞沫传播或通过接触受污染的物体和表面传播。因此,在没有有效疫苗的情况下,预防措施主要基于尽量降低病原体传播风险的策略。除了讨论当前的疫情形势、诊断程序、风险群体和新冠病毒特征外,本文还针对雇主和员工提出了预防SARS-CoV-2的建议和解决方案,以及当前适用的法律和关于疫情期间员工预防性检查的建议。随后,从职业病以及与疫情相关的其他健康威胁方面对新冠病毒进行了讨论。冠状病毒的疫情形势表明,有必要立即采取有效行动,尽量减少员工之间的感染传播,并制定程序以便能够快速有效地发现工作场所的新冠疫情。《医学实践》2021年;72(1):69 - 87。

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