Guisasola Yeregui Aitor, Ibañez Vallejo Leire
Osalan - Instituto Vasco de Seguridad y Salud Laborales. Barakaldo. España.
Rev Esp Salud Publica. 2021 Oct 22;95:e202110145.
On 31 December 2019 China reported around 27 cases of pneumonia of unknown origin. Some days later a new type of virus which was named New Coronavirus 2019-nCoV was identified as the cause. On 11 March 2020 the World Health Organisation (WHO) declared a COVID-19 pandemic and urged authorities to locate, isolate, test and treat each case and trace every contact. The monitoring of workers' health is subject to specific protocols, which in this case take the form of the Procedure for Action for Occupational Health and Safety against Exposure to SARS-CoV-19. From the outset, the drawing up of this protocol in the Basque Country entailed integrated action by Health and Surveillance services in the monitoring network for COVID-19 cases and contacts in the region. The figures show that since November 2020 a total of 19,471 cases of COVID-19 have been addressed at 17,260 firms, with 22,696 close contacts at work since September, 294 outbreaks and 7,178 temporary invalidity certificates due to close contact since December 2020. The effects of vaccination can be observed in health and socio-sanitary personnel since March 2021 and in other groups since June. Health and safety services need to be thorough in collective health monitoring. This service must be factored into public health activities, which need to be led by the public authorities as has been done during the current pandemic.
2019年12月31日，中国报告了约27例不明原因肺炎病例。几天后，一种新型病毒被确定为病因，该病毒被命名为2019新型冠状病毒（2019-nCoV）。2020年3月11日，世界卫生组织（WHO）宣布新冠疫情大流行，并敦促各国当局对每一例病例进行定位、隔离、检测和治疗，并追踪每一个接触者。对工人健康的监测需遵循特定规程，在这种情况下，采取的是《职业健康与安全防范接触SARS-CoV-19行动程序》的形式。从一开始，巴斯克地区制定该规程就需要卫生和监测服务部门在该地区新冠病例及接触者监测网络中采取综合行动。数据显示，自2020年11月以来，17260家公司共处理了19471例新冠病例，自9月以来有22696名工作中的密切接触者，294起疫情爆发，自2020年12月以来有7178份因密切接触导致的临时病残证明。自2021年3月起可观察到疫苗接种对卫生和社会卫生工作人员的效果，自6月起可观察到对其他群体的效果。卫生和安全服务部门在集体健康监测方面必须全面彻底。这项服务必须纳入公共卫生活动，公共卫生活动需要由公共当局牵头，就像在当前疫情期间所做的那样。
