Italian National Institute for Insurance against Accidents at Work (Inail), Rome (Italy);
Italian National Institute for Insurance against Accidents at Work (Inail), Rome (Italy).
Epidemiol Prev. 2021;45(6):513-521. doi: 10.19191/EP21.6.111.
to evaluate the patterns of occupational COVID-19 cases, based on compensation claims applied to the Italian National Institute for Insurance against Accidents at Work (Inail).
descriptive analyses of daily time series of compensation claims applications, geographical distributions, and occupations involved. Multivariate analyses have been performed for identifying significant epidemiological pattern.
compensation claims for COVID-19 injuries received by Inail from March 2020 to February 2021 have been analysed.
daily time series of compensation claims applications in the first year of pandemic and comparatively with population data, patterns of occupations majorly involved in time, territorial clusters.
in the observed period, Inail has received 155,684 workers' compensation claims with a first peak (more than 1,000 daily compensation claims) in March 2020 and a second peak (more than 1,500) in November 2020. A time dependent geographical pattern was identified, with the Northern regions formerly affected in the first phase, followed by a diffusion in the Central and Southern regions during the summer period. Health technicians (32% and 42% in male and female, respectively) and physicians (15%and 6%) were the most involved workers. The timing of infection was found to depend by job, with physicians, nurses, and health technicians firstly involved with a spread of about 2 weeks with respect to other jobs. Trend in health workers' vaccination has been found in a clear inverse relationship with the decreasing number of compensation claims, remaining, since February 2021, under one hundred daily cases of occupational COVID-19 compensation claims.
different intensities, timing, and characteristics were found among application claims, which address for different pandemic diffusion paths. Health workers are the firstly and most involved impacted by the pandemic. The use of application claims could be useful and effective in monitoring the occupational component of COVID-19 and his trend in time and space. There is a need to establish an epidemiological surveillance system that includes the assessment of work related risk, supporting the effectiveness of public insurance and welfare system, and to harmonize occupational data collection among countries.
根据意大利国家意外事故保险研究所（Inail）收到的赔偿申请，评估职业 COVID-19 病例的模式。
对赔偿申请的每日时间序列、地理分布和涉及的职业进行描述性分析。进行了多变量分析以确定显著的流行病学模式。
分析了 2020 年 3 月至 2021 年 2 月期间 Inail 收到的 COVID-19 伤害赔偿申请。
大流行第一年和与人口数据相比的每日赔偿申请时间序列、主要涉及职业的时间模式、地域集群。
在所观察的时期内，Inail 收到了 155684 名工人的赔偿申请，2020 年 3 月首次出现高峰（每天超过 1000 份赔偿申请），2020 年 11 月再次出现高峰（每天超过 1500 份）。确定了一个与时间相关的地理模式，北部地区在第一阶段先受到影响，然后在夏季期间向中部和南部地区扩散。卫生技术人员（男性分别为 32%和 42%，女性分别为 32%和 42%）和医生（男性 15%，女性 6%）是受感染最严重的工人。感染的时间取决于工作，医生、护士和卫生技术人员首先受到影响，传播约 2 周，然后其他工作受到影响。自 2021 年 2 月以来，卫生工作者疫苗接种趋势与每日职业 COVID-19 赔偿申请数量的减少呈明显反比关系，每日职业 COVID-19 赔偿申请数量一直保持在 100 例以下。
申请索赔之间存在不同的强度、时间和特征，这些差异反映了大流行的不同传播路径。卫生工作者是受大流行影响最大和最早的人群。使用申请索赔可以有效地监测职业性 COVID-19 及其在时间和空间上的趋势。需要建立一个包括评估与工作相关风险的流行病学监测系统，以支持公共保险和福利系统的有效性，并协调各国之间的职业数据收集。
