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4 (97), 2020


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Edition of the journal is supported partially by the grant of the Fogarty International Center (FIC) of the National Institute of Health and Illinois University, Chicago.

JOURNAL

ISSN 2077-7477 (Print)
ISSN 2077-7485 (Online)

A journal "Dovkillia ta zdorovia" (Environment & Health) publishes the articles on the problems in the field of medical ecology, hygiene, health protection and ecological safety.

Founder of the Journal:
State Institution "O.M. Marzeiev Institute for Hygiene and Medical Ecology of the National Academy of Medical Sciences of Ukraine"

Frequency of publication:
quarterly

Environment & HealthISSN: 2077-7477 eISSN: 2077-7485
No: 4 (97)   -   December, 2020   -   Pages: 4-13
Hygiene and labour protection of medical staff under conditions of COVID-19 pandemicovercoming. The second message: changes and challenges
Yavorovskyi A.P.1, Shkurba A.V.1, Skaletskyi Yu.M.2, Brukhno R.P.1, Kharchuk L.V.3, Buhro V.I.4, Poniatovskyi V.A.1, Ryhan ..5
1 O.O. Bohomolets National Medical University, Kyiv
2 State Institution "O.M. Marzeiev Institute for Public Health of the NAMSU"
3 The State Service of Ukraine for Labour
4 P. L. Shupyk National Medical Academy for Post-Graduate Education, Kyiv
5 The National University of Ukraine on Physical Education and Sport

ABSTRACT:
Objective: We studied the dynamics and causes of acute occupational morbidity on COVID-19 in medical staff, changes in labour conditions and safety of medical workers, their protection with adequate and effective personal protective equipment in particular.

Materials and methods: We applied bibliographic, hygienic, questionnaire and mathematical methods in the study. As a material for the study, we used the results of our own observations, questionnaires for a survey of medical staff, data of the WHO, the Ministry of Healthcare of Ukraine, the Center for Public Health of the Ministry of Healthcare of Ukraine, the State Labour Service of Ukraine, the State Statistics Service of Ukraine and thematic scientific sources of information.

Results: The work of the doctors involved in COVID-19 pandemic overcoming is classified as dangerous (extreme). An increase in the degree of neuro-emotional stress and accumulation of fatigue was revealed in comparison with the data of the first report.
A significant number of ergonomic and physiological and hygienic deficiencies in personal protective equipment were recorded.
Nurses (38.43%), assistant nurses (22.69%) paramedics (3.72%), practicians of family medicine (2.91 %), therapists (2.86%) and anesthesiologists (2.52%) predominate among medical staff diagnosed with COVID-19 acute occupational disease.
An extremely low number of commission investigations of the accidents (COVID-19 diseases in medical workers), completed as of June 22, 2020, was revealed.

Conclusions: The incidence rates of medical workers for COVID-19 and a significant number of the deaths in medical staff as a result of the infection with SARS-CoV-2 coronavirus indicate the insufficient attention of the state to the issues of labour protection in medical industry.

KEYWORDS:
COVID-19, labour conditions, occupational morbidity of medical staff, risk of infection.
REFERENCES:
1. WHO. Situatsiya s COVID-19 v Evropeyskom regione VOZ [WHO. COVID-19 Situation in the WHO European Region]. (Date of Application: 27.07.2020). URL : https://who.maps.arcgis.com/apps/opsdashboard/index.html#/a19d5d1f86ee4d99b013eed5f637232d
2. WHO. Coronavirus Disease (COVID-19) Dashboard. (Date of Application: 27.07.2020). URL: https://covid19.who.int/
3. The Cabinet of Ministers of Ukraine. Analitychni paneli (dashbordy) [Analytical Panels (Dashboards)]. (Date of Application: 27.07.2020). URL: https://covid19.gov.ua/analitichni-paneli-dashbordy
4. Yavorovskyi O.P., Brukhno R.P. and Brukhno O.M. Zbudnyky infektsiinykh zakhvoriuvan yak shkidlyvi ta nebezpechni faktory umov pratsi medychnykh pratsivnykiv [Pathogens of Infectious Diseases as Harmful and Dangerous Factors of LabourConditions of Medical Workers]. In : Aktualni problemy profilaktychnoi medytsyny : zb. nauk. prats [The Current Challenges of Preventive Medicine: Coll. Sci. Works]. Lviv ; 2020 ; 20 : 3-15. (Date of Application: 27.07.2020). URL: http://ir.librarynmu.com/handle/123456789/2046
5. Yavorovskyi O.P., Skaletskyi Yu.M. and Shkurba A.V. Zakhystyty i zberehty likaria: shcho mozhna i treba zrobyty [To Protect and Save the Doctor: What Can and Should Be Done]. Hazeta Den [Newspaper The Day]. 2020; 16 April ( 71-72). (Date of Application: 27.07.2020). URL: http://day.kyiv.ua/uk/article/cuspilstvo/zahystyty-i-zberegty-likarya
6. Varyvonchyk D.V. Operational Monitoring of Indicators of Prevention at the Workplace and Registration of Cases of Acute Occupational Disease Caused by COVID-19 in Ukraine. Collection of Online Newsletters. 2020 ; June ; 3 (9 12) : 111 p. DOI: https://doi.org/10.13140/RG.2.2.24574.41289
7. Employer-Reported Workplace Injuries and Illnesses 2018. Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, in Cooperation with Participating State Agencies. 2019. (Date of Application 19.07.2020) URL: https://www.bls.gov/news.release/pdf/osh.pdf
8. Pro sluzhbu okhorony pratsi systemy Ministerstva okhorony zdorovia Ukrainy : Nakaz MOZ Ukrainy 268 vid 30.09.94 [On the Labour Protection Service of the System of the Ministry of Healthcare of Ukraine: Order of the Ministry of Healthcare of Ukraine 268, 30.09.94]. (Date of Application : 19.07.2020). URL : http://mozdocs.kiev.ua/view.php?id=1278
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