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1 (98), 2021


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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: 1 (98)   -   2021   -   Pages: 4-13
Medical workers of zhytomir oblast and assessment of the risks of their infection with SARS-COV-2 virus in the aspect of safety, occupational hygiene, and infectious control
Yavorovskyi .P.1, Skaletskyi Yu.M.2, Brukhno R.P.1, Kharchuk L.V.3, Kyrychuk I.M.4, Borys V.M.5, Shuliarenko V.P.6
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 Zhytomyr Medical Institute of Zhytomyr Oblast Council
5 MNPE "Novohrad-Volynsk City Regional Territorial Medical Association"
6 Brusyliv Regional Department of Korostyshiv IRD SI "Zhytomyr Oblast Laboratory Center of the Ministry of Health of Ukraine

: 613.62:616-051(477.42):616.9

ABSTRACT:
Objective: We assessed safety, occupational health and infectious control at the institutions of public health of Zhytomyr oblast of Ukraine to improve the management of the risks of the infection of medical personnel with the SARS-CoV-2 virus and to reduce the occupational morbidity and mortality of medical workers from COVID-19.
Materials and methods: We used bibliographic, hygienic, questionnaire and mathematical methods in the study.
The results of our own observations, questionnaires for a survey of medical workers, data of the Ministry of Health of Ukraine, the Center for Public Health of the Ministry of Health of Ukraine, the State Service of Ukraine for Labour, and thematic scientific sources of information were used as a material for the study.
Results: The work of medical workers, involved in COVID-19 pandemic overcoming, is classified as dangerous (extreme). Besides SARS-CoV-2 virus, concomitant physical, chemical factors, and high physical and neuro-emotional stress affect the formation of working conditions in medical workers.
Nurses (38.57%), junior nurses (26.10%), paramedics (5.37%), general practitioners of family medicine (4.85%), surgeons (4.16%), anesthesiologists (2.54%), infectious disease doctors (2.08%), radiologists (1.85%) are among medical workers who have been diagnosed with an acute occupational COVID-19 disease in Zhytomyr oblast of Ukraine.
Conclusions: The main reasons of the high levels of occupational morbidity in medical workers of Zhytomyr oblast include personal carelessness of the victims; non-use of personal protection equipment if available; work in the focus of the disease; absence or poor-quality instruction on labour protection; not full provision with personnel in Zhytomyr oblast and medical workers with personal protection equipment in the medical institutions; shortage of epidemiologists, hygienists, and occupational pathologists.

KEYWORDS:
COVID-19, medical workers, working conditions, occupational morbidity, risk of infection
REFERENCES:
1. Yavorovskyi O.P., Shkurba A.V., Skaletskyi Yu.M., Brukhno R.P. et al. Hygiene and Labour Protection of Medical Personnel under Conditions of COVID-19 Pandemic Overcoming (First Report)]. Environment&Health. 2020 ; 3 (96) : 10-18 (in Ukrainian). https://doi.org/10.32402/dovkil2020.03.010
2. Yavorovskyi O.P. and Zenkina V.I. Medyky Ukrainy naimensh zakhyshcheni [Ukrainian Doctors are the Least Protected Ones ]. Okhorona pratsi. 2020 ; 6 (312) : 46-49 (in Ukrainian).
3. Yavorovskyi O.P. and Shkurba A.V. COVID-2019. Nebezpeky ta vyklyky koronavirusnoi khvoroby COVID-2019 [Dangers and Challenges of COVID-2019Coronavirus Disease]. Hazeta Den. 2020; 16 March (48). URL: https://day.kyiv.ua/uk/article/cuspilstvo/nebezpeky-ta-vyklyky( mode of access : 15.10.2020) (in Ukrainian).
4. Yavorovskyi O.P., Skaletskyi Yu.M. and Shkurba A.V. Zakhystyty i zberehty likaria: shcho mozhna i treba zrobyty [Protect and Save the Doctor: What Can and Should Be Done]. Hazeta Den.2020; 16 March (71-72). (mode of access: 15.10.2020) (in Ukrainian). URL: http://day.kyiv.ua/uk/article/cuspilstvo/zahystyty-i-zberegty-likarya
5. 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 Working Conditions inMedical Workers]. In: : . . . Aktualni problemy profilaktychnoi medytsyny : zb. nauk. pr. [Topical Problems of Preventive Medicine: Coll. Sci.Works]. Lviv; 2020 ; 20 : 3-15 (in Ukrainian).
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 ; 3 (9 12) : 111. (in Ukrainian). DOI: https://doi.org/10.13140/RG.2.2.24574.41289
7. Kabinet Ministriv Ukrainy. Analitychni paneli (dashbordy) [The Cabinet of Ministers of Ukraine. Analytical Panels (Dashboards)]. (mode of access: 15.10.2020). URL : https://covid19.gov.ua/analitichni-paneli-dashbordy
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