Occupational factors in the COVID-19 pandemic in Italy: compensation claims applications support establishing an occupational surveillance system.
Occupational factors in the COVID-19 pandemic in Italy: compensation claims applications support establishing an occupational surveillance system.
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DOI：
10.1136/oemed-2020-106844
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发表时间：
2020-12
影响因子：
4.9
通讯作者：
Iavicoli S
中科院分区：
文献类型：
--
作者：
Marinaccio A;Boccuni F;Rondinone BM;Brusco A;D'Amario S;Iavicoli S
SARS-CoV-2大流行是对职业健康的重大挑战。COVID-19的流行病学监测包括系统地跟踪和报告总病例和死亡人数，但尽管对职业安全和健康有兴趣，但仍然缺乏确定COVID-19大流行所涉及的职业风险因素的监测系统的适当经验。意大利采用了一种方法学方法来估计职业感染风险，根据三个参数：暴露概率、接近指数和聚集系数，将每个经济部门分为低、中低、中高和高风险。此外，在疫情紧急期间，意大利工人赔偿局将COVID-19与工作有关的感染列为职业伤害，并在全国范围内收集了工人的赔偿要求。根据索赔申请，意大利的COVID-19感染在工作场所感染，占总病例的很大一部分（19.4%）。所涉经济部门的分布与封锁期间被列为危险的活动相一致。主要涉及的经济部门是人类健康和社会工作活动，但职业赔偿要求也包括肉类和家禽加工厂工人、商店职员、邮政工人、药剂师和清洁工人。有必要建立针对COVID-19病例的职业监测系统，包括对获得感染的环境进行个人记忆分析，以预防职业感染风险，支持保险制度的有效性和管理疫苗接种政策。
The SARS-CoV-2 pandemic is an impacting challenge for occupational health. Epidemiological surveillance of COVID-19 includes systematic tracking and reporting of the total cases and deaths, but suitable experiences of surveillance systems for identifying the occupational risk factors involved in the COVID-19 pandemic are still missing, despite the interest for occupational safety and health. A methodological approach has been implemented in Italy to estimate the occupational risk of infection, classifying each economic sector as at low, medium-low, medium-high and high risk, based on three parameters: exposure probability, proximity index and aggregation factor. Furthermore, during the epidemic emergency, the Italian Workers’ Compensation Authority introduced the notation of COVID-19 work-related infection as an occupational injury and collected compensation claims of workers from the entire national territory. According to compensation claims applications, COVID-19 infection in Italy has been acquired at the workplace in a substantial portion of the total cases (19.4%). The distribution of the economic sectors involved is coherent with the activities classified at risk in the lockdown period. The economic sectors mostly involved were human health and social work activities, but occupational compensation claims also include cases in meat and poultry processing plants workers, store clerks, postal workers, pharmacists and cleaning workers. There is a need to go towards an occupational surveillance system for COVID-19 cases, including an individual anamnestic analysis of the circumstances in which the infection is acquired, for the prevention of occupational infectious risk, supporting insurance system effectiveness and managing vaccination policies.
影响因子：
33.9
作者：
Dyal, Jonathan W.;Grant, Michael P.;Honein, Margaret A.
通讯作者：
Honein, Margaret A.
影响因子：
33.9
作者：
Mosites, Emily;Parker, Erin M.;Peacock, Georgina
通讯作者：
Peacock, Georgina