COVID-19 PANDEMİSİNDE SAĞLIK ÇALIŞANLARI

Yıl 2020, , 156 - 168, 28.09.2020

Seval Çalışkan Pala , Selma Metintas

https://doi.org/10.35232/estudamhsd.789806

Cited By: 37

Öz

Pandemiler, çok sayıda can kaybına ve fiziksel, ruhsal sorunlara sebebiyet vererek ciddi halk sağlığı tehdidi oluştururlar. Sağlık çalışanları, pandemilerde yüksek risk taşıyan meslek gruplarındandır. Dünyanın yeni karşılaştığı enfeksiyon hastalıklarından olan COVID-19 pandemisinin ilk dönemlerinde Dünya Sağlık Örgütü’ne 52 ülkeden 22.073 sağlık çalışanın hastalığa yakalandığı bildirimi yapılmıştır. Bugüne kadar, sağlık çalışanları arasında COVID-19’a yakalananların sayısı hakkında bilgi sağlayan sınırlı sayıda yayın ve ulusal durum raporu bulunmakta olup, tahminler bildirilen sayının çok daha üstünde olduğu yönündedir. COVID-19 ile ilgili ilk çalışma sonuçları, hastaların %10 hatta %20'sinin sağlık çalışanlarından oluştuğunu göstermektedir. Sağlık çalışanlarının çoğunda enfeksiyon hafif seyretmesine rağmen, ölümler de dahil olmak üzere ciddi sonuçlar bildirilmektedir. Derlemede, COVID-19 pandemisinde sağlık çalışanlarının etkene maruziyetleri, risk faktörleri, mesleki sorumlulukları, yaşadıkları sorunlar ve nasıl korunabilecekleri ile ilgili bilgiler ele alınmıştır.

Anahtar Kelimeler

Sağlık çalışanı, COVID-19, pandemi

HEALTHCARE PROFESSIONALS IN THE COVID-19 PANDEMIC

Öz

Pandemics pose a serious public health threat by causing many deaths, physical and mental problems.
Healthcare workers are among the occupational groups with high risk in pandemics. In the early stages of the
COVID-19 pandemic, which is one of the infectious diseases that the world has recently faced, a notification was
made to the World Health Organization that 22,073 healthcare workers from 52 countries had the disease. To
date, there are a limited number of publications and national status reports that provide information on the
number of people caught with COVID-19 among healthcare workers, and estimates are much higher than the
reported number. Early study results on COVID-19 show that 10% or even 20% of patients are healthcare
workers. Although the infection is mild in most healthcare workers, serious outcomes, including deaths, have
been reported. In the review, information about healthcare workers' exposure to the factor, risk factors,
professional responsibilities, problems they experience, and how they can be protected in the COVID-19
pandemic were discussed.

Anahtar Kelimeler

Healthcare professionals, COVID-19, pandemics

Kaynakça

• 1. World Health Organization (WHO). Emergencies prepared, response. [cited 2020 Aug 10]; Available from: https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/.
• 2. World Health Organization (WHO). Emergencies prepared, response.China, 2020 [cited 2020 Aug 20]; Available from: http://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
• 3. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine 2020;382:727-33.
• 4. World Health Organization (WHO). Coronavirus disease (COVID-19) Dashboard. Confirmed cases, 2 September 2020. [cited 2020 feb 3]; Available from: https://covid19.who.int/
• 5. Cetintepe SP, İlhan MN. COVID-19 Salgınında Sağlık Çalışanlarında Risk Azaltılması. Journal of Biotechnology and Strategic Health Research.2020;4:50-4.
• 6. Rajakaruna SJ, Liu WB, Ding YB, Cao GW. Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa. Military Medical Research. 2017;4(1):32.
• 7. Chowell G, Abdirizak F, Lee S, Lee J, Jung E, Nishiura H, et al. Transmission characteristics of MERS and SARS in the healthcare setting: a comparative study. BMC medicine. 2015;13(1):1-12.
• 8. Swerdlow DL, Finelli L. Preparation for possible sustained transmission of 2019 novel coronavirus: lessons from previous epidemics. Jama. 2020;323(12):1129-30.
• 9. Suwantarat N, Apisarnthanarak A. Risks to healthcare workers with emerging diseases: lessons from MERS-CoV, Ebola, SARS, and avian flu. Current opinion in infectious diseases. 2015;28(4):349-61.
• 10. Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GM, et al. A major outbreak of severe acute respiratory syndrome in Hong Kong. New England Journal of Medicine. 2003;348(20):1986-94.
• 11. Eyigün CP. Sağlık Personeli İçin Yeni Bir Tehdit: SARS. Hastane İnfeksiyonları Dergisi. 2004;8:196-203.
• 12. Dhama K, Malik YS, Malik SVS, Singh RK. Ebola from emergence to epidemic: the virus and the disease, global preparedness and perspectives. The Journal of Infection in Developing Countries. 2015;9(05):441-55.
• 13. Van Kerkhove MD, Bento AI, Mills HL, Ferguson NM, Donnelly CA. A review of epidemiological parameters from Ebola outbreaks to inform early public health decision-making. Scientific data. 2015;2(1):1-10.
• 14. Aslan FG, Altindiş M. Yeni Beliren Viruslarda Yönetim; Ebola ve MERS-CoV Deneyimi. Ortadogu Medical Journal/Ortadogu Tip Dergisi. 2016;8(2).
• 15. Amer H, Alqahtani AS, Alaklobi F, Altayeb J, Memish ZA. Healthcare worker exposure to Middle East respiratory syndrome coronavirus (MERS-CoV): revision of screening strategies urgently needed. International Journal of Infectious Diseases. 2018;71:113-6.
• 16. World Health Organization(WHO). Coronavirus disease 2019 (COVID-19) Situation Report – 82. [cited 2020 Aug 7]; Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200411-sitrep-82-covid-19.pdf.
• 17. The International Council of Nurses (ICN). ICN calls for data on healthcare worker infection rates and deaths. [cited 2020 Aug 10]; Available from: https://www.icn.ch/news/icn-calls-data-healthcare-worker-infection-rates-and-deaths
• 18. Sahu AK, Amrithanand V, Mathew R, Aggarwal P, Nayer J, Bhoi S. COVID-19 in health care workers–A systematic review and meta-analysis. The American Journal of Emergency Medicine. 2020;38:1727-31.
• 19. Lancet T. COVID-19: protecting health-care workers. Lancet (London, England). 2020;395(10228):922.
• 20. World Health Organization(WHO). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). [cited 2020 Aug 10]; Available from: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf
• 21. The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. Chinese Journal of Epidemiology. 2020;41(2):145-51.
• 22. Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, et al. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine. 2020;382(18):1708-20.
• 23. Zhang Z, Liu S, Xiang M, Li S, Zhao D, Huang C, et al. Protecting healthcare personnel from 2019-nCoV infection risks: lessons and suggestions. Frontiers of Medicine. 2020:1-3.
• 24. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama. 2020;323(11):1061-9.
• 25. Hunter E, Price DA, Murphy E, van der Loeff IS, Baker KF, Lendrem D, et al. First experience of COVID-19 screening of health-care workers in England. The Lancet. 2020;395(10234):77-8.
• 26. Wang X, Ferro EG, Zhou G, Hashimoto D, Bhatt DL. Association between universal masking in a health care system and SARS-CoV-2 positivity among health care workers. JAMA. 2020;324(7):703-4.
• 27. The COVID-19 Task force of the Department of Infectious Diseases and the IT Service Istituto Superiore di Sanità. Integrated surveillance of COVID-19 in Italy. [cited 2020 Aug 6]; Available from: https://www.epicentro.iss.it/en/coronavirus/bollettino/Infografica_17aprile%20ENG.pdf.
• 28. Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? The Lancet. 2020;395(10231):1225-8.
• 29. Lombardi A et al., Characteristics of 1573 healthcare workers who underwent nasopharyngeal swab testing for SARS-CoV-2 in Milan, Lombardy, Italy, Clinical Microbiology and Infection, https://doi.org/10.1016/j.cmi.2020.06.013
• 30. Folgueira MD, Munoz-Ruiperez C, Alonso-Lopez MA, Delgado R. SARS-CoV-2 infection in Health Care Workers in a large public hospital in Madrid, Spain, during March 2020. medRxiv. 2020. [cited 2020 Aug 15]; Available from: https://doi.org/10.1101/2020.04.07.20055723
• 31. Medimagazin. Sağlık Bakanlığı, Basın Açıklaması. “Fahrettin Koca ilk kez sayı verdi: 29 bin 865 sağlık çalışanı enfekte....” [cited 2020 sep 3]; Available from: https://www.medimagazin.com.tr/guncel/genel/tr-fahrettin-koca-ilk-kez-sayi-verdi-29-bin-865-saglik-calisani-enfekte-11-681-91089.html
• 32. Yen MY, Lin YE, Lee CH, Ho MS, Huang FY, Chang SC, et al. Taiwan's traffic control bundle and the elimination of nosocomial severe acute respiratory syndrome among healthcare workers. Journal of Hospital Infection. 2011;77(4):332-7.
• 33. Yen M-Y, Schwartz J, Wu J-SJ, Hsueh P-R. Controlling Middle East respiratory syndrome: lessons learned from severe acute respiratory syndrome. Clinical Infectious Diseases. 2015;61(11):1761-2.
• 34. Atkinson P, French J, Lang E, McColl T, Mazurik L. Just the Facts: Protecting frontline clinicians during the COVID-19 pandemic. Canadian Journal of Emergency Medicine. 2020:1-5.
• 35. World Health Organization (WHO). Coronavirus disease (COVID-19) outbreak: rights, roles and responsibilities of health workers, including key considerations for occupational safety and health. World Health Organization, Interim guidance. 2020;19. [cited 2020 Aug 12]; Available from: https://apps.who.int/iris/bitstream/handle/10665/331510/WHO-2019-nCov-HCWadvice-2020.2-eng.pdf?sequence=1&isAllowed=y
• 36. Ali S, Noreen S, Farooq I, Bugshan A, Vohra F. Risk Assessment of Healthcare Workers at the Frontline against COVID-19. Pak J Med Sci. 2020;36:99-103. doi:10.12669/pjms.36. COVID19-S4.2790
• 37. Su TP, Lien TC, Yang CY, Su YL, Wang JH, Tsai SL, et al. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. Journal of psychiatric research. 2007;41(1-2):119-30.
• 38. Wong EL, Wong SY, Kung K, Cheung AW, Gao TT, Griffiths S. Will the community nurse continue to function during H1N1 influenza pandemic: a cross-sectional study of Hong Kong community nurses? BMC Health Services Research. 2010;10(1):107.
• 39. Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. The British Journal of Psychiatry. 2004;185(2):127-33.
• 40. Koh D, Lim MK, Chia SE, Ko SM, Qian F, Ng V, et al. Risk Perception and Impact of Severe Acute Respiratory Syndrome (SARS) on Work and Personal Lives of Healthcare Workers in Singapore What Can We Learn? Medical care. 2005:676-82.
• 41. Tzeng H-M, Yin C-Y. A crisis: fear toward a possible H5N1 pandemic. Journal of nursing care quality. 2008;23(2):177-83.
• 42. Ives J, Greenfield S, Parry JM, Draper H, Gratus C, Petts JI, et al. Healthcare workers' attitudes to working during pandemic influenza: a qualitative study. BMC Public Health. 2009;9(1):1-13.
• 43. Tzeng H-M, Yin C-Y. Nurses' fears and professional obligations concerning possible human-to-human avian flu. Nursing Ethics. 2006;13(5):455-70.
• 44. Young CF, Persell DJ. Biological, chemical, and nuclear terrorism readiness: Major concerns and preparedness of future nurses. Disaster Management & Response. 2004;2(4):109-14.
• 45. Wong TY, Koh GC, Cheong SK, Sundram M, Koh K, Chia SE, et al. A cross-sectional study of primary-care physicians in Singapore on their concerns and preparedness for an avian influenza outbreak. Annals Academy of Medicine Singapore. 2008;37(6):458.
• 46. Şahan C, Özgür EA, Arkan G, Alagüney ME, Demiral Y. COVID-19 Pandemisi’nde meslek hastalığı tanı kılavuzu. İş ve Meslek Hastalıkları Uzmanları Derneği ve Halk Sağlığı Uzmanları Derneği. 2019. [cited 2020 Aug 2]; Available from: https://korona.hasuder.org.tr/wp-content/uploads/MeslekselCOVID_19_Tan%C4%B1_Rehberi_2020.pdf
• 47. T.C. Sağlık Bakanlığı BK. COVID-19 Rehberi, Genel Bilgiler Epidemiyoloji ve Tanı. [cited 2020 Aug 1]; Available from: https://covid19bilgi.saglik.gov.tr/depo/rehberler/covid-19-rehberi/covid19_rehberi_genel_bilgiler_epidemiyoloji_ve_tani.pdf.
• 48. Imai T, Takahashi K, Todoroki M, Kunishima H, Hoshuyama T, Ide R, et al. Perception in relation to a potential influenza pandemic among healthcare workers in Japan: implications for preparedness. Journal of occupational health. 2008;50(1):13-23.
• 49. Selgelid MJ. Pandethics. Public health. 2009;123(3):255-9.
• 50. Erdoğan A, Hocaoğlu Ç. Enfeksiyon hastalıklarının ve pandeminin psikiyatrik yönü: Bir gözden geçirme. Klinik Psikiyatri Dergisi. 2020:23. [cited 2020 Aug 1]:DOI:10.5505/kpd.2020.90277
• 51. Huber SJ, Wynia MK. When pestilence prevails… physician responsibilities in epidemics. American Journal of Bioethics. 2004;4(1):5-11.
• 52. Abuhanoğlu H, Teke A, Demir C, Çelen Ö, Karadağ M, Cankul İH. Tabiplerin tıbbi işlemler sırasında maliyet-etkililik ile ilgili tutum ve davranışlarına ilişkin bir değerlendirme. Gulhane Medical Journal. 2013;55(4).
• 53. World Health Organization(WHO). Addressing ethical issues in pandemic influenza planning: Discussion papers. 2008. [cited 2020 Aug 1]; Available from: https://apps.who.int/iris/bitstream/handle/10665/69902/WHO_IER_ETH_2008.1_eng.pdfsequence=1&isAllowed=y
• 54. Ahmed F, Zviedrite N, Uzicanin A. Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review. BMC public health. 2018;18(1):518.
• 55. Iyengar K, Mabrouk A, Jain VK, Venkatesan A, Vaishya R. Learning opportunities from COVID-19 and future effects on health care system. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(4):943-6.
• 56. Hick JL, Hanfling D, Wynia MK, Pavia AT. Duty to plan: health care, crisis standards of care, and novel coronavirus SARS-CoV-2. NAM Perspectives. 2020. [cited 2020 Aug 1]; Available from: https://www.kaleidahealth.org/coronavirus/support/literature/Duty-to-Pl an-2020.pdf
• 57. Muenz R. Diagnostic Preparedness for Pandemics. Clinical Lab Management, Insight.2020:4. [cited 2020 Aug 1]; Available from: https://www.clinicallabmanager.com/insight/diagnostic-preparedness-for-pandemics-22533/amp