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  Table of Contents 
LETTER TO EDITOR
Year : 2020  |  Volume : 24  |  Issue : 2  |  Page : 128
 

COVID: A potential but preventable workplace hazard


Department of Pulmonary, Critical Care and Sleep Medicine, VMMC and Safdarjung Hospital, New Delhi, India

Date of Submission20-Mar-2020
Date of Decision10-May-2020
Date of Acceptance23-May-2020
Date of Web Publication19-Aug-2020

Correspondence Address:
Dr. Pranav Ish
Department of Pulmonary, Critical Care and Sleep Medicine, VMMC and Safdarjung Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijoem.IJOEM_63_20

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How to cite this article:
Malhotra N, Gupta N, Ish P. COVID: A potential but preventable workplace hazard. Indian J Occup Environ Med 2020;24:128

How to cite this URL:
Malhotra N, Gupta N, Ish P. COVID: A potential but preventable workplace hazard. Indian J Occup Environ Med [serial online] 2020 [cited 2020 Oct 28];24:128. Available from: https://www.ijoem.com/text.asp?2020/24/2/128/292614




To The Editor,

The article “Tackling Corona Virus Disease 2019 (COVID 19) in Workplaces” is a concise review of the measures to be taken at workplace, especially health care facilities to prevent it from emerging into an occupational hazard. The article summarizes the epidemiology, diagnosis, and preventive measures comprehensively. The suggested interim guidelines stress on hand hygiene, respiratory hygiene, sick leave, disinfection, curtailed travel, and vigilance.[1] However, for health care providers, specially doctors, a few additional suggestions can be included:

  1. The handwashing practices followed in operation theaters and intensive care units have to be universally followed in the entire hospital.[2],[3]
  2. Not only is the use of personal protective equipment important but it is also very important to use them effectively and be trained in the same.[4]
  3. The hospital administration should designate health-care teams dedicated to Covid-19 patient care.[5]
  4. Rapid sequence induction should be used, while noninvasive ventilation should be avoided in critical care units for COVID-19.[5] If the patient requires invasive mechanical ventilation, closed suction and video laryngoscope should be used.
  5. Advanced technology may be the solution in future times to come. Telemedicine for patient interview and evaluation is not a farfetched dream.[6]


The ultimate weapon remains mass education which is the key to break the rise and spread of this pandemic illness.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ramesh N, Siddaiah A, Joseph B. Tackling corona virus disease 2019 (COVID 19) in workplaces. Indian J Occup Environ Med 2020;24:16-8.  Back to cited text no. 1
  [Full text]  
2.
Coronavirus Disease 2019 – Interim infection prevention and control recommendations. Centre for Disease Control, USA. Available from: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html. [Last accessed on 2020 Mar 16].  Back to cited text no. 2
    
3.
Adams JG and Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. JAMA. 2020. doi: 10.1001/jama. 2020.3972.  Back to cited text no. 3
    
4.
Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19). World Health Organization – Interim guidance 2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf. [Last accessed on 2020 Mar 16].  Back to cited text no. 4
    
5.
Cheung JCH, Ho LT, Cheng JV, Cham EYK, Lam KN. Staff safety during emergency airway management for COVID-19 in Hong Kong. Lancet Respir Med 2020. doi: 10.1016/S2213-2600 (20) 30084-9.  Back to cited text no. 5
    
6.
Hollander JE, Carr BG. Virtually perfect? Telemedicine for Covid-19. N Engl J Med 2020. doi: 10.1056/NEJMp2003539.  Back to cited text no. 6
    




 

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