Recognition COVID-19 as an occupational disease in Poland - definition, criteria and recommendation.

Medycyna pracy Pub Date : 2023-12-15 Epub Date: 2023-11-20 DOI:10.13075/mp.5893.01427
Marta Wiszniewska, Marcin Rybacki, Agnieszka Lipińska-Ojrzanowska, Marta Szkiela, Jolanta Walusiak-Skorupa
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Abstract

A major challenge over the pandemic period was to establish the criteria for recognizing COVID-19 as an occupational disease. The European Center for Disease Prevention and Control has attempted to estimate the incidence of COVID-19 in individual occupational groups and economy sectors in the European Union and the United Kingdom, and to identify possible factors increasing the transmission of the virus at workplaces. Legal regulations of various countries in the world allow COVID-19 to be recognized as an accident at work and/or an occupational disease. In Poland, an occupational disease is defined as a disease caused by harmful factors occurring in the work environment or connected with performing a given job, included in the official list of occupational diseases. When assessing occupational exposure in the healthcare sector, it should be considered that healthcare workers include all persons in contact with patients or their biological material, as well as employees who are not medical professionals but who share a common space with patients due to the nature of their work. The latter group includes administrative and technical employees, control and rescue service workers, people supporting medical staff, and employees of nursing homes. In the case of non-medical occupations, the decision to recognize COVID-19 as an occupational disease should be made on an individual basis, after confirming a significant risk of contracting a SARS-CoV-2 virus infection at the workplace and in the absence of evidence of a non-occupational source of infection. An assessment of occupational exposure should always include evaluating the possibility of SARS-CoV-2 transmission. Med Pr Work Health Saf. 2023;74(5):435-42.

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波兰承认 COVID-19 为职业病--定义、标准和建议。
大流行期间的一个主要挑战是制定将 COVID-19 认定为职业病的标准。欧洲疾病预防与控制中心试图估算 COVID-19 在欧盟和英国各个职业群体和经济部门的发病率,并确定可能增加病毒在工作场所传播的因素。世界各国的法律规定允许将 COVID-19 视为工伤事故和/或职业病。在波兰,职业病被定义为由工作环境中出现的有害因素引起的疾病,或与从事特定工作有关的疾病,已被列入官方职业病清单。在评估医疗保健行业的职业暴露时,应该考虑到医疗保健工作者包括所有与病人或其生物材料接触的人,以及不是医疗专业人员但由于其工作性质而与病人共处一室的雇员。后一类人员包括行政和技术人员、控制和救援服务人员、辅助医务人员的人员以及疗养院的雇员。就非医疗职业而言,在确认工作场所存在感染 SARS-CoV-2 病毒的重大风险,且没有证据表明存在非职业传染源的情况下,应根据个人情况决定是否将 COVID-19 认定为职业病。对职业暴露的评估应始终包括评估 SARS-CoV-2 传播的可能性。Med Pr Work Health Saf.2023;74(5):435-42.
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