Lessons Learned from Contact Tracing COVID-19 cases in Dental Settings in East Scotland.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2024-02-29 DOI:10.1922/CDH_00183McGoldrick06

N Mc Goldrick, E O'Keefe

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Abstract

Introduction: Dental settings were considered high risk settings for COVID-19. A Dental Public Health Team in East Scotland worked to risk assess each situation timeously to break chains of transmission.

Aim: To present learning from routine data collected from contact tracing COVID-19 cases in the dental setting.

Design: Retrospective analysis of a routine data set of COVID-19 cases associated with a dental setting reported via the national contact tracing system for two health board areas in the East of Scotland.

Methods: Descriptive statistics summarise the data collected over a 13-month period (Oct 2020-Dec 2021) during which all included COVID-19 cases were confirmed by PCR. A narrative presents output from contact tracing of all cases and includes themes identified during contact tracing that led to transmission within a dental setting. A case study illustrates impact of transmission.

Results: 752 cases are included. No evidence of staff to patient transmission or vice versa was found in this study. Staff to staff transmission occurred in non-clinical areas contributing to 33% of total staff cases with the remainder assessed to result from community transmission.

Conclusion: Transmission of COVID-19 in a dental setting, in the context of this study, appears to be confined to non-clinical areas with the majority of staff cases resulting from community transmission. Future pandemic plans should include tools to aid with implementation of guidance in non-clinical areas.

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从种族资本主义的角度批判性地理解口腔微生物组研究中的包容性。

人们强烈呼吁在口腔微生物组研究中更多地纳入土著和种族化社区。本文利用种族资本主义的概念（殖民主义榨取性的延续）来批判性地审视这一纳入议程。种族资本主义明确地将资本主义剥削与更广泛的社会压迫（如种族主义、性别歧视、能力歧视）联系在一起。它不仅局限于商业领域，而且充斥着包括大学在内的白人机构。通过种族资本主义的视角，我们发现包容性议程允许白人机构从种族关系中获取社会和经济价值。具有种族包容性的研究被视为一种社会公益，因此能够吸引资金。研究开发的知识和治疗方法为大学和制药公司创造了巨大价值，但对社区本身的益处却十分有限。此外，微生物组的研究往往偏离了将其视为由社会（包括种族主义）塑造的概念，而将其视为由基因和生物学决定的概念。这种将问题置于种族化身体中的做法强化了种族压迫，并使公司进一步从种族性中获利。纳入口腔微生物组研究必须考虑减轻种族资本主义的方法。研究人员可以通过使用反种族主义实践框架来减少榨取。这包括与社区合作，共同设计研究，创造更安全的空间，赋予边缘化社区制定议程和框架的权力，通过可获取的知识发布、开放式出版物和开放式健康技术分享研究知识和治疗方法。最重要的是，包容议程绝不能取代更深层次的反压迫社会改革，这是解决健康不平等问题和创造有意义的包容所必需的。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.