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      A COVID-19 Risk Reduction Assessment for a Health-Care Employee from an Ethnic Background: A Case Study in the United Kingdom

      case-report
      *
      Dubai Medical Journal
      S. Karger AG
      Coronavirus disease-2019, Employee, Ethnic, Health-care, Risk reduction assessment

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          Abstract

          Concerns in the United Kingdom (UK) that Black, Asian and Minority Ethnic (BAME) populations have disproportionately higher rates of coronavirus disease 2019 (COVID-19) than white populations have led to ethnicity being identified as a risk factor within the latest guidance from Public Health England. The purpose of this case report was to determine whether the risk reduction assessment would aid the line manager support a BAME health-care employee who was concerned that his ethnicity put him at greater risk of contracting COVID-19. This report described the case, protocol, and outcome of undertaking a risk reduction assessment. It is concluded that the risk reduction assessment may assist line managers implement appropriate adjustments for BAME employees in order to alleviate their concerns and mitigate the risks of COVID-19.

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          Most cited references7

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          Is ethnicity linked to incidence or outcomes of covid-19?

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            COVID-19 lockdowns throughout the world

            David Koh (2020)
            By early April 2020, over a third of the global population was under some form of movement restriction or COVID-19 lockdown. China was the first country to have a COVID-19 lockdown, in Wuhan on 23 January. At its peak, China’s quarantine measures were enforced in at least 20 provinces/regions. India commenced a 3-week coronavirus lockdown, with a total ban on venturing out of homes on 24 March. Singapore closed schools and all non-essential businesses as a COVID-19 ‘circuit breaker’ from 7 April until 1 June. Thailand enacted a curfew between 10:00 p.m. and 04:00 a.m. from 3 April. No date has been set for when the curfew’s end. In Europe, Italy enforced a nationwide lockdown from 10 March. All stores except for grocery stores and pharmacies were closed. Those wishing to travel for valid reasons require police permission. Spain imposed a nationwide quarantine on 14 March, extended to 25 April. The restrictions were further tightened on 6 April, with only essential workers allowed to go to work. UK residents are only allowed to leave their homes for essential work, exercise and purchasing food/medicine from 23 March. There is a ban on gatherings of >2 people. France implemented a full lockdown on 16 March to 15 April, banning public gatherings and walks outside. The lockdown will be extended again. Germany shut down shops, churches, sports facilities, bars and clubs in 16 states. The lockdown has been extended to 19 April. In Russia, Moscow residents were ordered to stay at home on 30 March. At least 27 other Russian regions have followed Moscow’s lead. In the United Arab Emirates (UAE), Dubai imposed a 2-week lockdown from 5 April, while the rest of the UAE has had overnight curfews since 26 March. A police permit is required for every trip outdoors. Saudi Arabia locked down its capital and two holy cities on 25 March and Jeddah on 29 March. On 6 April, it locked down several other major cities. Jordan has a strict indefinite lockdown since 21 March, which was eased a little on 25 March. Israel went into partial lockdown on 19 March tightened restrictions on 25 March and had a full national lockdown for Passover on 7 April. In the USA, Washington cannot decree the entire country to shut down. Most states operate autonomously. Even the Centers for Disease Control and Prevention is not authorized to enforce a nationwide lockdown. By early April, at least 24 states have directed residents to stay at home. Seven have announced closure of schools. In South America, Argentina went into a lockdown on 21 March until 31 March and this has been extended to 13 April. Colombia enacted a nationwide quarantine on 24 March, with people >70 years old told to remain indoors until May. In Peru, men can leave their houses on Mondays, Wednesdays and Fridays. For Panama, these are the days that women can leave. No one is allowed outdoors on Sundays. In Africa, Morocco suspended international flights on 15 March and has closed mosques, schools and restaurants. Kenya closed schools, pubs and restaurants, and blocked non-residents from entering the country on 15 March. South Africa entered a 21-day lockdown on 26 March. Only essential businesses remain open, with soldiers and police monitoring the streets. Australia closed non-essential businesses on 23 March. New South Wales, Australia’s outbreak epicentre, was locked down on 7 April. New Zealand went into a month-long lockdown on 25 March, which will only be partially eased after a month if case trends slow. As the pandemic curve peaks or flattens, the next important but complicated issue will be the timing and degree of relaxation of these lockdowns.
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              Behaviour of occupational health services during the COVID-19 pandemic

              Abstract Background Disasters, crises and pandemics are emergencies which impact on businesses severely. The COVID-19 pandemic reached its peak in mid-April 2020 in the UK. During this period, NHS Occupational Health Services (OHS) were stretched to their limit along with other health services. OHS may have had to change their pattern of operation, operating times, services offered, etc. to cope with the pandemic. Data about business model modifications, services offered by the OHS businesses during the pandemic could help in better utilization of OHS resources in the future. Aims To understand the behaviour of OHS in different parts of the country during the COVID-19 pandemic. Methods An online survey link was sent to both accredited and unaccredited UK Occupational Health Physicians (OHPs). Results Sixty-two OHPs responded to the survey. In the current pandemic, 51% of the OHS (95% CI 0.38–0.62) offered weekend or out-of-hours (OOH) services, 21% had to employ extra staff (95% CI 0.13–0.33) and 54% had to change their working hours (95% CI 0.41–0.65). Ninety per cent of the OHS (95% CI 0.78–0.94) continued to offer routine services; however, there was a decline in offering vaccination services. Fifty-six per cent of the OHS (95% CI 0.42–0.67) offered a dedicated telephone line and 46% of the OHS (95% CI 0.32–0.56) started a dedicated COVID-19 queries inbox. Conclusions There was a change in the behaviour of the OHS to cope with the pandemic. Having a dedicated helpline to manage the crisis situation seemed a logical step whilst offering routine services.
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                Author and article information

                Journal
                DMJ
                Dubai Medical Journal
                S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )
                2571-726X
                9 March 2021
                : 1-3
                Affiliations
                Occupational Health and Wellbeing Centre, Royal Free London NHS Foundation Trust, London, United Kingdom
                Author notes
                *Laran Chetty, Occupational Health and Wellbeing Centre, Royal Free London NHS Foundation Trust, Pond Street, NW3 2QG, London (UK), laranchetty@ 123456gmail.com
                Article
                dmj-0001
                10.1159/000514129
                8018189
                74dc19e0-c438-415b-89ba-1d9ddb2bb9a5
                Copyright © 2021 by S. Karger AG, Basel

                This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                History
                : 9 August 2020
                : 31 December 2020
                Page count
                References: 13, Pages: 3
                Categories
                Educational Corner − Case Report

                coronavirus disease-2019,employee,ethnic,health-care,risk reduction assessment

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