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  1. Article ; Online: UK workers during the pandemic: inadequate protection and, consequently, increased risk.

    Agius, Raymond M

    BMJ (Clinical research ed.)

    2024  Volume 384, Page(s) q508

    MeSH term(s) Humans ; Pandemics/prevention & control ; COVID-19 ; Health Personnel ; United Kingdom/epidemiology
    Language English
    Publishing date 2024-03-01
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.q508
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: COVID-19 in Workplace Settings: Lessons Learned for Occupational Medicine in the UK.

    Agius, Raymond

    La Medicina del lavoro

    2023  Volume 114, Issue 6, Page(s) e2023055

    Abstract: This paper addresses lessons learned from the COVID-19 pandemic from a UK Occupational Medicine perspective to permit comparison with other national accounts. In spite of good prior research and statute, the necessary resources to protect workers' health ...

    Abstract This paper addresses lessons learned from the COVID-19 pandemic from a UK Occupational Medicine perspective to permit comparison with other national accounts. In spite of good prior research and statute, the necessary resources to protect workers' health were seriously lacking when the pandemic struck. Weak public health guidance, which did not recognise dominant airborne transmission, was applied to workplaces, leaving workers and others unprotected, especially in respect to Respiratory Protective Equipment (RPE). The Health and Safety Executive (HSE) as regulator was lacking, for example, in not producing guidance to protect HealthCare Workers (HCW) who were amongst the most at risk. The UK COVID-19 Public Inquiry should address shortcomings such as these, but recommendations must be accompanied by robust means to ensure appropriate implementation. These should range from substantial measures to improve indoor air quality, to a permanent pandemic management organization with adequate resources. The enforcing authority has to be obliged to publish more specific workplace guidance than the public health authorities. Occupational medicine as a discipline needs to be better prepared, and hence to assert its responsibility towards high standards of workers' health protection. Future research has to include investigating the best means of mitigation against airborne infection and the management of post-acute covid sequelae.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; Occupational Medicine ; Pandemics/prevention & control ; Workplace ; Health Personnel ; United Kingdom/epidemiology
    Language English
    Publishing date 2023-12-07
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 123678-7
    ISSN 0025-7818
    ISSN 0025-7818
    DOI 10.23749/mdl.v114i6.15461
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  3. Article ; Online: Prevention of COVID-19 in workers: preparation, precaution, and protection.

    Agius, Raymond M

    Annals of work exposures and health

    2023  Volume 68, Issue 1, Page(s) 1–7

    Abstract: In May 2023 the World Health Organization (WHO) Director General announced the "end" of the COVID-19 Public Health Emergency of International Concern. Although the scale of the pandemic was unprecedented in living memory, it had not been unforeseen. ... ...

    Abstract In May 2023 the World Health Organization (WHO) Director General announced the "end" of the COVID-19 Public Health Emergency of International Concern. Although the scale of the pandemic was unprecedented in living memory, it had not been unforeseen. Previous outbreaks of viral respiratory disease have shown important lessons regarding the need to protect healthcare workers (HCW), and research has also been undertaken into the relative effectiveness of control measures and their resource implications. Relevant guidance for worker protection, including HCW protection, which existed at the onset of the COVID-19 pandemic was disregarded both at international and national governmental levels. In many countries there were significant systemic flaws in strategy, culture, and resource availability, and hence in overall preparedness. When the pandemic struck, many experts and organizations advocated a precautionary approach with regard to worker protection, consistent with good occupational hygiene science, practice, and standards. In many Asian countries, protective measures were relatively stringent. However, many workers were left unprotected especially as the WHO, the United States, the United Kingdom, and other governments did not pursue adequate COVID-19 protective measures at work. As the pandemic progressed, improvements in protection were patchy. A notable lack of protection arose from the underestimation of the contribution of aerosol exposure to infection risks, particularly among HCWs providing routine care of potentially infectious patients. A disciplined strategy of source control, pathway control (such as ventilation), and receptor control notably Respiratory Protective Equipment is needed, as well as worldwide vaccination, to contend with this pandemic. Control measures appropriate to the risk of infections transmitted through the air will remain necessary in the longer term, as well as adaptations in the workplace to take account of long-term COVID-19 morbidity and new work practices.
    MeSH term(s) Humans ; United States ; COVID-19/prevention & control ; SARS-CoV-2 ; Pandemics/prevention & control ; Personal Protective Equipment ; Occupational Exposure/prevention & control
    Language English
    Publishing date 2023-09-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2885096-8
    ISSN 2398-7316 ; 2398-7308
    ISSN (online) 2398-7316
    ISSN 2398-7308
    DOI 10.1093/annweh/wxad060
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  4. Article ; Online: Mask related acne: alternative PPE for facial dermatoses.

    Agius, Raymond M

    BMJ (Clinical research ed.)

    2021  Volume 374, Page(s) n1693

    Language English
    Publishing date 2021-07-06
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.n1693
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  5. Article ; Online: Covid-19 and Health at Work.

    Agius, Raymond

    Occupational medicine (Oxford, England)

    2020  Volume 70, Issue 5, Page(s) 349–351

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Humans ; Occupational Health Services/methods ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Primary Prevention/methods ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-29
    Publishing country England
    Document type Editorial
    ZDB-ID 1103950-4
    ISSN 1471-8405 ; 0962-7480
    ISSN (online) 1471-8405
    ISSN 0962-7480
    DOI 10.1093/occmed/kqaa075
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  6. Article ; Online: Disease and death from work: RIDDOR and covid-19.

    Agius, Raymond

    Occupational medicine (Oxford, England)

    2020  Volume 70, Issue 7, Page(s) 470–472

    MeSH term(s) Betacoronavirus/isolation & purification ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/mortality ; Disease Notification ; Humans ; Occupational Diseases/diagnosis ; Occupational Diseases/epidemiology ; Occupational Diseases/mortality ; Occupational Exposure/adverse effects ; Occupational Exposure/analysis ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/mortality ; Public Health Surveillance/methods ; SARS-CoV-2 ; United Kingdom/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-09-14
    Publishing country England
    Document type Editorial
    ZDB-ID 1103950-4
    ISSN 1471-8405 ; 0962-7480
    ISSN (online) 1471-8405
    ISSN 0962-7480
    DOI 10.1093/occmed/kqaa155
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  7. Article ; Online: Doctors' deaths from covid-19 should be reported to the coroner.

    Agius, Raymond M

    BMJ (Clinical research ed.)

    2020  Volume 369, Page(s) m1622

    Keywords covid19
    Language English
    Publishing date 2020-04-27
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m1622
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  10. Article ; Online: Covid-19 and Health at Work

    Agius, Raymond

    Occupational Medicine

    2020  Volume 70, Issue 5, Page(s) 349–351

    Keywords Public Health, Environmental and Occupational Health ; covid19
    Language English
    Publisher Oxford University Press (OUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 1103950-4
    ISSN 1471-8405 ; 0962-7480
    ISSN (online) 1471-8405
    ISSN 0962-7480
    DOI 10.1093/occmed/kqaa075
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