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10.1093/cid/ciaa468

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32315026!7188160!32315026
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suck abstract from ncbi


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pmid32315026      Clin+Infect+Dis 2020 ; 71 (8): 1947-1952
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  • Responding to the COVID-19 Outbreak in Singapore: Staff Protection and Staff Temperature and Sickness Surveillance Systems #MMPMID32315026
  • Htun HL; Lim DW; Kyaw WM; Loh WJ; Lee LT; Ang B; Chow A
  • Clin Infect Dis 2020[Nov]; 71 (8): 1947-1952 PMID32315026show ga
  • BACKGROUND: Coronavirus disease 2019 (COVID-19) is an emerging infectious disease caused by a novel coronavirus (SARS-CoV-2) and first reported in Wuhan, China, in December 2019. Since the severe acute respiratory syndrome (SARS) outbreak in 2003, Tan Tock Seng Hospital (TTSH) in Singapore has routinely fit-tested staff for high-filtration N95 respirators and established Web-based staff surveillance systems. The routine systems were enhanced in response to Singapore's first imported COVID-19 case on 23 January 2020. METHODS: We conducted a cross-sectional study from 23 January to 23 February 2020 among healthcare workers to evaluate the effectiveness of the staff protection and surveillance strategy in TTSH, a 1600-bed multidisciplinary acute-care hospital colocated with the 330-bed National Centre for Infectious Diseases (NCID). As of 23 February 2020, TTSH/NCID has managed 76% of confirmed COVID-19 cases in Singapore. The hospital adopted a multipronged approach to protect and monitor staff with potential COVID-19 exposures: (1) risk-based personal protective equipment, (2) staff fever and sickness surveillance, and (3) enhanced medical surveillance of unwell staff. RESULTS: A total of 10 583 staff were placed on hospitalwide fever and sickness surveillance, with 1524 frontline staff working in COVID-19 areas under close surveillance. Among frontline staff, a median of 8 staff illness episodes was seen per day; almost 10% (n = 29) resulted in hospitalization. None of the staff was found to be infected with COVID-19. CONCLUSIONS: A robust staff protection and health surveillance system that is routinely implemented during non-outbreak periods and enhanced during the COVID-19 outbreak is effective in protecting frontline staff from the infection.
  • |Betacoronavirus[MESH]
  • |Body Temperature[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/*prevention & control[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Health Personnel/*statistics & numerical data[MESH]
  • |Hospitals/*standards[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods[MESH]
  • |Male[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Personal Protective Equipment[MESH]
  • |Pneumonia, Viral/epidemiology/*prevention & control[MESH]
  • |SARS-CoV-2[MESH]


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