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Rebeca Velasco-Reyna1, Mauricio Hernández-Ávila2, José David Méndez-Santa Cruz1

  • 1Instituto Mexicano del Seguro Social. Ciudad de México, México.. rebeca.velasco@imss.gob.mx.

Salud Publica De Mexico
|May 13, 2021
PubMed
Summary

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This study identifies medical criteria for returning to work for individuals at high risk of severe COVID-19. It emphasizes prioritizing these workers

Area of Science:

  • Occupational Health
  • Infectious Diseases
  • Public Health

Background:

  • COVID-19 poses significant risks, particularly for individuals with pre-existing conditions.
  • Establishing safe return-to-work criteria is crucial for protecting vulnerable employee populations.
  • Previous guidelines may not adequately address the nuanced risks associated with specific comorbidities.

Purpose of the Study:

  • To establish medical criteria for the return to work for personnel at risk of severe COVID-19 complications.
  • To identify clinical conditions and characteristics that influence the risk of developing severe COVID-19.
  • To propose specific conditions and epidemiological risk levels for safe work reintegration.

Main Methods:

  • A systematic review was conducted to identify risk factors for severe COVID-19.

Related Experiment Videos

  • Analysis focused on clinical conditions and patient characteristics influencing disease severity.
  • Literature search aimed to find studies examining the impact of pre-existing condition control on outcomes.

    • Main Results:

    • Increased risk of severe COVID-19 is associated with obesity, age over 60, diabetes mellitus, hypertension, COPD, cardiovascular disease, chronic kidney disease, and cancer.
    • Limited research exists on the influence of prior disease control, particularly for diabetes.
    • Specific conditions and epidemiological risk levels were identified to inform return-to-work decisions.

    Conclusions:

    • Return-to-work for high-risk groups should be prioritized, focusing on disease control and risk identification.
    • Recommendations are provided to guide the safe reintegration of these workers into the workplace.
    • Protecting the right to work while managing health risks is a key consideration.