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Analysis of Recognized Occupational Infectious Diseases in Germany Between 2018 and 2023.

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Occupational infections are most common in healthcare and welfare sectors, with parasitic diseases and tuberculosis being prevalent. Prevention strategies should prioritize organizational, technical, and non-pharmaceutical interventions.

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Area of Science:

  • Occupational Health
  • Infectious Diseases Epidemiology

Background:

  • Occupational infections present significant health risks across diverse professions.
  • Accurate diagnosis, severity assessment, and distribution analysis are vital for effective prevention strategies.

Purpose of the Study:

  • To analyze the epidemiology of recognized occupational infections in Germany.
  • To identify key pathogens, affected occupations, and disease severity.

Main Methods:

  • Analysis of data from the German Social Accident Insurance (DGUV) and the Social Insurance for Agriculture, Forestry and Horticulture (SVLFG) from 2018-2023.
  • Exclusion of SARS-CoV-2 infections.
  • Categorization by pathogens, occupations, and reduction in earning capacity.

Main Results:

  • The majority (71.5%) of occupational infections occurred in healthcare, welfare, and laboratory settings.
  • Parasitic diseases (57%) and tuberculosis (35%) were dominant in these sectors.
  • Borrelia burgdorferi was the most frequent zoonotic pathogen, and Plasmodium falciparum led tropical diseases.

Conclusions:

  • Occupational diseases are concentrated in specific sectors and caused by particular pathogens.
  • Most occupational infections are not preventable by vaccination.
  • Prevention efforts should emphasize organizational, technical, and non-pharmaceutical interventions.