COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study

Abstract Background During the COVID-19 pandemic, information and circumstances changed from moment to moment, including the accumulation of scientific knowledge, the emergence of variants, social tolerance, and government policy. Therefore, it was important to adapt workplace countermeasures punctu...

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Main Authors: Yu Igarashi, Seiichiro Tateishi, Juri Matsuoka, Tomoko Sawajima, Mika Kawasumi, Arisa Harada, Koji Mori
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21219-9
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author Yu Igarashi
Seiichiro Tateishi
Juri Matsuoka
Tomoko Sawajima
Mika Kawasumi
Arisa Harada
Koji Mori
author_facet Yu Igarashi
Seiichiro Tateishi
Juri Matsuoka
Tomoko Sawajima
Mika Kawasumi
Arisa Harada
Koji Mori
author_sort Yu Igarashi
collection DOAJ
description Abstract Background During the COVID-19 pandemic, information and circumstances changed from moment to moment, including the accumulation of scientific knowledge, the emergence of variants, social tolerance, and government policy. Therefore, it was important to adapt workplace countermeasures punctually and flexibly based on scientific evidence and according to circumstances. However, there has been no assessment of changes in workplace countermeasures. With a view toward preparedness for future pandemics, we surveyed COVID-19 workplace countermeasures that occupational physicians considered as needing to be changed but went unchanged. Methods We invited 685 professional occupational physicians certified by Japan Society for Occupational Health to complete an online questionnaire by sending postcards with QR codes. The main questions concerned countermeasures that the participants wanted to change but could not. The survey period was from February 21 to April 28, 2022. The responses were analyzed using the KJ method. Results Of the 168 invitees (24.5%) who responded to the survey, 125 reported countermeasures that needed to be changed (total count: 254). The responses were categorized into basic systems, occupational health services, workplace countermeasures, vaccines, and incidents, with a code count of 7, 8,147, 10, and 82, respectively. The type of countermeasure was 115 for countermeasures to be strengthened (CBS), 110 for measures to be mitigated (CBM), and 29 for neither. Conclusions Often-mentioned CBS were increased teleworking, strengthened ventilation, smoking cessation, and promotion of vaccines. Often-mentioned CBM were relaxation of protective equipment rules, discontinued environmental disinfection, and shorted isolation and reinstatement. In the early pandemic phases, CBSs were frequently mentioned, whereas CBMs were featured more prominently in the latter phases. The survey revealed countermeasures that occupational physicians thought needed to be changed but were not changed in practice. For future responses to emerging and reemerging infectious diseases, it will be necessary to establish rules compatible with flexible modification of workplace countermeasures in response to changing circumstances.
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spelling doaj-art-a5d42ca339774930a8415a3ccdb86faa2025-01-12T12:42:29ZengBMCBMC Public Health1471-24582025-01-0125111010.1186/s12889-024-21219-9COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative studyYu Igarashi0Seiichiro Tateishi1Juri Matsuoka2Tomoko Sawajima3Mika Kawasumi4Arisa Harada5Koji Mori6Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental HealthDisaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental HealthHOYA CORPORATIONHealth Care Center, Tokyo Health Care Office, Central Japan Railway CompanyDepartment of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental HealthDepartment of Occupational Medicine, School of Medicine, University of Occupational and Environmental HealthDepartment of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental HealthAbstract Background During the COVID-19 pandemic, information and circumstances changed from moment to moment, including the accumulation of scientific knowledge, the emergence of variants, social tolerance, and government policy. Therefore, it was important to adapt workplace countermeasures punctually and flexibly based on scientific evidence and according to circumstances. However, there has been no assessment of changes in workplace countermeasures. With a view toward preparedness for future pandemics, we surveyed COVID-19 workplace countermeasures that occupational physicians considered as needing to be changed but went unchanged. Methods We invited 685 professional occupational physicians certified by Japan Society for Occupational Health to complete an online questionnaire by sending postcards with QR codes. The main questions concerned countermeasures that the participants wanted to change but could not. The survey period was from February 21 to April 28, 2022. The responses were analyzed using the KJ method. Results Of the 168 invitees (24.5%) who responded to the survey, 125 reported countermeasures that needed to be changed (total count: 254). The responses were categorized into basic systems, occupational health services, workplace countermeasures, vaccines, and incidents, with a code count of 7, 8,147, 10, and 82, respectively. The type of countermeasure was 115 for countermeasures to be strengthened (CBS), 110 for measures to be mitigated (CBM), and 29 for neither. Conclusions Often-mentioned CBS were increased teleworking, strengthened ventilation, smoking cessation, and promotion of vaccines. Often-mentioned CBM were relaxation of protective equipment rules, discontinued environmental disinfection, and shorted isolation and reinstatement. In the early pandemic phases, CBSs were frequently mentioned, whereas CBMs were featured more prominently in the latter phases. The survey revealed countermeasures that occupational physicians thought needed to be changed but were not changed in practice. For future responses to emerging and reemerging infectious diseases, it will be necessary to establish rules compatible with flexible modification of workplace countermeasures in response to changing circumstances.https://doi.org/10.1186/s12889-024-21219-9COVID-19JapanWorkplace countermeasuresOccupational healthOccupational physicianWorkers
spellingShingle Yu Igarashi
Seiichiro Tateishi
Juri Matsuoka
Tomoko Sawajima
Mika Kawasumi
Arisa Harada
Koji Mori
COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study
BMC Public Health
COVID-19
Japan
Workplace countermeasures
Occupational health
Occupational physician
Workers
title COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study
title_full COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study
title_fullStr COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study
title_full_unstemmed COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study
title_short COVID-19 workplace countermeasures that occupational physicians could not change in Japan: a qualitative study
title_sort covid 19 workplace countermeasures that occupational physicians could not change in japan a qualitative study
topic COVID-19
Japan
Workplace countermeasures
Occupational health
Occupational physician
Workers
url https://doi.org/10.1186/s12889-024-21219-9
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