Category: COVID-19

Long COVID and Occupational Medicine Practice

  Some individuals with COVID-19 do not recover to their usual state of health, experiencing a broad array of new or continuing debilitating symptoms collectively referred to as “long COVID.”  Long COVID can have a significant impact on a worker’s return to work. In June 2023, the Centers for Disease Control and Prevention hosted the Read More >

Posted on by John Howard, MD; Marianne Cloeren, MD, MPH, FACOEM, FACP; Greg Vanichkachorn, MD, MPH2 Comments

Violence Against Public Health Workers

  Many workers who were on the frontlines during the COVID-19 pandemic experienced increased physical and mental stress. One study found that 70% of U.S. workers felt more stressed at work during COVID-19 than at any other point in their professional careers [1]. Public health workers, including epidemiologists, contact tracers, laboratory scientists, community health workers, Read More >

Posted on by Hope M. Tiesman, PhD; Scott A. Hendricks, MS; Douglas M. Wiegand, PhD; Barbara Lopes-Cardozo, MD; Carol Y. Rao, ScD; Libby Horter, MPH; Ramona Byrkit, MPH; and Charles E. Rose, PhD.1 Comment

The Effectiveness of DIY Air Filtration Units

  Portable air filtration units, or air cleaners, remove airborne particles (called aerosols) from the air indoors. Air filtration units were widely used during large wildfire outbreaks in the western United States,[1] and their use surged nationwide during the COVID-19 pandemic as a way to reduce exposure to aerosols containing the SARS-CoV-2 virus. Homemade or Read More >

Posted on by Raymond Derk, MS; Jayme Coyle, PhD; William Lindsley, PhD; Francoise Blachere, MSc; Angela Lemons, MS; Samantha Service, MS; Stephen Martin Jr., PhD, PE; Kenneth Mead, PhD, PE; Steven Fotta; Jeffrey Reynolds, PhD, PE; Walter McKinney, MSEE; Erik Sinsel, MS; Donald Beezhold, PhD; and John Noti, PhD13 Comments

Risk-Based Model to Resume Field Research and Public Health Service During the COVID-19 Pandemic

During the COVID-19 pandemic, many workplaces across the world strictly limited or ceased in-person activities, including parts of the Federal government.  While much work continued remotely, the National Institute for Occupational Safety and Health (NIOSH) needed to make decisions about allowing employees to travel to conduct workplace safety and health field research and public health Read More >

Posted on by Douglas Johns, PhD, MS; Kristin Yeoman, MD, MPH; Joshua Harney, MS; John Howard, MD; and Gerald Poplin, PhD, MSLeave a comment

Racial and Ethnic Disparities in Teleworking During the COVID-19 Pandemic

New research from the National Institute for Occupational Safety and Health (NIOSH) examined racial disparities in teleworking during the COVID-19 pandemic and estimated the extent to which these disparities are explained by education, occupation and racial discrimination. Teleworking, also known as telecommuting or virtual working, is an alternative type of work arrangement that uses information Read More >

Posted on by Abay Asfaw, PhDLeave a comment

The Role of the Industrial Hygienist in a Pandemic: A roadmap for COVID-19 and beyond

Since the beginning of the COVID-19 pandemic, the National Institute for Occupational Safety and health (NIOSH) and the American Industrial Hygiene Association (AIHA) have been developing guidance to help protect workers across all industries. AIHA has more than 80 years of experience protecting the health and safety of workers and their communities and has been Read More >

Posted on by Roger Lewis, PhD, CIH; Robert Strode, CIH; Ina Xhani; Kevin H. Dunn, Sc.D., CIH; Eric Glassford, MS, CIH; and Jennifer Tyrawski, PhDLeave a comment

Exploring the Future of Worker Health and Safety in the Post-Pandemic World

COVID-19 has had a profound effect on work. The short-term consequences of the pandemic, including new safety requirements at work, mandatory remote work arrangements, reduced working hours, and even unplanned furloughs or lost jobs, were unexpected and severe for many workers around the world [1-3]. Though the economy is now showing signs of recovery, experts Read More >

Posted on by Sarah A Felknor, MS, DrPH; Jessica MK Streit, MS, PhD, CHES®; and Nicole T Edwards, MS3 Comments

Suicide Prevention for Healthcare Workers

Some occupations are known to have higher rates of suicide than others (see related blogs). Job factors – such as low job security, low pay, and job stress – can contribute to risk of suicide, as can easy access to lethal means among people at risk—such as medications or firearms. Other factors that can influence the link between occupation and suicide include gender, socioeconomic status, the economy, cultural factors, and stigma. Read More >

Posted on by Hope Tiesman, PhD; David Weissman, MD; Deborah Stone, ScD, MSW, MPH; Kristen Quinlan, PhD; and L. Casey Chosewood, MD, MPH3 Comments

Overview of The ASTM F3502-21 Barrier Face Covering Standard

  Unlike respirators and surgical masks, the masks worn to help prevent the spread of COVID-19 don’t have to meet federal standards to confirm their performance. That lack of standardized testing and labeling has left mask users with no way to compare face covering products to make informed decisions when choosing a face covering. While Read More >

Posted on by Jonathan Szalajda, MS; Jeffrey O. Stull, MS; and Lisa M. Brosseau, ScD, CIH36 Comments

Advancements in Elastomeric Respirator Technology for Use as Source Control

Respirator design is constantly improving and evolving to meet new challenges. Manufacturers have recently developed innovative NIOSH-approved elastomeric half mask respirator (EHMR) designs that both protect the wearer as well as provide adequate source control – protecting others by filtering the wearer’s exhaled air that may contain harmful viruses or bacteria. EHMRs are being used more Read More >

Posted on by Rohan Fernando, M.S; Jeffrey Peterson; and Lee Portnoff, M.S11 Comments

Working from Home: How to Optimize Your Work Environment and Stay Healthy

  Many workers continue to telework during the pandemic. While some may be fortunate to have a designated home office, others are competing for workspace with family members. A makeshift desk at the kitchen table or a temporary bedroom office are common. These new work arrangements combined with the additional stressors of working at home Read More >

Posted on by Brian D. Lowe, PhD, CPE; Jeannie A.S. Nigam, MS; Claire Caruso, PhD, RN, FAAN; Imelda Wong, PhD; and Julie Tisdale-Pardi, MA13 Comments

Supplementing the Supply of N95s with Reusable Elastomeric Half Mask Respirators

As we celebrate our annual Respiratory Protection Week Observance this year, we at NIOSH want to show our appreciation to all the workers who use respiratory protection and the manufacturers who develop these products to keep our nation’s workers safe. Whether your role is to heal, protect, create, or construct, we rely on your skills Read More >

Posted on by Lee Greenawald,PhD; Jaclyn Krah Cichowicz, MA and Maryann M. D’Alessandro, PhD7 Comments

Respiratory Protection vs. Source Control – What’s the difference?

In an effort to limit the spread of COVID-19, CDC recommends that adults and children two years and older wear a mask, especially when social distancing is not possible or feasible[1]. Cloth masks and medical masks used in healthcare settings (such as surgical or procedure masks) are important tools in the fight against the spread of COVID-19, Read More >

Posted on by Jaclyn Krah Cichowicz, MA; LCDR Megan Casey, RN, BSN, MPH; and Maryann M. D’Alessandro, PhD26 Comments

Heat Stress Imposed by PPE Worn in Hot and Humid Environments

  A recent blog discussed prolonged respirator use and the potential physiological burden that could result from the buildup of CO2 within the respirator facepiece. Heat stress is another potential stress factor that healthcare workers (HCWs) who use personal protective equipment (PPE) and their employers should be aware of in order to recognize the signs Read More >

Posted on by W. Jon Williams, PhD and Jaclyn Krah Cichowicz, MA3 Comments

Skin Irritation from Prolonged Use of Tight-Fitting Respirators

Filtering Facepiece Respirators (FFRs) are typically used by workers, including first responders and healthcare professionals, for short, infrequent periods of time to protect against potential airborne transmissible diseases. However, during widespread respiratory infectious disease outbreaks, there may be a need to implement respirator extended use practices due to an inadequate supply of FFRs. Skin irritation Read More >

Posted on by Adam Hornbeck, MSN, APRN, FNP-BC, FNP-C; Jaclyn Krah Cichowicz, MA; Selcen Kilinc-Balci, PhD, MBA; Dana Rottach, PhD; Jonisha Pollard, MS, CPE; and Harold L. Boyles, RN, MSHCA3 Comments

The Role of Organizational Support and Healthy Work Design

The coronavirus disease 2019 (COVID-19) pandemic has affected nearly every aspect of Americans’ lives and has had a significant effect on the well-being of workers (APA, 2020; Kaiser, 2020; Nigam et al., 2020). As the nation aims to “flatten the curve” of COVID-19 cases and protect public health, employers are working to keep their businesses Read More >

Posted on by Emily J. Haas, PhD; Jeannie Nigam, MS; Jessica MK Streit, PhD, CHES®; Sudha Pandalai, MD, PhD; L. Casey Chosewood, MD, MPH; and Mary B. O’Connor, MS4 Comments

Improve Sleep: Tips to Improve Your Sleep When Times Are Tough

  Just like food or water, sleep is a biological necessity for life and health. Research shows that the hours we spend sleeping are incredibly important and far from passive. During sleep, your body is busy fighting off viruses and other pathogens, operating a waste removal system to clean the brain, looking for cancer cells Read More >

Posted on by Claire C Caruso PhD, RN, FAAN, and L. Casey Chosewood, MD, MPH24 Comments

Economic Security during the COVID-19 Pandemic: A Healthy Work Design and Well-being Perspective

The COVID-19 pandemic is adversely affecting worker well-being in many ways, including through decreased economic security. Economic aspects of overall health and well-being, along with physical, psychological, and social aspects, are a fundamental focus of the NIOSH Healthy Work Design and Well-being Program (HWD). The mission of HWD is to protect and advance worker safety, Read More >

Posted on by Rene Pana-Cryan, PhD; Tapas Ray, PhD; Tim Bushnell, PhD, MPA; and Brian Quay, MS4 Comments

Making Industry and Occupation Information Useful for Public Health: A guide to coding industry and occupation text fields

  **This blog was updated on 3/19/2021 to reflect changes to NIOCCS.** This is the second blog in the series “COVID-19 Surveillance among Workers: What we know and what are we doing to learn more”. To learn more about occupation and industry data collection for acute infectious diseases, see the first blog Collecting occupation and Read More >

Posted on by Stacey Marovich, MHI, MS; Amy Mobley, MEn; and Matthew R. Groenewold, PhD4 Comments

Considerations for Covering N95s to Extend Use

Introduction During times of increased demand for N95 filtering facepiece respirators (FFRs), hospitals or other medical facilities may want to protect these devices from surface contamination in order to prolong their use. When protection against surface contamination is needed, CDC recommends wearing a cleanable face shield over an N95 FFR[1]. Wearing a surgical mask or Read More >

Posted on by Jeffrey Powell, MS; Jonisha Pollard, MS, CPE; Dana Rottach, PhD; and Edward Sinkule, PhD, MPH, FACSM