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Therefore, there is no automaticity between the age of the worker and any condition of frailty. In practice, it is not enough to be over 55 years old to feel at risk and request exemption from certain activities, but the employer should be asked to “activate adequate health surveillance measures due to exposure to the risk of Covid in the presence of pathologies with poor clinical compensation “(such as cardiovascular, respiratory, metabolic diseases).
The circular highlights that the most consolidated data have highlighted a series of aspects: the risk of contagion is not significantly different in the different working age groups; 96.1% of the deceased had one or more comorbidities and precisely 13.9% had one pathology, 20.4% two pathologies, 61.8% had three or more; the most frequent pathologies were represented by chronic degenerative diseases that affect the cardiovascular, respiratory and renal systems and by metabolic diseases.
The increasing trend in the incidence of mortality with increasing age can be correlated with the higher prevalence of these pathologies in older age groups; In addition to these pathologies, other diseases have been found that affect the immune system and oncology that do not necessarily correlate with increasing age.
The concept of fragility – That is why, according to the circular, the concept of frailty “must be identified in those conditions of the worker’s health with respect to preexisting pathologies that could determine, in the event of contagion, a more serious or fatal outcome.” Therefore, it is not detectable – we read in another passage – any automaticity between the personal and health characteristics of the worker and the possible condition of fragility ”.
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