Coronavirus, fragile workers: here is the circular of the ministry



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The worker affected by illnesses is fragile, which in the event of a coronavirus infection could determine “a more serious or fatal outcome” of the disease. The age criterion alone is not enough to say if a person who develops Covid is more at risk. A circular just published by the Ministry of Health illustrates the system by which labor exemptions are recognized based on health status. The document, which reviews current regulations on the subject, was written with schools in mind. In this period, we are trying to understand how many teachers could be exempted precisely because the circulation of the coronavirus puts them in danger. They spoke of 400,000 people, but there are more than 55, not teachers with health problems. Therefore, the figure would be much lower.

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Deepening

Teachers “fragile”. Only those with serious illnesses will be exempt

Fragility

“The concept of frailty – it is written in the circular – must therefore be identified in those conditions of the worker’s state of health with respect to pre-existing pathologies that could determine, in case of contagion, a more serious or fatal outcome.” Regarding age, “this parameter alone, even on the basis of scientific evidence, is not a sufficient element to define a state of frailty”. Rather, “the greater frailty in the older age groups of the population must be understood in conjunction with the presence of comorbidities that may integrate a condition of greater risk.” The circular cites some data, for example 96.1% of the deceased who presented one or more pathologies: “13.9% one, 20.4% two, 61.8% three or more.” The most frequent were “chronic degenerative diseases that affect the cardiovascular, respiratory and renal systems and metabolic diseases”. Furthermore, “important comorbidities have been found, such as those affecting the immune system and oncological ones.”

Periodic medical examinations

Workers should be able to request the employer to activate health surveillance measures. “Requests for visits must be accompanied by medical documentation related to the diagnosed pathology”, is explained in the operative part of the guide. As required by workplace safety laws, some employers must have the figure of a competent doctor, who must take care of employees. Not all schools have it. And where there is no boss, you can direct the worker to Inail or. The circular introduces two other possibilities; in fact, “local health companies or the medical and occupational medicine departments of universities” can also be addressed. Once the functions of the worker have been assessed, the doctor “will issue the judgment of suitability, providing, as a priority, indications for the adoption of more precautionary solutions for the health of the worker or worker against the risk of Sars-Cov-2, reserving the judgment of temporary unsuitability only for cases that do not allow alternative solutions. ”The visit must be repeated periodically.

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Commentary

Because the fragile places of women are growing

The situation of the schools

Competent doctors are making the visits on behalf of the schools, while so far very few have turned to Inail. Only 2 or 300 teachers attended the institute’s clinics. We will see if the possibility introduced by the circular of going to the Local Health Authority and the University will increase the investigations. It is estimated that there are a few thousand workers who could be exempted and for whom there would be an alternate member.


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