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Age is not enough to be fragile workers
The age parameter by itself is not a sufficient element to define a state of frailty: “Greater frailty in the oldest age groups of the population must be understood together with the presence of comorbidities” (or the coexistence of various pathologies) ” that can integrate a condition of greater risk “. This is what is read in a circular from the ministries of health, labor and social policies that contains updates and clarifications in particular on “fragile” workers.
The circular highlights that the more consolidated data have highlighted a series of aspects: the risk of contagion from Sars-Cov 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 is 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. 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 ”.
