COVID-19: modification of the risk of infection and disease development associated with the performance of blended work

e202110155

Authors

  • David de la Rosa Ruiz Médico de empresa. Madrid. España.
  • Carlos Antonio Guillén Astete Servicio de Reumatología. Hospital Ramón y Cajal. Madrid. España.

Keywords:

SARS-CoV-2, COVID-19, Transmission, Telework, Remote work, Work, Working conditions, Occupational health, Workplace

Abstract

Background: The health crisis caused by COVID-19 has had an economic impact at all levels and the labor market has been shaken by the pandemic. Companies have had to adapt to new work models and have had to decide between face-to-face, teleworking, or mixed models without conclusive scientific evidence on the impact on transmission. To determine the change in the risk of SARS-CoV-2 infection and the development of disease associated with the performance of blended work with respect to remote work and the general population in a non-healthcare company while respecting the measures of social distancing, use of masks and hand hygiene.
Methods: Observational ecological study followed by a retrospective cohort study. Data were collected on the total daily cases and incidence of COVID-19 between September 1, 2020 and April 30, 2021 from the population of a non-healthcare company and the reference population of the Community of Madrid. Analysis was also performed in two 30-day periods on the same population differentiated by the existence of fully remote or blended work. The statistical analysis was performed by determining the Chi2 distribution (χ²) and calculating the Odds Ratio (OR).
Results: The average number of employees during the study period was 642 (30.55% women). The reference population was 6,745,591 people (52.16% women). The number of people aged between 20 and 69 years was 4,520,116 (51.67% women). The incidence in the period (Ip) in the study population was 9.5%. The Ip in the Community of Madrid was 7.81%. No statistical differences were found OR 1.23 (95% CI 0.95-1.61) χ²=2.55 p-value 0.11. Ip in the population of the Community between 20 and 69 years was 8.84% OR 1.08 (95% CI 0.83-1.41) χ²=0.35 p-value 0.556. In the comparison performed in the study population, no statistically significant differences were found between both periods OR 0.59 (IC95% 0.26-1.37) χ²=1.53 p-value 0.216.
Conclusions: Based on the data analyzed, we found no statistically significant evidence to show that performing semi-distance work with security measures in a non-healthcare company increases the risk of SARS-CoV-2 infection and the development of disease.

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References

WHO. Declaración sobre la segunda reunión del Comité de Emergencias del Reglamento Sanitario ‎Internacional (2005) acerca del brote del nuevo coronavirus (2019-nCoV) [Internet]. [cited 2021 Jun 15]. Disponible en: https://www.who.int/es/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

Taghrir MH, Akbarialiabad H, Marzaleh MA. Efficacy of mass quarantine as leverage of health system governance during COVID-19 outbreak: A mini policy review [Internet]. Vol. 23, Archives of Iranian Medicine. Academy of Medical Sciences of I.R. Iran; 2020 [cited 2021 Jun 22]. p. 265–7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32271600/

Lau H, Khosrawipour V, Kocbach P, Mikolajczyk A, Schubert J, Bania J et al. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. Journal of Travel Medicine [Internet]. 2021 [cited 2021 Jun 22];27(3):1–7. Disponible en: /pmc/articles/PMC7184469/?report=abstract

BOE.es - BOE-A-2020-3692 Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. [Internet]. [cited 2021 Jun 14]. Disponible en: https://www.boe.es/eli/es/rd/2020/03/14/463/con

Meyerowitz EA, Richterman A, Gandhi RT, Sax PE. Transmission of SARS-CoV-2: A Review of Viral, Host, and Environmental Factors [Internet]. Vol. 174, Annals of internal medicine. NLM (Medline); 2021 [cited 2021 Jun 22]. p. 69–79. Disponible en: https://www.acpjournals.org/doi/abs/10.7326/M20-5008

WHO. Advice for the public [Internet]. [cited 2021 Jun 22]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Red Nacional de Vigilancia Epidemiológica (RENAVE). COVID-19 [Internet]. [cited 2021 Jun 22]. Disponible en: https://cnecovid.isciii.es/covid19/#ccaa

BOE.es - BOE-A-2020-5895 Real Decreto-ley 21/2020, de 9 de junio, de medidas urgentes de prevención, contención y coordinación para hacer frente a la crisis sanitaria ocasionada por el COVID-19. [Internet]. [cited 2021 Jun 15]. Disponible en: https://www.boe.es/buscar/doc.php?id=BOE-A-2020-5895

Jesús M Ampuero-Nuño, Jesús Martín-Fernández. Impacto de la crisis económica sobre la percepción de la salud en la población española. REV CLÍN MED FAM. 2021;14(2):57–63.

Ozili PK, Arun T. Spillover of COVID-19: Impact on the Global Economy. SSRN Electronic Journal [Internet]. 2020 Mar 31 [cited 2021 Jun 22]; Disponible en: https://papers.ssrn.com/abstract=3562570

Ahmed F, Zviedrite N, Uzicanin A. Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review. BMC Public Health [Internet]. 2018 Dec 18 [cited 2021 May 24];18(1):518. Disponible en: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5446-1

Coronavirus | Comunidad de Madrid [Internet]. [cited 2021 Jun 16].Disponible en: https://www.comunidad.madrid/servicios/salud/coronavirus

Ministerio de Sanidad, Consumo y Bienestar Social - Profesionales - Situación actual Coronavirus [Internet]. [cited 2021 Jun 16]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/situacionActual.htm

COVID-19 [Internet]. [cited 2021 Jun 16]. Disponible en: https://cnecovid.isciii.es/covid19/#documentaci%C3%B3n-y-datos

Extendemos la vacunación frente al COVID-19 a población menor de 60 años | Comunidad de Madrid [Internet]. [cited 2021 Jun 18]. Disponible en: https://www.comunidad.madrid/noticias/2021/05/06/extendemos-vacunacion-frente-covid-19-poblacion-menor-60-anos

Padrón Anual. Resultados definitivos [Internet]. [cited 2021 Jun 16]. Disponible en: https://www.madrid.org/iestadis/fijas/estructu/demograficas/padron/estructupopc.htm

Instituto de Estadística y Cartografía de Andalucía. SIMA - Córdoba (Córdoba) | [Internet]. 2021 [cited 2021 Jun 24]. Disponible en: http://www.juntadeandalucia.es/institutodeestadisticaycartografia/sima/ficha.htm?mun=14021

MSCBS. Procedimiento de actuación para los servicios de prevención de riesgos laborales frente a la exposición al SARS-CoV-2. 2020 Jun.

Malagón-Rojas JN, Mercado M, Gómez-Rendón CP. SARs-CoV-2 and work-related transmission: Results of a prospective cohort of airport workers, 2020 [Internet]. Vol. 18, Revista Brasileira de Medicina do Trabalho. Associacao Nacional de Medicina do Trabalho; 2021 [cited 2021 Jun 22]. p. 371–80. Disponible en: /pmc/articles/PMC7934173/

Equipo COVID-19. RENAVE. Informe no 77. Situación de COVID-19 en España. Casos diagnosticados a partir 10 de mayo [Internet]. CNE. CNM (ISCIII). 2021 May [cited 2021 Jun 23]. Disponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/INFORMES%20COVID-19%202021/Informe%20COVID-19.%20N%c2%ba%2077_05%20de%20mayo%20de%202021.pdf

Duggan NM, Ludy SM, Shannon BC, Reisner AT, Wilcox SR. Is novel coronavirus 2019 reinfection possible? Interpreting dynamic SARS-CoV-2 test results. American Journal of Emergency Medicine [Internet]. 2021 Jan 1 [cited 2021 Jun 24];39:256.e1-256.e3. Disponible en: /pmc/articles/PMC7335242/

Iwasaki A. What reinfections mean for COVID-19 [Internet]. Vol. 21, The Lancet Infectious Diseases. Lancet Publishing Group; 2021 [cited 2021 Jun 24]. p. 3–5. Disponible en: /pmc/articles/PMC7550040/

Torres D de A, Ribeiro L do CB, Riello AP de FL, Horovitz DDG, Pinto LFR, Croda J. Reinfection of COVID-19 after 3 months with a distinct and more aggressive clinical presentation: Case report [Internet]. Vol. 93, Journal of Medical Virology. John Wiley and Sons Inc; 2021 [cited 2021 Jun 24]. p. 1857–9. Disponible en: https://doi.org/10.1016/j

Váncsa S, Dembrovszky F, Farkas N, Szakó L, Teutsch B, Bunduc S et al. Repeated sars-cov-2 positivity: Analysis of 123 cases. Viruses [Internet]. 2021 Mar 1 [cited 2021 Jun 24];13(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/33808867/

Morawska L, Cao J. Airborne transmission of SARS-CoV-2: The world should face the reality [Internet]. Vol. 139, Environment International. Elsevier Ltd; 2020 [cited 2021 Jun 22]. p. 105730. Disponible en: /pmc/articles/PMC7151430/

Bulfone TC, Malekinejad M, Rutherford GW, Razani N. Outdoor Transmission of SARS-CoV-2 and Other Respiratory Viruses: A Systematic Review. The Journal of infectious diseases [Internet]. 2021 Feb 24 [cited 2021 Jun 22];223(4):550–61. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33249484/

López NW, Pérez-Simon MC, Nagham-Ngwessitcheu EG, Vázquez-Ubago M. Teletrabajo, un enfoque desde la perspectiva de la salud laboral. Medicina y Seguridad del Trabajo [Internet]. 2014 Sep [cited 2021 Jun 24];60(236):587–99. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0465-546X2014000300009&lng=es&nrm=iso&tlng=es

Huy NT, Duc NTM, Mohammed Alhady ST, Mai LN, Hassan AK, Giang T van et al. Perceived Stress of Quarantine and Isolation During COVID-19 Pandemic: A Global Survey. Frontiers in Psychiatry [Internet]. 2021 May 17 [cited 2021 Jun 24];12:656664. Disponible en: /pmc/articles/PMC8186534/1. WHO. Declaración sobre la segunda reunión del Comité de Emergencias del Reglamento Sanitario ‎Internacional (2005) acerca del brote del nuevo coronavirus (2019-nCoV) [Internet]. [cited 2021 Jun 15]. Disponible en: https://www.who.int/es/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

Taghrir MH, Akbarialiabad H, Marzaleh MA. Efficacy of mass quarantine as leverage of health system governance during COVID-19 outbreak: A mini policy review [Internet]. Vol. 23, Archives of Iranian Medicine. Academy of Medical Sciences of I.R. Iran; 2020 [cited 2021 Jun 22]. p. 265–7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32271600/

Lau H, Khosrawipour V, Kocbach P, Mikolajczyk A, Schubert J, Bania J et al. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. Journal of Travel Medicine [Internet]. 2021 [cited 2021 Jun 22];27(3):1–7. Disponible en: /pmc/articles/PMC7184469/?report=abstract

BOE.es - BOE-A-2020-3692 Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el COVID-19. [Internet]. [cited 2021 Jun 14]. Disponible en: https://www.boe.es/eli/es/rd/2020/03/14/463/con

Meyerowitz EA, Richterman A, Gandhi RT, Sax PE. Transmission of SARS-CoV-2: A Review of Viral, Host, and Environmental Factors [Internet]. Vol. 174, Annals of internal medicine. NLM (Medline); 2021 [cited 2021 Jun 22]. p. 69–79. Disponible en: https://www.acpjournals.org/doi/abs/10.7326/M20-5008

WHO. Advice for the public [Internet]. [cited 2021 Jun 22]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Red Nacional de Vigilancia Epidemiológica (RENAVE). COVID-19 [Internet]. [cited 2021 Jun 22]. Disponible en: https://cnecovid.isciii.es/covid19/#ccaa

BOE.es - BOE-A-2020-5895 Real Decreto-ley 21/2020, de 9 de junio, de medidas urgentes de prevención, contención y coordinación para hacer frente a la crisis sanitaria ocasionada por el COVID-19. [Internet]. [cited 2021 Jun 15]. Disponible en: https://www.boe.es/buscar/doc.php?id=BOE-A-2020-5895

Jesús M Ampuero-Nuño, Jesús Martín-Fernández. Impacto de la crisis económica sobre la percepción de la salud en la población española. REV CLÍN MED FAM. 2021;14(2):57–63.

Ozili PK, Arun T. Spillover of COVID-19: Impact on the Global Economy. SSRN Electronic Journal [Internet]. 2020 Mar 31 [cited 2021 Jun 22]; Disponible en: https://papers.ssrn.com/abstract=3562570

Ahmed F, Zviedrite N, Uzicanin A. Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review. BMC Public Health [Internet]. 2018 Dec 18 [cited 2021 May 24];18(1):518. Disponible en: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5446-1

Coronavirus | Comunidad de Madrid [Internet]. [cited 2021 Jun 16].Disponible en: https://www.comunidad.madrid/servicios/salud/coronavirus

Ministerio de Sanidad, Consumo y Bienestar Social - Profesionales - Situación actual Coronavirus [Internet]. [cited 2021 Jun 16]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/situacionActual.htm

COVID-19 [Internet]. [cited 2021 Jun 16]. Disponible en: https://cnecovid.isciii.es/covid19/#documentaci%C3%B3n-y-datos

Extendemos la vacunación frente al COVID-19 a población menor de 60 años | Comunidad de Madrid [Internet]. [cited 2021 Jun 18]. Disponible en: https://www.comunidad.madrid/noticias/2021/05/06/extendemos-vacunacion-frente-covid-19-poblacion-menor-60-anos

Padrón Anual. Resultados definitivos [Internet]. [cited 2021 Jun 16]. Disponible en: https://www.madrid.org/iestadis/fijas/estructu/demograficas/padron/estructupopc.htm

Instituto de Estadística y Cartografía de Andalucía. SIMA - Córdoba (Córdoba) | [Internet]. 2021 [cited 2021 Jun 24]. Disponible en: http://www.juntadeandalucia.es/institutodeestadisticaycartografia/sima/ficha.htm?mun=14021

MSCBS. Procedimiento de actuación para los servicios de prevención de riesgos laborales frente a la exposición al SARS-CoV-2. 2020 Jun.

Malagón-Rojas JN, Mercado M, Gómez-Rendón CP. SARs-CoV-2 and work-related transmission: Results of a prospective cohort of airport workers, 2020 [Internet]. Vol. 18, Revista Brasileira de Medicina do Trabalho. Associacao Nacional de Medicina do Trabalho; 2021 [cited 2021 Jun 22]. p. 371–80. Disponible en: /pmc/articles/PMC7934173/

Equipo COVID-19. RENAVE. Informe no 77. Situación de COVID-19 en España. Casos diagnosticados a partir 10 de mayo [Internet]. CNE. CNM (ISCIII). 2021 May [cited 2021 Jun 23]. Disponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/INFORMES%20COVID-19%202021/Informe%20COVID-19.%20N%c2%ba%2077_05%20de%20mayo%20de%202021.pdf

Duggan NM, Ludy SM, Shannon BC, Reisner AT, Wilcox SR. Is novel coronavirus 2019 reinfection possible? Interpreting dynamic SARS-CoV-2 test results. American Journal of Emergency Medicine [Internet]. 2021 Jan 1 [cited 2021 Jun 24];39:256.e1-256.e3. Disponible en: /pmc/articles/PMC7335242/

Iwasaki A. What reinfections mean for COVID-19 [Internet]. Vol. 21, The Lancet Infectious Diseases. Lancet Publishing Group; 2021 [cited 2021 Jun 24]. p. 3–5. Disponible en: /pmc/articles/PMC7550040/

Torres D de A, Ribeiro L do CB, Riello AP de FL, Horovitz DDG, Pinto LFR, Croda J. Reinfection of COVID-19 after 3 months with a distinct and more aggressive clinical presentation: Case report [Internet]. Vol. 93, Journal of Medical Virology. John Wiley and Sons Inc; 2021 [cited 2021 Jun 24]. p. 1857–9. Disponible en: https://doi.org/10.1016/j

Váncsa S, Dembrovszky F, Farkas N, Szakó L, Teutsch B, Bunduc S et al. Repeated sars-cov-2 positivity: Analysis of 123 cases. Viruses [Internet]. 2021 Mar 1 [cited 2021 Jun 24];13(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/33808867/

Morawska L, Cao J. Airborne transmission of SARS-CoV-2: The world should face the reality [Internet]. Vol. 139, Environment International. Elsevier Ltd; 2020 [cited 2021 Jun 22]. p. 105730. Disponible en: /pmc/articles/PMC7151430/

Bulfone TC, Malekinejad M, Rutherford GW, Razani N. Outdoor Transmission of SARS-CoV-2 and Other Respiratory Viruses: A Systematic Review. The Journal of infectious diseases [Internet]. 2021 Feb 24 [cited 2021 Jun 22];223(4):550–61. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33249484/

López NW, Pérez-Simon MC, Nagham-Ngwessitcheu EG, Vázquez-Ubago M. Teletrabajo, un enfoque desde la perspectiva de la salud laboral. Medicina y Seguridad del Trabajo [Internet]. 2014 Sep [cited 2021 Jun 24];60(236):587–99. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0465-546X2014000300009&lng=es&nrm=iso&tlng=es

Huy NT, Duc NTM, Mohammed Alhady ST, Mai LN, Hassan AK, Giang T van et al. Perceived Stress of Quarantine and Isolation During COVID-19 Pandemic: A Global Survey. Frontiers in Psychiatry [Internet]. 2021 May 17 [cited 2021 Jun 24];12:656664. Disponible en: /pmc/articles/PMC8186534/

Published

2021-10-22

How to Cite

1.
de la Rosa Ruiz D, Guillén Astete CA. COVID-19: modification of the risk of infection and disease development associated with the performance of blended work: e202110155. Rev Esp Salud Pública [Internet]. 2021 Oct. 22 [cited 2025 May 17];95:14 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/519