RESUMEN
AIM: Assess the impact of stress and Burnout syndrome on health workers during the COVID-19 pandemic. METHOD: A survey through an online questionnaire was conducted among health personnel, completed with a paper questionnaire collection, Information was collected on demographics, COVID-19 unit activity, the Burnout syndrome calculated by the Maslach Burnout Inventory scale, is defined by high levels of exhaustion and depersonalization when the total score reaches 30 and 12 points respectively and by a low level of professional accomplishment from a total score of 40, the level of stress perception is calculated by the post-traumatic stress scale, whose threshold is equal or greater than 44 points. RESULTS: 345 responses were included concerning doctors, paramedics and technical-administrative staff working in an Algerian health facility between October 2021 and January 2022. Prevalence rates were 44.3% for burnout, 30.1% for depersonalization and 56.2% for low achievement, the prevalence of Post-Traumatic Stress Disorder was 38.6% of study participants. Analysis of risk factors among caregivers (physicians and paramedics) showed that burnout was related to age (p=0.041), the notion of the workplace in a dedicated COVID-19 patient unit (p=0.009) and the occurrence of death in the health professional's entourage (p=0,015). The occurrence of a death event among those around caregivers is a risk factor for post-traumatic stress syndrome with a OR=2.02, IC 95% [1,17-3,47]. CONCLUSION: Knowledge of the impact of COVID-19 on health professionals is an important element in maintaining their mental health and is a key consideration when managing health crises.
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COVID-19 , Salud Mental , Pruebas Psicológicas , Autoinforme , Humanos , Argelia , Pandemias , Personal de Salud , Fuerza Laboral en SaludRESUMEN
Hepatitis E virus (HEV) is recognized worldwide as the leading cause of orofecal-transmitted hepatitis. However, blood transmission has been increasingly implicated in recent years raising health concerns. In Algeria, updated prevalence data are lacking. We aimed to determine the prevalence of anti-HEV antibodies in the sera of volunteer blood donors from the Setif region in eastern Algeria. A total of 434 Samples were analyzed for anti-HEV IgG and IgM antibodies using an enzyme-linked immunosorbent assay (Wantai). Logistic regression modelling was used to identify associated risk factors. The IgG seroprevalence rate was 17.05%. Seven sera (0.16%) were weakly positive for IgM. No HEV RNA was detected. The IgG prevalence was significantly correlated with increasing age (p < 1p.1000). Our data demonstrate a relatively high prevalence of anti-HEV IgG, indicating a possible risk of HEV blood transmission which requires vireamic seroprevalence studies to assess the real risk.
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Virus de la Hepatitis E , Hepatitis E , Argelia/epidemiología , Donantes de Sangre , Anticuerpos Antihepatitis , Hepatitis E/epidemiología , Virus de la Hepatitis E/genética , Humanos , Inmunoglobulina G , Inmunoglobulina M , ARN , Estudios SeroepidemiológicosRESUMEN
OBJECTIVES: To describe trends of gross and specific mortality rates for all five countries of the Great Maghreb and to identify the typology and the main causes of death during the period 1990-2015. METHODS: This is an observational and descriptive study of causes of death in the Great Maghreb (Tunisia, Algeria, Morocco, Mauritania and Libya) using the database Global Burden of Diseases (GBD) of the Institute for Health Metrics and Evaluation (IHME). Causes of death were categorized according to the IHME into three categories: "Communicable Diseases", "Non Communicable Diseases" and "Trauma". These following tracer years (1995, 2005, 2015) were considered in the study of global and specific causes of death by country, disease group, sex and age group. RESULTS: During the period 1990-2015, the general trend in gross mortality rates was going down, reaching in 2015 rates that varied from 547/100 000 inhabitants in Tunisia to 437/100 000 inhabitants in Algeria. The trend in specific mortality from Communicable Diseases has been declining, particularly in Mauritania. Among the "Top 10" list of causes of death, four to eight were "Non Communicable Diseases" including ischemic heart disease, which was ranked first in the Maghreb except Mauritania. For children under 5 years old, prematurity was the leading cause of death in the five Maghreb countries in 2015. CONCLUSION: This analysis of causes of death in the Great Maghreb confirmed the similarity of the epidemiological transition and health priorities. Hence the urgency of developing common North African strategies for monitoring, training and intervention in public health.