Vaccine mandates and omission bias

Over the last two years or so, occupational health and safety (OHS) professionals seemed to have been the go-to people for handling the workplace impacts of the coronavirus pandemic. Whether that is fair or not is debatable, but it is likely to repeat reality as workplaces continue to face labour shortages, production and supply disruption and variable exposure to the virus. At the moment, many politicians are uncertain about how to proceed. Employers need to have an operational plan, but they, or their OHS advisers, also need to step back occasionally and look at the larger context.

That step-back perspective is just what Dyani Lewis has done in a small but useful book called “Unvaxxed – Trust, Truth and the Rise of Vaccine Outrage“.

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Mixed OHS messages from business groups on COVID-19

COVID-19 and its variants persist as real risks in Australian workplaces, but employers want workers to continue to return to workplaces. Most of these workplaces have not been redesigned to increase ventilation. Most persist with long desks of multiple users in open-plan arrangements, although some continue with almost continuous cleaning regimes. Employers can argue that they are following public health guidelines (or their absence), but the occupational health and safety (OHS) risks still need managing.

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A new workplace hazard – Long Covid

The policy impacts of COVID-19 were missing from the recently concluded federal election campaign in Australia, but the coronavirus persists and continues to kill. Other than the issue of mandatory vaccinations, the occupational health and safety (OHS) context, outside of the health and emergency services sectors, has not been addressed since the initial SafeWork Australia guidance in March 2020.

The European Agency for Safety and Health at Work recently released a discussion paper on the “Impact of Long Covid on Workers and Workplaces and the Role of OSH”.

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Established safety practices should still be investigated

Every profession has safety practices that have existed for years and are integral to that profession’s character and operations. These have usually occurred because of correlation more than a cause, and occupational health and safety (OHS), in particular, advocates evidence-based decisions.

One longstanding example could be the mandatory wearing of lace-up ankle-high safety boots for working in the construction of railway infrastructure. Another could be the current debate over the effectiveness of face masks for protection from dust particles and airborne infections.

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Business continuity planning by another name

Occupational health and safety (OHS) gets a mention in a full-page advertorial in the Australian Financial Review (AFR) (February 3 2021, page 33) revolving around the legal and business services of Clyde & Co. The advertorial contains a good example of the contemporary business jargon such as “organisational resilience” – a concept that has come to the fore during the COVID-19 pandemic.

“Organisational resilience” has several definitions but here is one used by the British Standards Institution:

“….the ability of an organization to anticipate, prepare for, respond and adapt to incremental change and sudden disruptions in order to survive and prosper.”

This has very strong similarities to the much longer-established concepts of “business continuity” or sustainability within which OHS has dabbled for decades.

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“Soldier On” should be “F### Off”

Many workers continue to work when sick. This is called presenteeism and in a time of infection pandemic, is a major problem. Many countries have addressed the COVID19 risks of presenteeism by requiring people to work from home if they can. In Australia, the message is not totally working with people ignoring the rules for various reasons.

However, presenteeism also has a deeper cultural and institutional origin that has been exploited by some and downplayed or ignored by others.

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Deaths of Health Care workers from COVID19

A doctor in a protective suit taking a nasal swab from a person to test for possible coronavirus infection

The theme for most commemorations on April 28 is the COVID19 pandemic. This is understandable as the pandemic has disrupted lives and economies globally and many people have died. Perhaps the most tragic of these deaths are those of medical and healthcare staff who have contracted the infection through their work. The largest public outrage over this situation has been in the United Kingdom, but a similar situation could easily have occurred in Australia, New Zealand and elsewhere if those governments had not acted as quickly as they did or were less better prepared.

Some research has already commenced on healthcare worker infection deaths showing important initial clues on how governments, hospitals and medical employers can do better.

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