Occupational Infectious Disease—Global Challenges and Local Solutions

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Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA
Interests: syndemics; HIV; biopolitics; refugee integration
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Special Issue Information

Dear Colleagues,

Occupational settings represent critical but often overlooked sites for the emergence, transmission, and control of infectious diseases. Workers in diverse industries—ranging from healthcare and agriculture to mining, manufacturing, and service sectors—face heightened risks of infection shaped by local environments and global patterns of labor mobility. Yet, despite their significance, occupational infectious diseases remain poorly characterized in global health discourse, overshadowed by broader public health concerns and fragmented across disciplines of occupational health, epidemiology, and infectious disease medicine. This special issue of Tropical Medicine and Infectious Disease seeks to redress this gap by examining the global challenges and locally tailored solutions that define the field.

We ask authors to consider challenges that include surveillance, the globalized nature of labor, and structural barriers such as weak regulatory frameworks, under-resourced occupational health programs, and limited intersectoral coordination. Surveillance systems that can adequately detect, monitor, and report occupational infectious diseases remain underdeveloped in many regions, posing a major challenge to prevention and control. Other barriers include fragmented data collection, limited cross-sectoral coordination, and gaps in awareness among both workers and employers. For example, during the COVID-19 pandemic, healthcare workers represented a disproportionately high burden of infection worldwide, but gaps in occupational data made it difficult to quantify the full impact or to compare risks across sectors. In many low- and middle-income countries, occupational health is still narrowly defined in terms of physical safety, with infectious risks insufficiently addressed. Even where policies exist, enforcement can be inconsistent, and workers in informal or precarious employment often fall entirely outside regulatory protections. Finally, migration, seasonal work, and international supply chains can spread risks across borders, creating vulnerabilities that transcend local health systems. Agricultural workers exposed to zoonotic pathogens, transportation workers moving between endemic and non-endemic regions, or seafarers operating across multiple jurisdictions all illustrate how occupational exposures contribute to global infectious disease dynamics.

At the same time, promising solutions are emerging that we ask authors to present, evaluate and generalize to other populations or industries. These include workplace policies that embed infection prevention into occupational safety frameworks, industry collaborations that promote shared responsibility for worker health, and innovative public–private partnerships that expand surveillance and response capacity. By examining both global challenges and locally grounded solutions, this special issue of Tropical Medicine and Infectious Disease aims to bring together research and perspectives that illuminate pathways toward safer working environments and healthier communities.

Dr. Nicola Bulled
Guest Editor

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Keywords

  • occupational health
  • worker health
  • workplace safety
  • workplace policy
  • occupational exposure

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Published Papers (1 paper)

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Research

11 pages, 1029 KB  
Article
Occupational Infection Prevention Among Nurses and Laboratory Technicians Amidst Multiple Health Emergencies in Outbreak-Prone Country, D.R. Congo
by Nlandu Roger Ngatu, Sakiko Kanbara, Christian Wansu-Mapong, Daniel Kuezina Tonduangu, Ngombe Leon-Kabamba, Berthier Nsadi-Fwene, Bertin Mindje-Kolomba, Antoine Tshimpi, Kanae Kanda, Chisako Okai, Hiromi Suzuki, Nzaji Michel-Kabamba, Georges Balenda-Matondo, Nobuyuki Miyatake, Akira Nishiyama, Tomomi Kuwahara and Akihito Harusato
Trop. Med. Infect. Dis. 2026, 11(1), 14; https://doi.org/10.3390/tropicalmed11010014 - 2 Jan 2026
Viewed by 1249
Abstract
Millions of healthcare workers experience percutaneous exposure to bloodborne communicable infectious disease pathogens annually, with the risk of contracting occupationally acquired infections. In this study, we aimed to assess the status of occupational safety and outbreak preparedness in Congolese nurses and laboratory technicians [...] Read more.
Millions of healthcare workers experience percutaneous exposure to bloodborne communicable infectious disease pathogens annually, with the risk of contracting occupationally acquired infections. In this study, we aimed to assess the status of occupational safety and outbreak preparedness in Congolese nurses and laboratory technicians in Kongo central and the Katanga area, amidst multiple ongoing public health emergencies in the Democratic Republic of the Congo (DRC). This was a multicenter analytical cross-sectional study conducted in five referral hospitals located in Kongo central province and the Katanga area between 2019 and 2020 amidst Ebola, Yellow fever, Cholera and Chikungunya outbreaks. Participants were adult A0 grade nurses, A1 nurses, A2 nurses and medical laboratory technicians (N = 493). They answered a structured, self-administered questionnaire related to hospital hygiene and standard precautions for occupational infection prevention. The majority of the respondents were females (53.6%), and 30.1% of them have never participated in a training session on hospital infection prevention during their career. The proportions of those who have been immunized against hepatitis B virus (HBV) was markedly low, at 16.5%. Of the respondents, 75.3% have been using safety-engineered medical devices (SEDs), whereas 93.5% consistently disinfected medical devices after use. Moreover, 78% of the respondents used gloves during medical procedures and 92.2% wore masks consistently. A large majority of the respondents, 82.9%, have been recapping the needles after use. Regarding participation in outbreak response, 24.5% and 12.2% of the respondents were Chikungunya and Cholera epidemic responders, respectively; 1.8% have served in Ebola outbreak sites. The proportion of the respondents who sustained at least one percutaneous injury by needlestick or sharp device, blood/body fluid splash or both in the previous 12-month period was high, 89.3% (41.8% for injury, 59.2% for BBF event), and most of them (73%) reported over 11 events. Compared to laboratory technicians, nurses had higher odds for sustaining percutaneous injury and BBF events [OR = 1.38 (0.16); p < 0.01], whereas respondents with longer working experience were less likely to sustain those events [OR = 0.47 (0.11); p < 0.001]. Findings from this study suggest that Congolese nurses and laboratory technicians experience a high frequency of injury and BBF events at work, and remain at high risk for occupationally acquired infection. There is a need for periodic capacity-building training for the healthcare workforce to improve infection prevention in health settings, the provision of sufficient and appropriate PPE and SEDs, post-exposure follow-up and keeping records of occupational injuries in hospitals in Congolese healthcare settings. Full article
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