Hygiene, Volume 3, Issue 1 (March 2023) – 7 articles

People’s need for information and communication concerning health has emerged from many sources, even for important aspects related to the COVID-19 pandemic. The challenges of those who want to respond to this need are mainly related to which design characteristics could better support their aim. Thus, this article first examines a selected list of examples of different approaches of interventions targeted at citizens aimed at increasing health knowledge. Successively our recent experience regarding a new tool developed to support people’s health by promoting communication about citizens’ approach towards pharmaceuticals is discussed. In addition, here we propose that a similar methodological approach may be useful also to highlight people's critical issues and suggestions regarding health care system, i.e., factors that could play a pivotal role in a pandemic scenario. Our experience in the local context through an integrated strategy can be useful to address key factors concerning people’s approach to medicines, and approach to health care system even during a pandemic scenario. Overall these examples of past experience show how some approaches could support the understanding of suitable future, community-level, interventions to enhance information and communication about health and care. Full article

Golf is a very popular outdoor sport played worldwide by people from various socio-economic backgrounds. During the COVID-19 pandemic, lockdowns and quarantine restrictions led to closures of indoor and outdoor sport facilities and thus also affected the access to golf courses. This study aimed at elucidating perceptions of golfers regarding the impact of the crisis on their sport. We surveyed a sample of golfers in German-speaking countries (primarily Austria and Germany) from March to June 2021. A content analysis on golfers’ responses (n = 923) to an open-ended question on their feelings and engagement in alternative ways of physical activity in light of closed sport facilities was performed. More than 23% of the comments concerned negative feelings on how the pandemic impacted the surveyed golfers, especially due to reluctance to accept the closure of outdoor sports facilities. Almost all participants stated to perform alternative outdoor sports, mostly hiking, biking, walking, and running. In times of a pandemic, public spaces should be designed to allow for safe physical activity to maintain a mentally and physically fit population. In this context, policy makers should provide hygiene concepts that allow for minimal disturbance of sport routines, especially in regard to outdoor sports such as golf. Full article

The COVID-19 pandemic is a source of mental stress, particularly for special populations. The present study identified the associations between emotional distress and HIV status among adults in 152 countries during the first wave of the pandemic. This was a cross-sectional study that gathered data via an online survey carried out between July and December 2020. The dependent variable was emotional distress (frustration/boredom, anxiety, depression, loneliness, anger, or grief/feeling of loss), and the independent variable was HIV status (positive or negative). The confounding factors were sociodemographic variables (age, sex, education level, and employment status). Multivariable logistic regression analyses were performed to assess the associations between the independent and dependent variables after adjusting for confounders. Of the 16,866 participants, 905 (5.4%) reported living with HIV. Of these, 188 (20.8%) felt frustrated/bored, 238 (26.3%) anxious, 160 (17.7%) depressed, 148 (16.4%) lonely, 84 (9.3%) angry, and 53 (5.9%) grief/a sense of loss. Individuals living with HIV had higher odds of feeling anxious (AOR:1.64), depressed (AOR:1.80), and lonely (AOR:1.35) when compared to people living without HIV. This study reveals that the COVID-19 pandemic can exacerbate emotional stress for those living with HIV, and the system in which COVID-19 impacts emotional health among different sociodemographic groups introduces further complexities regarding this observed effect. Full article

Listeria monocytogenes is an ubiquitously occurring foodborne bacterial pathogen known to contaminate foods during the production processes. To assess the presence and persistence of L. monocytogenes in Danish ready-to-eat (RTE) food production companies in response to a Listeria awareness campaign, the production environment of selected companies were sampled in 2016 and in 2020. Whole genome sequencing (WGS) was performed to characterize the isolates (n = 50, plus 35 isolates obtained from the routine surveillance during 2016–2020), including investigation of the presence of virulence, persistence and resistance genes. The number of companies that tested positive by culture was 17/39 (43.6%) in 2016 and 11/34 (32.4%) in 2020, indicating a limited effect of the campaign. WGS analyses of the 85 isolates showed that the most common sequence types (STs) were ST8 and ST121. The single nucleotide polymorphism (SNP) analysis showed that isolates coming from the same company and belonging to the same ST exhibited <10 SNP differences regardless of the sampling year and whether the samples came from the environment or products, indicating the persistence of the specific STs. Several prevalent STs were found in clinical cases concurrently, including genetically similar isolates. This highlights the issue of persistent L. monocytogenes in the food production environment and the need for improved risk communication and mitigation strategies. Full article

In 2016, Tosei General Hospital, a tertiary emergency medical facility with 633 beds in Japan, experienced a large nosocomial outbreak of carbapenemase-producing Enterobacterales (CPE) that had spread to numerous sink outlets. Based on our experience with using steam cleaners to suppress CPE on environmental surfaces, we report the efficacy of steam cleaners in the disinfection of sink outlets. Steam cleaners were used to disinfect 22 target areas. CPE disappeared in 90.9% of the sink outlets within the first two months after disinfection, and, after 12 months, 54.5% of the sink outlets remained negative throughout the remainder of the study period. This study demonstrates the effectiveness of using steam cleaners to disinfect sink outlets contaminated with CPE. Full article

The global COVID-19 pandemic has caused countries to develop novel methods to detect and trace active cases. These methods aim to limit its spread; however, they can also be used to detect other endemic infectious diseases, such as tuberculosis (TB). The current methods used to detect COVID-19 cases, such as temperature-checking and tracing applications, led to the detection of these specific TB cases and their referral to the hospital. In this study, we present four cases of TB in which the patients come from different working backgrounds. We conclude that the current measures used for COVID-19 could also prove to be beneficial in the context of other infectious diseases, mainly TB. Full article