Atti del 52° Congresso Nazionale: Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI)

In accordance with the national case law on reporting of occupational diseases, the cases dealt with regarded three categories: 1) cases of biomechanical overload with musculoskeletal pathology (38.2%); 2) other problems linked to the presence of serious pathologies, especially neoplasms (35%); 3) cases of working and non-working discomfort, especially of a psychological nature, linked with work-related stress conditions (26.8% of the cases). An evaluation of the program effectiveness was carried out by verifying the number of job limitations registered among the hospital workers: from the systematic review of health surveillance data collected between 2015 and 2018 after the program introduction, the job limitations are lower (present a lower trend) (5.5% of personnel) compared to the national benchmark relative to the HC (10.70-22.60%) . Still in the DM ambit, in consideration of the general reduction of the vaccination coverage in the population in Italy with a progressive increase in antibiotic resistance and nosocomial infections, as well as a strong increase in the illness related absences of health workers due to diseases transmissible, including mainly the flu, the University Hospital "A. Gemelli" IRCCS, a national and international reference point for personalized medicine and innovative biotechnology, since 2014 implemented a strategy to fight hospital infections and flu transmission, through a facilitated company path for personnel vaccination, as well as a nutritional program for the prevention of related diseases. The competent physician and hygienist have a key role in a multi-infections disciplinary stewardship strategy (MIDs Model) which involved structuring specific vaccination campaigns and integrated surveillance/control strategies. Such strategy allowed to improve the vaccination coverage (for example for flue) of the health staff from only 2% (between 55% for physicians and only 25% for nurses) to over 25.4% in only 4 years (with an increase for physicians of 31% and 68.9% for nurses) with an implementation of the disability management model with on-site training and vaccination (with an improvement of 72.1%, compared to the national benchmark of national health services, and a reduction of absence due to illness of 1.6 days, as well as a € 95.0 reduction in costs for the company, for each health worker).