Health surveillance during the COVID pandemic

Introduction: The health surveillance constitutes a fundamental measure of prevention for the workers who are exposed to risks for the health and, in extreme synthesis, it evaluates the effects on the health of such exposure, with the objective to adapt the measures of prevention to the peculiarities of the single worker and to verify the effectiveness of the adopted measures .The competent doctor organizes his own plan of activity and plans the health surveillance. The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and its associated disease (COVID- 19) have caused a worldwide health emergency that requires an integrated and multidisciplinary intervention by the international medical-scientific communities. Objective: Analyze and interpret the data inherent to the health surveillance of the Fondazione Toscana Gabriele Monasterio (FTGM), in the Healthcare plants of Massa and Pisa to counteract and limit the spread of SARS- CoV-2 and to maintain the status of Covid Free hospital. Materials and MethodS: The population sample examined consisted of all the staff working at FTGM's two facilities in Massa and Pisa. FTGM implemented the prevention systems in reference to the regulations of the Tuscany Region: monitoring and infection control through serological screening tests (initially only healthcare professionals and later on the all staff), single molecular swab (according to Tuscany regional regulations), then with pooling system. Results: From 18/03/20 to 31/12/20, 5228 swabs were performed (3748 people tested);261 people tested with pooling system (55 tests) in December;Covid-19 positive: n061 of which 32 were FTGM employees. Conclusions: As part of health surveillance, we believe that all healthcare workers should be tested for early detection of SARS-CoV-2 as happened at FTGM. The low percentage of positive swabs at our institution, allowed for the safeguarding of our fragile users in view of the fact that only one of our patients became positive during hospitalization.