The importance of infection control procedures in hospital radiology departments has become increasingly apparent in recent months as the impact of COVID-19 has spread across the world. Existing disinfectant procedures that rely on the manual application of chemical-based disinfectants are time consuming, resource intensive and prone to high degrees of human error. Alternative non-touch disinfection methods, such as Ultraviolet Germicidal Irradiation (UVGI), have the potential to overcome many of the limitations of existing approaches while significantly improving workflow and equipment utilization. The aim of this research was to investigate the germicidal effectiveness and the practical feasibility of using a robotic UVGI device for disinfecting surfaces in a radiology setting. We present the design of a robotic UVGI platform that can be deployed alongside human workers and can operate autonomously within cramped rooms, thereby addressing two important requirements necessary for integrating the technology within radiology settings. In one hospital, we conducted experiments in a CT and X-ray room. In a second hospital, we investigated the germicidal performance of the robot when deployed to disinfect a CT room in <15 minutes, a period which is estimated to be 2–4 times faster than current practice for disinfecting rooms after infectious (or potentially infectious) patients. Findings from both test sites show that UVGI successfully inactivated all of measurable microbial load on 22 out of 24 surfaces. On the remaining two surfaces, UVGI reduced the microbial load by 84 and 95%, respectively. The study also exposes some of the challenges of manually disinfecting radiology suites, revealing high concentrations of microbial load in hard-to-reach places. Our findings provide compelling evidence that UVGI can effectively inactivate microbes on commonly touched surfaces in radiology suites, even if they were only exposed to relatively short bursts of irradiation. Despite the short irradiation period, we demonstrated the ability to inactivate microbes with more complex cell structures and requiring higher UV inactivation energies than SARS-CoV-2, thus indicating high likelihood of effectiveness against coronavirus.
The global outbreak of COVID-19 in 2019/2020 has undoubtedly influenced the international migration trends of young people. Notably, there has been a distinct influx of migrants returning to Ireland. While Ireland has a significant history of mass emigration and well-documented periods of return, the recent experience of returning during the COVID-19 pandemic represents a novel phenomenon worthy of investigation. This paper draws upon 20 semi-structured interviews of returning migrants from across the Republic of Ireland, with the aim of better understanding their experiences, motivations and intentions for returning 'home' during a global health crisis and to assess the potential effect this may have on the future livelihoods and reflexive mobility strategies of Ireland's young people. To conclude, this paper highlights the imperative for policymakers of future relevant research on this subject as the pandemic continues to unfold, presenting a unique set of circumstances and challenges for this cohort of young people with migration experiences.
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