Background: COVID-19 is an emerging infectious disease with a global outreach. Leptospirosis is a zoonotic disease mainly confined to tropical areas. In both cases, most of those affected are asymptomatic or have only mild respiratory disease. Those who turn critical develop acute respiratory distress syndrome (ARDS) and/or multiple-organ failure occurs rapidly, with high fatality. Methodology: This is a retrospective observational study from 2020 involving COVID-19 and leptospirosis patients. The data were collected using a semi-structured proforma, and analysis was performed using Easy R (EZR) software. Results: There were five patients with COVIDC-19 and four patients with leptospirosis; with pulmonary involvement. All the patients were males. There was no significant difference in age, the onset of pulmonary involvement, time of initiation of steroids, duration of steroids, and outcome between the two groups. However, in the case of COVID-19, it took a longer period for clearing of infiltrates. Conclusion: Though COVID-19 and leptospirosis are two different diseases, both of them show a similar life-saving response to steroids, the common factor in the pathogenesis being cytokine storm. Primary care physicians in tropical areas of the world should be aware of the similarities between these two diseases, especially the initial clinical presentation, the pathogenesis, and the response to steroids.
Background: The tea industry which is one of the world’s oldest agro-based industry provides direct employment to more than a million workers, of which most are women. Two of the main causes for decreased tea production in India is due to shortage of pluckers and their absenteeism which impacts tea productivity. So, this study was undertaken to study absenteeism rates and the causes of absenteeism among female pluckers in a tea plantation in South India. Methodology: This was a cross section study undertaken in tea estates located in Anamalais, Tamilnadu. All female pluckers working in the estates were eligible to part of the study. The study population consisted of 256 female tea pluckers who were selected at random and an interview schedule was used to collect the following information – socio-demographic status, nature of the job, job satisfaction and reasons for absenteeism. Results: The study population consisted of 80.9% permanent workers and 19.1% temporary workers, with an average work experience of 21.6years.The main cause of absenteeism was health related (47.8%), followed by visit to native place (29.3%), then illness among family members (15.7%) and either lazy of bored to report to work (7.2%).There was an association between absenteeism and hospitalization in the past one year, increasing number of children in the family and the number of years of work experience. Conclusion: Majority of the pluckers were in the age group of 40-45 years. Women in this age group are more vulnerable to health issues such as osteoporosis, osteoarthritis, work related musculoskeletal disorders and also probably time taken off to take care of dependents apart from house old chores. Increasing age, illness of self or family member were the most important factors which contributed to increase absenteeism.
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