{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:32:12Z","timestamp":1777879932580,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Workplace Health Saf"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health care workers (HCWs) are at high risk of COVID-19 infection; therefore, screening is recommended for early detection and management to break the chain of transmission. Globally, multiple strategies have been utilized for the screening of HCWs. This article reports and evaluates an active surveillance and screening strategy for severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) among HCWs following work or nonwork exposures in Brunei Darussalam to prevent health care\u2013associated COVID-19 transmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In March 2020, the Ministry of Health through the Occupational Health Division adopted an active screening strategy for symptomatic and asymptomatic HCWs, which involved symptom screening, risk assessment, SARS-COV-2 testing, and management following work\/nonwork exposure and recent overseas travel, and those with influenza-like illness (ILI) symptoms. Screening frequency was based on the HCWs\u2019 symptoms and exposure, with the intent to evaluate all possible sources of exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>As of December 31, 2020, 821 HCWs were screened, of which 632 (77%) had ILI symptoms and 14 (1.7%) had high-risk occupational exposure. Reverse transcription polymerase chain reaction (RT-PCR) swab testing was carried out on 577 (70.3%) HCWs, with the highest proportion of swabs done on doctors (85.1%; p &lt; .01) due to their workplace exposure (34.3%) and overseas travel (38.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>By July 2021, Brunei Darussalam had recorded zero cases of COVID-19 among HCWs from occupational exposure. Our strategy of active screening for SARS-COV-2 RT-PCR testing since early in the outbreak has proven to be successful, in combination with infection control practices and public health measures, in the prevention of occupational transmission, thereby facilitating early return to work for HCWs with low-risk exposure and without symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21650799211062802","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T06:40:02Z","timestamp":1643870402000},"page":"452-458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["SARS-COV-2 Screening of Health Care Workers in Brunei Darussalam"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1210-7994","authenticated-orcid":false,"given":"Ashish","family":"Trivedi","sequence":"first","affiliation":[{"name":"Occupational Health Division, Ministry of Health, Brunei Darussalam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Fontelera","sequence":"additional","affiliation":[{"name":"Occupational Health Division, Ministry of Health, Brunei Darussalam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Lai","sequence":"additional","affiliation":[{"name":"Occupational Health Division, Ministry of Health, Brunei Darussalam"},{"name":"Universiti Brunei Darussalam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,3]]},"reference":[{"key":"bibr1-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003097"},{"key":"bibr2-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30917-X"},{"key":"bibr3-21650799211062802","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6915e6"},{"key":"bibr4-21650799211062802","unstructured":"Centers for Disease Control and Prevention. (2020a). Interim U.S. guidance for risk assessment and work restrictions for healthcare personnel with potential exposure to COVID-19. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/guidance-risk-assesment-hcp.html"},{"key":"bibr5-21650799211062802","unstructured":"Centers for Disease Control and Prevention. (2020b). Operational Considerations for the Identification of Healthcare Workers and Inpatients with Suspected COVID-19 in non-US Healthcare Settings. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/non-us-settings\/guidance-identify-hcw-patients.html"},{"key":"bibr6-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32208-X"},{"key":"bibr7-21650799211062802","unstructured":"Department of Economic Planning and Statistics, Ministry of Finance and Economy, Brunei Darussalam. (2019). Report of the Mid-Year Population Estimates (p. 3). http:\/\/www.deps.gov.bn\/DEPD%20Documents%20Library\/DOS\/POP\/2019\/Rep_MidYr_2019.pdf"},{"key":"bibr8-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taaa178"},{"key":"bibr9-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0869-5"},{"key":"bibr10-21650799211062802","unstructured":"Ministry of Health. (2019). Health information booklet (pp. 19\u201320). http:\/\/www.moh.gov.bn\/Downloadables\/Health%20Information%20Bookler%202017%20(revised%20as%20of%20January%202019).pdf"},{"key":"bibr11-21650799211062802","unstructured":"Ministry of Health. (2020a). Press release on the current situation of the COVID-19 infection in Brunei Darussalam (15 June 2021). http:\/\/www.moh.gov.bn\/Lists\/Latest%20news\/NewDispForm.aspx?ID=912&Source=http%3A%2F%2Fwww%2Emoh%2Egov%2Ebn%2Flists%2Flatest%2520news%2Fallitems%2Easpx&ContentTypeId=0x0104009A3003A09F8D6E42981D262E322516A2"},{"key":"bibr12-21650799211062802","volume-title":"Occupational Health Division","author":"Ministry of Health, (MOH), Brunei","year":"2020"},{"key":"bibr13-21650799211062802","unstructured":"Pan American Health Organization\/ World Health Organization. (2020). COVID-19 has infected some 570,000 health workers and killed 2,500 in the Americas, PAHO Director says\u2013Paho.org. https:\/\/www.paho.org\/en\/news\/2-9-2020-covid-19-has-infected-some-570000-health-workers-and-killed-2500-americas-paho"},{"key":"bibr14-21650799211062802","doi-asserted-by":"publisher","DOI":"10.7554\/eLife.58728"},{"key":"bibr15-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32211-X"},{"key":"bibr16-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1177\/20101058211050752"},{"key":"bibr17-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1585"},{"key":"bibr18-21650799211062802","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taaa066"},{"key":"bibr19-21650799211062802","unstructured":"World Health Organization. (2020a). Coronavirus Disease 2019 (COVID 19), Situation Report\u201482. https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/situation-reports\/20200411-sitrep-82-covid-19.pdf"},{"key":"bibr20-21650799211062802","unstructured":"World Health Organization. (2020b). Keep health workers safe to keep patients safe: WHO. https:\/\/www.who.int\/news\/item\/17-09-2020-keep-health-workers-safe-to-keep-patients-safe-who"},{"key":"bibr21-21650799211062802","unstructured":"World Health Organization. (2020c). Risk assessment and management of exposure of health care workers in the context of COVID-19. https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/331496\/WHO-2019-nCov-HCW_risk_assessment-2020.2-eng.pdf?sequence=1&isAllowed=y"},{"key":"bibr22-21650799211062802","unstructured":"World Health Organization. (2020d). 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