Thursday, December 14, 2023



Long COVID & Chronic Conditions Impacting Workplace --Study

Recently, Integrated Benefits Institute (IBI), a health and productivity research non-profit, analyzed the impact of long-term COVID and certain chronic conditions on productivity, disability, and disability claims, finding that US employees with long-term COVID, along with certain comorbid conditions, have a two-fold increase in missed workdays. The chronic conditions highlighted in the analysis include cancer, cardiovascular disease, diabetes, obesity, musculoskeletal, respiratory, and mental health conditions.

A Real Problem Impacting the Workplace

The prevalence of long COVID has had a profound impact on disability claims, work absences, and healthcare expenses. According to a recent analysis of workforce absences in the Journal of Public Economics, around 500,000 individuals in the US were removed from the workforce due to COVID-related illnesses between March 2020 and June 2022. The study did not delve into the problem of long Vax, or COVID-19 vaccine-related injury.

Nearly one in five US adults who have had COVID-19 are still experiencing persistent symptoms three or more months after their initial COVID-19 diagnosis. The likelihood of developing long COVID was found to be more than five -times higher in those with severe COVID-19 symptoms, compared to those with mild or no symptoms. Those with moderate symptoms are more than two times more likely.

This recently published study used data from the National Health Interview Survey (NHIS) and the IBI Benchmarking Portal, the largest collection of claims for employer-sponsored short-term disability (STD), long-term disability (LTD), family and medical leave (FML), and workers' compensation (WC) in the US. The study's findings shed light on the complex relationship that exists between long COVID, chronic conditions, and work-related outcomes.

Chronic Conditions & Impact

Almost half (47%) of individuals with long COVID report obesity as a comorbid condition. More than one third (38.5%) of individuals with long COVID also report having a mental health condition – specifically, anxiety or depression, followed by musculoskeletal conditions (22.7%). Approximately 5.9% of long COVID cases are also affected by heart disease or stroke, 6.1% with cancer, and 9.1% with diabetes.

Certain chronic conditions are more strongly associated with developing long COVID. Those with asthma or chronic obstructive pulmonary disease (COPD) have 94% increased odds of developing long COVID. Those with musculoskeletal disorders have a 49% increase, obesity a 52% increase, and those with anxiety and depression have 38% increased odds of experiencing long COVID.

Long COVID in individuals without any chronic conditions results in an average of 10.2 missed workdays. Combining chronic illnesses with long COVID leads to a two-fold increase (102%) in missed workdays, from 8.9 to 17.9 missed days. For example, those with cardiovascular disease and long COVID results in an average of 26.2 workdays missed, a stunning 122.1% increase above 11.8 workdays missed for cardiovascular disease alone.

52.5% of NHIS working-age respondents with obesity and comorbid long COVID have a work disability, underscoring the significant obstacles they must overcome. The comorbid long COVID and mental health disorders group has an even higher work disability rate (61.1%). And 37.1% of people with MSK conditions and comorbid long COVID report a work disability.

Disability claims

Long COVID has had a significant impact on disability claims, duration, and costs.

The study data derived from IBI's Benchmarking Portal data reveals long COVID had 4,442 STD claims in 2021. The industries that report the highest STD claims are manufacturing (13,671 claims) and services (11,860 claims), followed by the finance, insurance, & real estate sector with 5,534 claims.

For COVID-19, the average payment per closed STD claim stands at $2,739. Long COVID, however, has a notably higher average STD payment of $5,417, reflecting the more substantial financial burden associated with managing long COVID-related STD claims. The construction sector has the highest average payment for long COVID-related STD claims, at $11,744, followed by the services sector with a significantly higher than average payment of $8,779 per closed long COVID claim.

Long COVID has a much higher number of calendar days lost per STD claim at 90 days, compared with COVID-19 claims (22 days). Notably, 16% of these STD claims transitioned into LTD claims, resulting in 5,427 cases of long COVID LTD claims. These LTD claims had significantly higher payments, averaging $9,307 per closed claim. Importantly, 35% of individuals with LTD claims successfully returned to work within two years.

What does this mean for employers?

Employers face the challenge of navigating reduced productivity, disability claim costs, and the prolonged symptoms experienced by individuals with long COVID.

IBI spoke with HR and benefits managers on how they are approaching the challenges this diagnosis presents.

Recognize long COVID's varied and extended symptoms, encompassing physical, cognitive, and emotional issues.

Promote a gradual transition back to work and consider the challenges employees face.

Be proactive in establishing policies to accommodate employees with long COVID.

Consider implementing a trial period and reevaluation process for accommodation requests.

Be prepared for the possibility of relapse after an employee returns to work.

Acknowledge long COVID's potential classification as a disability under the ADA.

Collaborate with affected employees to determine effective accommodation solutions.

Maintain open lines of communication to tailor accommodations based on specific symptoms and limitations.

Provide flexible scheduling to accommodate variations in energy levels and symptom severity.

Prioritize employees' mental well-being by encouraging behavioral therapy or counseling.

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Recent Vaccine Injury Settlement the Exception More than the Rule

The family of an 8-year-old paraplegic girl who was afflicted with transverse myelitis after receiving childhood vaccines as an infant has settled a personal injury claim with the federal government for $4 million, according to reports in the Missouri Lawyers Media. Such settlements are quite rare given the large number of vaccines administered, according to data from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA). But also making compensation is an onerous legal process involving complex science and several other factors.

In the most recent HRSA report citing CDC data, from 2006 to 2022, over 5 billion doses of covered vaccines were distributed in the U.S. For petitions filed in this time period, 11,358 petitions were adjudicated by the Court, and of those, 8,131 were compensated via the Vaccine Injury Compensation Program (VICP).

The report cites that for every 1 million doses of vaccine that were distributed, about 1 individual ends up compensated.

Further, the report states that since 1988, over 26,862 petitions have been filed with the VICP. During this three-decade-plus period, 22,983 petitions were adjudicated, with 10,371 of those determined to be compensable, while 12,612 were dismissed. Total compensation paid over the life of the program is approximately $5 billion.

Of course, what the government doesn’t share is that it’s quite difficult to secure compensation from VICP. An onerous process with lots of disqualifying twists and turns

Determining whether a particular health condition is a result of a vaccine can be complex. Some injuries may have multiple potential causes and proving a direct link to a vaccine can be challenging.

Scientific Uncertainty

The science of vaccine-related injuries is not always clear-cut. Medical and scientific evidence may not definitively establish a causal relationship between a vaccine and a specific injury, leading to uncertainty in some cases.

Legal Complexity

The VICP operates within a legal framework with specific rules and procedures. Navigating this legal process can be challenging for claimants who may not be familiar with legal proceedings.

Statute of Limitations

There are strict deadlines for filing claims with the VICP. Some claimants may miss the filing window due to lack of awareness, delayed diagnosis, or other reasons.

Causation Burden

Claimants must demonstrate a plausible connection between the vaccine and the alleged injury. This burden of proof can be difficult to meet, particularly when dealing with rare or poorly understood medical conditions.

Limited Compensation

The compensation awarded by the VICP may not fully cover all the costs associated with a vaccine injury. Claimants may still face financial challenges despite receiving compensation.

Adverse Public Perception

Some individuals may view the VICP as a barrier to pursuing justice through the traditional legal system. There can be a perception that the program protects vaccine manufacturers more than it supports injured individuals.

Lengthy Process

The VICP process can be time-consuming. It may take months or even years for a case to be resolved, which can be stressful for individuals dealing with the aftermath of a vaccine injury.

As hard as it may be to secure compensation with VICP, the situation remains far worse for individuals injured by COVID-19 vaccines who are subject to the Countermeasures Injury Compensation Program (CICP). This is the program in the United States that provides compensation to individuals who suffer serious injuries or death as a result of certain medical countermeasures. These countermeasures are often used in response to public health emergencies, such as pandemics or bioterrorism events (e.g., COVID-19). The CICP is a part of the Public Readiness and Emergency Preparedness (PREP) Act.

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Also see my other blogs. Main ones below:

http://edwatch.blogspot.com (EDUCATION WATCH)

http://antigreen.blogspot.com (GREENIE WATCH)

http://pcwatch.blogspot.com (POLITICAL CORRECTNESS WATCH)

http://australian-politics.blogspot.com (AUSTRALIAN POLITICS)

http://snorphty.blogspot.com (TONGUE-TIED)

https://immigwatch.blogspot.com (IMMIGRATION WATCH)

https://awesternheart.blogspot.com (THE PSYCHOLOGIST)

http://jonjayray.com/blogall.html More blogs

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