COVID-19 Risk Assessment Among Vulnerable Small Business Owners in El Paso County, Texas

J Occup Environ Med. 2024 Dec 1;66(12):987-992. doi: 10.1097/JOM.0000000000003227. Epub 2024 Sep 23.

Abstract

Background: Our objective was to deliver actionable, worksite-specific COVID-19 risk assessments and mitigation strategies tailored to vulnerable workers in one of the highest-risk areas in the US.

Methods: Four trained, bilingual (English/Spanish) community health workers (CHWs) recruited small businesses (ie, ≤20 employees) across various industries and executed novel on-site infectious disease risk assessment surveys of at least one employer and one employee.

Results: Of 102 participating businesses (95% Hispanic-owned), 96% were characterized as "high risk" or "very high risk" for disease transmission. All businesses reported implementing at least one practice to reduce disease transmission; however, almost half of businesses lacked at least 13 of the 17 controls identified to mitigate risk.

Conclusions: Tailored, culturally sensitive outreach led by CHWs identified and educated businesses on critical hazards, and these methods may be transferable to similar communities.

MeSH terms

  • Adult
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Community Health Workers
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Exposure / prevention & control
  • Risk Assessment
  • SARS-CoV-2*
  • Small Business*
  • Texas / epidemiology
  • Vulnerable Populations
  • Workplace