Essential Workers Research Articles

Chinese hospital staff in anxiety and depression: Not only comfort patients but also should be comforted - A nationwide cross-sectional study

BackgroundHealthcare professionals are in short supply worldwide, especially in China, which can result in increased stress in the work environment and allostatic load for Chinese hospital staff. This study aimed to investigate the prevalence of anxiety and depressive symptoms and their relationship with total stress, allostatic overload, sleep quality, and episodic memory among Chinese hospital staff. MethodIn this cross-sectional study, self-assessments including Generalized Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire-9 (PHQ-9), PsychoSocial Index (PSI), Pittsburgh Sleeping Quality Index (PSQI), and MemTrax test were used to evaluate participants' anxiety symptoms, depressive symptoms, total stress, allostatic load/overload, sleep quality, and episodic memory. ResultsA total of 9433 hospital staff from 304 cities participated. Anxiety prevalence was 21.0 % (95 % confidential interval (CI) 20.2 %, 21.8 %), while the prevalence of depressive symptoms was at 21.4 % (95 % CI 20.5 %, 22.2 %). 79.8 % (95 % CI 79.0 %, 80.6 %) of the hospital staff had allostatic overload. Poor sleep quality affected 50.4 % of participants, and 32.1 % experienced poor episodic memory. LimitationsThis study utilized a convenience sampling approach, relying on an online survey as its data collection method. ConclusionsHospital staff in China are facing a stressful environment with a high prevalence of anxiety and depressive symptoms, significant allostatic overload, poor sleep quality, and compromised episodic memory. It is imperative that local management and community structures enhance their support and care for these essential workers, enabling them to manage and withstand the stresses of their professional roles effectively.

Immigrant Solidarity Amid the COVID-19 Crisis in Italy: Forms of Help, Intergroup Solidarity, and Recognition

AbstractItaly was the first Western country to be severely affected by the COVID-19 pandemic. Within it, immigrants have played an important role as essential workers and throughout solidarity initiatives. The present article is based on 64 in-depth interviews with immigrants who engaged in solidarity actions directed toward the immigrant population and the host society during the COVID-19 pandemic. Analytically, it emerged that through solidaristic initiatives, immigrants articulated what we called ‘claims of recognition.’ Recognition here is considered in both its individual form, as interpersonal acceptance and esteem for single immigrants, and its collective form, as the social regard of immigrant groups as constituents of Italian society. Despite being perhaps 'elementary,' these claims aim to fight forms of both non-recognition and mis-recognition that are pervasive in Italy and aim to transform the symbolic 'fabric' of this country.

Wilson Disease and the COVID-19 pandemic: exploring patients' mental health and vaccination attitudes in a longitudinal study.

The COVID-19 pandemic significantly impacted the mental health of individuals with chronic conditions such as Wilson's Disease (WD). This study investigates stress, anxiety, depression, quality of life, cognitive function, vaccination rates, infection rates, and perceptions related to the pandemic and vaccines among WD patients. The study analyzed COVID-19 perceptions and vaccine attitudes of 62 adult WD patients enrolled in the international multisite WD Registry. A subgroup of 33 participants completed a series of mental health scales. The effect of working essentially, income loss, wellness activity initiation, and infection of COVID-19 during the pandemic was observed. Results indicate that, overall, the pandemic did not exacerbate anxiety or cognitive function in WD patients but did lead to increased depression among essential workers. Patients experiencing income loss exhibited higher levels of stress and anxiety. Despite these challenges, WD patients showed high vaccination rates and positive attitudes towards vaccines. The findings underscore the significant impact of the pandemic on the mental health of WD patients.

A Social Cognitive Career Theory Study of Agricultural Mechanical Trade Workers

Attracting and retaining skilled workers in agriculture is a global problem. Shortages of essential workers disrupt supplies of goods and services from the point of production on farms through manufacturing, transport, to ultimate consumption. The global pandemic’s effect on food supply was a salutary lesson in the effects of a diminished agricultural workforce. Agricultural mechanics are vital to productivity. The present research used the social cognitive career theory to explore agricultural mechanics’ careers. An exploratory qualitative study deployed interviews to collect data from N = 19 mechanical trade workers. Interviews were centered on participants’ descriptions of their work regarding theoretical constructs including self-efficacy, outcome expectations, satisfaction, dispositional traits, and contextual affordances. Reflective thematic analysis of the data produced concordance with key constructs of the social cognitive career theory sufficient to justify its utility for research with this specific agricultural occupation. This research makes an important contribution to the literature of vocational psychology which can and should contribute to solving the complex problem of supporting a workforce needed for agriculture’s ongoing challenge of feeding and clothing the world’s growing population.

Pandemic as a Biographical Turning Point? The Experiences of the COVID-19 Pandemic in the Biographies of “Essential Workers”

Pandemic as a Biographical Turning Point? The Experiences of the COVID-19 Pandemic in the Biographies of “Essential Workers”

'I wasn't on the front line per se, but I was part of health care': Contributions and experiences of ancillary staff in care homes in England during the COVID-19 pandemic.

Ancillary staff - cleaning, catering, housekeeping and laundry workers - play a crucial role in care homes, by promoting infection control, food preparation and hygiene, and contributing to the care home environment. This study sought to understand the experiences of ancillary staff working in English care homes during the COVID-19 pandemic. The results will inform policy makers, employers, care home managers and others, both in England and overseas, as how to best support the ancillary workforce. Between March and August 2021, video and telephone interviews were conducted with those working or living in care homes in England. Participants comprised ancillary staff (n = 38), care home managers (n = 8), care home residents' family members and friends (n = 7), human resource managers (n = 5) and care home residents (n = 5). Ancillary staff often had increased responsibilities and contributed to pandemic efforts by changing working practices, routines and job roles with the aim of supporting residents and other staff. Teamwork, underpinned by strong leadership, helped ancillary staff feel supported. Ancillary staff should be better recognised as being central to care home care. They are essential workers helping to keep residents safe and well.

Towards Inclusive Futures for Worker Wellbeing

The global COVID-19 pandemic has spurred on new collaborations across borders, and emphasized the importance of supporting wellbeing in the workplace, whether that workplace is hybrid, remote, or in-person. Work in CSCW, HCI, and organizational psychology has explored how people come to understand their wellbeing at work, and the role of identity, culture, and organizational factors in that process. In this study, we build on this past research and explore the importance of these factors when designing tools that support worker wellbeing for location-independent teams. We ask the question: how did organizational, cultural, and individual factors influence how workers understood their workplace wellbeing needs during the move to remote work? To investigate this question, we conduct a large scale linguistic analysis of 13,265 diary entries collected between 2020 - 2022, and complement it with in-depth interviews with 26 global employees, exploring intersections between technology, context, and wellbeing needs. We utilize this data to analyze the broader human infrastructure supporting hybrid and remote work, demonstrating how ideas around wellbeing are influenced by the (often technology-mediated) environment around both information and essential workers, and power differentials within it. Building on our findings, we provide recommendations for how technology design can better support more diverse and inclusive forms of worker wellbeing.

“If I Do not Go to Work, They Will Die!” Dual Roles of Older-Adult Personal Support Workers’ Contributions During the COVID-19 Pandemic

AbstractWhen COVID-19 devastated older-adult organizations (long-term care homes and retirement homes), most public attention was directed toward the older-adult residents rather than their service providers. This was especially true in the case of personal support workers, some of whom are over the age of 55, putting them in two separate categories in the COVID-19 settings: (1) a vulnerable and marginalized group who are disproportionately impacted by COVID-19; and (2) essential healthcare workers. Since the current disaster-driven research, practice, and policy have primarily focused on generalized assumptions that older-adults are a vulnerable, passive, and dependent group rather than recognizing their diversity, expertise, assets, and experiences, this study aimed to identify their contributions from the perspective of older-adult personal support worker (OAPSW). This qualitative study conducted in-depth interviews, inviting 15 OAPSWs from the Greater Toronto Area, Canada. This study uncovered the OAPSWs’ contribution at three levels: individual (enhancing physical health, mental health, and overall well-being), work (improving working environment and service and supporting co-workers), and family (protecting their nuclear and extended families). The outcomes inform the older-adult research, practice, policy, public discourse, and education by enhancing the appreciation of older-adults’ diverse strengths and promoting their engagement and contributions in disaster settings.

252 Psychosocial factors influencing the maintenance of a healthy lifestyle among African American adults during the COVID-19 Pandemic

OBJECTIVES/GOALS: The COVID-19 pandemic disrupted established social support networks (faith-based, community, family, friends), resulting in unprecedented health-related, financial, and employment challenges among African Americans (AAs). This study explores the psychosocial influences of the pandemic on the health and wellness of AAs. METHODS/STUDY POPULATION: The FAITH! (Fostering African-American Improvement in Total Health!) Program, an academic-community partnership with AA churches, shifted focus to COVID-19 prevention in AA communities. Funded by the Mayo Clinic Center for Clinical and Translation Sciences, this cross-sectional study recruited AA adults from FAITH!-affiliated churches and social media to complete a survey exploring the personal impact of the pandemic from hardships (e.g., food and housing insecurity, paying utilities) on healthy lifestyle (HL). The primary outcome was difficulty maintaining a HL during the pandemic. Logistic regression (odds ratios and associated 95% confidence intervals (CIs)) was used to examine the associations between difficulty maintaining a HL and factors including COVID-19 hardships and mental health. RESULTS/ANTICIPATED RESULTS: Participants (N=169, 71.4% female, 41.4% essential workers) had a mean age [SD] of 49.4 [14.9] years. Over half (91/169, 54%) reported difficulty maintaining a HL. Those reporting unemployment (OR 2.3; 95% CI [1.2,4.4]; p=0.008), difficulty paying rent (OR 4.1; 95% CI [2.1,8.6]; p<0.001), or food/utilities (OR 5.5; 95% CI [2.7,11.5]; p<0.001) all had greater odds of difficulty maintaining a HL. High stress (≥5/10, scale 1-10) was associated with difficulty maintaining a HL (OR 4.1; 95% CI [2.1,8.5]; p<0.001) compared to AAs with low stress. Negative mental health (depression (OR 3.4; 95% CI [1.0,13.7]; p<0.001), anger (OR 2.5; 95% CI [0.5,18.9]; p=0.005), and nervousness (OR 4.1; 95% CI [1.1,19.5]; p=0.003) was associated with difficulty maintaining a HL compared to AAs with positive mental health. DISCUSSION/SIGNIFICANCE: Our study findings revealed that COVID-19 hardships, stress, and negative mental health impacted the ability of AAs to maintain a HL. These issues should be considered in the design and implementation of community-based health programs to promote healthy living during future public health emergencies.

Teleworkability and its heterogeneity in labor market shock

The rapid development of information and communication technologies has brought about a marked change in work patterns, with teleworking emerging as a vital and complementary form of employment. The COVID-19 outbreak in 2020 led to widespread social isolation, accelerating the adoption of teleworking. Following Dingel and Neiman (2020), we construct a teleworkability index for over 4539 employees and analyze the dynamic changes in their working status in China. Our findings suggest that business and technical workers are more likely to work remotely than essential labor workers. Highly educated female workers who live in the southeast of China show the advantage of working from home. Further regression estimation indicates that, throughout 2020, workers with a higher teleworkability index can better cope with adverse shocks from the pandemic with higher return-to-work rates and higher productivity. In contrast, those with a lower teleworkability index face challenges in job retention and suffer from higher unemployment rates and severe income losses. In addition, the teleworkability index is positively associated with mental health status. This study highlights the most vulnerable segment in the labor market, those with low teleworkability, should be well targeted by the social security system.

Post-pandemic transit commute: Lessons from focus group discussions on the experience of essential workers during COVID-19

Public transit services, which provide a critical lifeline for many essential workers, were severely interrupted during the COVID-19 pandemic. As institutions gradually return to normal in-person operations, it is critical to understand how the pandemic affected essential workers' commute and what it will take to ensure the effective recovery of transit ridership and enhance the long-term resiliency and equity of public transportation systems for those who need it the most. This study used focus group discussions with essential workers who were pre-pandemic transit riders to understand how the COVID-19 pandemic has impacted their commute perceptions, experiences, motives, and challenges and explore the potential changes in their travel behavior post-pandemic. We used NVivo 12 Pro to conduct a thematic analysis of the transcripted discussion data and examined patterns of commute mode change with respect to participants' attributes, including job type, home location, and gender. The results show that public transit had multiple reliability and frequency challenges during the pandemic, which resulted in most participants switching away from public transportation. With the increased availability of hybrid remote work and pandemic-related parking policies, driving emerged as a safer and more affordable commute mode for many pre-pandemic transit riders, rendering transit services less efficient for those who continued to rely on it. Planning for post-COVID resilient and reliable mobility requires a major rethinking of providing an efficient and effective transport system and a more fundamental approach to long-term public transport policy. To recover transit ridership, transit agencies need to ensure transit service availability and provide reliable transit information through smartphone apps. Similarly, transit agencies need to coordinate with other employers to provide free or heavily subsidized transit passes, to facilitate the recovery of transit demand effectively.

The role of income and emotional engagement in the efficacy of a brief help-seeking video intervention for essential workers

BackgroundRecently we showed that a brief video-based intervention can improve openness to help-seeking and decrease treatment-related stigma among essential workers, particularly for female and Black individuals viewing demographically matched protagonists. The current randomized controlled trial explored two additional factors which may enhance the efficacy of this intervention: income level, known to be associated with help-seeking, and emotional engagement, which may enhance a person's ability to engage with the intervention. We hypothesized that income level and emotional engagement would correlate with changes in openness to help-seeking (“openness”) and stigma. MethodsEssential workers (N = 1405) randomly viewed a control video or a brief video of an actor portraying an essential worker describing COVID-19-related anxiety and depression and treatment benefits. Openness and stigma were assessed at baseline, post-intervention, and 30-day follow-up, with emotional engagement assessed post-intervention. ResultsThe brief video intervention demonstrated immediate increases in openness (p < 0.001, Cohen's d = 0.39) and decreases in stigma (p < 0.001, d = 0.14) compared to the control. Reported income level affected neither dependent variable. Participants who scored higher on the emotional engagement scale reported greater change in openness and stigma. LimitationsUse of a crowdsourcing platform may limit generalizability. ConclusionsThe 3-min video showed modest effect sizes for immediate increased openness and reduced stigma, with greater emotional engagement heightening the effect, suggesting a possible mediator to the intervention. Income level did not affect intervention outcomes. Research should explore the role of income by adding income-related content to the brief-video interventions and assessing whether links to referrals could foster immediate behavioral change. Trial registrationNCT04964570.

Associations between neighborhood characteristics and child well-being before and during the COVID-19 pandemic: A repeated cross-sectional study in the Environmental influences on Child Health Outcomes (ECHO) program

The corona virus disease (COVID-19) pandemic disrupted daily life worldwide, and its impact on child well-being remains a major concern. Neighborhood characteristics affect child well-being, but how these associations were affected by the pandemic is not well understood. We analyzed data from 1039 children enrolled in the Environmental influences on Child Health Outcomes Program whose well-being was assessed using the Patient-Reported Outcomes Measurement Information System Global Health questionnaire and linked these data to American Community Survey (ACS) data to evaluate the impacts of neighborhood characteristics on child well-being before and during the pandemic. We estimated the associations between more than 400 ACS variables and child well-being t-scores stratified by race/ethnicity (non-Hispanic white vs. all other races and ethnicities) and the timing of outcome data assessment (pre-vs. during the pandemic). Network graphs were used to visualize the associations between ACS variables and child well-being t-scores. The number of ACS variables associated with well-being t-scores decreased during the pandemic period. Comparing non-Hispanic white with other racial/ethnic groups during the pandemic, different ACS variables were associated with child well-being. Multiple ACS variables representing census tract-level housing conditions and neighborhood racial composition were associated with lower well-being t-scores among non-Hispanic white children during the pandemic, while higher percentage of Hispanic residents and higher percentage of adults working as essential workers in census tracts were associated with lower well-being t-scores among non-white children during the same study period. Our study provides insights into the associations between neighborhood characteristics and child well-being, and how the COVID-19 pandemic affected this relationship.

Disparities in COVID-19 vaccine uptake, attitudes, and experiences between food system and non-food system essential workers.

The COVID-19 pandemic has disproportionately affected the health of food system (FS) essential workers compared with other essential and non-essential workers. Even greater disparity exists for workers in certain FS work settings and for certain FS worker subpopulations. We analyzed essential worker respondents (n = 151,789) in May-November 2021 data from the National Immunization Survey Adult COVID Module (NIS-ACM) to assess and characterize COVID-19 vaccination uptake (≥1 dose) and intent (reachable, reluctant), attitudes about COVID-19 and the vaccine, and experiences and difficulties getting the vaccine. We compared rates, overall and by certain characteristics, between workers of the same group, and between FS (n = 17,414) and non-food system (NFS) worker groups (n = 134,375), to determine if differences exist. FS worker groups were classified as "agriculture, forestry, fishing, or hunting" (AFFH; n = 2,730); "food manufacturing facility" (FMF; n = 3,495); and "food and beverage store" (FBS; n = 11,189). Compared with NFS workers, significantly lower percentages of FS workers reported ≥1 dose of COVID-19 vaccine or vaccine requirements at work or school, but overall vaccine experiences and difficulties among vaccinated FS workers were statistically similar to NFS workers. When we examined intent regarding COVID-19 vaccination among unvaccinated FS workers compared with NFS counterparts, we found a higher percentage of FMF and FBS workers were reachable whereas a higher percentage of AFFH workers were reluctant about vaccination, with differences by sociodemographic characteristics. Overall, results showed differences in uptake, intent, and attitudes between worker groups and by some sociodemographic characteristics. The findings reflect the diversity of FS workers and underscore the importance of collecting occupational data to assess health inequalities and of tailoring efforts to worker groups to improve confidence and uptake of vaccinations for infectious diseases such as COVID-19. The findings can inform future research, adult infectious disease interventions, and emergency management planning.

Theorising Digital Dispossession: An Enquiry into the Datafication of Accumulation by Dispossession

In the aftermath of the COVID-19 pandemic, the question of work and labour was being deeply pondered upon. The demarcations that emerged out of this juncture led to a bifurcation of labour into ‘essential workers’, who are pushed into precarity from the threat of disease and contractual uncertainty in employment, and those who ‘work from home’. While geo-spatial segregation of these distinctions is contingent upon the specific relation of the nature of work with datafication, we are impelled to ponder upon the role that the accumulation of surplus value plays in this process. More specifically we must ask, what role does digital labour play in the datafication and datafied reorganization of work and workplaces? The inadequateness of data colonialism as a theoretical tool that accounts for the historical-materialist and dialectical roots of extraction and accumulation of user data requires a retheorization of the process. In this paper, I shall examine the ontological inadequacies of the metaphors of colonialism, and its extractivist logic, being transposed and mapped onto the studies of datafication. Following this I shall explore ‘digital dispossession’ as a convergence of Digital Capitalism and the neoliberal reorganization of digitized social labour, alongside its necropolitical implications. Drawing upon David Harvey’s theorization of ‘Accumulation by Dispossession’, I argue for a classical Marxist interpretation of datafication as a new reorganization of capitalist accumulation that acts and appropriates surplus generated by prosumers through the unpaid and discursive digital labour performed on digital platforms.

Family experiences reported by healthcare worker parents during the COVID-19 pandemic

PurposeParents, who were working as essential frontline healthcare workers experienced unique stressors during the COVID-19 pandemic including disruption of regular routines, long lapses away from family, extreme work stress and subsequent difficulty in compartmentalizing work-related concerns when at home. The purpose of this study was to assess COVID-19 exposure and impact of frontline healthcare workers who are parents. Design & methodsThis study quantitatively assessed the COVID-19 exposure and impact and qualitatively explored perceptions of parents of children 9 to 17 years of age, who were also frontline healthcare workers. ResultsParticipants (N = 79) using the COVID-19 Exposure and Family Impact Survey (CEFIS) reported exposure mean scores of 10.03 (SD = 2.63); and impact scores mean scores of 3.18 (SD = 0.46). Thematic analysis identified four themes, each with 2 subthemes: 1) family stressors increased (e.g., concerns about health and safety, losses of lifestyle patterns); 2) changes in children's health and well-being (e.g., isolation from family and friends, mental health problems); 3) virtual school difficulties (e.g., parent and student challenges, home school option); 4) skill building opportunities (e.g., enhanced emotional connections, increased family activities). ConclusionThe CHAMPS Family Health Study suggests that families of essential workers are especially vulnerable to the effect of COVID-19, as are those families of essential workers who include child/ren with special health care needs. Practice implicationsPreparation for future emergencies requires strategies to mitigate consequences and promote well-being. These results highlight the need for supportive approaches to decrease the negative consequences of stress and to augment skills for family connection and cooperation.

COVID-19 on Food Insecurity in Hispanic/Latino Essential and Non-essential Workers.

The COVID-19 pandemic's economic fallout has further exacerbated the health and well-being among Hispanics/Latinos, who maybe overrepresented in essential jobindustries and are vulnerable to experiencing food insecurity. This study explores whether the COVID-19 pandemic affected food security status differently among Latino/Hispanic essential and non-essential workers in the United States. The COVID-19 Latino health cross-sectional survey was conducted and administered in person and virtually. Bivariate analyses and chi-square tests were performed to investigate the association between essential worker status and changes in food security status during the COVID-19 pandemic. All reported p-values were two-sided; p < 0.05 was considered statistically significant. Of the 869 Hispanic/Latino respondents, 393 (45%) were deemed essential workers, and 476 (55%) were non-essential workers. About 22% of essential workers reported a household income of less than $20,000, whereas 19% of non-essential workers had an income above $100,000. Half (54%) of essential workers reported food insecurity. Over one-third (35%) of essential and 22% of non-essential workers reported increased food insecurity during the COVID-19 pandemic. Moreover,there was a significant difference in food insecurity status between essential and non-essentialHispanic/Latino workers (p < 0.001). The results underscore the prevalence of food insecurity due to the COVID-19 pandemic and the need to create comprehensive food policies that address the lack of availability of adequate food among Hispanic/Latino essential workers who already face pandemic-related challenges.

To Study the Distress, Anxiety, Depression, and Sleep Effects of the COVID-19 Pandemic on Essential Workers.

Essential care workers like police personnel, social workers, and office and administrative staff of health institutions are also at increased risk of coronavirus disease 2019 (COVID-19) exposure along with healthcare workers. The present study aims to estimate the distress, anxiety, depression, and sleep impact of COVID-19 pandemic on essential workers through an online survey. This cross-sectional study (included 369 participants) was conducted in Chandigarh through an online survey using three psychological scales: Peritraumatic Distress Inventory (PDI), Insomnia Severity Index, and Depression Anxiety Stress Scale. Three-hundred-sixty-nine frontline warriors from hospital and community settings were included in the study. The respondents include police personnel (274; 73.66%), office staff (24; 6.45%), social workers (53; 14.24%), and media staff (21; 5.65%). Maximum distress was reported by media/transport officials on duty (85.7%). The majority of them scored high (>14), and slightly less than one-fourth (23.8%) scored significantly abnormal (>23) on PDI. About 42.9% reported moderate insomnia, 52.4% exhibited severe anxiety, and 33.3% of media/transport participants reported severe depression. Psychological morbidity is high in media/transport and social workers working in the community during the COVID-19 pandemic.

Trapped in the COVID-19 pandemic: Seafarers and the global crew change crisis

This paper builds on the situation of seafarers, who found themselves stuck in the global crew change crisis triggered by the COVID-19 pandemic. This crisis, caused by countries going into lockdown and closing their borders, had affected more than 400,000 seafarers worldwide. Some were stranded overseas, some were trapped aboard ships and others were waiting in transition. A number of international organizations highlighted safety and human rights issues of what was recognized as a humanitarian crisis. They called out the international responsibility of allowing seafarers to cross borders and access health services, and for governments to facilitate safe journeys home for seafarers. The year 2021 was proclaimed as the “year of action for seafarers” to recognize them as essential workers. Building on media and other materials, this paper explores the global crisis and difficulties for many governments in dealing with this exceptional global pandemic with a particular focus on seafarers from Kiribati.

Precariousness and vulnerability: Seafarers in the COVID-19 pandemic

The COVID-19 pandemic significantly affected the world and work in particular, but its effects on the labor market were not evenly distributed. Seafarers, who are essential workers engaging in international maritime transport, encountered exacerbated challenges to labor conditions at sea during the pandemic. Notably, the inability to conduct crew changes violated their right to rest, increasing the risk of fatigue-related safety accidents at sea. Additionally, the precarious nature of maritime employment relationships delayed seafarers waiting to enlist on the vessels, creating extended financial hardship ashore. Socio-legal analysis revealed how the pandemic, related public health measures and precarious employment heightened the vulnerability of seafarers during the pandemic. Applying the Pressure, Disorganization and Regulatory Failure model and supported by qualitative data collected through a policy review, media coverage analysis and semi-structured interviews, we identified how seafarers’ health and safety rights were significantly compromised during the pandemic. Even though various initiatives were raised by international governmental and non-governmental organizations to address the “humanitarian crisis” at sea, maritime labor regulatory failures were not effectively addressed throughout the multiple waves of the pandemic.