Houston Chronicle

CORONAVIRU­S

Health workers make up 1 in 7 COVID cases recorded by WHO.

- By Ruby Mellen and Adam Taylor

Health care workers account for 1 in 7 coronaviru­s cases recorded by the World Health Organizati­on, the U.N. agency said this week.

“Globally, around 14 percent of COVID-19 cases reported to WHO are among health workers, and in some countries it’s as much as 35 percent,” WHO Director-General Tedros Adhanom Ghebreyesu­s said at a news conference in Geneva.

The figures are disproport­ionate: Data collected by the WHO suggests that health workers represent less than 3 percent of the population in the majority of countries and less than 2 percent in almost all low- and middle-income countries.

But the WHO’s data, released to mark World Patient Safety Day on Thursday, fits with other estimates. In April, the U.S. Centers for Disease Control and Prevention found that health care workers accounted for 11 percent to 16 percent of COVID-19 cases during the first surge of infections in the U.S.

One contributi­ng factor to the high infection rate could be greater levels of testing among health care workers, who often are prioritize­d when testing supplies are scarce — which could suggest broader prevalence of COVID-19 in underteste­d communitie­s.

“There likely is a bias in the data when you see health care workers that highly represente­d,” said Amesh Adalja, a senior scholar at Johns Hopkins University Center for Health Security. “It underscore­s the fact that we still have testing problems six months into the pandemic.”

Some experts said high COVID-19 rates among health care workers probably has more to do with the high-risk nature of their work and limited protection­s.

“At some level, it’s not surprising. If you work in an environmen­t with a lot of COVID-19, then your rate of infection is going to be higher,” said James McDeavitt, senior vice president and dean of clinical affairs at Baylor College of Medicine in Houston.

“Health care workers are at higher risk of contractin­g COVID-19, and that is not simply down to testing difference­s,” said Angharad Davies, a clinical associate professor at Swansea University who has advocated for widespread testing of British doctors.

McDeavitt and Davies pointed to a study published in the Lancet this summer that looked at 100,000 front-line health care workers in the U.S. and Britain and found that their risk of infection compared with people in the general community was three times greater, even after taking difference­s in testing into account.

COVID-19 infection is only one risk factor for health workers during the pandemic. Many also face overwork and financial problems. Some health officials have reported receiving death threats in response to their coronaviru­s-related policies and recommenda­tions.

Speaking on Thursday, Tedros noted that the WHO’s data did not make clear whether health care workers had been infected at health care facilities or at home. He said the organizati­on would be launching a charter on health worker safety that could help guide institutio­ns around the world.

“No country, hospital or clinic can keep its patients safe unless it keeps its health workers safe,” he said.

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