MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):477-481. doi: 10.15585/mmwr.mm6915e6.
As of April 9, 2020, the coronavirus disease 2019 (COVID-19) pandemic had resulted in 1,521,252 cases and 92,798 deaths worldwide, including 459,165 cases and 16,570 deaths in the United States (1,2). Health care personnel (HCP) are essential workers defined as paid and unpaid persons serving in health care settings who have the potential for direct or indirect exposure to patients or infectious materials (3). During February 12-April 9, among 315,531 COVID-19 cases reported to CDC using a standardized form, 49,370 (16%) included data on whether the patient was a health care worker in the United States; including 9,282 (19%) who were identified as HCP. Among HCP patients with data available, the median age was 42 years (interquartile range [IQR] = 32-54 years), 6,603 (73%) were female, and 1,779 (38%) reported at least one underlying health condition. Among HCP patients with data on health care, household, and community exposures, 780 (55%) reported contact with a COVID-19 patient only in health care settings. Although 4,336 (92%) HCP patients reported having at least one symptom among fever, cough, or shortness of breath, the remaining 8% did not report any of these symptoms. Most HCP with COVID-19 (6,760, 90%) were not hospitalized; however, severe outcomes, including 27 deaths, occurred across all age groups; deaths most frequently occurred in HCP aged ≥65 years. These preliminary findings highlight that whether HCP acquire infection at work or in the community, it is necessary to protect the health and safety of this essential national workforce.
截至 2020 年 4 月 9 日,2019 年冠状病毒病(COVID-19)大流行已在全球范围内导致 1521252 例病例和 92798 例死亡,其中包括美国的 459165 例病例和 16570 例死亡(1,2)。卫生保健工作者(HCP)是指在卫生保健环境中工作的有薪和无薪人员,他们有可能直接或间接接触到病人或传染性材料(3)。在 2020 年 2 月 12 日至 4 月 9 日期间,向疾病预防控制中心报告的 315531 例 COVID-19 病例中,有 49370 例(16%)包括患者是否为美国卫生保健工作者的数据;其中包括 9282 例(19%)被确定为 HCP。在有数据的 HCP 患者中,中位数年龄为 42 岁(四分位距[IQR]=32-54 岁),6603 例(73%)为女性,1779 例(38%)报告至少有一种潜在的健康状况。在有医疗保健、家庭和社区接触史的 HCP 患者中,780 例(55%)仅在医疗保健环境中接触过 COVID-19 患者。尽管 4336 例(92%)HCP 患者报告至少有发热、咳嗽或呼吸急促等一种症状,但其余 8%的患者没有报告任何这些症状。大多数患有 COVID-19 的 HCP(6760 例,90%)没有住院;然而,所有年龄组都发生了严重后果,包括 27 例死亡;死亡最常发生在年龄≥65 岁的 HCP 中。这些初步发现强调,无论 HCP 是否在工作中或在社区中感染,都必须保护这一重要的国家劳动力的健康和安全。