Reported exposure trends among healthcare personnel COVID-19 cases, USA, March 2020-March 2021.

Details

• Personal Author:
  Billock RM ; De Perio, Marie A. ; Gaughan, Denise M. ; Groenewold MR ; Luckhaupt SE ; Sweeney, Marie H.
• Description:
  Background: Health care personnel (HCP) have experienced significant SARS-CoV-2 risk, but exposure settings among HCP COVID-19 cases are poorly characterized. Methods: We assessed exposure settings among HCP COVID-19 cases in the United States from March 2020 to March 2021 with reported exposures (n = 83,775) using national COVID-19 surveillance data. Exposure setting and reported community incidence temporal trends were described using breakpoint estimation. Among cases identified before initiation of COVID-19 vaccination programs (n = 65,650), we used separate multivariable regression models to estimate adjusted prevalence ratios (aPR) for associations of community incidence with health care and household and/or community exposures. Results: Health care exposures were the most reported (52.0%), followed by household (30.8%) and community exposures (25.6%). Health care exposures and community COVID-19 incidence showed similar temporal trends. In adjusted analyses, HCP cases were more likely to report health care exposures (aPR = 1.31; 95% CI:1.26-1.36) and less likely to report household and/or community exposures (aPR = 0.73; 95% CI:0.70-0.76) under the highest vs lowest community incidence levels. Discussion: These findings highlight HCP exposure setting temporal trends and workplace exposure hazards under high community incidence. Findings also underscore the need for robust collection of work-related data in infectious disease surveillance. Conclusions: Many reported HCP cases experienced occupational COVID-19 exposures, particularly during periods of higher community COVID-19 incidence. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Epidemiology Health Personnel Occupational Exposure Occupational Health Public Health Safety
• Keywords:
  Author Keywords: SARS-CoV-2; Healthcare Workers; Public Health Surveillance; Workplace Exposure Health Care Workers; COVID-19; Coronavirus; SARS-CoV-2; Surveillance; Occupational Exposure; Public Health; Infection Control; Infectious Diseases; Medical Personnel; Epidemiology;
• ISSN:
  0196-6553
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Ohio ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering ; OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  50
• Issue:
  5
• NIOSHTIC Number:
  nn:20065009
• Citation:
  Am J Infect Control 2022 May; 50(5):548-554
• Contact Point Address:
  Rachael M. Billock, PhD, Centers for Disease Control and Prevention, 5555 Ridge Ave, Mailstop R17, Cincinnati, OH 45213
• Email:
  qlf9@cdc.gov
• Federal Fiscal Year:
  2022
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Infection Control
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:741b3c915b3ed5d417024bbfe0c422cd0bd4e8c7e53629d0764d555bcff1c5f6c9c97436a8fa757e8e5bf9ac4e954a42b4a60c278b5083c90e27b8ddde0057f3
• Download URL:
  https://stacks.cdc.gov/view/cdc/249304/cdc_249304_DS1.pdf
• File Type:
  [PDF - 930.88 KB ]