Risk of hospitalization and death for healthcare workers with COVID-19 in nine European countries, January 2020–January 2021
Lisa Ferland, Carlos Carvalho, Joana Gomes Dias, Favelle Lamb, Cornelia Adlhoch, C. Suetens, Julien Beauté, Pete Kinross, Diamantis Plachouras, Tuula Hannila‐Handelberg, Massimo Fabiani, Flavia Riccardo, Arianne B. van Gageldonk‐Lafeber, Anne Teirlinck, Joël Mossong, Anne Vergison, Jackie Maistre Melillo, Tanya Melillo, Piers Mook, Richard Pebody, A.P. Coutinho Rehse, Dominique L. Monnet
Abstract
This article presents and compares coronavirus disease 2019 attack rates for infection, hospitalization, intensive care unit (ICU) admission and death in healthcare workers (HCWs) and non-HCWs in nine European countries from 31st January 2020 to 13th January 2021. Adjusted attack rate ratios in HCWs (compared with non-HCWs) were 3.0 [95% confidence interval (CI) 2.2–4.0] for infection, 1.8 (95% CI 1.2–2.7) for hospitalization, 1.9 (95% CI 1.1–3.2) for ICU admission and 0.9 (95% CI 0.4–2.0) for death. Among hospitalized cases, the case-fatality ratio was 1.8% in HCWs and 8.2% in non-HCWs. Differences may be due to better/earlier access to treatment, differential underascertainment and the healthy worker effect.