?:abstract
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OBJECTIVE We investigated COVID-19 infection and death among healthcare personnel (HCP) in the U.S. Veterans Health Administration. METHODS HCP with positive SARS-CoV-2 RT-PCR tests between March 1-August 31, 2020 were included. Risk ratios were calculated for sex, age, race/ethnicity, Veteran status, occupation category, facility of employment by inpatient COVID-19 test percent positivity and death. RESULTS 5,925 HCP were COVID-19-infected out of 131,606 tested (4.5% positivity). Highest risk for COVID-19 infection included: HCP working in hospitals with >15% inpatient COVID-19 test positivity, nursing staff, non-Hispanic Black and Hispanic or Latino HCP and HCP who were Veterans. Among 18 HCP who died after COVID-19 infection, male sex, age ≥65 years, and Veteran status were significant risk factors. CONCLUSIONS Robust national surveillance testing methods are needed to accurately monitor HCP COVID-19 infections and deaths to improve HCP safety.
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