key: cord-0808097-3dn1ixui
authors: Ñamendys-Silva, Silvio A.
title: Health care workers with COVID-19 in Mexico
date: 2020-08-03
journal: Eur Respir J
DOI: 10.1183/13993003.02885-2020
sha: 7b704ca9fb7c57b9bbdea233a7d806e7ab610096
doc_id: 808097
cord_uid: 3dn1ixui

Health care workers can be infected in the community, and in interactions with colleagues and such infections are therefore not always the result of acquisition from infected patients.

I read with interest the recently published report by Siddiqui (3.67%) were in critical condition, 234 required endotracheal intubation and invasive mechanical ventilation. 6, 7 In Mexico, 92% of affected HCWs had mild or moderate COVID-19, supporting the findings of Siddiqui et al. 1 The case fatality rate of COVID-19 in HCWs based on all cases reported by the Mexican Secretariat of Health was 1.48% (683/46 013) 6,7 , as compared with an overall COVID-19 case fatality rate of 15.26% (25 096/162 379) (difference, 13,78%; 95% confidence interval: 13,57% to 13,98%; p<0.001).

Personal protective equipment (PPE) alone does not effectively protect patients and healthcare personnel. The way to ensure safe PPE use is through consistent and correct use reinforced by repeated training and practice. Finally, Mexican HCWs could have acquired SARS-CoV-2 infection at work through direct or indirect contact with infected patients, and HCWs could be exposed to infected family members, and colleagues, or live in an area with active community transmission. 8, 9 

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