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Medical Leave Associated With COVID-19 Among Emergency Medical System Responders and Firefighters in New York City

Educational Objective
To understand how COVID-19 is impacting medical leave among Emergency Medical System Responders and Firefighters
1 Credit CME

In New York, New York, from March 1 to May 31, 2020, 201 102 individuals were diagnosed with coronavirus disease 2019 (COVID-19), resulting in 51 085 hospitalizations and 16 834 deaths.1 The Fire Department of the City of New York (FDNY), the largest in the US, responds to nearly 1.5 million emergency medical calls per year in a city of more than 8.4 million people. Active paid FDNY responders include 4408 emergency medical service (EMS) responders and 11 230 firefighters. These FDNY responders are required to don personal protective equipment before patient contact per US Centers for Disease Control and Prevention guidelines.2 In this cohort study, we compared medical leave of FDNY responders during the pandemic with prior years.

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Article Information

Accepted for Publication: June 25, 2020.

Published: July 24, 2020. doi:10.1001/jamanetworkopen.2020.16094

Correction: This article was corrected on August 20, 2020, to fix incorrect dates in the Results section.

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Prezant DJ et al. JAMA Network Open.

Corresponding Author: David J. Prezant, MD, 9 MetroTech Center, Brooklyn, NY 11201 (david.prezant@fdny.nyc.gov).

Author Contributions: Drs Zeig-Owens and Prezant had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Drs Prezant, Zeig-Owens, and Weiden contributed equally to this work.

Concept and design: Prezant, Zeig-Owens, Hurwitz, Beecher, Weiden.

Acquisition, analysis, or interpretation of data: Prezant, Zeig-Owens, Schwartz, Liu, Hurwitz, Beecher.

Drafting of the manuscript: Prezant, Zeig-Owens, Liu, Weiden.

Critical revision of the manuscript for important intellectual content: Prezant, Zeig-Owens, Schwartz, Hurwitz, Beecher, Weiden.

Statistical analysis: Zeig-Owens, Schwartz, Liu, Weiden.

Obtained funding: Prezant.

Administrative, technical, or material support: Prezant, Hurwitz, Beecher.

Supervision: Prezant, Zeig-Owens.

Conflict of Interest Disclosures: None reported.

Funding/Support: This research was supported by the City of New York and the Fire Department of the City of New York.

Role of the Funder/Sponsor: The funders provided data management and access but had no role in the design and conduct of the study; collection, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

References
1.
New York City Department of Health and Mental Hygiene. Coronavirus-data/case-hosp-death.csv 2020. Accessed June 4, 2020. https://github.com/nychealth/coronavirus-data/blob/master/case-hosp-death.csv
2.
Centers for Disease Control and Prevention. Interim guidance for emergency medical services (EMS) systems and 911 public safety answering points (PSAPs) for COVID-19 in the United States. Updated March 10, 2020. Accessed June 17, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html
3.
Centers for Disease Control and Prevention. Criteria for return to work for healthcare personnel with confirmed or suspected COVID-19 (interim guidance). Updated May 5, 2020. Accessed June 17, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html
4.
Lai  X , Wang  M , Qin  C ,  et al.  Coronavirus disease 2019 (COVID-2019) infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China.   JAMA Netw Open. 2020;3(5):e209666. doi:10.1001/jamanetworkopen.2020.9666PubMedGoogle Scholar
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Kluytmans-van den Bergh  MFQ , Buiting  AGM , Pas  SD ,  et al.  Prevalence and clinical presentation of health care workers with symptoms of coronavirus disease 2019 in 2 Dutch hospitals during an early phase of the pandemic.   JAMA Netw Open. 2020;3(5):e209673. doi:10.1001/jamanetworkopen.2020.9673PubMedGoogle Scholar
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Adams  JG , Walls  RM .  Supporting the health care workforce during the COVID-19 global epidemic.   JAMA. 2020;323(15):1439-1440. doi:10.1001/jama.2020.3972PubMedGoogle ScholarCrossref
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