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Prevalence of SARS-CoV-2 Infection Among Health Care Workers in a Tertiary Community Hospital

Educational Objective
To understand the prevalence of COVID-19 infection among Health Care Workers in a Tertiary Community Hospital

1 Credit CME

JAMA Internal Medicine

Published Online: August 11, 2020

Research Letter

Article Information and Disclosures

Allen Jeremias, MD, MSc¹;

James Nguyen, MD¹;

Joseph Levine, MD¹;

Simcha Pollack, PhD²;

William Engellenner, MD³;

Avni Thakore, MD¹;

Charles Lucore, MD¹

Author Affiliations

¹Department of Medicine, St Francis Hospital, The Heart Center, Roslyn, New York
²Department of Biostatistics, St Francis Hospital, The Heart Center, Roslyn, New York
³Department of Laboratory Medicine, St Francis Hospital, The Heart Center, Roslyn, New York

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New York City and its surrounding metro area have emerged as an epicenter of the coronavirus disease 2019 (COVID-19) outbreak worldwide. A recent population survey¹ for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibodies among those in New York state shows a prevalence of 21.2% in New York City and 16.7% in Long Island. Across the US, up to 11% of reported COVID-19 cases were found to be in health care professionals,² but the true prevalence of COVID-19 among health care workers is unknown. The aim of the present study is to establish the rate of COVID-19 among health care workers by widespread screening for SARS-CoV-2 exposure.

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Article Information

Corresponding Author: Allen Jeremias, MD, MSc, Division of Cardiology, Department of Medicine, St Francis Hospital, The Heart Center, 100 Port Washington Blvd, #105, Roslyn, NY 11576 (allen.jeremias@chsli.org).

Published Online: August 11, 2020. doi:10.1001/jamainternmed.2020.4214

Author Contributions: Drs Nguyen and Pollack 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.

Concept and design: Jeremias, Levine, Thakore.

Acquisition, analysis, or interpretation of data: Jeremias, Nguyen, Pollack, Engellenner, Thakore, Lucore.

Drafting of the manuscript: Jeremias, Nguyen.

Critical revision of the manuscript for important intellectual content: Levine, Pollack, Engellenner, Thakore, Lucore.

Statistical analysis: Nguyen, Pollack.

Administrative, technical, or material support: Nguyen, Levine, Engellenner, Thakore, Lucore.

Supervision: Jeremias.

Conflict of Interest Disclosures: None reported.

Additional Contributions: Guy Aristide, MD (St Francis Hospital, The Heart Center); J. Jane Cao, MD, MPH (St Francis Hospital, The Heart Center); Gary Gecelter, MD; Ronald J. Gulotta, MD (St Francis Hospital, The Heart Center); Maya A. Jeremias (St Francis Hospital, The Heart Center); Stefan M. Muehlbauer, MD, PhD; Patrick O’Shaughnessy, MD (St Francis Hospital, The Heart Center); Newell Robinson, MD; Richard Shlofmitz, MD (St Francis Hospital, The Heart Center). None of the contributors was compensated and none reported any conflicts or disclosures.

References

Amid ongoing COVID-19 pandemic, Governor Cuomo announces State Health Department will partner with Attorney General James to investigate nursing home violations. April 23, 2020. Accessed July 30, 2020. https://www.governor.ny.gov/news/amid-ongoing-covid-19-pandemic-governor-cuomo-announces-state-health-department-will-partner

CDC COVID-19 Response Team. Characteristics of health care personnel with COVID-19—United States, February 12-April 9, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(15):477-481.PubMed Google Scholar Crossref

Infection control guidance for healthcare professionals about coronavirus (COVID-19). Centers for Disease Control and Prevention. Updated June 3, 2020. Accessed May 1, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html

Lai J , Ma S , Wang Y , et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jamanetworkopen.2020.3976 PubMed Google Scholar

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.