NHS workers and their relatives account for one in six Covid-19 patients of working age who are hospitalised, a study has found.
Scientists at the University of Glasgow analysed data for hospital admissions among adults aged 18 to 65 in Scotland against the general p.
Healthcare staff in ‘patient-facing’ roles, such as working in A&E, were three times as likely to be admitted with the disease as the general population.
Their family members were also twice as likely to be hospitalised with the disease, results of the research showed.
Healthcare workers are more susceptible to picking up the infection because they work in close proximity to Covid-19 patients.
They then may unknowingly take the coronavirus to their home, where there are potentially older and more vulnerable people, the researchers warned.
Their work highlights the importance of adequate personal protective equipment (PPE), such as medical masks, gloves, and goggles, which were in huge shortages in the first wave of the pandemic.
The risk of admission to hospital with Covid-19 (side axis) in healthcare workers over the course of the first wave of the pandemic (dates on bottom axis) compared wit the general population. Those in ‘patient-facing’ roles, such as paramedics, were most at risk
The risk of admission to hospital with Covid-19 (side axis) in household members over the course of the first wave of the pandemic (dates on bottom axis). The pink dotted line represents people who live with NHS staff in ‘patient-facing’ jobs
The study compared data from 160,000 NHS workers and 230,000 people they lived with.
The data was matched with separate data that has tracked hospital admissions from Covid-19 in the general population.
Healthcare workers accounted for 11.2 per cent of hospital admissions and their household members made up for 5.6 per cent – 17 per cent overall.
This is despite the fact they represent only 11 per cent of the working age population.
On closer inspection, staff who worked in jobs that didn’t involve directly coming into contact with patients, such as lab technicians, were not found to be at any more risk than the general population.
But those in patient-facing roles, such as nurses, surgeons, and paramedics, were three times more likely to be admitted to hospital for Covid-19.
Members of their households, which may include children, parents or housemates, were nearly twice as likely to be admitted to hospital for Covid-19 than other working age adults.
The study, in the British Medical Journal, concluded: ‘Healthcare workers and their households contributed a sixth of hospital admissions with Covid-19 among working age adults.
‘Healthcare workers in patient-facing roles — especially those in ‘front door’ roles — are, along with their households, at higher risk of admission with Covid-19.
‘As the northern hemisphere enters winter and nonpharmacological measures in populations are relaxed, governments, healthcare managers, and occupational health specialists need to consider how best to protect healthcare workers in the event of a resurgent pandemic.
‘This is necessary to protect the healthcare workers and their families, in addition to reducing onward transmission into the community.’
Among the healthcare workers in the study who were admitted to hospital, one in eight went into critical care. Six of them (2.5 per cent) died.
The paper said: ‘Within healthcare workers who were admitted to hospital, a non-trivial proportion resulted in admission to critical care or death.’
In admitted household members, one in five were admitted to critical care and 18 (13 per cent) died.
These findings should inform decisions about the organisation of health services, the use of PPE and staff organisation, the team conclude.
David McAllister, a public health doctor based at the University of Glasgow, said: ‘Healthcare workers continue to play a vital role in our response to the pandemic, every day.
‘It is vital that we understand the risks associated with Covid-19 for them and their families, and not just for their own health, but also so that we can protect and plan for the workforce in the future.
‘This work helps us to do that. It highlights that whilst the risk for many healthcare staff is similar to that of the general population, there is higher risk to some staff.
‘Knowing this can help us to take action to protect those staff at greatest risk as we work through this pandemic. With other organisations across Scotland, we are working to make sure that we do that.’
The risk of hospital admission in patient-facing (yellow) and non-patient facing (purple) in NHS workers depending on their age, sex and whether they have a health condition
