Measuring work-related risk of COVID-19: comparison of COVID-19 incidence by occupation and industry – Wisconsin, September 2020-May 2021

Source avec lien : Clinical Infectious Diseases, En ligne. 10.1093/cid/ciac586

De septembre 2020 à mai 2021, le département des services de santé du Wisconsin a recueilli des données sur les professions et les industries dans le cadre des enquêtes de routine sur les cas de COVID-19. Les adultes âgés de 18 à 64 ans présentant un COVID-19 confirmé ou probable au Wisconsin se sont vus attribuer des codes de profession et d’industrie standardisés. Les taux d’incidence cumulatifs ont été pondérés en fonction des non-réponses et calculés à l’aide des dénominateurs de la main-d’œuvre en équivalent temps plein (ETP) de l’American Community Survey de 2020.

Abstract Background Work-related exposures play an important role in SARS-CoV-2 transmission, yet few studies have measured the risk of COVID-19 across occupations and industries. Methods During September 2020 – May 2021, the Wisconsin Department of Health Services collected occupation and industry data as part of routine COVID-19 case investigations. Adults aged 18-64 years with confirmed or probable COVID-19 in Wisconsin were assigned standardized occupation and industry codes. Cumulative incidence rates were weighted for non-response and calculated using full-time equivalent (FTE) workforce denominators from the 2020 American Community Survey. Results An estimated 11.6% of workers (347,013 of 2.98 million) in Wisconsin, ages 18-64 years, had COVID-19 from September 2020 to May 2021. The highest incidence by occupation (per 100 full-time equivalents) occurred among personal care and services workers (22.4), healthcare practitioners and support staff (20.7), and protective services workers (20.7). High risk sub-groups included nursing assistants and personal care aides (28.8), childcare workers (25.8), food and beverage service workers (25.3), personal appearance workers (24.4), and law enforcement workers (24.1). By industry, incidence was highest in healthcare (18.6); the highest risk sub-sectors were nursing care facilities (30.5) and warehousing (28.5). Conclusions This analysis represents one of the most complete examinations to date of COVID-19 incidence by occupation and industry. Our approach demonstrates the value of standardized occupational data collection by public health, and may be a model for improved occupational surveillance elsewhere. Workers at higher risk of SARS-CoV-2 exposure may benefit from targeted workplace COVID-19 vaccination and mitigation efforts.

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