8284908 Mortality of healthcare staff from COVID-19 in 2020–2022

<h3>Objective</h3> Analysis of healthcare staff mortality from COVID-19 in comparison to general population of the Russian Federation <h3>Material and Methods</h3> Based on information from the large corporative medical network (gender, age composition of staff and those who died from 01.01.2020 to 31.12.2022) and Russian population data for the same period, a comparative study of medical (doctors, secondary and junior medical staff) and non-medical staff mortality was performed. The number of person-years of follow-up was 25099 for male and 134208 for female group. 40 men and 73 women died. Analysis of mortality by the years based on age-standardized mortality rates for each occupational group was performed. <h3>Results</h3> Among men the risk of dying from COVID-19 was significantly higher than in the general population (SIR=1.86; 95%CI 1.05-3.31) mainly due to the high risk in the professional group of doctors (SIR=1.96; 95%CI 1.06-3.62). For female doctors SIR was 1.37 (95%CI 0.77-2.44). In all other female professional groups, the death rates were significantly lower than in population. Mortality rate from COVID-19 was particularly high in the first year of the pandemic. Male doctors had a 3.97-fold higher mortality rate than the population and female 3.6-fold. There was also a trend to increase of mortality rate in male secondary personnel. In other occupational groups mortality rates were significantly lower than in population. In 2021 and 2022 either in medical or non-medical healthcare staff mortality rates were significantly lower or did not differ from those in population. <h3>Conclusion</h3> In Russia’s largest corporative medical network a high risk of death compared to the population was registered among doctors of both sexes and male secondary staff in the first year of the pandemic. This raises the need for a further, more detailed study and for adaptation of the healthcare system to possible new challenges.