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. 2020 Dec;26(12):2863–2871. doi: 10.3201/eid2612.203764

Table 2. Seropositivity for SARS-CoV-2 among healthcare, first response, and public safety personnel, by work location, occupation, and PPE use, Detroit metropolitan area, Michigan, USA, May–June 2020*.

Characteristic No. (%) % Seropositive (95% CI)
Work location
Hospital emergency department 3,614 (22.0) 8.1 (7.2–9.0)
Hospital ward 4,766 (29.1) 8.8 (8.0–9.7)
Hospital intensive care unit 3,973 (24.2) 6.1 (5.3–6.9)
Hospital operating room/surgical 2,661 (16.2) 4.5 (3.7–5.3)
Other hospital location 3,260 (19.9) 6.1 (5.3–7.0)
Emergency medical services 550 (3.4) 5.3 (3.6–7.5)
Fire services 1,008 (6.2) 5.0 (3.7–6.5)
Police department
615 (3.8)
3.9 (2.5–5.8)
Occupation
Administration/clerk 964 (5.9) 8.0 (6.4–9.9)
Clinical technician† 365 (2.2) 5.5 (3.4–8.3)
EMT/medical first responder/paramedic‡ 1,158 (7.1) 5.2 (4.0–6.6)
Firefighter§ 330 (2.0) 6.7 (4.2–9.9)
Imaging technician 719 (4.4) 4.2 (2.8–5.9)
Laboratory technician 293 (1.8) 3.4 (1.7– 6.2)
Midlevel clinician 566 (3.5) 4.6 (3.0–6.7)
Nurse 6,426 (39.2) 7.7 (7.1–8.4)
Nurse assistant 641 (3.9) 12.8 (10.3–15.6)
Other¶ 688 (4.2) 6.8 (5.1–9.0)
Other health# 200 (4.6) 7.5 (4.3–12.1)
Pharmacist 321 (2.0) 4.4 (2.4–7.2)
Physical therapist 235 (1.4) 10.6 (7.0–15.3)
Physician 2,297 (14.0) 6.1 (5.1–7.1)
Police/corrections officer 785 (4.8) 4.0 (2.7–5.6)
Respiratory therapist
409 (2.5)
8.3 (5.8–11.4)
PPE
Gown use all the time 9,316 (56.8) 6.9 (6.4–7.5)
Glove use all the time 11,887 (72.5) 7.0 (6.5–7.5)
N95 respirator use all the time 7,316 (44.6) 6.9 (6.3–7.5)
PAPR use all the time 695 (4.2) 7.6 (5.8–9.9)
Goggles/face shield all the time 6,581 (40.1) 6.5 (5.9–7.1)
Surgical facemask all the time 9,452 (57.6) 6.6 (6.1–7.1)

*Work location categories are not mutually exclusive: 17.2% of participants reported >1 workplace. EMT, emergency medical technician; PAPR, powered air purifying respirator; PPE, personal protective equipment; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.
†Includes dialysis, telemetry, cardiovascular, extracorporeal membrane oxygenation (ECMO), respiratory, emergency/critical care, anesthesia, endoscopy, orthopedic, surgical, neurodiagnostic, urology, audiology, and radiation technicians.
‡Includes firefighter/medical first responder.
§Includes fire inspector and fire marshal.
¶Includes dietary staff, environmental staff, social worker/chaplain, maintenance staff, supervisor.
#Includes dentist, medical examiner, orderly, phlebotomist, therapy aide, trainee.