Studies of transmission of SARS-CoV2 suggest a spectrum between droplet
and aerosol spread, even in asymptomatic patients and absence of aerosol
generating procedures (5). Thus the type of masks worn by medical
practitioners may mitigate risk to different degrees. Our equation is
modifiable, according to local prevalence, transmission efficiency,
number of patients seen per year by the provider, and quality of mask
mitigation. Eyewear may further mitigate this risk (4). The figure shows
that while the risk of acquiring Covid-19 in a year of practice is low,
it is not negligible. However it can be minimized. These considerations
may be helpful in deciding local risk to the practitioner according to
practice volume and in choosing the level of PPE that would result in
minimizing that risk.
Julian Allen, MD
Tryce Scully, MS
The Children’s Hospital of Philadelphia
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