Mortality among healthcare workers in Indonesia during 18 months of COVID-19
Mortality among healthcare workers in Indonesia during 18 months of COVID-19
Abstract The impact of SARS-CoV-2 infections upon Indonesian health care workers (HCWs) remains unclear, as mortality data specific to HCWs is not systematically collected or analyzed in this setting. This report describes findings from a systematic collation, abstraction and analysis of HCW fatalities during the first 18 months of COVID-19 in Indonesia. HCW who died during the period of March 2020 to July 2021 across Indonesia were identified on Pusara Digital, a community web-based digital cemetery database dedicated to HCW. We calculated mortality rates and death risk ratio among HCWs and the general population. Qualitative methods explored concerns regarding mortality among HCWs. The analysis suggests that at least 1,545 HCWs died during the study period. The death of males and females HCWs were almost equally distributed (51% vs. 49%). Most were medical doctors and specialists (535, 35%), nurses (428, 28%), and midwives (359, 23%). Deaths most frequently occurred in the age group of 40 to 59 years old with the median age of 50 years (IQR: 39-59). At least 322 (21%) deaths occurred with pre-existing conditions, including 45 who were pregnant. We estimated a minimal HCW mortality rate in Indonesia at 1.707 deaths per 1000 HCW during the first 18 months of COVID-19. Provincial HCW mortality rates ranged from 0.136 (West Sulawesi) to 5.32 HCW deaths per 1000 HCWs (East Java). HCW had a significantly higher mortality rate than the general population (RR = 4.92, 95% CI 4.67 – 5.17). The COVID-19 event in Indonesia resulted in the loss of many hundreds of HCWs, most of them being senior physicians, nurses, and midwives. The HCW death rates is 5-times higher than everyone else. The sheer sparseness of the workforce requires more protective steps and a national systematic surveillance of occupational mortality is urgently needed in this setting.
Andrianto Adhi A.、Ekawati Lenny L.、Elyazar Iqbal R.F.、Nurhasim Ahmad、Munziri M. Zakiyuddin、Ferdiansyah Firdaus、Malik Halik、Pasaribu Monalisa、Nursalam、Sri Suhardiningsih A.V.、Jubaedah Ade、Hidayana Irma、Maharani Tri、Abidin Khairul、Sudoyo Herawati、Lestari Karina D.、Riza Andy、Kreager Philip、Tan Amanda、Baird J. Kevin、Smith Adrian D.、Surendra Henry、Nashiruddin Fikry、Widodo N.S.、Arif Ahmad、Adnani Qorinah E.S.
Eijkman-Oxford Clinical Research Unit (EOCRU)Eijkman-Oxford Clinical Research Unit (EOCRU)||Nuffield Department of Medicine, University of Oxford||LaporCOVID-19Eijkman-Oxford Clinical Research Unit (EOCRU)The ConversationLaporCOVID-19LaporCOVID-19Indonesian Doctor AssociationLaporCOVID-19Indonesia National Nurses Association of East Java Province||Faculty of Nursing, Airlangga UniversityIndonesia National Nurses Association of East Java ProvinceIndonesian Midwives AssociationLaporCOVID-19||St. Lawrence UniversityNational Institute of Health Research and Development, Ministry of Health, the Republic of IndonesiaLaporCOVID-19Mochtar Riady Institute for NanotechnologyEijkman-Oxford Clinical Research Unit (EOCRU)LaporCOVID-19Institute of Human Sciences, University of OxfordLaporCOVID-19Eijkman-Oxford Clinical Research Unit (EOCRU)||Nuffield Department of Medicine, University of OxfordNuffield Department of Population Health, University of OxfordEijkman-Oxford Clinical Research Unit (EOCRU)LaporCOVID-19Association of Indonesian Medical Laboratory TechnologistLaporCOVID-19Faculty of Medicine, Padjadjaran University
医学现状、医学发展医学研究方法医药卫生理论
COVID-19mortalityhealthcare workersresiliencedigital cemetery
Andrianto Adhi A.,Ekawati Lenny L.,Elyazar Iqbal R.F.,Nurhasim Ahmad,Munziri M. Zakiyuddin,Ferdiansyah Firdaus,Malik Halik,Pasaribu Monalisa,Nursalam,Sri Suhardiningsih A.V.,Jubaedah Ade,Hidayana Irma,Maharani Tri,Abidin Khairul,Sudoyo Herawati,Lestari Karina D.,Riza Andy,Kreager Philip,Tan Amanda,Baird J. Kevin,Smith Adrian D.,Surendra Henry,Nashiruddin Fikry,Widodo N.S.,Arif Ahmad,Adnani Qorinah E.S..Mortality among healthcare workers in Indonesia during 18 months of COVID-19[EB/OL].(2025-03-28)[2025-04-27].https://www.medrxiv.org/content/10.1101/2022.04.27.22274334.点此复制
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