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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Around the world&#44; Spain is the country with the most health professionals &#40;HP&#41; affected by COVID-19&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> SARS-CoV-2 infection has affected many HPs who are exposed to undeniable risk in the performance of their jobs&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Up until 29 May 2020&#44; a total of 250&#44;273 cases of COVID-19 had been communicated to the National Epidemiological Surveillance Network&#44; of which 40&#44;961 &#40;16&#46;36&#37;&#41; were HPs&#44; these being predominantly women &#40;76&#46;5&#37;&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">This situation&#44; as is to be expected&#44; has had significant repercussions in the occupational health setting&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> It seems clear that the contingency presented in HPs as a consequence of illness caused by SARS-CoV-2 should be classified as an occupational disease &#40;OD&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Nevertheless&#44; according to Royal Decree-Law 13&#47;2020&#44; of 7 April&#44; by which certain emergency measures for agricultural work are adopted&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> in some cases this situation was described as an industrial accident &#40;IA&#41;&#44; alluding to the fact that when it can be proven that the disease was caught exclusively while working&#44; there exists the possibility to classify it as an IA&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Subsequently&#44; in Royal Decree-Law 19&#47;2020&#44; of 26 May&#44; additional measures were adopted in terms of agricultural&#44; scientific&#44; economic&#44; labour&#44; Social Security and tax matters to alleviate the effects of COVID-19&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> It was specified that IA classification would apply to all infections that occurred until the month following the end of the state of alarm&#44; accredited by the pertinent IA report that must be issued within the same period of reference&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">For many collectives &#40;including union representatives&#41;&#44; classification as an OD or IA may go unnoticed with the understanding that the differences are small&#58; both are labour contingencies&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> However&#44; this distinction is key and classification as an OD is far more beneficial to the worker&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Firstly&#44; OD classification entails a requirement to carry out inspections&#44; both previous and periodically&#44; to prevent disease-related risks&#46; This is not the case with the IA designation&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Secondly&#44; when a worker is unable to perform her or his professional activity&#44; OD classification gives the worker the right to be assigned to another job&#44; within the same company&#44; with the same salary&#46; This is not the case for IA classification&#44; where workers can even be required to accept permanent disability status&#44; a condition that amounts to 55&#37; of their contributions&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Thirdly&#44; OD classification includes the right to receive&#44; where applicable&#44; compensation for death or permanent disability of an indefinite nature&#44; even after death&#46; On the other hand&#44; in the case of an IA&#44; the temporary period for said benefit is the 5 years following the accident or equivalent incident&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Lastly&#44; in light of a suspected OD&#44; there exists the option to classify it as an OD observation period &#40;with the same coverage&#41; for a period of 6 months&#44; which can be extended 6 more months while the case is being resolved&#46; This option does not exist in the case of IAs either&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In addition&#44; there are multiple reasons why SARS-CoV-2 infection in HPs should be classified as ODs &#40;for employed workers and the self-employed&#44; provided they pay contributions for this reason&#41;&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">a&#41;</span><p id="par0055" class="elsevierStylePara elsevierViewall">This is an Appendix 1 pathology&#44; according to the provisions of Royal Decree 1299&#47;2006&#44; of 10 November&#44; which approved the table of ODs caused by biological agents<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a>&#44; which literally states that &#8220;infectious diseases caused by the work of persons who are employed in the prevention&#44; medical treatment&#44; and activities in which a risk of infection has been proven &#40;excluding those microorganisms included in group 1 of RD 664&#47;1997&#44; of 12 May&#44; regulating the protection of workers against risks associated with exposure to biological agents while working&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> This circumstance is fulfilled by SARS-CoV-2 infections in HPs considering that the coronavirus family is listed in group 2&#44; and Directive 2020&#47;739 of the European Union&#44; of 3 June 2020<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a>&#44; includes SARS-CoV-2 in group 3&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">b&#41;</span><p id="par0060" class="elsevierStylePara elsevierViewall">When issuing a medical certificate for sick leave&#44; it is an obligation for family doctors in the National Health System&#44; in compliance with the provisions of Art&#46; 5 of Royal Decree 1299&#47;2006&#44; of 10 November&#44; which approved the table of ODs&#44;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> to establish that &#8220;when National Health System doctors&#44; while acting professionally&#44; learn of the existence of a disease included in Appendix 1&#44; they are to report this for applicable purposes through the competent body of each autonomous community and the cities with a Statute of Autonomy&#44; to the managing entity&#44; for the purposes of classification envisaged to be classified as an OD&#8221;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">c&#41;</span><p id="par0065" class="elsevierStylePara elsevierViewall">Lastly&#44; Royal Decree 1299&#47;2006&#44; on the protection of workers against the risks associated with exposure to biological agents<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> also specifies that this classification corresponds to the jobs defined in the OD table&#44; although this list is neither exhaustive nor closed&#44; but rather may be extended to cover other jobs&#46;</p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">In light of all of this&#44; we understand that all HPs infected by SARS-CoV-2 while at work have the right&#44; without a doubt&#44; to classification as an OD and to benefit from the advantages of this contingency&#46;</p></span>"
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Correspondence
Healthcare professionals diagnosed by COVID-19 at work: The right for it to be classified as an occupational disease
Profesionales sanitarios diagnosticados de COVID-19 en el trabajo: un derecho a la calificación como enfermedad profesional
G. Martí Amenguala,
Corresponding author
gabrielmarti@ub.edu

Corresponding author.
, P. Sanz Gallena, C. Martin-Fumadób,c, J. Arimany-Mansoa
a Unidad de Medicina Legal, Laboral y Toxicología, Departament de Medicina, Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain
b Departamento de Medicina, Facultad de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya, Barcelona, Spain
c Cátedra de Responsabilidad Profesional Médica y Medicina Legal, Universitat Autònoma de Barcelona, Barcelona, Spain
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as is to be expected&#44; has had significant repercussions in the occupational health setting&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> It seems clear that the contingency presented in HPs as a consequence of illness caused by SARS-CoV-2 should be classified as an occupational disease &#40;OD&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Nevertheless&#44; according to Royal Decree-Law 13&#47;2020&#44; of 7 April&#44; by which certain emergency measures for agricultural work are adopted&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> in some cases this situation was described as an industrial accident &#40;IA&#41;&#44; alluding to the fact that when it can be proven that the disease was caught exclusively while working&#44; there exists the possibility to classify it as an IA&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Subsequently&#44; in Royal Decree-Law 19&#47;2020&#44; of 26 May&#44; additional measures were adopted in terms of agricultural&#44; scientific&#44; economic&#44; labour&#44; Social Security and tax matters to alleviate the effects of COVID-19&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> It was specified that IA classification would apply to all infections that occurred until the month following the end of the state of alarm&#44; accredited by the pertinent IA report that must be issued within the same period of reference&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">For many collectives &#40;including union representatives&#41;&#44; classification as an OD or IA may go unnoticed with the understanding that the differences are small&#58; both are labour contingencies&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> However&#44; this distinction is key and classification as an OD is far more beneficial to the worker&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Firstly&#44; OD classification entails a requirement to carry out inspections&#44; both previous and periodically&#44; to prevent disease-related risks&#46; This is not the case with the IA designation&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Secondly&#44; when a worker is unable to perform her or his professional activity&#44; OD classification gives the worker the right to be assigned to another job&#44; within the same company&#44; with the same salary&#46; This is not the case for IA classification&#44; where workers can even be required to accept permanent disability status&#44; a condition that amounts to 55&#37; of their contributions&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Thirdly&#44; OD classification includes the right to receive&#44; where applicable&#44; compensation for death or permanent disability of an indefinite nature&#44; even after death&#46; On the other hand&#44; in the case of an IA&#44; the temporary period for said benefit is the 5 years following the accident or equivalent incident&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Lastly&#44; in light of a suspected OD&#44; there exists the option to classify it as an OD observation period &#40;with the same coverage&#41; for a period of 6 months&#44; which can be extended 6 more months while the case is being resolved&#46; This option does not exist in the case of IAs either&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In addition&#44; there are multiple reasons why SARS-CoV-2 infection in HPs should be classified as ODs &#40;for employed workers and the self-employed&#44; provided they pay contributions for this reason&#41;&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">a&#41;</span><p id="par0055" class="elsevierStylePara elsevierViewall">This is an Appendix 1 pathology&#44; according to the provisions of Royal Decree 1299&#47;2006&#44; of 10 November&#44; which approved the table of ODs caused by biological agents<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a>&#44; which literally states that &#8220;infectious diseases caused by the work of persons who are employed in the prevention&#44; medical treatment&#44; and activities in which a risk of infection has been proven &#40;excluding those microorganisms included in group 1 of RD 664&#47;1997&#44; of 12 May&#44; regulating the protection of workers against risks associated with exposure to biological agents while working&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> This circumstance is fulfilled by SARS-CoV-2 infections in HPs considering that the coronavirus family is listed in group 2&#44; and Directive 2020&#47;739 of the European Union&#44; of 3 June 2020<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a>&#44; includes SARS-CoV-2 in group 3&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">b&#41;</span><p id="par0060" class="elsevierStylePara elsevierViewall">When issuing a medical certificate for sick leave&#44; it is an obligation for family doctors in the National Health System&#44; in compliance with the provisions of Art&#46; 5 of Royal Decree 1299&#47;2006&#44; of 10 November&#44; which approved the table of ODs&#44;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> to establish that &#8220;when National Health System doctors&#44; while acting professionally&#44; learn of the existence of a disease included in Appendix 1&#44; they are to report this for applicable purposes through the competent body of each autonomous community and the cities with a Statute of Autonomy&#44; to the managing entity&#44; for the purposes of classification envisaged to be classified as an OD&#8221;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">c&#41;</span><p id="par0065" class="elsevierStylePara elsevierViewall">Lastly&#44; Royal Decree 1299&#47;2006&#44; on the protection of workers against the risks associated with exposure to biological agents<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> also specifies that this classification corresponds to the jobs defined in the OD table&#44; although this list is neither exhaustive nor closed&#44; but rather may be extended to cover other jobs&#46;</p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">In light of all of this&#44; we understand that all HPs infected by SARS-CoV-2 while at work have the right&#44; without a doubt&#44; to classification as an OD and to benefit from the advantages of this contingency&#46;</p></span>"
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