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Continue to ChatBron: 24-03-2020; https://www.bloomberg.com/opinion/articles/2020-03-24/the-coronavirus-crisis-is-putting-surgeons-at-risk-too By: Therese Raphael Summary To date, 24 Italian doctors died of covid19 which indicates doctors in frontline are vulnerable for severe cases of covid19 Sourcing of personal protective equipment (ppe) is not the only problem. In addition; the absence of frequent testing increases the chances of doctors falling ill. Third; doctors, when exposed, have increased chance of severe covid19. Extra distribution of PPE is not the solution, especially for surgery where normal PPE does not suffice. The OR is can be seen as “viral labs in a wind tunnel.” Why is the OR extra contaminated? Virus spreads via aerosols → intubation Also spreads via blood and other body fluids which frequently get exposed during surgery Virus particles can linger outside the patient on metal, plastic etc. Constant ventilation in the OR blows aerosols around and contaminating all OR surfaces (including ceiling) which is impossible to properly clean Proper protocols for surgical PPE do not exist, full hazmat might be best but availability is limited. Viral load in OR might be high In Italy positive patients were operated on using normal surgical masks since others were unavailable leading to an unsafe doctor environment and therewith imposing big problems on the healthcare system. https://www.heelkunde.nl/nieuws/nieuwsbericht?newsitemid=31948813