<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2022000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Determinantes de letalidad por la COVID-19 en trabajadores de salud en la primera y segunda olas en Perú]]></article-title>
<article-title xml:lang="en"><![CDATA[Determinants of COVID-19 fatality among healthcare workers during the first and second waves in Peru]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacovilca-Alejo]]></surname>
<given-names><![CDATA[Olga Vicentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zea-Montesinos]]></surname>
<given-names><![CDATA[César Cipriano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reginaldo-Huamani]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lacho-Gutiérrez]]></surname>
<given-names><![CDATA[Pavel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quispe-Rojas]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacovilca-Alejo]]></surname>
<given-names><![CDATA[Gelber Sebasti]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quispe-Ilanzo]]></surname>
<given-names><![CDATA[Melisa Pamela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oyola-García]]></surname>
<given-names><![CDATA[Alfredo Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Huancavelica  ]]></institution>
<addr-line><![CDATA[Huancavelica ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Privada de Huancayo Franklin Roosevelt  ]]></institution>
<addr-line><![CDATA[Junín ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Natural and Social Sciences Research  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional San Luis Gonzaga  ]]></institution>
<addr-line><![CDATA[Ica ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2022</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2022000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2022000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2022000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Los trabajadores de salud presentan alto riesgo de la COVID-19, hecho especialmente importante en el Perú que tiene una de los mayores índices de letalidad por esta pandemia.  Objetivo:  Identificar y comparar los determinantes de letalidad por la COVID-19 en trabajadores de salud del Perú, entre la primera y segunda olas.  Material y Métodos: Análisis secundario de datos de la Sala situacional de trabajadores del sector salud de COVID-19, que incluyó 95 966 casos confirmados de la COVID-19 hasta el 21 de octubre de 2021. Se calculó el índice de letalidad, así como los odds ratio -y sus intervalos de confianza a 95 %- crudo y ajustado mediante regresión logística binaria.  Resultados:  65,5 % fueron mujeres, de 41,2 (D.E.=11,1) años en promedio. El índice de letalidad fue mayor durante la segunda ola (2,1 % [IC95%=2,0-2,2] vs 2,6 % [IC95 %=2,5-2,8]). El sexo masculino (3,49 [IC95 %=3,09-3,95] en la primera ola y 2,65 [IC95 %=2,32-3,02] en la segunda ola), la edad &#8805;40 años (9,97 [IC95 %=8,19-12,13] en la primera ola y 10,77 [IC95 %=8,56-13,54] en la segunda ola), así como ser profesional de salud (1,14 [IC95 %=1,01-1,28] en la primera ola y 1,59 [IC95 %=1,39-1,82] en la segunda ola) determinaron la letalidad por la COVID-19 en ambas olas.  Conclusiones: La letalidad fue mayor en la segunda ola y se asoció a determinantes individuales, geográficos y ocupacionales de los trabajadores de salud peruanos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Healthcare workers are at high risk of COVID-19, a fact that is especially important in Peru which has one of the highest COVID-19 case fatality rates.  Objective: To identify and compare the determinants of COVID-19 case fatality among healthcare workers in Peru between the first and second waves of the pandemic.  Material and Methods:  Secondary analysis of data from the COVID-19 Health Sector Workers Situation Room which included 95,966 confirmed cases of COVID-19 until October 21, 2021. Case fatality rate was calculated; crude and adjusted odds ratios with 95 % confidence intervals were obtained by applying binary logistic regression.  Results: The results show that 65,5 % of the workers were female, aged 41,2 (S.D.=11,1) years on average. Case fatality rate was higher in the second wave. Male sex (3,49 [95 %CI=3,09-3,95] in the first wave (2,1 % [95 %CI=2,0-2,2] vs. 2,6 % [95 %CI=2,5-2,8]), and 2,65 [95 %CI=2,32-3,02] in the second wave), &#8805;40 years ofage (9,97 [95 %CI=8,19-12,13] in the first wave, and 10,77 [95 %CI=8,56-13,54] in the second wave), and healthcare professionals (1,14 [95 %CI=1,01-1,28] in the first wave, and 1,59 [95 %CI=1,39-1,82] in the second wave) were determinants for COVID-19 case fatality in both waves.  Conclusions: COVID-19 case fatality was higher in the second wave, and was associated with individual, geographic and occupational determinants in Peruvian healthcare workers.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Factores epidemiológicos]]></kwd>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[mortalidad laboral]]></kwd>
<kwd lng="es"><![CDATA[personal de salud]]></kwd>
<kwd lng="es"><![CDATA[países en desarrollo]]></kwd>
<kwd lng="es"><![CDATA[Perú]]></kwd>
<kwd lng="en"><![CDATA[Epidemiologic factors]]></kwd>
<kwd lng="en"><![CDATA[coronavirus infections]]></kwd>
<kwd lng="en"><![CDATA[occupational mortality]]></kwd>
<kwd lng="en"><![CDATA[health personnel]]></kwd>
<kwd lng="en"><![CDATA[developing countries]]></kwd>
<kwd lng="en"><![CDATA[Peru]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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