Background: Health care workers including Doctors, Nurses, technicians and support staff are the main hands through which routine and urgent care are delivered to the people. Very little attention has been paid about the need to protect those who provided medical care; the entire focus was on the patient. The Covid -19 has affected healthcare workers badly all over the world. Front line health care providers have mortality rate of 1.4% but in countries like Italy it has gone up to 9%.Given the boundless transmission of SARS-CoV-2 and reports of its spread to health care service providers, health care professionals are at high risk and can become potential bearers of the infection. COVID-19 outbreak came up with various life-threatening issues along with certain other problems involving public, administrative and healthcare sector concerns. HCWs are there to treat but their views should be considered and addressed.  This online survey highlights about the various issues and challenges faced by Health care workers especially front-line healthcare workers.

Objectives: To assess various concerns and challenges of HCWs during COVID-19 Pandemic and effect of this pandemic on the HCWs.

Materials and Methods: A cross sectional, on-line survey using Google form has been carried out at Level-3 COVID-19 Hospital, Baba Raghav Das medical College Gorakhpur. A semi-structured predesigned and pretested questionnaire was used to collect the relevant data.

Results: A total of 219 HCWs participated in the study, 90% of the respondents feared contracting COVID-19 infection, and 97% feared carrying the infection home. 80% respondents felt that they were not welcomed by their community.

Conclusion: Finding of this study revealed various areas which need improvement to tackle the scenario more efficiently as well as safeguarding health of healthcare workers.

1. Urooj U, Ansari A, Siraj A, Khan S, Tariq H. Expectations, Fears and Perceptions of doctors during Covid-19 Pandemic. Pak J MedSci.2020;36(COVID19-S4):COVID19-S37-S42
2. Situation Report-67 SITUATION IN NUMBERS total and new cases in last 24hours, WHO.
3. WHO director-general’s opening remarks at the media briefing on COVID-19 – 3March2020.
4. WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020.
5. High proportion of healthcare workers with COVID-19 in Italy www.icn.ch › news › high- proportion-healthcare worker.
6. COVID-19 Related Deaths among Doctors in India, Aanandita Kapoor, Krishan Mohan Kapoor, COVID-19 SARS-CoV-2 preprints from medRxiv and bioRxiv.
7. Malta MVSC. Mobidoctor Malta VS COVID19-The war is on! MVSC Malta-mobidoctor.eu
8. Khalid I, Khalid TJ, Qabajah MR et al: Healthcare workers emotions, per¬ceived stressors and coping strategies during a MERS CoV outbreak. Clin Med Res, 2016; 14(1): 7 – 14.
9. Koh D, Lim MK, Chia SE et al: Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? Med Care, 2005; 43(7): 676 – 82.
10. Ruchira W Khasne, Bhagyashree S Dhakulkar, Hitendra C Mahajan and Atul P Kulkarni. Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey. Indian J Crit Care Med. 2020 Aug; 24(8): 664–671.
11. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010; 251(6):995–1000.
12. Wong TW, Yau JKY, Chan CLW, Kwong RSY, Ho SMY, Lau CC, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med. 2005;12(1):13–18.
13. Maunder R, Lancee W, Balderson K, Bennett J, Borgundvaag B, Evans S, et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2006;12(12):1924–1932.
14. Dyrbye LN, Shanafelt TD, Johnson PO, Johnson LA, Satele D, West CP (2019) A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC Nurs 18:57.
15. Wu P, Fang Y, Guan Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009; 54(5): 302–311.
16. Heymann DL, Shindo N. COVID-19: what is next for public health? Lancet. 2020;395(10224):542-545. doi: 10.1016/ S0140-6736(20)30374-3
17. Jiang Y. Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China. Med Sci Monit. 2020;26:e924171.
18. Jiang Y. Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China. Med Sci Monit. 2020;26: e924171.
19. Raboud J, Shigayeva A, McGeer A, et al. Risk factors for SARS transmission from patients requiring intubation: a multicentreinvestigation in Toronto. Canada. PLoS One. 2010.
20. Tsamakis K, Rizos E, Manolis AJ, Chaidou S, Kympouropoulos S, Spartalis E, Spandidos DA, Tsiptsios D, Triantafyllis AS. [Comment] COVID-19 pandemic and its impact on mental health of healthcare professionals. Experimental and Therapeutic Medicine 2020; 19:3451-3.

Dr Rahmat Ali (Ms (ortho), MCh (ortho) ) & Fellowship in Spine

Professor and H.O.D (Ortho Department), Maharishi Vashishtha Autonomous State Medical College, Basti, UP, India