Abstract
BACKGROUND: Workers whose occupations put them in contact with infected persons and the public are at increased risk of COVID-19 infection. RECOMMENDATIONS: The Collegium Ramazzini calls on governments at all levels to protect worker health by strengthening public health systems; maintaining comprehensive social insurance systems; establishing policies that presume all COVID-19 infections in high-risk workers are work-related; enforcing all occupational health standards; and developing pandemic preparedness plans. The Collegium Ramazzini calls on all employers - large and small, public and private - to protect the health of all workers by developing disease preparedness plans; implementing basic infection control measures; establishing disease identification and isolation policies; reducing hazardous exposures; supporting personal protective equipment (PPE) programs; and restricting unnecessary travel. CONCLUSION: Governments and employers have legal obligations to protect worker health. They are not relieved of these duties during pandemics.