• Terri Rebmann, Angela Vassallo, and Jill E Holdsworth.
• Institute for Biosecurity, Department of Epidemiology & Biostatistics, Saint Louis University, College for Public Health and Social Justice, Saint Louis, MO. Electronic address: terri.rebmann@slu.edu.
• Am J Infect Control. 2021 Apr 1; 49 (4): 434-437.

BackgroundSARS-CoV-2, the virus that causes COVID-19 disease was first discovered in China in December, 2019. The disease quickly spread globally, with the first US case identified in January, 2020; it was declared a pandemic on March 11, 2020. Soon after, anecdotal reports indicated that many US hospitals and healthcare facilities were running low on personal protective equipment (PPE) and supplies.MethodsAn online survey was administered to all Association for Professionals in Infection Control and Epidemiology members in March, 2020 to assess access to PPE, hand hygiene products, and disinfection supplies.ResultsIn all, 1,201 infection preventionists participated. Participants reported running a bit low to almost being out of all PPE types. More had sufficient gloves (63.4%) compared to all other PPE types (P < .001 for all). Face shields and N95 respirators were the least available (13.6% and 18.2% had sufficient supplies, respectively; p < .001 for all). Many (66.9%) had sufficient hand soap, but far fewer had sufficient hand sanitizer (29.5%, X2 = 211.1, P < .001). Less than half (45.4%, n = 545) had sufficient disinfection supplies.ConclusionsMany US healthcare facilities had very low amounts of PPE, hand hygiene products, and disinfection supplies early on during the pandemic. A lack of these supplies can lead to occupational exposures and illness as well as healthcare-associated transmission of COVID-19 and other diseases.Copyright © 2020. Published by Elsevier Inc.

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