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The estimated risk to US surgeons is around 5% per year. This does of course depend on the patient population. In underdeveloped countries and in urban teaching hospitals the risk may be higher. Nearly every other surgeon will be infected if they have not received previously vaccination. Given the fact that the relative risk is over 2 in surgeons compared to the general population. An unvaccinated surgeon should be recognized as having an occupational disease if infected (at least a 50% chance of the disease being due to infection occurring at work). The personnel attributable proportion is calculated by using the relative risk (RR) as follows; (RR-1)/RR. If the RR is 2 then the AP is (2-1)/2 or 50%.