Nurses and other HCWs are on the front line of healthcare and were disproportionately impacted during the COVID-19 pandemic. In 2020. ICN undertook an online survey of 52 associations in 50 countries with high numbers of COVID-19 caseloads and collated data related to HCW infections and deaths from government sources. This report shows the key findings of this survey and provides recommendation on how to protect nurses.