Worldwide, the death toll and the impact on the physical and mental health of healthcare workers are staggering. The long term costs are yet to be counted. But, a number of countries, mainly in Asia, have been able to manage covid outbreaks without sustaining any healthcare worker infections at all. The means to do so are now widely recognised. They are costly and inconvenient to implement and require an acceptance of the predominance of aerosol transmission of this virus and its application in a rigorous, safety-conscious infection control system. But it can be done.