As the COVID-19 pandemic entered its third year, a new survey of essential healthcare workers has found that the sustained need to respond to the pandemic’s unprecedented challenges has had a profound negative impact on frontline workers’ mental health. The survey of almost 5,000 frontline workers — 77% of whom identify as people of color — is one of the largest of its kind to focus exclusively on the impact to those who work in so-called allied healthcare jobs, providing everything from janitorial, housekeeping, food service, lab and administrative support to direct patient care, such as medical assistants, certified nurse assistants and respiratory therapists.