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Persons with severe obesity who become ill and require intensive care (5% of infections) present challenges in patient management-more bariatric hospital beds, more challenging intubations, more difficult to obtain an imaging diagnosis (there are weight limits on imaging machines), more difficult to position and transport by nursing staff. [...]we have learned much from influenza in patients with obesity and there will almost certainly be parallels to COVID-19. During the 2009 H1N1 pandemic, obesity was recognized as an independent risk factor for complications from influenza (8). [...]it is likely that obesity shall be an independent risk factor for COVID-19.