Infectious Disease

COVID-19 charges in nursing properties are mirrored within the surrounding neighborhood

January 11, 2021

1 min read

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COVID-19 rates in U.S. nursing homes fluctuated over a six-month period last year and were reflected in the surrounding community, according to results published in MMWR.

“These data suggest that an increase in community rates could be linked to an increase in COVID-19 incidence in nursing homes and that nursing home mitigation strategies include a comprehensive plan to monitor local SARS-CoV-2 transmission and to minimize high risk exposures in facilities must contain ” Suparna Bagchi, DrPH, a CDC health scientist, and colleagues wrote. “An increased COVID-19 incidence in communities with nursing homes increases the risk of employee adoption of SARS CoV-2.”

Bagchi and other researchers from the CDC COVID-19 Response Team and CMS analyzed COVID-19 case data from nursing home residents and nursing home workers in every state, Guam and Puerto Rico. They excluded facility dates from certain weeks when no case dates, occupied beds, or personnel information were reported.

They estimated the cases per 1,000 resident weeks for residents and employees based on the number of COVID-19 cases reported weekly. The researchers also calculated COVID-19 rates per 100,000 residents for all 10 HHS regions.

They found that during the study period from May 25, 2020 to November 22, 2020, 572,135 cases of COVID-19 were reported in nursing homes. A total of 51.8% of these cases occurred among residents, the remainder among employees. Cases among residents increased in June and July, rising to 11.5 cases per 1,000 population weeks. Cases also rose from more than 178 cases per 100,000 in HHS regions 4, 6, and 9 in July.

In each HHS region, COVID-19 incidence rates in nursing homes were similar to the surrounding community.

“The prioritization of nursing home residents and employees for SARS-CoV-2 vaccination recommended by the Advisory Committee on Immunization Practices is an additional strategy in support of harm reduction,” the authors write. “The guidelines and federal requirements could be further enhanced by assessing factors associated with the incidence of COVID-19 among nursing home workers and residents, including factors associated with community-acquired infections leading to the Transfer to nursing homes lead. “

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