The global Covid-19 accident has affected one vulnerable group more than another: Residents of old people’s homes.

A review of data from more than two dozen countries with a significant number of elderly care institutions shows that such institutions are associated with more than one third of the deaths due to Covid 19, although they generally house less than 2 percent of the population. These countries have linked at least 233,000 of the 641,000 Covid deaths to retirement homes and other long-term care facilities. In the United States alone, up to 125,000 deaths are associated with these plants.

Nursing homes were easy targets for the highly contagious and deadly virus because they housed the most vulnerable people in the area. The new coronavirus generally proved to be the most dangerous among the elderly, who had the highest total mortality rate.

But nursing homes have also proved to be particularly dangerous for older people who are sensitive to Covid-19. The analysis, published in November in the Journal of Post-Acute and Long-Term Care Medicine, looked at a dozen member countries of the Organisation for Economic Cooperation and Development and found that the mortality rate in long-term care institutions is more than 20 times higher than in long-term care institutions, Covid-19 reported.

Devastating losses were not inevitable. Countries such as South Korea have been able to reduce the number of deaths among people in nursing homes, prevent large-scale epidemics in the community and act quickly to prevent the spread of infection in case of outbreaks. Despite the recent peak of 19 cases of covidosis, the East Asian country as a whole has only had 70 care-related deaths so far. Eight American states have reported over 7,000 deaths.

We left the barn door open, says Samir Sinha, Director of Health Administration Research and Co-Chairman of the National Institute on Aging, a think tank at Ryerson University in Toronto that attributes more than 70 per cent of Covid’s known 19 deaths in Canada to long-term care homes. It’s a tragedy, Dr. Sinha added.

I found the magazine all over the world:

-Many countries did little to strengthen old people’s homes before the coronavirus reached their borders and had no means of controlling the spread of infection there, despite the known risks.

-Nations often reacted sluggishly, even after an outbreak. -Nationally. The United States waited several weeks to give nursing home residents the highest priority for access to the Covid-19 test, and months before requiring a regular test for staff.

-The inability to contain the virus in the community led to a resurgence of epidemics in nursing homes, despite improved tests and facilities, with an increase in deaths as younger and healthier people joined the ranks.

Long-term care is forgotten, neglected in almost every country, if you look at the data, says Joseph Ibrahim, Professor of Health and Ageing Law at Monash University in Australia.

Fatal risk

Covid-19 has been particularly devastating for residents of long-term care institutions, which represent a small proportion of the general population, but account for a large proportion of coronavirus deaths.

Deaths in care as a percentage of the total of 19 Covida deaths.

722 deaths in total Kovid 19 deaths

Deaths in care as a percentage of the total of 19 Covida deaths.

722 deaths in total Kovid 19 deaths

Deaths in care as a percentage of the total of 19 Covida deaths.

722 deaths in total Kovid 19 deaths

Mortality in long-term care as a percentage

Total mortality Covid-19

722 deaths in total Kovid 19 deaths

In countries such as Canada, Sweden, Spain, Italy and France, work is underway to investigate the situation in individual nursing homes and the wider government response to outbreaks in the sector. The U.S. Commission on Retirement Homes, appointed by the Trump administration in September, has called for a stronger federal response, including increased support for retirement homes in terms of staffing, testing and protective equipment.

Health care deaths due to covariectomy 19 have slowed some of them down in summer and early autumn, but have recently rebounded in much of the United States and in European countries such as France and Belgium.

In the United Kingdom, where nearly 22,000 known Covid 19 deaths have been linked to nursing homes, about 27% of all next of kin call for a public inquiry.

In its preliminary report this month, the British Commission for Quality Care, which regulates the long-term care sector, said that it had taken note of dozens of nursing home residents who were not allowed to return in the initial stages of the pandemic without their consent or without the knowledge of their families. The Commission has stated that it is examining whether it is standard practice to determine whether there are violations of British human rights law.

The sixth. In April, Helen Keenan learned that her mother, Kathleen Keenan, an elderly resident of a nursing home near Birmingham in the west of England, tested positive for coronavirus while in hospital. Instead of being treated there, she was sent back two days later to the institution where she lived, Bracken House.

Keenan said hospital staff told her that her mother’s age, dementia and chronic respiratory disease meant she would not be eligible for intensive care, even if her Covid 19 condition worsened, because she would have less chance of survival than a younger, healthier person. Despite a positive Covid 19 test, she was found medically fit and was sent back to the nursing home.

The 26th. In April, two weeks after she turned 84, Kathleen Keenan died. People like his mother were pushed aside, she said. Keenan.

Kathleen Keenan celebrated her 82nd birthday in 2018 Birthday with her daughter Helen in a retirement home in England.


Joan Kelly

Anne-Marie Riley, director of nursing at Walsall NHS Healthcare Trust, which runs the hospital where Miss Keenan, an elderly person, was treated, said Miss Keenan did not require a high level of care when she was discharged from the hospital. Because Mrs. Keenan was living with dementia, the hospital staff made a clinical decision to allow her to return to a familiar environment where she would feel more comfortable, she said, noting that the staff told the nursing home that she had tested positive and was eager to admit her and help isolate her.

She added that the hospital acknowledged that communication with Helen Keenan could have been better.

A spokesman for the Accord Group, which runs the Bracken House, refused to comment.

There are large differences in the way countries collect data, including mortality rates according to Covida 19, which makes direct comparisons difficult. There are also major differences in the way long-term care institutions are regulated and classified. Yet many countries show a similar pattern of highly concentrated covid-19 deaths associated with these facilities, the researchers said.

Inconsistency between mortality and morbidity

While many countries that have limited mortality due to Covida 19 disease in general also reduce mortality due to long-term care….


In the long run.

Acute care*.


PCT. For a long time.

emergency bedding

South Korea


New Zealand








…others, especially in the West, have been at a much higher level.











The sector has suffered from staff shortages and safety deficiencies for a long period of time. An OECD working paper published in September, but largely written before the pandemic, points out that the labour force is not large enough and not well enough trained to cope with a growing and increasingly vulnerable population. Preventable safety violations are endemic according to the report, including traps, pressure sores and infections.

The risk of airborne transmission has long been recognised in many traditional nursing homes. They are often populated by elderly and sick people who sometimes share rooms or bathrooms without the ventilation or protective equipment found in hospitals.

The facilities were ready to let the respiratory virus rage. Researchers studying epidemics in Ontario, Canada’s most densely populated province, found that overcrowded nursing homes were prone to more serious epidemics before 1999, when the coronavirus struck.

Once the virus came in, there were many more deaths and the highest rates of infection in overcrowded homes, said Nathan Stull, one of the authors of the study and a geriatrician at Mount Sinai Hospital in Toronto.

A spokesman for the Ontario Ministry of Long-term Care, which was established in 2019, said the government invests in improvements and responds quickly to epidemics after decades of neglect.

Some governments, recalling previous respiratory epidemics, were acutely aware of the threat even before the attack by Covid 19, and their efforts have often made a difference.

Crosses were installed in May at Camille Care, a rest home in Canada where 50 residents died during an outbreak of Covida 19 disease.


Richard Lautens/Toronto Star/Zuma Press

In 2003, during an outbreak of Severe Acute Respiratory Syndrome (SARS), a coronavirus similar to the causative agent of Covid-19, older Hong Kong residents were five times more likely to be infected than the general population, and 57 people died. Since then, the Hong Kong Government has made new demands to prevent the spread of the infection and Hong Kong facilities regularly stock personal protective equipment for several months, according to Terry Lum, professor at Hong Kong University.

When Covid-19 appeared at the end of January 2020, Hong Kong closed its retirement homes to most visitors. In mid-February, almost everyone in Hong Kong wore a mask to limit the spread of the virus in the community. The Government has decided that all infected persons living in nursing homes should be taken immediately to hospitals and that other infected persons or personnel in these facilities should be quarantined. Starting at 29. In November there were 30 deaths in Hong Kong with more than 76,000 care beds, said Dr. Lum, a resident of Covid-19.

Karin Huster, a nurse and coordinator of Doctors Without Borders, an international medical aid organization, visited Hong Kong in January to support nursing homes. We all know that old people’s homes are a bit like a petri dish, Covid or not, she says. It was obvious that they would be among the most affected by the virus, which kills the elderly in particular. She found well fortified facilities and left Hong Kong in mid-March.

She then spent about a month helping institutions in crisis in a place she felt was much less prepared: Michigan, where his organization has worked with over 30 nursing homes to fight the infection.

South Korea closed its retirement homes on the 17th. February without any doubt for the visitors and has taken action. Despite strict infection control measures, cases were reported in at least five nursing homes in South Korea at the end of February as part of a larger outbreak in Daegu, the fourth largest city in the country.

The health authorities have limited the spread of the virus in the community through rigorous testing, contact tracing and quarantine of infected people. In the same month, health authorities inspected 1,470 nursing homes across the country to remove carers who had recently arrived in China or who had been diagnosed with symptoms of Covidon 19 disease. Shortly after, they began testing residents and staff in nursing homes across the country, although in many areas no cases of coronavirus infection had been reported. South Korean officials will also test the old people’s homes when a series of cases occur in a nightclub, church or other location in the area.

People are tested on Covid-19 on Christmas Eve in a temporary center in Seoul, South Korea.


Jintak Han/Zuma Press

When a virus enters a facility, the government sends contacts to check medical records and track the movements of employees in recent weeks using GPS files. Recently, carers in nursing homes have been banned from attending private meetings outside of work to ensure that they do not bring the virus to nursing homes – a measure that goes far beyond the efforts made in the United States and other countries.

The best strategy is to prevent patients from getting the virus in the first place, said Jung Eun-Kyung, director of the Korean Agency for Disease Control and Prevention, during a briefing on October 21. December.

The United States and many European countries have taken several first steps to strengthen their retirement homes with equipment, tests or manpower. At the end of February, the consequences began.

The 28th. In February, a resident of the Life Station Center in Kirkland, an old people’s home near Seattle, became the first person to test positive in Covid-19, creating an epidemic that would kill dozens of people. The 73-year-old man died on the 2nd. Mars.

A mother and her daughter talk in March at the Kirkland Care Centre, an institution for long-term care in connection with several early cases of the coronavirus.


Jason Redmond/Reuters.

A day later an employee of a Sydney nursing home was diagnosed with Covid-19. This was the start of the first outbreak in Australian long-term care institutions; three quarters of the estimated 900 Covid 19 deaths in Australia were related to these institutions.

In France, President Emmanuel Macron visited the country on 6 May. Mars, an old people’s home in Péan to make the elderly aware of the danger Covid-19 poses to them. Nine days later the house reported its first infection and by the end of April seven out of 94 residents had died.

In the second half of March alone, around 50 people died in the Vitalia Leganés retirement home in Madrid, and the Spanish authorities found the bodies of the residents of various institutions in their beds. An hour’s drive from Milan, in the Italian city of Coccaglio, a local nursing home lost 24 people in March, more than a third of its residents. The doctors and local officials blamed the virus, even though none of the residents were tested because at the time the tests were only available to people who had been admitted to hospitals.

Funeral Directors transport a body from an old people’s home in Leganes, Spain, in April.


Manu Fernandez/Presse Associée

Many countries, including the United States, Spain and Italy, were initially unable to trace the devastation suffered by nursing home residents accurately because they had no national data on the deaths of Covid 19 in these facilities.

The lack of tests made it even more difficult to quantify the Covid 19 toll. In April, after a public outcry, France ordered old people’s homes to report any deaths of personnel suspected of having ties to Covid-19. More than 3,000 reports were made in March alone. The number has recently exceeded 19,000, almost a third of all known Covid 19 deaths.

Public reports published on 18. Mars and 3. Reports released in April by U.S. Centers for Disease Control and Prevention on the outbreak of Kirkland and other diseases in Washington State showed how the virus spread quickly and unnoticed indoors, often carried by residents and workers who had no obvious symptoms, making mass testing an important refuge. Staff do not have sufficient knowledge of infection control practices and do not adhere to them.

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According to an 18-year-old CDC report, employees working in an old people’s home in Kirkland and elsewhere in the area were exposed to the disease. The month of March was also marked by outbreaks in various facilities. This practice has been common practice for a long time, as low-wage workers have several jobs to make ends meet.

Kirkland’s investigators believe it’s essential to determine the asymptomatic spread, said Dr. Jeffrey Duchin, a public health officer with the Seattle and King County Department of Health, where Kirkland is based. We all knew what it meant when we found out. There was no uncertainty that this was an important observation.

The U.S. CDC released the 24th. March test guidelines that did not place elderly homes in the highest priority category for testing. According to e-mails reviewed by the diary, the White House Coronavirus Task Force was heavily involved in the development of these guidelines and Czar Bret Girouard sent the final draft on the 23rd. Walk to high-ranking CDC officials during the test.

There are 27 residents in institutions for long-term care with symptoms. The month of April did not reach the highest level of testing, according to a reconstruction of the evolving guidelines published in the journal. Even then, asymptomatic nursing home residents were not mentioned in the focus groups. After all, the FBI didn’t approve the nursing audit until August. They never stopped the workers, including the government, which has more than 400,000 infected and at least 1,268 dead, from moving from one facility to another.

A CDC spokesperson refused to comment. Seema Verma, administrator of the Centers for Medicare and Medicaid Services, which regulates retirement homes, said her agency acted quickly and aggressively to protect retirement homes. She stated that the test mandate coincided with a federal effort to supply equipment, and that a ban on personnel in some facilities could have exacerbated the shortfall. CMS started publishing data on Covid-19 in retirement homes in early June.

Because of the work we’ve done, we’ve actually saved many, many lives, she said. She twisted the answers in some states and said the responsibility ultimately lies with the old people’s homes.

A spokeswoman for Admiral Girouard’s office said the Covid-19 test was given strategic priority in the early stages of the pandemic to allocate resources and prevent the spread of the virus. Hospital patients and health professionals with symptoms were at the top of the list, fearing that they would infect others in their hospitals and overload the health system.

Many European countries have looked closely at the needs of hospitals. In France and Belgium, some nursing home staff said they were not allowed to send patients to hospital, which prevented them from receiving effective treatment and increased the risk of spreading infections at home.

A nurse puts on protective clothing in April at the Wren Hall Nursing Home in Nottingham, England.


Frank Ogstein/Presse Associée

The United Kingdom quickly protected the National Health Service against an overload of coviidosis cases. According to a report from the National Audit Office, which monitors government spending, the NHS has ordered hospitals to release patients so that they can clear their beds. Between 17. March and 15th. In April, about 25,000 people were sent to nursing homes without being tested for the new virus, according to the report.

The Department of Health and Social Care, the government department responsible for NHS, said in June, when the report was released, that it had made the right decisions at the right time and that 60 percent of care homes had prevented an epidemic.

In Italy, the shortage of staff in retirement homes was exacerbated in some regions when public hospitals, which were themselves understaffed, began recruiting nurses to work in care institutions for the elderly. Hospital jobs are safer and more desirable, says Andrea Rotolo, professor at the SDA Bocconi School of Management in Milan. The old people’s homes are therefore even more understaffed, he said. Those who resigned could not replace them overnight. Hospitals also rely on protective equipment and testing first, he said.

By the end of the summer, supervision and protection of retirement homes in the United States and many other countries had finally been eased. But this autumn, institutional deaths began to rise again, although in some places not as quickly as in spring, when cases broke out outside the walls of nursing homes and their defences remained porous.

A fatal outbreak in Maine this summer has underlined this risk. Apparently the problem started on the 7th. In August, a covered wedding was held in Millinocket, a small rural village, in the presence of 55 people. Until then, Millinocket had not reported any cases of Covid-19, according to the Maine Center for Disease Control and Prevention. On the 12th. In August, the state agency received laboratory results showing that two participants tested positive for the disease, the first warning of an outbreak that would affect at least 178 people.

One of the participants who was carrying the virus had contact with a family member who was a nurse at the Maplecrest Rehabilitation and Residential Center in Madison, Maine, about 100 miles away, according to the state. The employee was working at the age of eleven. August on the night shift, although he reported symptoms of sore throat, chills, cough and headache, according to a state inspection report.

Maplecrest’s parent company, North Country Associates, stated that the 58-bed dwelling is working with the state authorities to stop the spread of Covid-19 and to remedy any deficiencies found during the inspection. Improvements include hiring an infection control specialist, if necessary.

The infection resulting from the marriage affects 40 people in the nursing home, including 25 residents and 15 staff members, the said state. Seven residents didn’t make it.

Anna Maria Alborghetti sits in a wheelchair in an old people’s home in Italy in May.


Luca Bruno/Presse Associée

-Xavier Fondegloria in Barcelona, Giovanni Legorano in Rome, Daniel Michaels in Brussels, Paul Vieira in Ottawa and Betsy McKay in New York contributed to this article.

Write to Anne Wilde Matthews at [email protected], Jason Douglas at [email protected], John Kamp at [email protected] and Dasl Yoon at [email protected]

Copyright ©2020 Dow Jones & Company, Inc. All rights reserved. 87990cbe856818d5eddac44c7b1cdeb8

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