International “living” report: Long-Term Care and COVID-19 vaccination, prioritization and data, 18th January 2021 update

Shoshana Lauter, Klara Lorenz-Dant, Adelina Comas-Herrera (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science) and Eleonora Perobelli (Observatory on Long-Term Care, CERGAS SDA Bocconi)

This report aims to provide an overview of data and policies in relation to COVID-19 vaccinations for people who use and provide long-term care. It is a “living report” that will be updated regularly, please email s.e.lauter@lse.ac.uk if you would like to contribute or aware of relevant sources of information. For the most up to date data on vaccination rollout for the entire population, please visit https://ourworldindata.org/covid-vaccinations.

Key findings:

  • The report gathers data on COVID-19 vaccinations for populations that either use and provide long-term care or are likely to do so. As of 18th January, these data are only available for a few countries, as most countries do not yet share disaggregated vaccination figures according to the characteristics of people who are vaccinated. In contrast, many countries provide data disaggregated by geographical area.
  • An initial review of vaccine prioritization documents shows that care home residents and personnel are consistently listed among the group with the highest priority. Care partners and family members of care home residents and unpaid carers of people living in the community are only explicitly mentioned in a few countries. There are few mentions of people living with dementia or people with learning disabilities.
  • On the 18th January we have found data on COVID-19 vaccinations for LTC populations for 10 countries, but there are important problems with comparability, so the data in this report can only provide a broad indication of scale and is not suitable for detailed analysis.
  • While most countries for which we have found data stated that care home residents were amongst the highest priority group, this does not necessarily translate into practice. In some countries the initial vaccination effort was entirely directed towards care homes, despite logistical challenges. So far, Israel, Denmark and some regions in Spain have completed the 1st doses of vaccination of care home residents and staff, and Cyprus, Northern Ireland and Scotland are close to achieving it too. In Belgium, a 100% of the initial doses of the vaccine appear to have been administered to people living or working in care homes.
  • In contrast, England, Italy and the United States have adopted a broader vaccination approach, targeting health care professionals before care home residents and staff, perhaps due to the logistical difficulties in delivering vaccines requiring very cold storage to care homes. In England the vaccination of older people living in the community has started before completing care home vaccinations.
  • This report also includes a summary of early evidence on the international experiences in vaccination the LTC population.

The full report is available here:

Data on COVID-19 1st dose of vaccination rollout in groups that use or provide long-term care and older people (please see full report for sources, caveats, etc):

Suggested citation:

Lauter S, Lorenz-Dant K, Comas-Herrera A and Perobelli E (2021) International “living”report:  Long-Term Care and COVID-19 vaccination, prioritization and data. LTCcovid.org, International Long-Term Care Policy Network, CPEC-LSE, 18th January 2021.

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