INTERNATIONAL REPORTS

Response from United States

This covers cumulative deaths in US care homes (nursing facilities, assisted living facilities, and other long-term care facilities) from January 1, 2020, through to March 29, 2021. Information about deaths in care homes comes from three sources: the Center for Medicare and Medicaid Services (CMS), the Kaiser Family Foundation (KFF), and the COVID Tracking Project (CTP) produced by The Atlantic Magazine. As of March 7, 2021, COVID Tracking Project has stopped collecting data. We derived COVID-19 mortality estimates by starting with state-level figures, which were reported directly by each of the sources (Sources: https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg/; https://www.kff.org/coronavirus-covid-19/issue-brief/state-covid-19-data-and-policy-actions/#long-term-care-cases-deaths; https://covidtracking.com/). We started with state-level figures to address inconsistencies between the three data systems in the number of recorded COVID-19 deaths. Because the sources draw from different sources, their state totals differ. By starting at the state level, we were able to pick the ‘best’ estimate of care home COVID-19 deaths from each state from among the three data systems. To obtain the ‘best’ estimate of care home COVID-19 deaths, we selected the highest number of deaths recorded for each state from among the three sources. The ‘best’ estimate was a cumulative number of 185,269 COVID-19 related deaths in care homes. Based on this data, care home COVID-19 related deaths account for 34% of all COVID-19 related deaths.

The number of residents in care homes was approximated by adding the residents in nursing facilities from the Center for Medicare and Medicaid Services data and the number of residents in assisted living facilities taken from a report by the National Center for Assisted Living, to get 1,937,345. Therefore, the total number of COVID-19 related deaths in care homes represents 9.56% of this population.

2.02.-United States-20210729

Last updated: July 30th, 2021

    Interim infection prevention and control recommendations to prevent SARS-CoV-2 spread in nursing homes. Nursing Homes & Long-Term Care Facilities (Centers for Disease Control and Prevention)

    Interim infection prevention and control recommendations to prevent SARS-CoV-2 spread in nursing homes. Nursing Homes & Long-Term Care Facilities (Centers for Disease Control and Prevention)

    This guidance summarizes the core infection prevention and control practices for nursing homes during the SARS-CoV-2 pandemic.  First, it summarizes the recent changes (updates as for March 29 2021) and provides information on those topics:

    • Infection Prevention and Control Program
    • Vaccinations
    • Source Control and Distancing Measures
    • Visitation
    • Personal Protective Equipment
    • Testing
    • Evaluating and Managing Personnel and Residents
    • Managing Residents with Close Contact
    • New Admissions and Residents who Leave the Facility
    • New Infection in Healthcare Personnel or Resident

    Interim infection prevention and control recommendations to prevent SARS-CoV-2 spread in nursing homes. Nursing Homes & Long-Term Care Facilities. Atlanta, Centers for Disease Control and Prevention, 2021, online.


     

    Interim infection prevention and control recommendations to prevent SARS-CoV-2 spread in nursing homes. Nursing Homes & Long-Term Care Facilities (Centers for Disease Control and Prevention)

    Last updated: June 18th, 2021

      Post vaccine considerations for residents of long-term care facilities (Centers for Disease Control and Prevention, USA)

      Post vaccine considerations for residents of long-term care facilities (Centers for Disease Control and Prevention, USA)

      This website provides infection prevention and control considerations for residents of long-term care facilities with systemic signs and symptoms following COVID-19 vaccination. The approach described in this document is intended to balance:

      • the risk of unnecessary testing and implementation of Transmission-Based Precautions for residents with only post-vaccination signs and symptoms with that of
      • inadvertently allowing residents with infectious COVID-19 or another transmissible infectious disease to expose others in the facility.

      Post vaccine considerations for residents of long-term care facilities. Atlanta, Centers for Disease Control and Prevention, 2021, online.


       

      Post vaccine considerations for residents of long-term care facilities (Centers for Disease Control and Prevention, USA)

      Last updated: June 17th, 2021

        Long-term care residents and loved ones: answering common questions about Covid-19 vaccines (Centers for Disease Control and Prevention, USA)

        Long-term care residents and loved ones: answering common questions about Covid-19 vaccines (Centers for Disease Control and Prevention, USA)

        This infographic is addressed to long-term care facility residents and their loved ones to inform them on commn questions concerning Covid19 vaccination.


        Long-term care residents and loved ones: answering common questions about Covid-19 vaccines. Atlanta, Centers for Disease Control and Prevention, 2020, 2 p.


         

        Long-term care residents and loved ones: answering common questions about Covid-19 vaccines (Centers for Disease Control and Prevention, USA)

        Last updated: June 16th, 2021

          Long-term care facility staff: answering common questions about Covid-19 vaccines (Centers for Disease Control and Prevention, USA)

          Long-term care facility staff: answering common questions about Covid-19 vaccines (Centers for Disease Control and Prevention, USA)

          This infographic is addressed to long-term care facility staff to inform them on commn questions concerning Covid19 vaccination.


          Long-term care facility staff: answering common questions about Covid-19 vaccines. Atlanta, Centers for Disease Control and Prevention, 2020, 2 p.


          Long-term care facility staff: answering common questions about Covid-19 vaccines (Centers for Disease Control and Prevention, USA)

          Last updated: June 14th, 2021

            Covid-19 vaccines for long-term care facility residents (Centers for Disease Control and Prevention, USA)

            Covid-19 vaccines for long-term care facility residents (Centers for Disease Control and Prevention, USA)

            This website provides information on vaccination for residents of long-term care facilities (LTCFs), as they are at increased risk of infection and severe illness from Covid-19 and all of them are recommended to get vaccinated against COVID-19. It contains information on:

            • Tips for how to get a Covid-19 vaccine
            • Information about Covid-19 vaccines for LTCF residents and family members

            Covid-19 vaccines for long-term care facility residents. Atlanta, Centers for Disease Control and Prevention, 2021, online.


             

            Covid-19 vaccines for long-term care facility residents (Centers for Disease Control and Prevention, USA)

            Last updated: June 11th, 2021

              Considerations for preventing spread of Covid-19 in assisted living facilities (Centers for Disease Control and Prevention, USA)

              Considerations for preventing spread of Covid-19 in assisted living facilities (Centers for Disease Control and Prevention, USA)

              This website provides a series of recommendations that assisted living facilities should take into account in order to prevent the transmission of Coronavirus.


              Considerations for preventing spread of Covid-19 in assisted living facilities. Atlanta, Centers for Disease Control and Prevention, 2020, online.


               

              Considerations for preventing spread of Covid-19 in assisted living facilities (Centers for Disease Control and Prevention, USA)

              Last updated: June 10th, 2021

              Dated:  20210319

              Community health teams supporting nursing home staff for example via telemedicine https://theconversation.com/how-one-community-improved-covid-19-nursing-home-care-with-collaboration-and-communication-142464

              3.07.04.-United States-20210319

              Last updated: March 23rd, 2021

              Dated:  20210319

              In the US unpaid carers used technology for social contacts but also care related needs.Most reported useful aspects of technolocy, but some found adapting to online services difficult. (Source: https://ltccovid.org/wp-content/uploads/2021/01/Lorenz_Comas_COVID_impact_unpaidcarers_preprint.pdf)

              3.10.-United States-20210319

              Last updated: March 23rd, 2021

              Dated:  20210319

              The United States’ federal effort to get nursing and long-term care home residents vaccinated, known as the Pharmacy Partnership for Long-Term Care Program, has partnered with pharmacies such as Walgreens and CVS to set up vaccination clinics in and around LTCFs. The federal program used a statistical formula that has significantly overestimated how many doses would be needed for long-term care facilities, leading some states such as Oklahoma and Maine to redistribute the federally-provided vaccinations to those 65 and older living at home (source: https://www.nytimes.com/2021/02/02/us/nursing-homes-vaccine-doses.html). A map containing the number of doses distributed from this Long-Term Care Program specifically can be found on the CDC website (source: https://covid.cdc.gov/covid-data-tracker/#vaccinations-ltc). On March 11th, President Biden’s administration announced an updated timeline for vaccination across the country, making all adults eligible for vaccinaiton by May 1st due to the success of vaccination rates of the highest priority groups (https://www.whitehouse.gov/briefing-room/statements-releases/2021/03/11/fact-sheet-president-biden-to-announce-all-americans-to-be-eligible-for-vaccinations-by-may-1-puts-the-nation-on-a-path-to-get-closer-to-normal-by-july-4th/).

              3.11.-United States-20210319

              Last updated: March 23rd, 2021