Abstract
Disease outbreaks in long-term care facilities (LTCFs) have been a large driver of morbidity and mortality during the COVID-19 pandemic. This susceptibility to outbreaks in LTCFs is likely to be multifactorial, including frailty of residents, structural and environmental characteristics of buildings (eg, shared spaces, ventilation, and outdoor access), staffing policies and models, and the value society places on older people and LTCFs.1 Understanding of the true burden of COVID-19 in LTCFs has been limited by gaps in measurement and reporting.
Highlights
Disease outbreaks in long-term care facilities (LTCFs) have been a large driver of morbidity and mortality during the COVID-19 pandemic
Understanding of the true burden of COVID-19 in LTCFs has been limited by gaps in measurement and reporting
The impact of COVID-19 has evolved during subsequent pandemic waves, but estimates suggest that internationally more than 40% of deaths have occurred among residents of LTCFs,[2] with many national and local estimates indicating a much higher death toll
Summary
Disease outbreaks in long-term care facilities (LTCFs) have been a large driver of morbidity and mortality during the COVID-19 pandemic. LTCF staff have been greatly affected as frontline workers.[3,4] Patterns of vulnerability to SARS-CoV-2 infection and transmission within LTCF environments are crucial to addressing the pandemic at both clinical and policy levels.
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