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Coronavirus: residents of care homes are 13 times more likely to die

Residents of care centers are 13 times more likely to die from coronavirus than older people in the community, a study suggests.

Canadian experts analyzed Covid-19 deaths in more than 600 nursing homes in Ontario and compared them to similar-age victims from the province.

They found that care home residents had a 13.1 times greater risk of succumbing to the coronavirus than people of the same age living at home.

The elderly normally end up in homes when they are too vulnerable to live independently or if they have health problems, both of which increase the risk of infection leading to serious illness.

The researchers behind the study pointed to overcrowding, staff shortages, and a lack of personal protective equipment and tests as the main factors behind why death risk is so much higher.

They say untested personnel who brought the disease into their homes were another ‘strong’ engine behind the fatalities.

Yesterday, the Chief Medical Officer of England admitted ministers and experts that this “obvious” risk was not taken into account in their plans to provide the industry with a protective ring.

This allowed the disease to race through the industry and kill over 30,000 vulnerable residents, Professor Chris Whitty admitted.

Residents of care centers are 13 times more likely to die from coronavirus than older people in the community, a study suggests. Pictured: Temple Grove in East Sussex is one of the few care homes in the UK that don't have a single case of Covid

Residents of care centers are 13 times more likely to die from coronavirus than older people in the community, a study suggests. Pictured: Temple Grove in East Sussex is one of the few care homes in the UK that don’t have a single case of Covid

The study, by academics from the University of Toronto, looked at the crises in 627 Ontario care homes until the first week of April.

Of the 627 healthcare facilities, 272 (43 percent) reported Covid-19 infections in residents or staff.

Meanwhile, 83 nursing home residents had died out of a total of 79,498 (0.11 percent) of the virus.

The researchers compared this to the number of deaths involving those aged over 69 in Ontario who did not live in houses.

QUICK COVID-19 TEST TO TRY IN LONDON HOSPITALS

New Covid-19 smears that diagnose within an hour are being tested in nursing homes in London.

Researchers from Queen Mary University will give the tests to up to 2,000 employees and residents in 50 nursing homes.

They want to see how effective fast daily Covid-19 tests are in reducing the number of infections, hospitalizations and deaths in the industry.

Currently, outbreak control in homes and communities is hampered by testing limitations.

It may take days to clean a person suspected of having COVID-19, send the sample to a laboratory, and receive the results.

The rapid PCR-based test system in this test was developed in the UK by Novacyt and uses the Covid-19 PCR test already in use in NHS laboratories.

Residents, staff and visitors in 25 nursing homes are tested daily on the rapid test machines, which can each process up to 100 samples per day.

Meanwhile, the other 25 nursing homes are given the standard central laboratory test once a week as a control group to compare the results with.

The test team is made up of researchers, medical students and laboratory experts from Queen Mary and Novacyt, who also use a new and more convenient simple nasal swab for daily testing, rather than the more common and invasive nasopharyngeal smear that involves a deep knock at the back. the throat.

Professor Jo Martin of Queen Mary University in London, who leads the study, said, “This work has the potential to introduce a new rapid COVID-19 testing system for those at highest risk, and the transfer of the community to interrupt.

“If successful in care homes, it can be very useful in a wide range of environments to quickly diagnose and keep an environment free of COVID-19.

“With rapid daily testing, we can report back to the nursing home the same day so they can take action to reduce transmission in their care home and prevent outbreaks to the wider community. By conducting this study in the diverse East London community, we hope to protect one of the most vulnerable groups in the UK and the frontline workers who care for them. ‘

Henry Black, Chief Finance Officer, NHS North East London Commissioning Alliance: “Together with our East London partners, we are at the forefront of detecting COVID-19 infections. Rapid tests are essential if we want to reduce the transmission of the disease in social care institutions.

“The test equipment is also portable enough to be used in community situations and we think it will be a valuable tool in tackling local outbreaks.”

On April 10, there were 229 victims of the 1,731,315 individuals of that age group in the province (0.013 percent).

The researchers said this was a 13-fold greater risk of death from Covid-19 for care home residents – although the raw data showed the difference to be eight times greater.

The study also found that the risk of dying from Covid-19 was seven times greater for care home residents compared to those over 80 in the community.

People in that age group, regardless of where they live, are at a huge risk of dying from the coronavirus, which explains why the difference is smaller.

Most people only live until they are in their eighties because the immune system and vital organs deteriorate over time.

They are also more prone to fatal underlying health problems – such as dementia and heart disease.

A vicious disease like Covid-19 is often too stressful on the body for people in this age group.

And when comparing care home deaths with those over 60 in the community, the risk of coronavirus for care home residents was 23.1 times greater.

Professor David Fisman, a university epidemiologist and principal investigator, wrote in the study: ‘In the context of Covid-19, this susceptibility has proved particularly fatal, with (as we demonstrate here) a death rate more than 13 times greater than that seen in community-dwelling adults over 69 years of age during a comparable period, with the relative risk of death greatly increasing over time.

“We also found documented infection in facility personnel, as opposed to residents, is a highly identifiable risk factor for resident mortality, with temporality suggesting that residents are infected by staff and not the other way around.”

The analysis – published in the journal JAMA Network Open – was completed in April, when the virus was just starting to peak.

But as of June 10, there have been at least 1,766 Covid-19 related deaths in Ontario nursing homes, accounting for 71 percent of all virus victims in the city.

Across Canada, it is estimated that more than 80 percent of the nearly 9,000 Covid-19 deaths occurred in nursing homes.

Professor Fisman added, “Preventing such deaths requires strategic guidance from health regions and the provision of adequate testing and personal protective equipment.

“Providing Personal Protective Equipment (PPE) has benefits, both in two-way prevention of SARS-CoV-2 transmission and in providing employees with peace of mind to keep working.

Extensive testing, including testing of minimally symptomatic infection, will facilitate early identification of infection and the implementation of effective infection control strategies.

Integrated regional approaches to LTC [long term care homes] The staff management of the facility, such as limiting workers to one facility and ensuring that these workers earn a living wage to avoid the need for multiple jobs while maintaining an adequate workforce, are also needed. ‘

Yesterday, England’s UK chief physician admitted that ministers and experts did not believe that care home residents were at risk of risking Covid-19 because the service staff worked in multiple homes.

Part-time informal caregivers and bank employees who were infected but showed no symptoms were able to move freely between healthcare institutions at the onset of the crisis without testing.

Employees with a zero-hour contract also went to work despite feeling sick because their salary was not guaranteed, which helped the disease race through the industry and kill more than 30,000 vulnerable residents.

In a virtual whim by MPs, Professor Chris Whitty acknowledged that the mistake seemed blatantly “obvious” but had not previously been recognized in the pandemic.

Speaking to the Commons Health and Social Care Committee, he said, “The fact that people who work in multiple homes receive people who are not on sick leave is an obvious risk … these were major health and social risks. healthcare institutions.

“So I think we’ve learned a lot of things that we’ll be doing, we can do a lot better in social care now, and I don’t think any of us would look back at what happened in social care and say the ideal advice was given. ‘

Boris Johnson caused anger earlier this month by suggesting that nursing homes were responsible for their death toll from not following proper procedures.

But Professor Whitty told MPs today that his “enthusiasm for blaming people for nothing is zero, adding,” That is by no means the way we deal with any situation in health and social care and that is across the board. ‘

I think it is clear that every country with a care sector has not addressed this well.

The UK is a country that has not handled this well on social care issues, but the same is true, as previous speakers have said, the numbers are similar or even higher in the percentage of deaths in almost every country you look at here to.

“So this is across the board, this has been a big problem … I think we’ve learned a lot of things we’ll do, we can do a lot better in social care now, and I don’t think all of us would look back at what happened in social care and say that the ideal advice has been given and that it is everyone’s fault. I would personally shrink from that. ‘

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