Despite vaccines, nursing homes struggle with Covid outbreaks and deaths

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Despite vaccines, nursing homes struggle with Covid outbreaks and deaths
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Scattered outbreaks are largely blamed on unvaccinated staff members.

“There is this notion among some that vaccines were administered in long-term care, so we’re done, and that would be a perilous mistake,” said Dr. David Gifford, chief medical officer for the American Health Care Association, a national nursing home trade association, in a recent statement. “Nursing homes and assisted living communities have a constant flow of new residents, whether coming from the hospital or the community, and many of them haven’t been vaccinated yet.

A March outbreak involving a variant at a Kentucky nursing home, where most residents had been vaccinated for Covid-19, was traced to an infected, unvaccinated worker, according to a CDC report. Among the 46 cases identified, 26 residents and 20 workers became infected, including 18 residents and four workers who were fully vaccinated 14 days before the outbreak.

Given staffing shortages around the country, there’s been a hesitance among long-term care providers to mandate vaccinations for their workers, said Dr. Vivian Leung, director of the state's Department of Health's Healthcare Associated Infections Program. “Throughout our network, we are seeing onesies and twosies, mostly with employees, though, that have not been vaccinated. That’s really where we’re seeing them,” Brown said of the infections. If a staff member tests positive, he said, buildings are put under quarantine and visits are put on hold while another round of staff testing is conducted. Unvaccinated staff are being tested regularly.

But Debra Ellis, whose 88-year-old wife Jackie lives in a Meriden, Conn. nursing home, said the rules still differ by facility. Until recently, she had been frustrated by the strict visitation limits, including sudden multi-day shutdowns when staff members have tested positive. Both she and her wife are vaccinated.

"She could get up and walk a very small distance around the room to move to the bed to a chair or whatever,” she said. “She’s no longer able to do that.”

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