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Brainard, Julii, Rushton, Steven, Winters, Tim and Hunter, Paul R. 
ORCID: https://orcid.org/0000-0002-5608-6144
(2021)
Introduction to and spread of COVID-19-like illness in care homes in Norfolk, UK.
Journal of Public Health, 43 (2).
228–235.
ISSN 1741-3842
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Abstract
BACKGROUND: Residential care homes for the elderly are important settings for transmission of the SARS-CoV-2 virus that causes COVID-19 disease. METHODS: We undertook secondary analysis of 248 care homes in Norfolk, UK. The dataset counted nurses, care workers and non-care workers, their status (available, absent due to leave or sickness and extra staff needed to address the coronavirus pandemic) and residents (if any) with suspected COVID-19 in the period 6 April to 6 May 2020. Concurrent descriptions of access by the home to personal protection equipment (PPE: gloves, masks, eye protection, aprons and sanitizer) were in the data. PPE access was categorized as (most to least) green, amber or red. We undertook two-stage modelling, first for suspected COVID-19 cases amongst residents and second relating any increases in case counts after introduction to staffing or PPE levels. RESULTS: Counts of non-care workers had strongest relationships (P < 0.05) to introduction of suspected SARS-CoV-2 to the homes. Higher staff levels and more severe PPE shortages were linked to higher case counts (P < 0.05) during the monitoring period. CONCLUSION: Managing aspects of staff interaction with residents and some working practices might reduce ingression to and spread of COVID-19-like illness within care homes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | older people,management and policy,infectious disease,covid-19,personal protection equipment,mixed effect models,care homes,cox proportional hazards model,infectious diseases,public health, environmental and occupational health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2725 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Social Sciences > Research Centres > Water Security Research Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 20 Oct 2020 23:58 |
| Last Modified: | 19 Oct 2023 02:48 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/77379 |
| DOI: | 10.1093/pubmed/fdaa218 |
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