Introduction to and spread of COVID-19-like illness in care homes in Norfolk, UK

Brainard, Julii, Rushton, Steven, Winters, Tim and Hunter, Paul R. ORCID: (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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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
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Depositing User: LivePure Connector
Date Deposited: 20 Oct 2020 23:58
Last Modified: 22 Oct 2022 07:20
DOI: 10.1093/pubmed/fdaa218

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