The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow

Relevance. COVID-19 remains an urgent disease for long-term care institutions (LTCI), because local outbreaks of COVID-19 continue to be registered in 2022 and in 2023.Aims. To study the epidemic process of COVID-19 in LTCI (nursing homes, neuropsychiatric boarding schools) in Moscow for 2020–2022.M...

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Main Authors: N. G. Davidova, S. V. Ugleva, S. V. Shabalina
Format: Article
Language:Russian
Published: Numikom LLC 2024-01-01
Series:Эпидемиология и вакцинопрофилактика
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Online Access:https://www.epidemvac.ru/jour/article/view/1905
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author N. G. Davidova
S. V. Ugleva
S. V. Shabalina
author_facet N. G. Davidova
S. V. Ugleva
S. V. Shabalina
author_sort N. G. Davidova
collection DOAJ
description Relevance. COVID-19 remains an urgent disease for long-term care institutions (LTCI), because local outbreaks of COVID-19 continue to be registered in 2022 and in 2023.Aims. To study the epidemic process of COVID-19 in LTCI (nursing homes, neuropsychiatric boarding schools) in Moscow for 2020–2022.Materials and methods. The analysis of the epidemic process of COVID-19 in LTCI was carried out for the period 2020–2022. Data of Automatic information system «Department of Registration and Accounting of Infectious Diseases was used: 5390 COVID-19 residents and employees of 28 institutions in Moscow and 3,239,617 residents of Moscow; 15 acts of epidemiological investigation of the focus of infectious disease in the period from 2020 to 2022.Results. In total, 9 increases in the incidence of COVID-19 were registered. The first rise was the most intense, which affected morbidity (81.14 per 1,000 beds per week), indicators of activity of epidemic foci (KO – 100%, IO – 21.08, R – 20.08), mortality (for 2020 – 32.6%). In the first rise of morbidity in nursing homes, there is a direct correlation of a high degree of connection with the morbidity of the population of Moscow (r = 0.906), and for subsequent rises there is a noticeable relationship (r = 0.580) at p<0.05. From 2 to 9 rises, the incidence tended to decrease. All the rises of COVID-19 occurred due to the formation of foci in institutions where the source of infection was employees. For 2020–2022, the proportion of severe cases of infection with a fatal outcome among residents ranged from 14.6 ±6.7% to 31.8 ± 6.5%.Conclusion. The analysis of the manifestations of the COVID-19 epidemic process in long-term care institutions in Moscow for 2020–2022 allowed us to distinguish two stages of morbidity.
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spelling doaj-art-eda817e53cee407c836f25a9b481ee3f2025-08-20T03:34:40ZrusNumikom LLCЭпидемиология и вакцинопрофилактика2073-30462619-04942024-01-01226546510.31631/2073-3046-2023-22-6-54-65989The COVID-19 Epidemic Process in Long-Term Care Facilities in MoscowN. G. Davidova0S. V. Ugleva1S. V. Shabalina2Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-BeingCentral Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-BeingCentral Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-BeingRelevance. COVID-19 remains an urgent disease for long-term care institutions (LTCI), because local outbreaks of COVID-19 continue to be registered in 2022 and in 2023.Aims. To study the epidemic process of COVID-19 in LTCI (nursing homes, neuropsychiatric boarding schools) in Moscow for 2020–2022.Materials and methods. The analysis of the epidemic process of COVID-19 in LTCI was carried out for the period 2020–2022. Data of Automatic information system «Department of Registration and Accounting of Infectious Diseases was used: 5390 COVID-19 residents and employees of 28 institutions in Moscow and 3,239,617 residents of Moscow; 15 acts of epidemiological investigation of the focus of infectious disease in the period from 2020 to 2022.Results. In total, 9 increases in the incidence of COVID-19 were registered. The first rise was the most intense, which affected morbidity (81.14 per 1,000 beds per week), indicators of activity of epidemic foci (KO – 100%, IO – 21.08, R – 20.08), mortality (for 2020 – 32.6%). In the first rise of morbidity in nursing homes, there is a direct correlation of a high degree of connection with the morbidity of the population of Moscow (r = 0.906), and for subsequent rises there is a noticeable relationship (r = 0.580) at p<0.05. From 2 to 9 rises, the incidence tended to decrease. All the rises of COVID-19 occurred due to the formation of foci in institutions where the source of infection was employees. For 2020–2022, the proportion of severe cases of infection with a fatal outcome among residents ranged from 14.6 ±6.7% to 31.8 ± 6.5%.Conclusion. The analysis of the manifestations of the COVID-19 epidemic process in long-term care institutions in Moscow for 2020–2022 allowed us to distinguish two stages of morbidity.https://www.epidemvac.ru/jour/article/view/1905covid-19outbreak morbiditylong-term carenursing homeselderly peopleboarding schools
spellingShingle N. G. Davidova
S. V. Ugleva
S. V. Shabalina
The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow
Эпидемиология и вакцинопрофилактика
covid-19
outbreak morbidity
long-term care
nursing homes
elderly people
boarding schools
title The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow
title_full The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow
title_fullStr The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow
title_full_unstemmed The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow
title_short The COVID-19 Epidemic Process in Long-Term Care Facilities in Moscow
title_sort covid 19 epidemic process in long term care facilities in moscow
topic covid-19
outbreak morbidity
long-term care
nursing homes
elderly people
boarding schools
url https://www.epidemvac.ru/jour/article/view/1905
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