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Residents in long-term care facilities (LTCF) are a vulnerable population group. Coronavirus disease (COVID-19)-related deaths in LTCF residents represent 30–60% of all COVID-19 deaths in many European countries. This situation demands that countries implement local and national testing, infection prevention and control, and monitoring programmes for COVID-19 in LTCF in order to identify clusters early, decrease the spread within and between facilities and reduce the size and severity of outbreaks.


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  1. European Centre for Disease Prevention and Control (ECDC). COVID-19 dashboard. Stockholm: ECDC; [Accessed: 18 May 2020]. Available from: https://qap.ecdc.europa.eu/public/extensions/COVID-19/COVID-19.html
  2. European Centre for Disease Prevention and Control (ECDC). Rapid risk assessment: Coronavirus disease 2019 (COVID-19) in the EU/EEA and the UK– ninth update. Stockholm: ECDC; 23 Apr 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/rapid-risk-assessment-coronavirus-disease-2019-covid-19-pandemic-ninth-update
  3. European Centre for Disease Prevention and Control (ECDC). Infection prevention and control and preparedness for COVID-19 in healthcare settings - third update. Stockholm: ECDC; 13 May 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/infection-prevention-and-control-and-preparedness-covid-19-healthcare-settings
  4. European Centre for Disease Prevention and Control (ECDC). Surveillance of COVID-19 at long-term care facilities in the EU/EEA. Stockholm: ECDC; 19 May 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/surveillance-COVID-19-long-term-care-facilities-EU-EEA
  5. Childs A, Zullo AR, Joyce NR, McConeghy KW, van Aalst R, Moyo P, et al. The burden of respiratory infections among older adults in long-term care: a systematic review. BMC Geriatr. 2019;19(1):210.  https://doi.org/10.1186/s12877-019-1236-6  PMID: 31382895 
  6. Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML, et al. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill. 2018;23(46):1800516.  https://doi.org/10.2807/1560-7917.ES.2018.23.46.1800516  PMID: 30458912 
  7. McMichael TM, Currie DW, Clark S, Pogosjans S, Kay M, Schwartz NG, et al. Epidemiology of Covid-19 in a long-term care facility in King County, Washington. N Engl J Med. 2020;382(21):2005-11.  https://doi.org/10.1056/NEJMoa2005412  PMID: 32220208 
  8. Arons MM, Hatfield KM, Reddy SC, Kimball A, James A, Jacobs JR, et al. Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility. N Engl J Med. 2020;382(22):2081-90.  https://doi.org/10.1056/NEJMoa2008457  PMID: 32329971 
  9. Sciensano. Covid-19. Bulletin epidemiologique du 25 mai 2020. [Epidemiological bulletin of 25 May 2020]. Ixelles: Sciensano. [Accessed: 26 May 2020]. Available from: https://covid-19.sciensano.be/sites/default/files/Covid19/COVID-19_Daily%20report_20200525%20-%20FR.pdf
  10. Roxby AC, Greninger AL, Hatfield KM, Lynch JB, Dellit TH, James A, et al. Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. JAMA Intern Med. 2020. Epub ahead of print.  https://doi.org/10.1001/jamainternmed.2020.2233  PMID: 32437547 
  11. Dora AV, Winnett A, Jatt LP, Davar K, Watanabe M, Sohn L, et al. Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans — Los Angeles, California. MMWR Morb Mortal Wkly Rep. 2020;69(21):651-5.  https://doi.org/10.15585/mmwr.mm6921e1  PMID: 32463809 
  12. Comas-Herrera A, Zalakaín J, Litwin C, Hsu AT, Lane N and Fernández J-L. Mortality associated with COVID-19 outbreaks in care homes: early international evidence. London: International Long-Term Care Policy Network, CPEC-LSE; 21 May 2020. Available from: https://ltccovid.org/wp-content/uploads/2020/05/Mortality-associated-with-COVID-21-May-7.pdf
  13. Corporación de Radio y Televisión Española, S.A (rtve). Coronavirus. Radiografía del coronavirus en residencias de ancianos: más de 19.200 muertos con Covid-19 o síntomas compatibles. [Coronavirus. X-ray for coronavirus in nursing homes: more than 19,200 deaths with Covid-19 or compatible symptoms]. Madrid: rtve; [Accessed: 1 June 2020]. Spanish. Available from: https://www.rtve.es/noticias/20200505/radiografia-del-coronavirus-residencias-ancianos-espana/2011609.shtml
  14. Smittskydd Stockholm. Kartläggning av covid-19 på SÄBO i Stockholms län. [Survey of covid-19 in care facilities in Stockholm County]. Stockholm: Smittskydd Stockholm; 4 May 2020. Swedish. Available from: https://www.sll.se/globalassets/bilagor-till-nyheter/2020/05/kartlaggning-av-covid-19-pa-sabo-i-stockholms-lan.pdf
  15. Socialstyrelsen. Statistik över antal avlidna i covid-19. [Statistics on the number of covid-19 deaths]. Stockholm: Socialstyrelsen; [Accessed: 25 May 2020]. Swedish. Available from: https://www.socialstyrelsen.se/statistik-och-data/statistik/statistik-om-covid-19/statistik-over-antal-avlidna-i-covid-19/
  16. Santé Publique France. COVID-19 : point épidémiologique du 29 mai 2020. [COVID-19: epidemiological update of May 29, 2020]. St Maurice: Santé Publique France; 29 May 2020. French. Available from: https://www.santepubliquefrance.fr/maladies-et-traumatismes/maladies-et-infections-respiratoires/infection-a-coronavirus/articles/infection-au-nouveau-coronavirus-sars-cov-2-covid-19-france-et-monde#block-244210
  17. Robert Koch Institut (RKI). Täglicher Lagebericht des RKI zur Coronavirus-Krankheit-2019 (COVID-19). 25.05.2020 – Aktualisierter Stand für Deutschland, [Daily status report on coronavirus disease 209 (COVID-19). Current status for Germany on 25 May 2020]. Berlin: RKI; 26 May 2020. German. Available from: https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Situationsberichte/2020-05-25-de.pdf?__blob=publicationFile
  18. Berloto S, Notarnicola E, Perobelli E, Rotolo A. Italy and the COVID-19 long-term care situation. Country report in LTCcovid.org, International Long Term Care Policy Network. London: The Care Policy and Evaluation Centre, London School of Economics and Political Science (CPEC-LSE); 22 Apr 2020. Available from: https://ltccovid.org/wp-content/uploads/2020/04/LTC-COVID19-situation-in-Italy-22-April-2020.pdf
  19. Haenen APJ, Verhoef LP, Beckers A, Gijsbers EF, Alblas J, Huis A, et al. Surveillance of infections in long-term care facilities (LTCFs): The impact of participation during multiple years on health care-associated infection incidence. Epidemiol Infect. 2019;147:e266.  https://doi.org/10.1017/S0950268819001328  PMID: 31496454 
  20. Health Protection Surveillance Centre (HPSE). Epidemiology of COVID-19 in Ireland - daily reports, May 2020. Dublin: HPSE; 26 May 2020. Available from: https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/casesinireland/epidemiologyofcovid-19inireland/COVID-19%20NPHET_Report_New%2020200526_%20Website_v1.pdf
  21. Folkehelseinstituttet (FHI). COVID-19 Dagsrapport mandag 25. mai 2020. [COVID-19 daily report Monday 25 May 2020]. Oslo: FHI: 25 May 2020. Norwegian. Available from: https://www.fhi.no/contentassets/ca5914bd0aa14e15a17f8a7d48fa306a/2020.05.25-dagsrapport-norge-covid-19.pdf
  22. Vereniging van specialisten ouderengeneeskunde (verenso). Update registratie verpleeghuizen 19 mei 2020. [Update on registration of nursing homes 19 May 2020]. Utrecht: verenso; 19 May 2020. Dutch. Available from: https://www.verenso.nl/nieuws/update-registratie-verpleeghuizen-19-mei-2020
  23. Office for National Statistics. Deaths registered weekly in England and Wales, provisional: week ending 15 May 2020. London: Office for National Statistics; 26 May 2020. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregisteredweeklyinenglandandwalesprovisional/weekending15may2020
  24. National Records of Scotland. Deaths involving coronavirus (COVID-19) in Scotland. Week20 (11Mayto17May2020). Edinburgh: National Records of Scotland;20 May 2020. Available from: https://www.nrscotland.gov.uk/files//statistics/covid19/covid-deaths-report-week-20.pdf
  25. National Records of Scotland. Deaths involving coronavirus (COVID-19) in Scotland. Week 20 (11 May to 17 May 2020). Edinburgh: National Records of Scotland; 20 May 2020. Available from: https://www.nrscotland.gov.uk/files//statistics/covid19/covid-deaths-report-week-20.pdf
  26. eurostat. Population on 1 January 2020. Luxembourg: Eurostat. [Accessed: 31 May 2020]. Available from: https://ec.europa.eu/eurostat/databrowser/view/tps00001/default/table?lang=en

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