The Day

Report: Nursing home cases up 80%

- By RICARDO ALONSO-ZALDIVAR

Washington — COVID-19 cases in U.S. nursing homes jumped nearly 80% earlier this summer, driven by rampant spread across the South and much of the West, according to an industry report released Monday.

“The case numbers suggest the problem is far from solved,” said Tamara Konetzka, a research professor at the University of Chicago, who specialize­s in long-term care. She was not involved with the study.

Long-term care facilities account for less than 1% of the U.S. population, but more than 40 percent of COVID-19 deaths, according to the COVID Tracking Project.

The situation is a politicall­y sensitive issue for President Donald Trump, who is scrambling to hold on to support from older voters as polls show disapprova­l of his administra­tion’s response to the pandemic.

The White House announced in late July the release of $5 billion for nursing homes, while launching a program to equip each of some 15,000 facilities with a fast-test machine to screen residents and staff for the coronaviru­s.

Monday’s study from the American Health Care Associatio­n found there were 9,715 coronaviru­s cases in nursing homes the week starting July 26, a 77% increase from a low point the week of June 21. The group is the industry’s main trade associatio­n.

Weekly deaths, rose to 1,706 the week of July 26, an increase of nearly 25% from a low point the week starting July 5.

Nursing homes in Sunbelt states had more time to prepare than facilities in the Northeast that were hit in late winter and early spring, with grim results. But Konetzka and other researcher­s have been warning that once a community anywhere experience­s an outbreak, it’s only a matter of time before the coronaviru­s enters its nursing homes. A leading theory is that staffers who don’t yet know they’re infected unwittingl­y bring the virus in. Inside, the coronaviru­s encounters an ideal environmen­t in which to spread among frail older people living in close quarters.

“As the virus surges in Sunbelt states, there’s no reason to think it won’t affect nursing homes in the same way it did in states that surged earlier,” said Konetzka. “We have learned some things about how to minimize the effect in nursing homes, but providers need the tools to implement those best practices. This is the critical role of federal policy that has not been fulfilled— securing supply chains for (personal protective equipment) and rapid testing.”

The industry analysis illustrate­s the march of the virus across the U.S.

As of the week of May 31, fewer than one-third of the weekly coronaviru­s cases were from nursing homes in Sunbelt states. But by the week starting July 26, that share was 78%.

Deaths followed a similar pattern. Nursing homes in states across the South and parts of the West accounted for 28% of deaths the week of May 31. That share was 69% by the week starting July 26.

 ?? VASHA HUNT/AP PHOTO ?? Baylor Garland, left, arrives to move in for his freshman year, assisted by his father, Alan, and mother, Teena, after they arrived from Eaton, Ga., at the University of Alabama in Tuscaloosa, Ala.
VASHA HUNT/AP PHOTO Baylor Garland, left, arrives to move in for his freshman year, assisted by his father, Alan, and mother, Teena, after they arrived from Eaton, Ga., at the University of Alabama in Tuscaloosa, Ala.

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