Analysis of Concentrated COVID-19 Outbreaks in Elderly Facilities in Suita City, Osaka Prefecture, Japan
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- ECDC Public Health Emergency Team; Danis, K.; Fonteneau, L.; Georges, S.; Daniau, C.; Bernard-Stoecklin, S.; Domegan, L.; O’Donnell, J.; Hauge, S.H.; Dequeker, S.; et al. High impact of COVID-19 in long-term care facilities, suggestion for monitoring in the EU/EEA, May 2020. Euro. Surveill. 2020, 25, 2000956. [Google Scholar] [CrossRef]
- Thompson, D.C.; Barbu, M.G.; Beiu, C.; Popa, L.G.; Mihai, M.M.; Berteanu, M.; Popescu, M.N. The impact of COVID-19 pandemic on long-term care facilities worldwide: An overview on international issues. Biomed Res. Int. 2020, 2020, 8870249. [Google Scholar] [CrossRef]
- Ouslander, G.J.; Grabowski, D. COVID-19 in Nursing Homes: Calming the Perfect Storm. J. Am. Geriatr. Soc. 2020, 68, 2153–2162. [Google Scholar] [CrossRef] [PubMed]
- Wang, L.; Ma, H.; Yiu, K.C.Y.; Calzavara, A.; Landsman, D.; Luong, L.; Chan, A.K.; Kustra, R.; Kwong, J.C.; Boily, M.-C.; et al. Heterogeneity in testing, diagnosis and outcome in SARS-CoV-2 infection across outbreak settings in the Greater Toronto Area, Canada: An observational study. CMAJ Open 2020, 8, E627–E636. [Google Scholar] [CrossRef]
- Lu, Y.; Jiao, Y.; Graham, D.J.; Wu, Y.; Wang, J.; Menis, M.; Chillarige, Y.; Wernecke, M.; Kelman, J.; Forshee, R.A.; et al. Risk factors for COVID-19 deaths among elderly nursing home Medicare beneficiaries in the prevaccine period. J. Infect. Dis. 2022, 225, 567–577. [Google Scholar] [CrossRef]
- Osaka Infectious Diseases Surveillance Center. Positive Cases of COVID-19 in Osaka Prefecture, Japan. Available online: http://www.iph.pref.osaka.jp/infection/disease/corona.html (accessed on 17 July 2023).
- Comas-Herrera, A.; Zalakaín, J.; Lemmon, E.; Henderson, D.; Litwin, C.; Hsu, A.T.; Schmidt, A.E.; Arling, G.; Kruse, F.; Fernández, J.-L. Mortality Associated with COVID-19 in Care Homes: International Evidence. Available online: https://ltccovid.org/wp-content/uploads/2021/02/LTC_COVID_19_international_report_January-1-February-1-2.pdf (accessed on 17 July 2023).
- Koopmans, R.; Verbeek, H.; Bielderman, A.; Janssen, M.M.; Persoon, A.; Lesman-Leegte, I.; Sizoo, E.M.; Hamers, J.P.H.; Gerritsen, D. Reopening the doors of Dutch nursing homes during the COVID-19 crisis: Results of an in-depth monitoring. Int. Psychogeriatr. 2022, 34, 391–398. [Google Scholar] [CrossRef] [PubMed]
- Heudorf, U.; Müller, M.; Schmehl, C.; Gasteyer, S.; Steul, K. COVID-19 in long-term care facilities in Frankfurt am Main, Germany: Incidence, case reports, and lessons learned. GMS. Hyg. Infect. Control 2020, 15, Doc26. [Google Scholar] [CrossRef]
- Park, S.Y.; Choi, G.; Lee, H.; Kim, N.Y.; Lee, S.Y.; Kim, K.; Shin, S.; Jang, E.; Moon, Y.; Oh, K.; et al. Early intervention reduces the spread of COVID-19 in long-term care facilities in the Republic of Korea. Osong Public Health Res. Perspect. 2020, 11, 259–264. [Google Scholar] [CrossRef] [PubMed]
- Bielza, R.; Sanz, J.; Zambrana, F.; Arias, E.; Malmierca, E.; Portillo, L.; Thuissard, I.J.; Lung, A.; Neira, M.; Moral, M.; et al. Clinical characteristics, frailty, and mortality of residents with COVID-19 in nursing homes of a region of Madrid. J. Am. Med. Dir. Assoc. 2021, 22, 245–252.e2. [Google Scholar] [CrossRef] [PubMed]
- Estévez-Abe, M.; Ide, H. COVID-19 and long-term care policy for older people in Japan. J. Aging Soc. Policy 2021, 33, 444–458. [Google Scholar] [CrossRef]
- Shimizu, K.; Maeda, H.; Sando, E.; Fujita, A.; Tashiro, M.; Tanaka, T.; Izumikawa, K.; Motomura, K.; Morimoto, K. Epidemiology of SARS-CoV-2 infection in nursing facilities and the impact of their clusters in a Japanese Core City. J. Infect. Chemother. 2022, 28, 955–961. [Google Scholar] [CrossRef] [PubMed]
- Iritani, O.; Okuno, T.; Hama, D.; Kane, A.; Kodera, K.; Morigaki, K.; Terai, T.; Maeno, N.; Morimoto, S. Clusters of COVID-19 in long-term care hospitals and facilities in Japan from 16 January to 9 May 2020. Geriatr. Gerontol. Int. 2020, 20, 715–719. [Google Scholar] [CrossRef] [PubMed]
- Imamura, T.; Ko, Y.K.; Furuse, Y.; Imamura, T.; Jindai, K.; Miyahara, R.; Sando, E.; Yasuda, I.; Tsuchiya, N.; Field Epidemiology Training Program, Japan (FETP-J); et al. Epidemiological factors associated with COVID-19 Clusters in medical and social welfare facilities. Jpn. J. Infect. Dis. 2022, 75, 281–287. [Google Scholar] [CrossRef]
- Ministry of Health, Labor and Welfare. Patient Cluster Measures for COVID-19 in Japan (26 February 2020). Available online: https://www.mhlw.go.jp/content/000619966.pdf (accessed on 17 July 2023).
- Ministry of Health, Labor and Welfare. Admission and Discharge of Patients with Confirmed Infection of SARS-CoV-2 B.1.1.529 (Omicron), Persons in Close Contact with Patient and Public Announcement Regarding Them in Japan (14 January 2022). Available online: https://www.mhlw.go.jp/content/000881572.pdf (accessed on 17 July 2023).
- Ministry of Health, Labor and Welfare. Response to a Rapid Spread of COVID-19 in Japan (2 February 2022). Available online: https://www.mhlw.go.jp/content/000892312.pdf (accessed on 17 July 2023).
- Ministry of Health, Labor and Welfare. Based on the Characteristics of SARS-CoV-2 B.1.1.529 (Omicron), Identification of Persons in Close Contact with Infected Persons at Each Location of the Outbreak and Restrictions on Their Activities and Proactive Epidemiological Surveys in Japan (22 July 2022). Available online: https://www.mhlw.go.jp/content/000968056.pdf (accessed on 17 July 2023).
- Konetzka, R.T.; White, E.M.; Pralea, A.; Grabowski, D.C.; Mor, V. A Systematic Review of Long-Term Care Facility Characteristics Associated with COVID-19 Outcomes. J. Am. Geriatr. Soc. 2021, 69, 2766–2777. [Google Scholar] [CrossRef]
- Blain, H.; Rolland, Y.; Benetos, A.; Giacosa, N.; Albrand, M.; Miot, S.; Bousquet, J. Atypical clinical presentation of COVID-19 infection in residents of a long-term care facility. Eur. Geriatr. Med. 2020, 11, 1085–1088. [Google Scholar] [CrossRef] [PubMed]
- Ladhani, S.N.; Chow, J.Y.; Janarthanan, R.; Fok, J.; Crawley-Boevey, E.; Vusirikala, A.; Fernandez, E.; Perez, M.S.; Tang, S.; Dun-Campbell, K.; et al. Investigation of SARS-CoV-2 outbreaks in six care homes in London, April 2020. EClinicalMedicine 2020, 26, 100533. [Google Scholar] [CrossRef]
- Kittang, B.R.; Hofacker, S.V.; Solheim, S.P.; Krüger, K.; Løland, K.K.; Jansen, K. Outbreak of COVID-19 at three nursing homes in Bergen. Tidsskr. Nor. Laegeforen. 2020, 140, 11. [Google Scholar] [CrossRef]
- Shi, S.M.; Bakaev, I.; Chen, H.; Travison, T.G.; Berry, S.D. Risk factors, presentation, and course of coronavirus disease 2019 in a large, academic long-term care facility. J. Am. Med. Dir. Assoc. 2020, 21, 1378–1383.e1. [Google Scholar] [CrossRef]
- Abrams, H.R.; Loomer, L.; Gandhi, A.; Grabowski, D.C. Characteristics of U.S. nursing homes with COVID-19 cases. J. Am. Geriatr. Soc. 2020, 68, 1653–1656. [Google Scholar] [CrossRef]
- Aalto, U.L.; Pitkälä, K.H.; Andersen-Ranberg, K.; Bonin-Guillaume, S.; Cruz-Jentoft, A.J.; Eriksdotter, M.; Gordon, A.L.; Gosch, M.; Holmerova, I.; Kautiainen, H.; et al. COVID-19 pandemic and mortality in nursing homes across USA and Europe up to October 2021. Eur. Geriatr. Med. 2022, 13, 705–709. [Google Scholar] [CrossRef]
- Fisman, D.N.; Bogoch, I.; Lapointe-Shaw, L.; McCready, J.; Tuite, A.R. Risk factors associated with mortality among residents with coronavirus disease 2019 (COVID-19) in long-term care facilities in Ontario, Canada. JAMA Netw. Open 2020, 3, e2015957. [Google Scholar] [CrossRef]
- Rashedi, J.; Poor, M.B.; Asgharzadeh, V.; Pourostadi, M.; Kafil, H.S.; Vegari, A.; Tayebi-Khosroshahi, H.; Asgharzadeh, M. Risk factors for COVID-19. Infez. Med. 2020, 28, 469–474. [Google Scholar] [PubMed]
- Brown, K.A.; Jones, A.; Daneman, N.; Chan, A.K.; Schwartz, K.L.; Garber, G.E.; Costa, A.P.; Stall, N.M. Association between nursing home crowding and COVID-19 infection and mortality in Ontario, Canada. JAMA Intern. Med. 2021, 181, 229–236. [Google Scholar] [CrossRef] [PubMed]
- Brandén, M.; Aradhya, S.; Kolk, M.; Härkönen, J.; Drefahl, S.; Malmberg, B.; Rostila, M.; Cederström, A.; Andersson, G.; Mussino, E. Residential context and COVID-19 mortality among adults aged 70 years and older in Stockholm: A population-based, observational study using individual-level data. Lancet Healthy Longev. 2020, 1, e80–e88. [Google Scholar] [CrossRef] [PubMed]
- Dequeker, S.; Callies, M.; Catteau, L.; Int Panis, L.; Islamaj, E.; Klamer, S.; Latour, K.; Pauwels, M.; Vernemmen, C.; Mahieu, R.; et al. COVID-19 Clusters in Belgian Nursing Homes: Impact of Facility Characteristics and Vaccination on Cluster Occurrence, Duration and Severity. Viruses 2023, 15, 232. [Google Scholar] [CrossRef]
- Ye, P.; Fry, L.; Champion, J.D. Changes in advance care planning for nursing home residents during the COVID-19 pandemic. J. Am. Med. Dir. Assoc. 2021, 22, 209–214. [Google Scholar] [CrossRef]
Facility Characteristics | |
---|---|
Long-term care health facility | Facilities that provide nursing care and functional training under medical supervision, other necessary medical care, and daily life care to individuals requiring long-term care who need support to maintain and restore their physical and mental health functions and to enable them to live at home. |
Intensive care home for the elderly | Facilities that provide general nursing care and services such as short-stay medical care and daycare for older adults who need constant nursing care and have difficulty living at home. |
Fee-based home for the elderly with nursing care | Nursing care facilities where nursing care staff reside and provide personal care services, such as cleaning and laundry, as well as provide assistance with meals, bathing, and elimination. |
Residential-type fee-based home for the elderly | Residential accommodation for older people with services for daily living assistance such as meal provision, cleaning, and laundry. |
Elderly housing with supportive services | Barrier-free residences, mainly for older adults who do not require a high level of nursing care, where these elder adults can live with the same degree of freedom as in ordinary residences and still receive services such as safety confirmation and lifestyle consultation. |
From | To | The Number of Positive Cases in Suita City | The Major Epidemic Strains | The Number of Outbreaks According to the Type of Nursing Home in Suita City | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Long-Term Care Health Facility | Intensive Care Home for the Elderly | Fee-Based Home for the Elderly with Nursing Care | Residential-Type Fee-Based Home for the Elderly | Elderly Housing with Supportive Services | Total | |||||
Sixth Wave | 17 December 2021 | 24 June 2022 | 31,156 | Omicron variants BA.1 to BA.2 | 3 | 6 | 1 | 4 | 0 | 14 |
Seventh Wave | 25 June 2022 | 30 August 2022 | 37,436 | Omicron variant BA.5 | 3 | 5 | 0 | 2 | 1 | 11 |
The Number of Facilities that Experienced Outbreaks | The Number of Facilities with a Capacity of 40 or More | Ratio | Long-Term Care Health Facility | Intensive Care Home for the Elderly | Fee-Based Home for the Elderly with Nursing Care | Residential-Type Fee-Based Home for the Elderly | Elderly Housing with Supportive Services | Low-Cost Home for the Elderly | The Capacity of Facility that Experienced Outbreaks | |
---|---|---|---|---|---|---|---|---|---|---|
Long-term care health facility | 6 | 7 | 0.857 | 0.621 | 0.010 | 0.173 | 0.001 | 0.250 | 100–159 | |
Intensive care home for the elderly | 11 | 16 | 0.688 | 0.621 | 0.027 | 0.441 | 0.002 | 0.353 | 50–270 | |
Fee-based home for the elderly with nursing care | 1 | 8 | 0.125 | 0.010 | 0.027 | 0.158 | 1.000 | 1.000 | 126 | |
Residential-type fee-based home for the elderly | 6 | 12 | 0.500 | 0.173 | 0.441 | 0.158 | 0.030 | 1.000 | 60–125 | |
Elderly housing with supportive services | 1 | 13 | 0.077 | 0.001 | 0.002 | 1.000 | 0.030 | 1.000 | 56 | |
Low-cost home for the elderly | 0 | 1 | 0.000 | 0.250 | 0.353 | 1.000 | 1.000 | 1.000 | 50 | |
Dementia care facility | - | 0 | - | - | - | - | - | - | - | - |
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Shibata, T.; Okano, S.; Onozuka, D.; Ohta, E.; Kutsuna, S. Analysis of Concentrated COVID-19 Outbreaks in Elderly Facilities in Suita City, Osaka Prefecture, Japan. Int. J. Environ. Res. Public Health 2023, 20, 6926. https://doi.org/10.3390/ijerph20206926
Shibata T, Okano S, Onozuka D, Ohta E, Kutsuna S. Analysis of Concentrated COVID-19 Outbreaks in Elderly Facilities in Suita City, Osaka Prefecture, Japan. International Journal of Environmental Research and Public Health. 2023; 20(20):6926. https://doi.org/10.3390/ijerph20206926
Chicago/Turabian StyleShibata, Toshiyuki, Sawa Okano, Daisuke Onozuka, Etsuko Ohta, and Satoshi Kutsuna. 2023. "Analysis of Concentrated COVID-19 Outbreaks in Elderly Facilities in Suita City, Osaka Prefecture, Japan" International Journal of Environmental Research and Public Health 20, no. 20: 6926. https://doi.org/10.3390/ijerph20206926
APA StyleShibata, T., Okano, S., Onozuka, D., Ohta, E., & Kutsuna, S. (2023). Analysis of Concentrated COVID-19 Outbreaks in Elderly Facilities in Suita City, Osaka Prefecture, Japan. International Journal of Environmental Research and Public Health, 20(20), 6926. https://doi.org/10.3390/ijerph20206926