‘Perfect Storm’: Washington virus deaths highlight risk at nursing homes


NEW YORK (Reuters) – Less than a 12 months after Constantine Valhouli moved his 85-year-old father right into a Massachusetts elder-care facility, he’s contemplating bringing his dad again house, his confidence rattled by a lethal coronavirus outbreak at a Washington state nursing house.

The exterior of the Life Care Center of Kirkland, the long-term care facility linked to a number of confirmed coronavirus instances within the state, is seen in Kirkland, Washington, U.S. March 2, 2020. REUTERS/David Ryder

The deaths of 4 residents at the LifeCare long-term care facility in Kirkland has stoked Valhouli’s fears that the virus may unfold shortly and quietly in services corresponding to the house the place his father resides after a sequence of strokes.

“You’ve got this perfect storm of conditions – the density of residents, the age of residents and the health concerns,” mentioned Valhouli, a Boston resident who works in actual property analytics. “The terrifying part of it is that you can worry about it from a distance, but the minute you’ve got a case, it’s almost too late.”

Virus outbreaks are particularly problematic in nursing homes as a result of residents dwell in shut quarters, so infections can unfold simply. Older residents additionally are likely to have weaker immune methods and underlying well being situations, making sicknesses simpler to catch and extra harmful if contracted.

As COVID-19 instances start to unfold throughout the United States, the Washington deaths have highlighted the vulnerability of older folks usually. The aged are thought of essentially the most at risk of dying from the virus, with deaths in China disproportionately affecting folks over the age of 80.

“One thing that is clear is that nursing homes and hospitals are potentially at greater risk, and we are really going to have to think hard about what can be done to protect them,” Tom Frieden, a former director of the Centers for Disease Control and Prevention, instructed a media briefing on Monday.

If the outbreak spreads, Frieden mentioned, U.S. officers might need to think about new steps to guard the greater than 1.three million Americans in nursing homes, corresponding to curbing visits to scale back the risk of introducing the virus to them.

At LifeCare in Kirkland, a resident in his 70s died over the weekend after contracting coronavirus, changing into the fourth particular person at the power to have handed away from the virus as of Monday. Another 27 residents and 25 employees members had been reporting signs, which may be much like that of the widespread flu.

To make certain, the outbreak will not be widespread within the United States thus far, with solely about 100 folks throughout the nation testing optimistic for the virus as of Sunday and 6 deaths. That compares with greater than 87,000 instances worldwide and practically three,000 deaths in 60 international locations, the World Health Organization mentioned.

Even so, some senior residing services have already began taking steps to restrict their residents’ publicity to the virus.

Era Living, which manages eight unbiased and assisted residing communities within the Seattle space, has begun proscribing guests, the group mentioned on its web site.

For now, services are working to stop COVID-19 infections in comparable ways in which they guard in opposition to the flu, David Gifford, chief medical officer for the Agency For Health Care Administration, a non-profit federation of about 13,500 nursing homes and different care services, mentioned on a convention name.

One important weapon that nursing homes have in opposition to the flu will not be accessible for coronavirus.

“There is no vaccine for coronavirus, and we know that when we have flu outbreaks, they are just huge. They just sweep through an entire nursing home,” Frieden mentioned.

Keeping the virus away from nursing homes and different services with weak residents will possible take restrictions on who can enter the buildings, with no sick folks allowed inside, mentioned Frieden. In the meantime, he mentioned extra outbreaks much like the one in Washington are possible.

“This is a sentinel event. We are going to see this elsewhere,” he mentioned.

Additional reporting by Nathan Layne; Editing by Frank McGurty and Richard Pullin

Our Standards:The Thomson Reuters Trust Principles.



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