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Increasing risk of breakthrough COVID-19 in outbreaks with high attack rates in European long-term care facilities, July to October 2021
- Carl Suetens1 , Pete Kinross1 , Pilar Gallego Berciano2 , Virginia Arroyo Nebreda2 , Eline Hassan3 , Clémentine Calba4 , Eugenia Fernandes5 , Andre Peralta-Santos5 , Pedro Casaca5 , Nathalie Shodu6 , Sara Dequeker6 , Flora Kontopidou7 , Lamprini Pappa7 , Oliver Kacelnik8 , Anita Wang Børseth8 , Lois O’Connor9 , Patricia Garvey9 , Rasa Liausedienė10 , Rolanda Valintelienė11 , Corinna Ernst12 , Joël Mossong12 , Mária Štefkovičová13,14 , Zuzana Prostináková13 , Ann Caroline Danielsen1 , Aikaterini Mougkou1 , Favelle Lamb1 , Orlando Cenciarelli1 , Dominique L. Monnet1 , Diamantis Plachouras1
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View Affiliations Hide AffiliationsAffiliations: 1 European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden 2 Institute of Health Carlos III, Madrid, Spain 3 Santé publique France, Saint-Maurice, France 4 Santé publique France, Regional Unit Provence-Alps-French Riviera and Corsica, Marseille, France 5 Directorate-General of Health, Lisbon, Portugal 6 Sciensano, Brussels, Belgium 7 Directorate of Epidemiological Surveillance and Intervention for Infectious Diseases NPHO, Athens, Greece 8 Norwegian Institute of Public Health, Oslo, Norway 9 Health Protection Surveillance Centre, Dublin, Ireland 10 National Public Health Centre under The Ministry of Health, Vilnius, Lithuania 11 Public Health Technology Center Institute of Hygiene, Vilnius, Lithuania 12 Health Directorate, Luxembourg, Luxembourg 13 Regional Public Health Authority, Trenčin, Slovakia 14 Alexander Dubcek University, Trenčin, SlovakiaCarl Suetenscarl.suetens ecdc.europa.eu
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Citation style for this article: Suetens Carl, Kinross Pete, Gallego Berciano Pilar, Arroyo Nebreda Virginia, Hassan Eline, Calba Clémentine, Fernandes Eugenia, Peralta-Santos Andre, Casaca Pedro, Shodu Nathalie, Dequeker Sara, Kontopidou Flora, Pappa Lamprini, Kacelnik Oliver, Børseth Anita Wang, O’Connor Lois, Garvey Patricia, Liausedienė Rasa, Valintelienė Rolanda, Ernst Corinna, Mossong Joël, Štefkovičová Mária, Prostináková Zuzana, Danielsen Ann Caroline, Mougkou Aikaterini, Lamb Favelle, Cenciarelli Orlando, Monnet Dominique L., Plachouras Diamantis. Increasing risk of breakthrough COVID-19 in outbreaks with high attack rates in European long-term care facilities, July to October 2021. Euro Surveill. 2021;26(49):pii=2101070. https://doi.org/10.2807/1560-7917.ES.2021.26.49.2101070 Received: 16 Nov 2021; Accepted: 09 Dec 2021
Abstract
We collected data from 10 EU/EEA countries on 240 COVID-19 outbreaks occurring from July−October 2021 in long-term care facilities with high vaccination coverage. Among 17,268 residents, 3,832 (22.2%) COVID-19 cases were reported. Median attack rate was 18.9% (country range: 2.8–52.4%), 17.4% of cases were hospitalised, 10.2% died. In fully vaccinated residents, adjusted relative risk for COVID-19 increased with outbreak attack rate. Findings highlight the importance of early outbreak detection and rapid containment through effective infection prevention and control measures.
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References
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