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1. Increasing risk of breakthrough COVID-19 in outbreaks with high attack rates in European long-term care facilities, July to October 2021.

Author

Suetens C, Kinross P, Gallego Berciano P, Arroyo Nebreda V, Hassan E, Calba C, Fernandes E, Peralta-Santos A, Casaca P, Shodu N, Dequeker S, Kontopidou F, Pappa L, Kacelnik O, Børseth AW, O'Connor L, Garvey P, Liausedienė R, Valintelienė R, Ernst C, Mossong J, Štefkovičová M, Prostináková Z, Danielsen AC, Mougkou A, Lamb F, Cenciarelli O, Monnet DL, and Plachouras D

Subjects
Disease Outbreaks prevention & control, Humans, Incidence, Long-Term Care, SARS-CoV-2, COVID-19
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.

Published
2021
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