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Young, Old, and COVID-19

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As COVID-19 infection, hospitalization, and mortality decline, pediatric SARS-CoV-2 rates rise and nursing homes can become a disaster zone again. And remember: winter is coming.

Some numbers seem encouraging. Overall, COVID-19 infections, hospitalizations, and mortality rates have declined as of October 6. Centers for Disease Control and Prevention (CDC). But in a nutshell, winter is coming. In winter, there are holidays and indoor celebrations. COVID-19 infection rates are heading in the right direction, with a current 7-day moving average of 95,448 cases, down 11.6% from the previous 7-day moving average (107,953), but still reaching 10,000. There is a way. Daily infection rate, Dr. Anthony Fauci, MD, director of the National Institute of Infectious Diseases, Told to CNN Sunday should be our goal. Fauci said: However, even when it reaches 95,000, the virus is highly dynamically circulating. “

As more and more medical professionals, COVID-19 is always with us Conclusion That it is endemic, point Members of that Kevin Cabana, MD Infection control today®‘NS (ICT®The Editorial Advisory Board (EAB) has been in place for over a year.And the immunity of the herd seems unlikely, what is Kavanagh, a constantly changing virus? Claim Returned in April 2020.

Some groups are particularly vulnerable, such as very young groups and very old groups. According to the report, there were 148,222 pediatric COVID-19 in the week leading up to October 7. American Academy of PediatricsThis means that children account for almost a quarter of the reported COVID-19 cases.

“The number of COVID cases in new children remains very high,” AAP said in a press release. Over 750,000 pediatric COVID-19 cases have been added in the last 4 weeks.

There is still this warning: “At this point, serious illness with COVID-19 seems to be rare among children,” AAP said. “But more about the long-term effects of a pandemic on children, such as how the virus can harm the long-term physical health of infected children and their emotional and mental health effects. There is an urgent need to collect a lot of data. “

Cabana said ICT® In January, “What really frustrated me with this epidemic and pandemic was that people were focused on dying altogether … but in reality, it affects even young people, so Obstacles are much more concerned. “

Meanwhile, the problem persists in nursing homes, and it’s losing staff in At a great rate, Partly due to vaccination obligations. The COVID-19 pandemic has exposed a serious, systemic gap in nursing homes and other long-term care facilities that have been plagued for decades. Linda Spaulding, RN-BC, CIC, CHEC, CHOP, and ICT®EAB, Said ICT® Recently: “The time to hold a nursing home accountable is not the time when everything collapses, they don’t know what to do, and no one is there to guide them.”

Spalding provides some guidance.so paper July / August 2020 issue ICT®, Spaulding has provided some guidance on how to improve infection prevention and management in nursing homes in a cost-effective manner.

I have Specification Before the Senate called for the 2021 Nursing Home Improvement and Accountability Act, all nursing home staff needed a full-time infection prevention doctor. This has long been done by the Advanced Programmable Interrupt Controller (APIC). Insisted..

Which raises the question: where does the money come from? Mark Parkinson, President and CEO of the American Health Care Association and the National Center for Assisted Living (AHCA / NCAL), said: .. If no person is found to fill the recruitment position, the provider will not be able to meet the staffing requirements. A comprehensive approach is needed not only for numbers but also for staffing. “

Nursing homes now have choices, which are not good.

Dr. David Grabowski, a health policy expert at Harvard University Tell Axios This morning, “We have this terrible trade-off in many parts of the country, where we can work unvaccinated staff and put older people at risk. At risk. “We haven’t evaluated the elderly and the people who care for them for a long time,” said Gravowski. “This is what happens when a pandemic like this hit occurs.” I added.

data release Last Friday, the US Bureau of Labor Statistics emphasized that health care in general has lost workers and nursing homes have been hit particularly hard. According to the data, “Unemployment occurred in long-term care facilities (-38,000) and hospitals (-8,000), and jobs were added in outpatient medical services (+28,000). Healthcare employment decreased by 524,000 since February 2020. And care facilities and home care facilities account for about four-fifths of the loss. “

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