Risks of COVID-19 in private nursing homes in the Eastern Administrative District of Moscow


DOI: https://dx.doi.org/10.18565/epidem.2024.14.2.45-8

Davidova N.G., Ugleva S.V., Akimkin V.G.

1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Branch of the «Center for Hygiene and Epidemiology in Moscow» in the Eastern Administrative District of Moscow, Moscow. Russia
Objective. Assessing the association of COVID-19 incidence among residents of long-term care facilities with different ownership types.
Materials and methods. A retrospective cross-sectional study and a retrospective analytical study of the COVID- 19 incidence among residents of closed long-term care facilities of private and state ownership in the Eastern Administrative District of Moscow during the period of the first rise in the COVID-19 incidence was conducted. 6 acts of sanitary and epidemiological investigation of focus of disease, 288 electronic medical records, issued in the «Department for Registration and Record of Infectious Disease (DRRID)» AIS system, form № 2 of the federal statistical observation «Information on infectious and parasitic diseases» for March–June 2020 were analyzed.
Results. For-profit facility status was associated with higher odds of resident infection (odds ratio 4.791; 95% CI 3.193–7.188; p < 0.05). The reasons included the architectural features of private institutions: the lack of an isolation ward with a gateway and a separate exit, lack of a medical office, the impossibility of dividing floors into «red» and «green» zones, as well as the recruitment of unqualified personnel, a small staff.
Conclusion. Private nursing homes are risk areas, the COVID-19 incidence in such facilities can significantly complicate the epidemic situation.

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About the Autors


Natalia G. Davidova, Post-Graduate Student, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Epidemiologist, Branch of the «Center for Hygiene and Epidemiology in the City of Moscow» in the Eastern Administrative District of Moscow. Moscow, Russia; dawidowa.nat2016@yandex.ru; https://orcid.org/0000-0003-4429-9844
Svetlana V. Ugleva, МD, Associate Professor, Consultant, Organizational and Methodological Department, Administrative and Management Division, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being Moscow, Russia; uglevas@bk.ru; https://orcid.org/0000-0002-1322-0155
Professor Vasily G. Akimkin, Academician of the Russian Academy of Sciences, МD, Director, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; vgakimkin@yandex.ru; https://orcid.org/0000-0003-4228-9044


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