COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020 | Zendy

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COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020

Author(s) -

Temet M. McMichael,

Shauna Clark,

Sargis Pogosjans,

Meagan Kay,

James Lewis,

Atar Baer,

Vance Kawakami,

Margaret D. Lukoff,

Jessica Ferro,

Claire Brostrom-Smith,

Francis X. Riedo,

Denny Russell,

Brian Hiatt,

Patricia C. Montgomery,

Agam K. Rao,

Dustin W. Currie,

Eric J. Chow,

Farrell A. Tobolowsky,

Ana C. Bardossy,

Lisa P. Oakley,

Jesica R. Jacobs,

Noah G. Schwartz,

Nimalie D. Stone,

Sujan Reddy,

John A. Jernigan,

Margaret A. Honein,

Thomas A. Clark,

Jeffrey S. Duchin,

Meaghan Fagalde,

Jennifer L. Lenahan,

Emily B. Maier,

Kaitlyn J. Sykes,

Grace Hatt,

Holly Whitney,

Melinda Huntington-Frazier,

Elysia Gonzales,

Laura A. Mummert,

H Smith,

Steve Stearns,

Eileen Benoliel,

Shelly McKeirnan,

Jennifer L. L. Morgan,

Daniel Smith,

Michaela Hope,

Noël Hatley,

Leslie M. Barnard,

Leilani Schwarcz,

Nicole Yarid,

Eric Yim,

Sandra Kreider,

Dawn Barr,

Nancy Wilde,

C. Dorman,

A P Lam,

Jeanette Harris,

Hollianne Bruce,

Christopher Spitters,

Snohomish Health District,

Rachael Zacks,

Jonathan Dyal,

Michael S. Hughes,

Christina M. Carlson,

Barbara M. Cooper,

Michelle Banks,

Heather P. McLaughlin,

Arun Balajee,

Christine K. Olson,

Suzanne Zane,

Hammad Ali,

Jessica M. Healy,

Kristine M Schmit,

Kevin B. Spicer,

Zeshan Chisty,

Sukarma Tanwar,

Joanne Taylor,

Leisha D. Nolen,

Jeneita M. Bell,

Kelly M Hatfield,

Melissa Arons,

Anne Kimball,

Allison James,

Mark Methner,

Joshua Harney

Publication year - 2020

Publication title -

mmwr morbidity and mortality weekly report

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.992

H-Index - 208

eISSN - 1545-861X

pISSN - 0149-2195

DOI - 10.15585/mmwr.mm6912e1

Subject(s) - medicine , covid-19 , term (time) , betacoronavirus , long term care , pandemic , coronavirus infections , gerontology , virology , outbreak , pathology , nursing , infectious disease (medical specialty) , disease , physics , quantum mechanics

On February 28, 2020, a case of coronavirus disease (COVID-19) was identified in a woman resident of a long-term care skilled nursing facility (facility A) in King County, Washington.* Epidemiologic investigation of facility A identified 129 cases of COVID-19 associated with facility A, including 81 of the residents, 34 staff members, and 14 visitors; 23 persons died. Limitations in effective infection control and prevention and staff members working in multiple facilities contributed to intra- and interfacility spread. COVID-19 can spread rapidly in long-term residential care facilities, and persons with chronic underlying medical conditions are at greater risk for COVID-19-associated severe disease and death. Long-term care facilities should take proactive steps to protect the health of residents and preserve the health care workforce by identifying and excluding potentially infected staff members and visitors, ensuring early recognition of potentially infected patients, and implementing appropriate infection control measures.

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