The novel coronavirus is surging back into U.S. nursing homes, where it killed tens of thousands at the start of the pandemic and now once again threatens some of the people most vulnerable to covid-19, the disease caused by the virus.
The development is a discouraging result of widespread community transmission of the virus in many parts of the country and in hot spots where it is even less controlled. With staff — and in some cases patients and visitors — entering and leaving facilities, the community-acquired infection almost inevitably finds its way inside.
“The strongest predictor of whether or not we’ll see cases in [a particular setting] is community spread,” said David C. Grabowski, a professor of health care policy at Harvard Medical School, who studies long-term care. “We saw that in the Northeast and now, unfortunately, we’re seeing it in the Sun Belt states.”
Federal data cited by two long-term care associations this week show that the number of new cases in nursing homes bottomed out at 5,468 during the week of June 21 and has climbed steadily upward to 8,628 for the week of July 19, the last week available. That is a 58 percent increase that roughly parallels the rise in U.S. cases overall during that time.