Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022;68(5):546-550.
doi: 10.1159/000517793. Epub 2021 Aug 11.

First-Dose Coronavirus 2019 Vaccination Coverage among the Residents of Long-Term Care Facilities in France

Joël Belmin  1   2 , Pierre Lutzler  3 , Patrick Hidoux  4 , Olivier Drunat  5 , Carmelo Lafuente-Lafuente  1   2   6 ; Investigators of the DU MedCo Network
Affiliations

First-Dose Coronavirus 2019 Vaccination Coverage among the Residents of Long-Term Care Facilities in France

Joël Belmin et al. Gerontology. 2022.

Abstract

Background: Long-term care facilities (LTCFs) experienced severe burden from the Coronavirus 2019 (COVID-19), and vaccination against SARS-CoV-2 is a major issue for their residents.

Objective: The objective of this study was to estimate the vaccination coverage rate among the residents of French LTCFs.

Method: Participants and settings: 53 medical coordinators surveyed 73 LTCFs during the first-dose vaccination campaign using the BNT162b2 vaccine, conducted by health authorities in January and early February 2021.

Measurements: in all the residents being in the LTCF at the beginning of the campaign, investigators recorded age, sex, history of clinical or asymptomatic COVID-19, serology for SARS-CoV-2 or severe allergy, current end-of-life situation, infectious or acute disease, refusal of vaccination by the resident or by the representative person of vaccine, and the final status, vaccinated or not.

Results: Among the 4,808 residents, the average coverage rate for COVID-19 vaccination was 69%, and 46% of the LTCFs had a coverage rate <70%. Among unvaccinated residents, we observed more frequently a history of COVID-19 or a positive serology for SARS-CoV-2 (44.6 vs. 11.2% among vaccinated residents, p < 0.001), a history of severe allergy (3.7 vs. 0.1%, p < 0.001), end-of-life situation (4.9 vs. 0.3%, p < 0.001), current infectious or acute illness (19.6 vs. 0.3%, p < 0.001), and refusal of vaccination by residents or representative persons (38.9 vs. 0.4%, p < 0.001).

Conclusions: About 3 out of 10 residents remained unvaccinated, and half of the LTCFs had a coverage rate <70%. This suggests that COVID-19 will remain a threat to many LTCFs after the vaccination campaigns.

Keywords: Coronavirus-19; Long-term care facility; Vaccine coverage.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Distribution of the long-term care facilities according to the percentage of residents vaccinated by a class of 10%.
See this image and copyright information in PMC

References

    1. Fallon A, Dukelow T, Kennelly SP, O'Neill D. COVID-19 in nursing homes. QJM. 2020;113((6)):391–2. - PMC - PubMed
    1. ECDC Public Health Emergency Team. Danis K, Fonteneau L, Georges S, Daniau C, Bernard-Stoecklin S, et al. High impact of COVID-19 in long-term care facilities, suggestion for monitoring in the EU/EEA, May 2020. Euro Surveill Bull. 2020;25((22)):2000956. - PMC - PubMed
    1. Centers for Medicare & Medicaid Services . COVID-19 nursing home data. Baltimore, MD: US Department of Health and Human Services, Centers for Medicare & Medicaid Services; 2020. Available from: https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvgexter.... Accessed 2021 Feb 7.
    1. Lansbury LE, Brown CS, Nguyen-Van-Tam JS. Influenza in long-term care facilities. Influenza Other Respir Viruses. 2017;11((5)):356–66. - PMC - PubMed
    1. Applegate WB, Ouslander JG. COVID-19 presents high risk to older persons. J Am Geriatr Soc. 2020;68((4)):681. - PMC - PubMed