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First-Dose COVID-19 Vaccination Coverage Among Skilled Nursing Facility Residents and Staff

Educational Objective
To identify the key insights or developments described in this article

Residents and staff of long-term care facilities (LTCFs) have been prioritized by the Advisory Committee on Immunization Practices for vaccination in the initial COVID-19 vaccine allocation phase in the US.1 Residents and staff of LTCFs, who live and work in congregate settings, are at increased risk for infection with SARS-CoV-2,2 and residents, given their advanced age and/or underlying chronic medical conditions, are at increased risk for severe outcomes.3

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Article Information

Corresponding Author: Radhika Gharpure, DVM, MPH, COVID-19 Response, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30329 (rgharpure@cdc.gov).

Published Online: February 24, 2021. doi:10.1001/jama.2021.2352

Conflict of Interest Disclosures: None reported.

Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of CDC.

Additional Contributions: We thank collaborators from the CDC COVID-19 Response Team; CDC Division of Healthcare Quality Promotion, CMS; American Health Care Association; and participating pharmacies, health departments, and long-term care facilities.

References
1.
Dooling  K , McClung  N , Chamberland  M ,  et al.  The Advisory Committee on Immunization Practices’ interim recommendation for allocating initial supplies of COVID-19 vaccine—United States, 2020.   MMWR Morb Mortal Wkly Rep. 2020;69(49):1857-1859. doi:10.15585/mmwr.mm6949e1PubMedGoogle ScholarCrossref
2.
Centers for Medicare & Medicaid Services. COVID-19 nursing home data. January 31, 2021. Accessed February 17, 2021. https://data.cms.gov/stories/s/COVID-19-Nursing-Home-Data/bkwz-xpvg
3.
CDC COVID-19 Response Team.  Severe outcomes among patients with coronavirus disease 2019 (COVID-19)—United States, February 12-March 16, 2020.   MMWR Morb Mortal Wkly Rep. 2020;69(12):343-346. doi:10.15585/mmwr.mm6912e2PubMedGoogle ScholarCrossref
4.
Centers for Disease Control and Prevention. Understanding the Pharmacy Partnership for Long-Term Care Program. Updated January 7, 2021. https://www.cdc.gov/vaccines/covid-19/long-term-care/pharmacy-partnerships.html
5.
Gharpure  R , Guo  A , Bishnoi  CK ,  et al.  Early COVID-19 first-dose vaccination coverage among residents and staff members of skilled nursing facilities participating in the Pharmacy Partnership for Long-Term Care Program—United States, December 2020-January 2021.   MMWR Morb Mortal Wkly Rep. 2021;70(5):178-182. PubMedGoogle ScholarCrossref
6.
Black  CL , Yue  X , Ball  SW ,  et al.  Influenza vaccination coverage among health care personnel—United States, 2017-18 influenza season.   MMWR Morb Mortal Wkly Rep. 2018;67(38):1050-1054. doi:10.15585/mmwr.mm6738a2PubMedGoogle ScholarCrossref
7.
Daugherty  JD , Blake  SC , Grosholz  JM ,  et al.  Influenza vaccination rates and beliefs about vaccination among nursing home employees.   Am J Infect Control. 2015;43(2):100-106. PubMedGoogle ScholarCrossref
8.
Unroe  KT , Evans  R , Weaver  L ,  et al.  Willingness of long-term care staff to receive a COVID-19 vaccine: a single state survey.   J Am Geriatr Soc. Published online December 28, 2020.PubMedGoogle Scholar
9.
Jaklevic  MC .  Nursing homes’ next test—vaccinating workers against COVID-19.   JAMA. 2020;324(19):1928-1930. PubMedGoogle ScholarCrossref
10.
Centers for Disease Control and Prevention. Long-Term Care Facility Toolkit: preparing for COVID-19 vaccination at your facility. December 23, 2020. https://www.cdc.gov/vaccines/covid-19/toolkits/long-term-care/index.html
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