COVID19 outbreaks in Australian residential aged care ...



COVID19 outbreaks in Australian residential aged care facilitiesNational SnapshotData as at 0800 on 11 September 2020Active outbreaks:83Active resident cases:454Active staff cases: 166Deaths:580Total residential of outbreaks213Number of services resolved 130Number of services with only one case of COVID-1998Total resident cases 1967Resolved resident cases925Total staff cases 2082Resolved staff cases1916AnalysisCurrent situation in Australia In Australia, a total of 26,513 cases of COVID-19 have been reported, including 1661 active cases, 23,031 recovered cases and 788 deaths.Of these, a total of 19,728 cases of COVID-19 have been reported in Victoria, including 1483 active cases, 17,484 recovered cases and 701 deaths.There are 83 residential aged care facilities currently active with COVID-19. 82 of these services are in Victoria and one is in Queensland. Distribution of Australian residential aged care facilities by number of cases of COVID-19 (includes staff and resident cases)Comparison of aged care transmission with community transmission in VictoriaNoting that ‘other’ refers to individuals associated with an outbreak in aged care who are neither residents nor staff. This category is not reported in the remainder of the report. National comparison of 2020 residential aged care deaths with previous year and influenza comparisons Across the 2020 calendar year to 31 July 2020, the total number of departures from residential care due to death is 32,398, compared with 33,383 at the same point in 2019. The lower number of deaths in 2020 in the data available to date compared to the same point in 2019 is likely the result of increased influenza immunisation rates, and increased infection control protocols introduced during the COVID-19 pandemic.Sadly influenza kills many elderly Australians each year many of whom live in aged care facilities. The 2017 influenza season recorded the highest levels of influenza activity since 2009 swine flu pandemic with over 1064 older Australians dying from influenza. In 2019, 837 older Australians died from influenza. In 2020, 28 older Australians have died from influenza to date. International comparisons Australia’s overall COVID death rate as a proportion of cases is around 3.0 per?cent (compared to 12.8 per cent in the UK). Our death rate in aged care across Australia as a proportion of total aged care residents is around 0.32 per cent (3.2 in 1000) compared to 5.3 per cent in the UK where nearly 20,000 deaths have been seen.In the UK, of the 9,081 care homes included in a recent study, 56% reported at least one confirmed case of coronavirus (staff or resident), as compared to 7.7% of all Australian aged care homes (source: UK Office of National Statistics).In Canada, 21 per cent (1,231 of 5,801) of care homes has one or more confirmed cases of COVID-19. Workforce in active residential aged care outbreaks As part of the aged care response, significant surge workforce assistance has been provided by both state and National Aged Care Emergency Response (NACER) teams, with many workers deployed from interstate. The number of Commonwealth funded surge staff that have been deployed to Victorian aged care services exceeds 1000.AgencyResources suppliedState and NACER (National Aged Care Emergency Response) TeamsTasmanian Government: 9 clinical and 1 support staffWestern Australian Government: 12 clinical personnelNACER: 6 teams (35 personnel)AUSMAT Visited a total of 75 Victorian aged care facilities. A total of 169 visits were completed due to re-visits. Australian Defence ForceHave visited 438 facilities conducting clinical screens. RCSAStaff supplied 20,077 shiftsHealthcare AustraliaStaff supplied filled 3552 shifts for workforce surge and 968 shifts for NACER teams. MableFilled 1539 shiftsAspen MedicalSupplied staff to fill 560 roles including clinical first responders deploymentsHealth XSupplied 21 staff filled 111 shiftsWestern Health Visited 37 facilities to provide assistance. Contract has finished. Provision of personal protective equipment (PPE)A range of resources and online training on the use of PPE is available on the Department’s website for aged care workers.Since March 2020, the Australian Government has been working with state and territory governments to ensure aged care facilities have sufficient PPE. PPE is dispatched both directly from the National Medical Stockpile (NMS) and by jurisdictions on the NMS’ behalf, depending on the specific circumstances.Over half a billion masks and approximately 52 million gowns, 261 million gloves, and 44?million goggles/face shields have been ordered for staggered delivery into the NMS through to January 2021.As at 11 September 2020, the NMS has provided aged care facilities with approximately:16 million masks4 million gowns10?million gloves3 million goggles and face shields80,000 bottles of hand sanitiser140,000 clinical waste bags. Testing of aged care residents and staffThe Australian Government has engaged Sonic Healthcare to provide a dedicated pathology service for the testing of suspected cases of COVID-19 in residential aged care facilities.?The service is intended to supplement existing public health pathology services in aged care through the provision of services from the private sector as required.? As at 1 September, Sonic has conducted 126,680 COVID19 tests at 1794 unique residential aged care facilities nationally. This includes 110,352 COVID-19 tests at 520 unique residential aged care facilities in Victoria.? Testing regimens for residents and staff at aged care facilities that experience a COVID-19 outbreak is based on advice from the relevant state/territory government Public Health Unit.Infection control and audits The Aged Care Quality and Safety Commission are undertaking Infection Control Monitoring (ICM) visits to observe infection control practices, to ensure that staff, management and visitors are adhering to safe personal protective equipment protocols and to safe infection control arrangements. This program is in addition to the Commission’s usual assessment and auditing program, and includes unannounced visits to residential aged care services, without an outbreak, to check compliance with PPE and infection control arrangements. State / territoryDates visits commencedNumber completedAustralian Capital Territory2 September 20202New South Wales10 August 2020 131Northern Territory2 September 2020 7Queensland27 August 202081South Australia26 August 2020 6Tasmania27 August 202050Victoria3 August 2020160Western Australia25 August 202011Appendix 1: National residential aged care services with two or more positive cases of COVID-19 Victorian data is from Public Health Events Surveillance System (PHESS), other services information is collected by the Commonwealth Government. NoStateResidential Aged Care FacilityTotal casesResidenttotalResident resolvedStaff totalStaff resolvedResident deathsResolved (Y/N)1NSWDorothy Henderson Lodge 221711556Y2NSWNewmarch House Aged Care Facility 713717343419Y3NSWOpal Aged Care, Bankstown 630333Y4NSWStorm Village, Anglican Care 200220Y5TASMelaleuca Home for the Aged 210111Y6VICArcare Burnside 500550Y7VICArcare Craigieburn 813722444414N8VICArcare Maidstone 500530N9VICArcare Sydenham 4621125184N10VICAssisi Aged Care 411330Y11VICAurrum Plenty 824732353513N12VICAurrum Reservoir 300330N13VICAvonlea Grange Hostel 200220N14VICBaptcare Brookview Community Westmeadows 1591631N15VICBaptcare Strathalan 200200Y16VICBaptcare The Orchards - Doncaster 200220Y17VICBaptcare Wyndham Lodge 21799531189720N18VICBenetas St Georges 653117343412N19VICBill Crawford Lodge 522330Y20VICBlueCross Autumdale 54243302513N21VICBluecross Baradine 200220Y22VICBlueCross Chelsea Manor 500550N23VICBluecross Ivanhoe 500550Y24VICBluecross Riverlea 300330N25VICBluecross Silverwood 200220Y26VICBlueCross The Boulevard 693625333311N27VICBoyne Russell Nursing Home 300330Y28VICBupa Edithvale 764425323217N29VICBupa Greensborough 200220Y30VICBupa Sunshine 200220Y31VICBupa Templestowe 1241882N32VICBupa Traralgon 197112112N33VICBUPA Woodend 410330Y34VICCampbell Place Aged Care Facility 200220Y35VICChomley House Hostel 200220N36VICChurches of Christ Care Arcadia Aged Care Service Essendon 19901062N37VICCoppin Centre Melbourne 200210N38VICCorpus Christi Aged Care Residence - Villa Maria Catholic Homes300320N39VICCraigcare Moonee Ponds 200220Y40VICCraigcare Pascoe Vale 914919423414N41VICCumberland Manor 107533454518N42VICDoutta Galla Footscray 2. 56302326257N43VICDoutta Galla Lynch's Bridge200220Y44VICDoutta Galla Woornack 331801530N45VICDoutta Galla Yarraville 824122414116N46VICEdenvale Manor Aged Care Facility 12100200N47VICElly Kay ACF Mordialloc - BlueCross211110N48VICEmbracia in Reservoir VIC 200220Y49VICEmbracia Moonee Valley 3214918175N50VICEmmavale Gardens - Menarock Life Lower Templestowe 411330Y51VICEpping Gardens 18710255858536N52VICEssendon Aged Care - Menarock Life4720227267N53VICEstia Health Ardeer 1345032848317N54VICEstia Health Glen Waverley 722550N55VICEstia Health Heidelberg West 942919656410N56VICEstia Health Keilor 422220Y57VICEstia Health Keysborough20821293N58VICEstia Health South Morang 300330Y59VICFlorence Aged Care 46281518177N60VICFronditha Thalpori Aged Care Services - St Albans 310221Y61VICGlendale Aged Care 874526424216N62VICGlenlyn Aged Care Facility 63401623214N63VICGrace of Mary Greek Cypriot Elderly Hostel 55222333110N64VICGrant Lodge Aged Care Facility 200220Y65VICGregory Lodge - Royal Freemasons653823272514N66VICHammond Care Caulfield Village Aged Care Facility 222000Y67VICHolloway Aged Care Services 310221Y68VICJames Barker House 311220N69VICJapara Central Park 3918121181N70VICJapara Elanora 60311829228N71VICJapara Goonawarra 995332464317N72VICJapara Millward 36191517174N73VICJapara The Regent 42211721183N74VICKalyna Care 100586423624N75VICKirkbrae Presbytarian Homes 1156140545420N76VICLiscombe House 300330N77VICLittle Sisters of the Poor, Northcote 310211Y78VICLynden Aged Care 311220Y79VICMaculata Place Shepparton Villages 311220N80VICMcGregor Gardens Aged Care - Menarock Life411330Y81VICMecwacare John Atchison Centre 81440373618N82VICMercy Place Dandenong21139883N83VICMercy Place Montrose 200220Y84VICMercy Place Parkville 94573372915N85VICMercy Place Wyndham 521331Y86VICMontefiore Homes Community Residence - Jewish Care Hannah and Daryl Cohen Centre Windsor Aged Care Facility 66333033292N87VICOpal Hobsons Bay Altona North 14100400N88VICOpal South Valley 56322424228N80VICOutlook Gardens Aged Care 994125585710N90VICP.S. Hobson Nursing Home 200200Y91VICPoint Cook Manor Aged Care 200220Y92VICPrinceton View 6828440224N93VICRathdowne Place Aged Care, Carlton 911880Y94VICRegis Brighton 67251642419N95VICRegis Cranbourne 200220N96VICRegis Fawkner 543111N97VICRegis Macleod 200220N98VICRiddell Gardens, Sunbury 220001N99VICRosehill Aged Care - Menarock Life815033312916N100VICRoyal Freemasons - Monash Gardens 200220N101VICRoyal Freemasons Bacchus Marsh 200220Y102VICRuckers Hill - BlueCross104487565311N103VICSheriden Aged Care (Kyabram District Health Service)520330Y104VICSt Basil's Home for the Aged in Victoria 1839239919044N105VICSt Vincent Care Services Eltham 200220N106VICSutton Park Assisted Aged Care7446428197N107VICTalbot Place 200200Y108VICTwin Parks Aged Care - Reservoir 1257941464221N109VICUniting Agewell Box Hill 200220Y110VICUniting AgeWell Kingsville 200220Y111VICVilla Maria Catholic Homes Berwick Aged Care Residence 855330Y112VICVilla Maria Catholic Homes St Bernadette's Aged Care Residence 164112123N113VICVillage Glen Aged Care Residences - Mornington 40211619185N114VICWesternport Nursing Home 200220N115VICWestgarth - BlueCross3114717156N ................
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