Public health rapid response in managing COVID-19 outbreaks in residential aged care facilities: a regional public health unit perspective

Authors

  • Mohammad Rashidul Hashan School of Medicine and Health Science, Central Queensland University, Rockhampton North, Australia; Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
  • Jacina Walker Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
  • Margaret Charles Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
  • Susie Le Brasse Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
  • Danielle Odorico Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
  • Nicolas Smoll Sunshine Coast Public Health Unit, Sunshine Coast Hospital and Health Service, Sunshine Coast, Australia
  • Michael Kirk Rockhampton Business Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia
  • Robert Booy Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
  • Gulam Khandaker Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia; Research Division, Central Queensland University, Rockhampton North, Queensland, Australia

DOI:

https://doi.org/10.33321/cdi.2024.48.36

Keywords:

COVID-19, outbreak, vaccine, aged care, public health

Abstract

We describe here the impact of managing coronavirus disease 2019 (COVID-19) outbreaks, during January–August 2022, in residential aged care facilities (RACFs) in Central Queensland, Australia, following the deployment of a public health rapid response team (PHRRT, comprising a medical officer, a communicable disease nurse, and an epidemiologist) from a regional public health unit (PHU). Our existing vaccine preventable diseases surveillance framework was used in identifying any symptomatic resident, triggering a PHRRT response. We found that the Hospital in the Home (HiTH) admission and death events were significantly lower after the introduction of the PHRRT than in the outbreaks that occurred before. Based on our experience with a PHRRT-led approach in mitigating the burden of outbreaks, we recommend regular reflection on optimising resources and practices in RACFs. Effective communication from PHUs can improve the RACFs’ preparedness and capacity to respond, and can inform the best practice model to protect the highly susceptible elderly residents and their staff.

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References

Royal Commission into Aged Care Quality and Safety. Aged care and COVID-19: a special report. Canberra: Australian Government Attorney General’s Department, Royal Commission into Aged Care Quality and Safety; 1 October 2020. [Accessed on 7 March 2023.] Available from: https://agedcare.royalcommission.gov.au/publications/aged-care-and-covid-19-special-report.

Liu B, Spokes P, He W, Kaldor J. High risk groups for severe COVID-19 in a whole of population cohort in Australia. BMC Infect Dis. 2021;21(1):685. doi: https://doi.org/10.1186/s12879-021-06378-z.

Queensland Government Department of Health (Queensland Health). Superseded – Management of Diagnosed Cases of COVID-19 and Close Contacts Direction (No. 4). [Webpage.] Brisbane: Queensland Health; 26 August 2022. [Accessed on 7 March 2023.] Available from: https://www.health.qld.gov.au/system-governance/legislation/cho-public-health-directions-under-expanded-public-health-act-powers/revoked/management-of-diagnosed-cases-of-covid-19-and-close-contacts-direction-4.

Australian Government Department of Health and Aged Care. COVID-19 outbreaks in Australian residential aged care facilities. [Webpage.] Canberra: Australian Government Department of Health and Aged Care; 2022. [Accessed on 7 March 2023.] Available from: https://www.health.gov.au/resources/collections/covid-19-outbreaks-in-australian-residential-aged-care-facilities.

Hashan MR, Chapman G, Walker J, Davidson SJ, Auriac J, Smoll N et al. Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study. BMJ Open. 2022;12(6):e060407. doi: https://doi.org/10.1136/bmjopen-2021-060407.

Dronavalli M, Lord H, Alexander K, Boonwaat L, Pal N, Fletcher-Lartey SM. Effectiveness of oseltamivir prophylaxis in influenza outbreaks in residential aged care. J Epidemiol Glob Health. 2020;10(2):184–9. doi: https://doi.org/10.2991/jegh.k.200402.001.

Australian Government Department of Health and Aged Care. COVID-19 outbreaks in Australian residential aged care facilities. Canberra: Australian Government Department of Health and Aged Care; 20 July 2023. [Accessed on 3 August 2023.] Available from: https://www.health.gov.au/sites/default/files/2023-07/covid-19-outbreaks-in-australian-residential-aged-care-facilities-20-july-2023.pdf.

Queensland Health. Hospital in the home. [Webpage.] Brisbane: Queensland Health; 3 March 2023. [Accessed on 24 July 2023.] Available from: https://www.health.qld.gov.au/system-governance/policies-standards/guidelines/hospital-in-the-home.

Escarate E, Jones CG, Clarke E, Clark P, Norton S, Bag S et al. Rapid on-site molecular Point of Care Testing during influenza outbreaks in aged care facilities improves antiviral use and reduces hospitalisation. Aust N Z J Public Health. 2022;46(6):884–8.

doi: https://doi.org/10.1111/1753-6405.13307.

Queensland Government Open Data Portal. Queensland COVID-19 case line list – location and source of infection. Brisbane: Queensland Government; 2023. [Accessed on 2 August 2023.] Available from: https://www.data.qld.gov.au/dataset/queensland-covid-19-case-line-list-location-source-of-infection.

Willett BJ, Grove J, MacLean OA, Wilkie C, De Lorenzo G, Furnon W et al. SARS-CoV-2 Omicron is an immune escape variant with an altered cell entry pathway. Nat Microbiol. 2022;7(8):1161–79. doi: https://doi.org/10.1038/s41564-022-01143-7.

Zhou Y, Zhi H, Teng Y. The outbreak of SARS-CoV-2 Omicron lineages, immune escape, and vaccine effectivity. J Med Virol. 2023;95(1):e28138. doi: https://doi.org/10.1002/jmv.28138.

Obach D, Solastie A, Liedes O, Vara S, Krzyżewska-Dudek E, Brinkmann L et al. Impaired immunity and high attack rates caused by SARS-CoV-2 variants among vaccinated long-term care facility residents. Immun Inflamm Dis. 2022;10(9):e679. doi: https://doi.org/10.1002/iid3.679.

Gilbert GL, Lilly A. Independent Review: COVID-19 outbreaks in Australian Residential Aged Care Facilities – no time for complacency. [Online document.] 1 November 2021. [Accessed on 7 March 2023.] Available from: https://www.health.gov.au/sites/default/files/documents/2021/11/coronavirus-covid-19-independent-review-of-covid-19-outbreaks-in-australian-residential-aged-care-facilities-independent-review-of-covid-19-outbreaks-in-australian-residential-aged-care-facilities_0.pdf.

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Published

23/10/24

How to Cite

Hashan, Mohammad Rashidul, Jacina Walker, Margaret Charles, Susie Le Brasse, Danielle Odorico, Nicolas Smoll, Michael Kirk, Robert Booy, and Gulam Khandaker. 2024. “Public Health Rapid Response in Managing COVID-19 Outbreaks in Residential Aged Care Facilities: A Regional Public Health Unit Perspective”. Communicable Diseases Intelligence 48 (October). https://doi.org/10.33321/cdi.2024.48.36.

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Surveillance summary

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