Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Nanduri, Srinivas ; Pilishvili, Tamara ; Derado, Gordana ; Soe, Minn Minn ; Dollard, Philip ; ... More +
Nanduri, Srinivas ; Pilishvili, Tamara ; Derado, Gordana ; Soe, Minn Minn ; Dollard, Philip ; Wu, Hsiu ; Li, Qunna ; Bagchi, Suparna ; Dubendris, Heather ; Link-Gelles, Ruth ; Jernigan, John A. ; Budnitz, Daniel ; Bell, Jeneita ; Benin, Andrea ; Shang, Nong ; Edwards, Jonathan R. ; Verani, Jennifer R. ; Schrag, Stephanie J. Less -
Description:
Nursing home and long-term care facility residents live in congregate settings and are often elderly and frail, putting them at high risk for infection with SARS-CoV-2, the Virus that causes COVID-19, and severe COVID-19-associated outcomes; therefore, this population was prioritized for early vaccination in the United States (1). Following rapid distribution and administration of the mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna) under an Emergency Use Authorization by the Food and Drug Administration (2), observational studies among nursing home residents demonstrated vaccine effectiveness (VE) ranging from 53% to 92% against SARS-CoV-2 infection (3-6). However, concerns about the potential for waning vaccine-induced immunity and the recent emergence of the highly transmissible SARS-CoV-2 B.1.617.2 (Delta) Variants| highlight the need to continue to monitor VE (7). Weekly data reported by the Centers for Medicaid & Medicare (CMS)-certified skilled nursing facilities or nursing homes to CDC's National Healthcare Safety Network (NHSN)| were analyzed to evaluate effectiveness of full vaccination (2 doses received ≥14 days earlier) with any of the two currently authorized mRNA COVID-19 vaccines during the period soon after vaccine introduction and before the Delta Variants was circulating (pre-Delta [March 1-May 9, 2021]), and when the Delta Variants predominated| (Delta [June 21-August 1, 2021]). Using 17,407 Weekly Reports from 3,862 facilities from the pre-Delta period, adjusted effectiveness against infection for any mRNA vaccine was 74.7% (95% confidence interval [CI] = 70.0%-78.8%). Analysis using 33,160 Weekly Reports from 11,581 facilities during an intermediate period (May 10-June 20) found that the adjusted effectiveness was 67.5% (95% CI = 60.1%-73.5%). Analysis using 85,593 Weekly Reports from 14,917 facilities during the Delta period found that the adjusted effectiveness was 53.1% (95% CI = 49.1%-56.7%). Effectiveness estimates were similar for Pfizer-BioNTech and Moderna vaccines. These findings indicate that mRNA vaccines provide protection against SARS-CoV-2 infection among nursing home residents; however, VE was lower after the Delta Variants became the predominant circulating strain in the United States This Analysis assessed VE against any infection, without being able to distinguish between asymptomatic and symptomatic presentations. Additional evaluations are needed to understand protection against severe disease in nursing home residents over time. Because nursing home residents might remain at some risk for SARS-CoV-2 infection despite vaccination, multiple COVID-19 Prevention strategies, including infection control, tTesting, and vaccination of nursing home staff members, residents, and visitors, are critical. An additional dose of COVID-19 vaccine might be considered for nursing home and long-term care facility residents to optimize a protective immune response.
Subjects:
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Aged CoronaVirus Infections COVID-19 COVID-19 Vaccines Humans Nursing Homes SARS-CoV-2 Vaccines, Synthetic
Source:
MMWR Morb Mortal Wkly Rep. 70(34):1163-1166
Pubmed ID:
34437519
Pubmed Central ID:
PMC8389386
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:f91115484580c1131aea8a845fd808dee3e4f242fd1f4f1a248ddd5c40789c2c
Download URL:
https://stacks.cdc.gov/view/cdc/109826/cdc_109826_DS1.pdf
File Type:

Supporting Files

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