Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands

The COVID-19 pandemic has disproportionately affected persons in long-term care, who often experience health disparities. To delineate the COVID-19 disease burden among persons with intellectual disabilities, we prospectively collected data from 36 care facilities for 3 pandemic waves during March...

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Main Authors: Monique C.J. Koks-Leensen, Bianca W.M. Schalk, Esther J. Bakker-van Gijssel, Aura Timen, Masha E. Nägele, Milou van den Bemd, Geraline L. Leusink, Maarten Cuypers, Jenneken Naaldenberg
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/1/22-1346_article
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author Monique C.J. Koks-Leensen
Bianca W.M. Schalk
Esther J. Bakker-van Gijssel
Aura Timen
Masha E. Nägele
Milou van den Bemd
Geraline L. Leusink
Maarten Cuypers
Jenneken Naaldenberg
author_facet Monique C.J. Koks-Leensen
Bianca W.M. Schalk
Esther J. Bakker-van Gijssel
Aura Timen
Masha E. Nägele
Milou van den Bemd
Geraline L. Leusink
Maarten Cuypers
Jenneken Naaldenberg
author_sort Monique C.J. Koks-Leensen
collection DOAJ
description The COVID-19 pandemic has disproportionately affected persons in long-term care, who often experience health disparities. To delineate the COVID-19 disease burden among persons with intellectual disabilities, we prospectively collected data from 36 care facilities for 3 pandemic waves during March 2020–May 2021. We included outcomes for 2,586 clients with PCR-confirmed SARS-CoV-2 infection, among whom 161 had severe illness and 99 died. During the first 2 pandemic waves, infection among persons with intellectual disabilities reflected patterns observed in the general population, but case-fatality rates for persons with intellectual disabilities were 3.5 times higher and were elevated among those >40 years of age. Severe outcomes were associated with older age, having Down syndrome, and having >1 concurrent condition. Our study highlights the disproportionate COVID-19 disease burden among persons with intellectual disabilities and the need for disability-inclusive research and policymaking to inform disease surveillance and public health policies for this population.
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spelling doaj.art-1843d1540cde40eda99a4a3817e2f6732023-01-06T17:27:24ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-01-0129111812610.3201/eid2901.221346Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the NetherlandsMonique C.J. Koks-LeensenBianca W.M. SchalkEsther J. Bakker-van GijsselAura TimenMasha E. NägeleMilou van den BemdGeraline L. LeusinkMaarten CuypersJenneken Naaldenberg The COVID-19 pandemic has disproportionately affected persons in long-term care, who often experience health disparities. To delineate the COVID-19 disease burden among persons with intellectual disabilities, we prospectively collected data from 36 care facilities for 3 pandemic waves during March 2020–May 2021. We included outcomes for 2,586 clients with PCR-confirmed SARS-CoV-2 infection, among whom 161 had severe illness and 99 died. During the first 2 pandemic waves, infection among persons with intellectual disabilities reflected patterns observed in the general population, but case-fatality rates for persons with intellectual disabilities were 3.5 times higher and were elevated among those >40 years of age. Severe outcomes were associated with older age, having Down syndrome, and having >1 concurrent condition. Our study highlights the disproportionate COVID-19 disease burden among persons with intellectual disabilities and the need for disability-inclusive research and policymaking to inform disease surveillance and public health policies for this population. https://wwwnc.cdc.gov/eid/article/29/1/22-1346_articleCOVID-19respiratory infectionssevere acute respiratory syndrome coronavirus 2SARS-CoV-2SARScoronavirus disease
spellingShingle Monique C.J. Koks-Leensen
Bianca W.M. Schalk
Esther J. Bakker-van Gijssel
Aura Timen
Masha E. Nägele
Milou van den Bemd
Geraline L. Leusink
Maarten Cuypers
Jenneken Naaldenberg
Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands
Emerging Infectious Diseases
COVID-19
respiratory infections
severe acute respiratory syndrome coronavirus 2
SARS-CoV-2
SARS
coronavirus disease
title Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands
title_full Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands
title_fullStr Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands
title_full_unstemmed Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands
title_short Risk for Severe COVID-19 Outcomes among Persons with Intellectual Disabilities, the Netherlands
title_sort risk for severe covid 19 outcomes among persons with intellectual disabilities the netherlands
topic COVID-19
respiratory infections
severe acute respiratory syndrome coronavirus 2
SARS-CoV-2
SARS
coronavirus disease
url https://wwwnc.cdc.gov/eid/article/29/1/22-1346_article
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