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...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Centers for Disease Control and Prevention
2023-01-01
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Series: | Emerging Infectious Diseases |
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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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first_indexed | 2024-04-11T00:36:39Z |
format | Article |
id | doaj.art-1843d1540cde40eda99a4a3817e2f673 |
institution | Directory Open Access Journal |
issn | 1080-6040 1080-6059 |
language | English |
last_indexed | 2024-04-11T00:36:39Z |
publishDate | 2023-01-01 |
publisher | Centers for Disease Control and Prevention |
record_format | Article |
series | Emerging Infectious Diseases |
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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