Surveillance data from public online national reports on COVID-19 in long-term care facilities

This webpage presents data related to cases and fatal cases of COVID-19 amongst long-term care facility residents in EU/EEA countries (Table 1). The data are contained in surveillance reports published by national authorities, such as ministries and agencies.

To aid interpretation, Table 2 presents attributes of the national surveillance systems and surveillance reports; and Table 3 contains a list of caveats for those two tables. On 21 January 2021, ECDC sent Coordinating Competent Bodies in EU/EEA countries the draft tables, to verify the data sources.

The list of the data sources  is at the bottom of this webpage. Additionally, the ECDC webpage ‘Online reports containing data and other information on surveillance of COVID-19 in long-term care facilities’ contains hyperlinks to surveillance reports and protocols published by national authorities in EU/EEA countries.

The ECDC webpage ‘Weekly COVID-19 Country Overview’ currently contains country-level weekly surveillance data regarding COVID-19 in long-term care facilities, within the country profiles of countries that have sent this data. These countries are:

The protocol for the reporting of aggregate national surveillance data on COVID-19 in long-term care facilities is published on the ECDC website. 

Table 1. Surveillance data regarding COVID-19 cases and related deaths among long-term care facility residents in the EU/EEA, as of 09 November 2021

Country

Most recent data included in the report

COVID-19 cases in LTCF residents (c)

COVID-19-related deaths in LTCF residents (c)

Total COVID-19-related deaths (b,c)

Proportion of total COVID-19-related deaths that were in LTCF residents (%)

COVID-19-related deaths in LTCF residents per 100 LTCF beds

Number of LTCFs beds (d)

Ref. (COVID-19 data)

Ref. (Number of LTCFs beds)

Austria

31 Jan 2021

18 589

3 380

7 653

44

4.5

75 710

[AT1]

[AT2]

Belgium

1 Sep  2021

12 889 (a)

25 419

50.8

9

144 783

[BE1]

[BE2]

Bulgaria

9 Nov 2021

26 191

486

[1]

Croatia

9 Nov 2021

9 936

37 249

[1]

Cyprus

9 Nov 2021

702

3 597

[CY1]

Czechia

9 Nov 2021

31 513

17 204

[1]

Denmark

21 Sep 2021

4 011

973

2 592

37

2.4

40 599*

[DK1]

[DK1]

Estonia

9 Nov 2021

1 690

1 849

[1]

Finland

8 Feb 2021

34% of 701 (a)

701

34

0.4

65 000

[FI1]

[FI2]

France

31 Jan 2021

153 219

31 795

76 057

42

4.4

728 000

[FR1]

[FR2]

Germany

8 Feb 2021

105 745(a)

17 602(a)

61 675

29

2.2

818 317*

[DE1]

[DE2]

Greece

31 Jan 2021

1 512 (a)

228 (a)

5 796

4

2.1

10 849

[EL1]

[1]

Hungary

27 Aug 2020

923

142

614

23

0.3

55 210

[HU1]

[HU2]

Iceland

2 628

[1]

Ireland

9 May 2021

7 556

942 (a)

2 344

50

3.7

32 000

[IE1,2]

[IE2]

Italy

5 May 2020

965 (a)

680 (a)

30 560

2

0.7

30 906

[IT1]

[IT1]

Latvia

9 Nov 2021

4 129

5 798

[1]

Liechtenstein

9 Nov 2021

61

[1]

Lithuania

5 Feb 2021

363

2 955

12

2.9

12 700*

[LT1]

[LT2]

Luxembourg

9 Nov 2021

907

7 336

[LU1]

Malta

3 Jun 2020

0

0.02%

9

0

0

4 244

[MT1]

[MT1]

The Netherlands

7 Feb 2021

36 877

7 464

14 412

52

6.5

115 000*

[NL1]

[NL2]

Norway

9 Nov 2021

1 215

39 583

[1]

Poland

22 May 2020

340

996

80 000

[PL1]

[PL1]

Portugal

19 Aug 2020

2 500

688

1 796

38

0.7

99 234

[PT1]

[PT2]

Romania

9 Nov 2021

53 264

37 727

[1]

Slovakia

9 Nov 2021

13 972

27 497

[1]

Slovenia

17 Oct 2021

12 526 (a)

2 136 (a)

4 992

57

9.8

21 321

[SI1]

[SI2]

Spain

30 Nov 2020

22 718 (a)

45 069

50

5.8

389 031

[ES1]

[ES2]

Sweden

13 Sep 2021

31 680

9 162

14 699

62

11.5

79 410

[SE1]

[SE1]

Footnotes:

- : No data; LTCF: Long-term care facility; Ref.: Reference (see the bottom of this webpage); *: data refer to the number of LTCF residents. 

(a) See Table 3 for the caveats for this data.

(b) The total national COVID-19-related deaths was obtained from the weekly national data collected by ECDC, and corresponds to the number of deaths reported at the end of the week of the latest update from the country.

(c) See Table 2 for a description of the reported data

(d) The data indicate the number of beds, or, if available the number of residents.

Table 2. Attributes of national surveillance systems that collect data on COVID-19 cases and related deaths among long-term care facility residents in the EU/EEA, as of 9 November 2021

EU/EEA country

Ref.

Date of publication of the source document

Frequency of publication

The report presents trends in data and/or current totals

Which categories of COVID-19 cases are reported?

Which categories of fatal COVID-19 cases among LTCF residents are reported?

Does the report present data on fatal cases among LTCF residents who had COVID-19 contribute to the fatal outcome

These locations of death of COVID-19 cases are included in the report

Number of LTCFs beds(c)

Number of LTCF beds(c), per 1 000 persons age 75+ years(d)

Austria

[AT1]

31 Jan 2021

Weekly

Current total

Not specified

Not specified

No (reports cases who died)

Not specified

75 710

87

Belgium

[BE1]

2 Feb 2021

Weekly

Time series; current total

Possible, probable and confirmed

Yes

In-LTCF; in hospital

144 783

142

Bulgaria

486

1

Croatia

37 249

97

Cyprus

3 597

58

Czechia

17 204

21

Denmark

[DK1]

5 Feb 2021

Weekly

Time series; current total

Confirmed only

Confirmed only

No (reports cases who died)

Not specified

40 599*

83

Estonia

1 849

15

Finland

[FI1]

8 Feb 2021

Weekly

Current total

Not specified

Yes

In-LTCF

65 000

127

France

[FR1]

4 Feb 2021

Weekly

Time series; current total

Confirmed only

Suspected and confirmed

Yes

In-LTCF; in-hospital

728 000

116

Germany

[DE1]

8 Feb 2021

Daily & weekly

Current total

Confirmed only

Confirmed only

No (reports cases who died)

Not specified

818 317*

86

Greece

[EL1]

31 Jan 2021

n.a.

Current total

Confirmed only

Confirmed only

Yes (WHO/ECDC definition) (b)

In-LTCF; in-hospital

10 849

9

Hungary

[HU1]

27 Aug 2020

Irregular

Current total

Not specified

Not specified

No (reports cases who died)

n.a.

55 210

69

Iceland

2 628

124

Ireland

[IE1] [IE2]

11 Jan 2021

Weekly; irregular

Time series; current total

Confirmed only

Total only

Yes (WHO/ECDC definition) (b)

In-LTCF; in-hospital

32 000

110

Italy

[IT1]

17 Jun 2020

One-time publication

Current total

Confirmed only

Confirmed only

No (reports cases who died)

Not specified

30 906

14

Latvia

5 798

30

Liechtenstein

Lithuania

[LT1]

5 Feb 2021

n.a.

Current total

Not specified / Total only

Yes

Not specified

12 700*

46

Luxembourg

7 336

172

Malta

[MT1]

6 Jun 2020

One-time publication

Current total

Confirmed only

4 244

120

The Netherlands

[NL1]

7 Feb 2021

Daily

Time series; current total

Confirmed only

Confirmed only

No (reports cases who died)

Not specified

115 000*

82

Norway

39 583

101

Poland

[PL1]

22 May 2020

One-time publication

Current total

Not specified

80 000

29

Portugal

[PT1]

19 Aug 2020

Irregular

Current total

Not specified

Yes

In-LTCF; in-hospital

99 234

91

Romania

37 727

24

Slovakia

27 497

82

Slovenia

[SI1]

18 Oct 2021

Weekly

Time series; current total

Confirmed only

Confirmed only

No (reports cases who died) (a)

Not specified

21 321

109

Spain

[ES1]

31 Dec 2020

Annual

Current total

Excess mortality (a)

No (reports excess mortality(a)

Not specified

389 031

86

Sweden

[SE1]

31 Jan 2021

Weekly

Time series; current total

Confirmed only

Confirmed only

Yes

In-LTCF; in-hospital

79 410*

86

 

Footnotes:

- : No data; LTCF: Long-term care facility; n.a.: Not applicable; *: data refer to the number of LTCF residents

(a) See Table 3 for the caveats for these data.

(b) The ECDC/WHO surveillance definition for mortality monitoring is available at URL: https://www.ecdc.europa.eu/en/covid-19/surveillance/surveillance-defini….  

(c) For the source of the number of LTCF beds, see Table 1

(d) Data for the population age at least 75 years are Eurostat population estimates for mid-2019.

Table 3 – Caveats for the national data presented in Tables 1 and 2 (as reported by the countries)

Austria A COVID-19 death is defined - for surveillance purposes - as a laboratory-confirmed case of COVID-19 with the outcome death, whereby between the status “illness” and status “death” the status “recovered / cured” was NOT present.

Belgium

The number of COVID-19-related deaths only includes those occurring in nursing homes for the elderly (not all LTCFs) at all death sites (nursing homes, hospitals).

Finland

Reference [FI1] does not directly indicate the number of COVID-19-related deaths among LTCF residents, but does indicate that the percentage was 34% of 701 COVID-19 cases. For Table 1 and based on this percentage, ECDC assumed that there have been 238 COVID-19-related deaths among LTCF residents.

Germany

The numbers of cases and fatal cases refer to special facilities including LTCFs, prisons, homes for asylum seekers, homeless shelters and other shared accommodations. Since January 2021, more detailed figures are available. In order to promote consistency between any longitudinal outputs that contain 2020 data from RKI, Table 1 includes all facility types.

The data acquired by RKI on the resident status of COVID-19 cases is incomplete.

Greece

The data only include cases from nursing homes.

Ireland

ECDC calculated the number of COVID-19-related deaths among LTCF residents by adding the number of fatal cases from two different reports: one correct as of 14 July 2020 (n=985 COVID-19-related deaths) [IE2], and the other for 2 August 2020 — 9 January 2021 (n=187 COVID-19-related deaths) [IE1]

Italy

The number of COVID-19 cases displayed is the number of hospitalised patients who live in a LTCF and were confirmed with COVID-19.

If both confirmed and influenza-like illness cases and deaths are considered from the report, the total number of COVID-19 cases among hospitalised LTCF residents would be 5292 and the total number of COVID-19-related deaths among these residents would be 9154. The” Proportion of total COVID-19-related deaths that happened in LTCFs" would then be 30% and the COVID-19-related deaths in LTCF residents per 100 LTCF beds" would be 9.4%.

Italy The data presented is from the national Emergency preparedness register for COVID-19 (Beredt C19) established at the Norwegian Institute of Public Health. The results are from merged registers and not collected from local level LTCFs.
Portugal The data only included LTCFs for the elderly belonging to National Network of Continuing Integrated Care (RNCCI). General nursing homes and social institutions were excluded.

Slovenia

The number of reported COVID-19-related deaths cases is the number of deaths for which SARS-CoV-2 infection was confirmed within the 28 days prior to death. 

Data include cases among care recipients of LTCFs that are included in the LTCF public network (public institutions and private with concession) and private with a work permit and registered with Ministry of Labour, Family, Social Affairs and Equal Opportunities who is also a member of the Community of Social Institutions of Slovenia. These include homes for the elderly and special social institutions. All these are categorised as mixed LTCF. 

Spain

The numbers were estimated from the excess mortality among people in residential care during a specific time period, compared to historical trends. In 2020, this excess mortality was the highest in March—May 2020.  [ES1]

 

References

[1] European Centre for Disease Prevention and Control. Surveillance of COVID-19 in long-term care facilities in the EU/EEA, 19 May 2020. Stockholm: ECDC; 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/surveillance-COVID-19-long-term-care-facilities-EU-EEA 

[AT1] Federal Ministry for Social Affairs, Health, Care and Consumer Protection (www.sozialministerium.at). Personal communication, 9 February 2021.

[AT2] Federal Ministry for Social Affairs, Health, Care and Consumer Protection (www.sozialministerium.at). Personal communication, 16 June 2021.

[BE1] Sciensano. Surveillance in Woonzorgcentra Rapport Week 35 (Gegevens Tot En Met 31 Augustus 2021). [Updated 1 September 2021; cited 15 September 2021]. Available from: https://covid-19.sciensano.be/sites/default/files/Covid19/COVID-19_Surveillance_WZC.pdf    

[BE2] Sciensano (https://www.sciensano.be/en). Personal communication, 1 February 2021.

[CY1] Ministry of Health (https://www.moh.gov.cy). Personal communication, 23 March 2021.

[DE1] Robert Koch-Institut. Aktueller Lage-/Situationsbericht des Robert Koch-Instituts zu COVID-19. [Updated and cited 8 February 2021]. Available from: https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Situationsberichte/Gesamt.html;jsessionid=2439DAE9E96C395A3A61B0F8405C3D22.internet122?nn=13490888

[DE2] Destatis. Pflege – Deutschlandergebnisse. [Published 15 December 2020; cited 10 February 2021]. Available from: www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Pflege/Publikationen/_publikationen-innen-pflegestatistik-deutschland-ergebnisse.html

[DK1] Del af Statens Serum Institut. COVID-19. [Updated 21 September 2021; cited 23 September 2021]. Available from: https://covid19.ssi.dk/overvagningsdata/ugentlige-opgorelser-med-overvaagningsdata

[EL1] National Public Health Organization (https://eody.gov.gr/en/). Personal communication, 2 February 2021.

[ES1] Instituto de Mayores y Servicios Sociales (IMSERSO). MoMo En El Sistema Para la Autonomía y Atención a la Dependencia (SAAD). [Published 31 December 2020; cited 9 February 2021]. Available from: https://www.imserso.es/InterPresent1/groups/imserso/documents/binario/momo_dep_202012.pdf

[ES2] Instituto de Mayores y Servicios Sociales (IMSERSO). Servicios Sociales Dirigidos a las Personas Mayores en España (Informe a 31/12/2019). [Published 31 December 2019; cited 9 February 2021]. Available from: https://www.imserso.es/imserso_01/documentacion/estadisticas/ssppmm_esp/2019/index.htm

[FI1] Finnish institute of healthcare and welfare. Infectious diseases and vaccinations. Situation update on coronavirus. [Updated 8 February 2021; cited 9 February 2021]. Available from: https://thl.fi/en/web/infectious-diseases-and-vaccinations/what-s-new/coronavirus-covid-19-latest-updates/situation-update-on-coronavirus

[FI2] Finnish institute of healthcare and welfare. Social work and housing services 2019.[updated 27 November 2020; cited 9 February 2021]. Available from: https://thl.fi/fi/tilastot-ja-data/tilastot-aiheittain/ikaantyneet/sosiaalihuollon-laitos-ja-asumispalvelut

[FR1] Santé publique France. COVID-19 : point épidémiologique du 4 février 2021. [Updated 4 February 2021; cited 9 February 2021]. Available from: https://www.santepubliquefrance.fr/maladies-et-traumatismes/maladies-et-infections-respiratoires/infection-a-coronavirus/documents/bulletin-national/covid-19-point-epidemiologique-du-4-fevrier-2021

[FR2] Direction de la Recherche, des Études, de l'Évaluation et des Statistiques. L'expertise statistique publique en santé et social. [Published 17 July 2017; updated 21 December 2017; cited 10 February 2021]. Available from:https://drees.solidarites-sante.gouv.fr/publications/etudes-et-resultats/728-000-residents-en-etablissements-dhebergement-pour-personnes

[HU1] Prime Minister's Office. Idősotthonok - 142 koronavírussal fertőzött gondozott hunyt el, közülük 55-en a Pesti úton. [Published 27 August 2020; cited 10 February 2021]. Available from: https://koronavirus.gov.hu/cikkek/idosotthonok-142-koronavirussal-fertozott-gondozott-hunyt-el-kozuluk-55-en-pesti-uton

[HU2] Bibliothek Friedrich- Ebert- Stiftung. Ageing and Care for the Elderly in Hungary General Survey and Problems [Published April 2019; cited 10 February 2021]. Available from: https://library.fes.de/pdf-files/bueros/budapest/15482.pdf

[IE1] Health Protection Surveillance Centre. Epidemiology of COVID-19 Outbreaks/Clusters in Ireland Weekly Report Prepared by HPSC on 11th January 2021. [Updated 11 January 2021; cited 10 February 2021]. Available from: https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/surveillance/covid-19outbreaksclustersinireland/

[IE2] Ministry of Health. COVID-19 Nursing Homes Expert Panel: Final Report. [Published 19 August 2020; cited 10 February 2021]. Available from: https://www.gov.ie/en/publication/3af5a-covid-19-nursing-homes-expert-panel-final-report/

[IT1] Istituto Superiore di Sanità. Speciale COVID-19. Cosa sapere. [Published 17 June 2020; cited 10 February 2021]. Available from: www.iss.it/covid-19-primo-piano/-/asset_publisher/yX1afjCDBkWH/content/conclusa-l-indagine-sulle-rsa

[IT2] Alleanza Contro Il Cancro (https://www.alleanzacontroilcancro.it/en/istituto/istituto-istituto-superiore-sanita). Personal communication,7 September 2021

[LU1] Le gouvernement luxembourgeois, Ministère de la Santé (https://msan.gouvernement.lu/fr.html). Personal communication, 26 August 2021

[LT1] Lietuvos Respublikos socialinės apsaugos ir darbo ministerija. COVID-19 atvejai socialinės globos įstaigose. [Updated 5 February 2021; cited 6 February 2021]. Available from: https://socmin.lrv.lt/lt/veiklos-sritys/socialine-integracija/socialines-paslaugos/globos-istaigu-sarasai/covid-19-atvejai-socialines-globos-istaigose

[LT2] Nacionalinis visuomenės sveikatos centras prie Sveikatos apsaugos ministerijos (https://nvsc.lrv.lt/lt/). Personal communication, 17 March 2021

[MT1] International Long Term Care Policy Network. The COVID-19 Long-Term Care situation in the Islands of Malta and Gozo. [Published 6 June 2020; cited 10 February 2021]. Available from: https://ltccovid.org/wp-content/uploads/2020/06/LTC-covid-situation-in-Malta-6-June-2020.pdf

[NL1] Rijksoverheid. Dashboard coronavirus. Verpleeghuiszorg – Aantal positief geteste bewosers. [Updated 7 February 2021; cited 10 February 2021]. Available from: https://coronadashboard.rijksoverheid.nl/landelijk/verpleeghuiszorg

[NL2] Statistics Netherlands (CBS). Aantal bewoners van verzorgings- en verpleeghuizen 2019. [Published 25 March 2020; cited 10 February 2021]. Available from: www.cbs.nl/nl-nl/maatwerk/2020/13/aantal-bewoners-van-verzorgings-en-verpleeghuizen-2019#:~:text=25%2D3%2D2020%2009%3A,Amsterdam%20met%20ruim%203%20duizend.

[PL1] Ministerstwo Rodzinyi Polityki Społecznej. Domy Pomocy Społecznej dobrze zabezpieczone. [Published 22 May 2020; cited 10 February 2021]. Available from: https://www.gov.pl/web/rodzina/domy-pomocy-spolecznej-dobrze-zabezpieczone

[PT1] Direção-Geral da Saúde. Evolução nos lares é positiva. Há 69 estruturas com casos de COVID-19. [Published 19 August 2020; cited 10 February 2021]. Available from: https://covid19.min-saude.pt/evolucao-nos-lares-e-positiva-ha-69-estruturas-com-casos-de-covid-19/

[PT2] Serviço Nacional de Saúde. Estruturas Residenciais para idosos. [Published 8 December 2020; cited 10 February 2021]. Available from: https://www.sns.gov.pt/noticias/2020/08/12/estruturas-residenciais-para-idosos/

[SE1] Socialstyrelsen. Statistics on COVID-19. [Updated 13 September 2021; cited 13 September 2021]. Available from: https://www.socialstyrelsen.se/statistik-och-data/statistik/statistik-om-covid-19/statistik-om-covid-19-bland-aldre-efter-boendeform/

[SI1] ] Nacionalni inštitut za javno zdravje. Epidemiološko spremljanje umrlih - covid-19 Tedensko poročilo za obdobje: 11.10.2021 – 17.10.2021. [Updated 18 Oct 2021; cited 24 October 2021].. Available from: https://www.nijz.si/sites/www.nijz.si/files/uploaded/gumb_4-_smrti_v_po…

[SI2] Ministry of Labour, Family, Social Affairs and Equal Opportunities webpage redirect to Community of social institutions of Slovenia (http://www.ssz-slo.si ) . Personal communication, 13 April 2021.