Weekly Hcai Covid Report Week Ending 02/05/2021

Title: WEEKLY HCAI COVID REPORT WEEK ENDING 02/05/2021

Author: Prof. Martin Cormican, Clinical Lead, AMRIC

Organisation: Health Service Executive

Date: 11/05/2021

Presentation Duration: 10 mins

Action required: ☐ For noting ☐✓ For discussion ☐ For decision pending NPHET discussion

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Approved for future publication: YES

NPHET MEETING 13/05/2021

WEEKLY HCAI COVID REPORT FOR WEEK ENDING 02/05/2021

AMRIC NARRATIVE Healthcare associated COVID-19 is a major challenge in community and acute operations. Healthcare associated COVID-19 impacts of service users/patients and healthcare workers. Healthcare associated COVID-19 is also a central part of the overall public health response to COVID-19 because infection is introduced into the healthcare setting from the community and because infection, including novel variants, may be amplified in the healthcare setting and then disseminated widely within the community.

ACUTE OPERATIONS KEY POINTS There were 2 patient with hospital acquired cases of COVID-19 and 7 acute hospital staff with COVID-19 diagnosed in the week ending May 2nd. There were 12 open outbreaks in HSE acute hospitals. No. of Currently Open Outbreaks of Covid-19 National Weekly no. of Hospital-Acquired Covid-19 National Totals Totals 21st June 2020-2nd May 2021 160 Week ending 10/01/2021-02/05/2021 600 UL Hospitals Group 140 UL Hospitals Group 500 South / South West 120 Hospital Group South / South West Hospital Group 400 Saolta University Health 100 Care Group Saolta University Health Care Group Regional & National 300 80 Services Regional & National Services RCSI Hospitals Group 60 200 RCSI Hospitals Group Ireland East Hospital 40 Group Ireland East Hospital Group 100 Dublin Midlands Hospital 20 Group Dublin Midlands Hospital 0 Children's Health Ireland 0 Group

Children's Health Ireland

WEEK2 WEEK5 WEEK8

WEEK11 WEEK27 WEEK30 WEEK33 WEEK36 WEEK39 WEEK42 WEEK45 WEEK48 WEEK51 WEEK14 WEEK17 WEEK24

No. of New Laboratory Confirmed Cases of Covid-19 in Hospital Staff National Totals Week ending 10/01/2021-02/05/2021 1200 UL Hospitals Group

1000 South / South West Hospital Group Saolta University Health Care 800 Group Regional & National Services 600 RCSI Hospitals Group 400 Ireland East Hospital Group 200 Dublin Midlands Hospital Group

0 Children's Health Ireland

COMMUNITY OPERATIONS KEY POINTS There is a continued reduction in the number and severity of outbreaks. Overall, there were 5 open outbreaks in Older Persons Residential Care Facilities (RCF), 5 in Disability and one in Mental Health. There were no new outbreaks notified during the reporting week. Less than 1% of Older Persons RCFs were in outbreak. Just under 15,700 tests were performed in the serial testing programme with an overall positivity rate of 0.13% in Older Persons RCFs and 0.00% in Mental Health. There was one new laboratory confirmed case in residents in Older Persons RCFs and none in Disability and Mental Health facilities during this reporting week. Number of currently open outbreaks Number of new outbreaks 20 3 19 18 17 16 16 14 2 2 12 12 Older Persons RCF Older Persons RCF 10 Disabilities Disabilities 8 Mental Health 1 Mental Health 6 1 1 5 4 2 2 2 1 0 0 0 0 0 W-E 18/04/21 W-E 25/04/21 W-E 02/05/21 W-E 18/04/21 W-E 25/04/21 W-E 02/05/21

ACUTE OPERATIONS UPDATE – COVID METRICS DATA WEEK ENDING 02/05/2021

Weekly COVID report summary Hospital acquired cases, outbreaks and new laboratory confirmed cases in hospital staff

WKCOVID1 WKCOVID1 WKCOVID1 WKCOVID2 WKCOVID3 WKCOVID3

No. new No. No. new laboratory Hospital Hospital Hospital currently laboratory confirmed Laboratory Acquired Acquired Acquired open confirmed cases in COVID-19 tests Provider COVID-19 COVID-19 COVID-19 outbreaks cases in hospital completed w/e 2020 w/e: YTD 2021 of covid 19 hospital staff YTD w/e: staff w/e: 2021

02/05/2021 YTD (from 02/05/2021 02/05/2021 02/05/2021 2020 Total Dec 28th (Jun - Dec) 2020) YTD National Total 789 2 2,252 12 7 3,605 532,857 Children's Health Ireland 0 0 0 0 0 129 8,580 Dublin Midlands Hospital Group 225 0 482 6 2 587 66,886 Ireland East Hospital Group 192 1 327 2 0 658 75,938 RCSI Hospitals Group 171 0 362 0 3 735 75,744 Saolta University Health Care Group 112 1 466 2 1 479 106,792 South / South West Hospital Group 34 0 410 0 1 547 153,020 UL Hospitals Group 55 0 204 2 0 469 45,897

COMMUNITY OPERATIONS UPDATE – COVID METRICS DATA WEEK ENDING 02/05/2021 Part B: Community Services Cases and Outbreaks Weekly Data Report Column No. 1 2 3 4 5 6 7 8 Number of Number of Number of new Number of Staff serial Number of new Number of Number of centres* centres of laboratory laboratory tests testing laboratory currently new outbreaks Community significant confirmed cases conducted as positivity confirmed cases open in these Services* concern* reported in staff part of staff rate* in patients/ outbreaks in settings as part of serial serial testing* % residents in these testing* these settingsd settingse Data Source: HSE Health HSE Comm HSE Serial Testing HSE Serial HSE Serial HPSC/CIDR HPSC/CIDR HPSC/CIDR Directory Operations Testing Testing Older Persons 588 0 19 15,160 0.13% 1 5 0 Residential Care Facilitiesa CHO 1 55 0 1 794 0.13% 0 0 0 CHO 2 82 0 11 953 1.15% 0 0 0 CHO 3 56 0 0 1,400 0.00% 0 0 0 CHO 4 93 0 0 3,309 0.00% 0 1 0 CHO 5 77 0 1 1,396 0.07% 0 1 0 CHO 6 55 0 0 1,187 0.00% 0 0 0 CHO 7 49 0 1 1,771 0.06% 0 2 0 CHO 8 65 0 5 2,921 0.17% 1 1 0 CHO 9 56 0 0 1,429 0.00% 0 0 0 Disabilitiesb 2,467 1 - - - 0 5 0 CHO 1 188 0 *Once Off Targeted Testing Cycle of Disability Facilities concluded 0 0 0 CHO 2 273 0 Tuesday 16th March 2021. 0 0 0 CHO 3 267 0 0 0 0 CHO 4 287 0 0 0 0 CHO 5 300 0 0 0 0 CHO 6 160 0 0 0 0 CHO 7 326 1 0 3 0 CHO 8 386 0 0 0 0 CHO 9 280 0 0 2 0 Mental Healthc 431 0 0 524 0.00% 0 1 0 CHO 1 42 0 0 0 0.00% 0 0 0 CHO 2 82 0 0 83 0.00% 0 0 0 CHO 3 30 0 0 4 0.00% 0 0 0 CHO 4 56 0 0 85 0.00% 0 0 0 CHO 5 65 0 0 92 0.00% 0 0 0 CHO 6 21 0 0 254 0.00% 0 0 0 CHO 7 47 0 0 0 0.00% 0 1 0 CHO 8 36 0 0 6 0.00% 0 0 0 CHO 9 52 0 0 0 0.00% 0 0 0 6

* Data gaps can be documented in part C. Where numbers are less than 5 this should be indicated.

Number of centres (Column 1). Primary data source is HSE Health Directory Number of centres of significant concern (Column 2). Primary data source is Community Operations, based on a qualitative assessment of a number of factors, including infection rates among staff and residents, and requirement for enhanced monitoring and support from the HSE. For Older Persons Residential Care Facilities data reflects status as of 28/04/21. Number of new laboratory confirmed cases detected by serial testing, number of laboratory tests conducted as part of serial testing and Staff serial testing positivity rate (Columns 3 – 5). Primary data source is the Community Testing Service. Please note Column 3, Older Persons Residential Care Facilities, includes a number of reported staff cases related to a facility in CHO 2, which later re-testing indicated were false positives. Number of new laboratory confirmed cases in patients/residents, number of currently open outbreaks, number of new outbreaks (Columns 6 – 8). Primary data source is the HPSC/CIDR. aOutbreaks and outbreak cases among non-HCWs on CIDR linked to Nursing Homes OR Community Hospitals OR Residential Institutions with Type of Residential facility recorded as ‘Centre for older people’. bOutbreaks and outbreak cases among non-HCWs on CIDR linked to Residential Institutions where the Type of Facility was recorded as ‘Centre for Disabilities’. cOutbreaks and cases among non-HCWs on CIDR linked to Residential Institutions where the Type of Facility was recorded as ‘Mental health facility’. dConfirmed COVID-19 cases notified during week 17 (April 25th -May 1st 2021) linked to outbreaks in these settings according to data extracted from CIDR Monday May 10th 2021. eNumber of Open outbreaks reflect Open/Closed status according to data extracted from CIDR Tuesday May 4th 2021.

Programme Summaries for Serial Testing: 1) Older Persons Residential Care Facilities NPHET requested a planned programme of Serial Testing of all Staff in Residential Care Facilities (RCFs) for older people, with the first Cycle of Testing commencing on June 20th, 2020. A process has been developed to ensure that all Staff from these facilities were appropriately referred, tested, tracked and traced. Each RCF is assigned a testing date once every fortnight, and results are reported in cycles of 4 week duration. 2) Disability A decision was made by NPHET and Public Health to commence Once Off Targeted Testing of Staff in Congregated Residential Disability Settings Requiring 24 Hour Nursing Care. Testing of these Facilities commenced Monday 25th January 2021 and concluded Tuesday 16th March 2021. Public Health advised no further testing required. 3) Mental Health A decision was made by NPHET and Public Health to commence once off and serial testing of Staff in Congregated Residential Mental Health Facilities requiring 24 hour Nursing Care: • Continuing Care Facilities (Serial Testing) • High Support Facilities (Once Off) Testing of these Facilities commenced on Monday 25th January 2021. The Testing of High Support Facilities will take place on a once-off basis. The Testing of Continuing Care Facilities will take place once every fortnight in a 4 week Cycle of Testing, similar to the cadence of Older Persons Residential Care Facilities.

ENDS