Why nursing home COVID-19 infections are rising again

Dr. Ashish Jha, the dean of the Brown University School of Public Health, noted Sunday that nursing home COVID-19 infections are rising again in the United States. While that may be surprising given the high vaccination rate among long-term care facility residents, Jha (who has been vocal about the fact that the shots are doing their jobs) explained why the situation is more complex than that in a Twitter thread on Sunday.
For starters, he says, the vaccination rate among residents is high, but not complete — 19 percent have not been inoculated. More importantly, though, 42 percent of nursing home workers are unvaccinated, leaving them more vulnerable to infection and making them more likely to spread the virus during the Delta variant-fueled surge across the U.S. "When community transmission rises, more COVID shows up in nursing homes," Jha tweeted.
At the same time, breakthrough infections, while a small risk for the wider population (both in terms of occurrence and severity of illness), can be more serious among elderly and frail individuals, especially because they received their vaccines much earlier in the process than younger folks. Jha and others noted on Sunday that data from Israel suggest that immunity may begin to wane several months out.
Subscribe to The Week
Escape your echo chamber. Get the facts behind the news, plus analysis from multiple perspectives.

Sign up for The Week's Free Newsletters
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
There are two solutions, Jha said. The first is too ensure all nursing home workers are vaccinated, and the second is for the Food and Drug Administration to "rapidly determine" if a booster shot is necessary for elderly and immunocompromised people. "I suspect it is," he writes. Read Jha's thread on Twitter.
Sign up for Today's Best Articles in your inbox
A free daily email with the biggest news stories of the day – and the best features from TheWeek.com
Tim is a staff writer at The Week and has contributed to Bedford and Bowery and The New York Transatlantic. He is a graduate of Occidental College and NYU's journalism school. Tim enjoys writing about baseball, Europe, and extinct megafauna. He lives in New York City.
-
Why does Elon Musk take his son everywhere?
Talking Point With his four-year-old 'emotional support human' by his side, what message is the world's richest man sending?
By Rebekah Evans, The Week UK Published
-
The Week Unwrapped: Why are sinkholes becoming more common?
Podcast Plus, will Saudi investment help create the "Netflix of sport"? And why has New Zealand's new tourism campaign met with a savage reception?
By The Week UK Published
-
How Poland became Europe's military power
The Explainer Warsaw has made its armed forces a priority as it looks to protect its borders and stay close to the US
By Elizabeth Carr-Ellis, The Week UK Published
-
Ozempic can curb alcohol cravings, study finds
Speed read Weight loss drugs like Ozempic and Wegovy may also be helpful in limiting alcohol consumption
By Peter Weber, The Week US Published
-
New form of H5N1 bird flu found in US dairy cows
Speed Read This new form of bird flu is different from the version that spread through herds in the last year
By Peter Weber, The Week US Published
-
Microplastics accumulating in human brains, study finds
Speed Read The amount of tiny plastic particles found in human brains increased dramatically from 2016 to 2024
By Peter Weber, The Week US Published
-
FDA approves painkiller said to thwart addiction
Speed Read Suzetrigine, being sold as Journavx, is the first new pharmaceutical pain treatment approved by the FDA in 20 years
By Rafi Schwartz, The Week US Published
-
Study finds possible alternative abortion pill
Speed Read An emergency contraception (morning-after) pill called Ella could be an alternative to mifepristone for abortions
By Peter Weber, The Week US Published
-
HMPV is spreading in China but there's no need to worry
The Explainer Respiratory illness is common in winter
By Devika Rao, The Week US Published
-
Marty Makary: the medical contrarian who will lead the FDA
In the Spotlight What Johns Hopkins surgeon and commentator Marty Makary will bring to the FDA
By David Faris Published
-
California declares bird flu emergency
Speed Read The emergency came hours after the nation's first person with severe bird flu infection was hospitalized
By Rafi Schwartz, The Week US Published