{"id":692,"date":"2021-09-09T15:33:19","date_gmt":"2021-09-09T15:33:19","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=692"},"modified":"2021-09-09T16:30:41","modified_gmt":"2021-09-09T16:30:41","slug":"risk-of-covid-19-in-shielded-and-nursing-care-home-patients","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/","title":{"rendered":"Risk of Covid-19 in shielded and care home patients"},"content":{"rendered":"<p>Early in the Covid-19 pandemic, the elderly and people who were clinically extremely vulnerable were asked to shield to reduce their risks of Covid-19 infection and its complications. We evaluated the effectiveness of shielding in a study published recently in the journal <a href=\"https:\/\/bjgpopen.org\/content\/early\/2021\/08\/26\/BJGPO.2021.0081.long\">BJGP Open<\/a>.<\/p>\n<p>We found that Covid-19 rates were much higher in the shielded group compared with non-shielded group (6.5% vs 1.8%). The increase in risk of infection in the shielded group persisted after adjustment for a wide range of factors in a Cox proportional hazards regression model.<\/p>\n<p>We also found that Covid-19 rates were seven times higher in people living in care homes; and were also higher among people from ethnic minorities, those living in poorer areas, and in people with long-term medical conditions such as respiratory disease.<\/p>\n<p>Our results suggest that shielding alone is not enough to protect clinically vulnerable people and that vaccination, along with suppressing community infection rates, remains the best way to protect these patients from the risk of serious illness and death from Covid-19.<\/p>\n<p>Our results also refute suggestions that the UK could have avoided lockdowns by shielding vulnerable groups, whilst allowing society to otherwise function normally. This policy would probably have led to even higher infection, hospitalisation, and death rates in vulnerable people.<\/p>\n<p>DOI:\u00a0<a href=\"https:\/\/doi.org\/10.3399\/BJGPO.2021.0081\">https:\/\/doi.org\/10.3399\/BJGPO.2021.0081<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Early in the Covid-19 pandemic, the elderly and people who were clinically extremely vulnerable were asked to shield to reduce their risks of Covid-19 infection and its complications. We evaluated the effectiveness of shielding in a study published recently in the journal BJGP Open. We found that Covid-19 rates were much higher in the shielded [&hellip;]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[296231,404],"tags":[308093],"class_list":["post-692","post","type-post","status-publish","format-standard","hentry","category-coronavirus","category-health","tag-shielding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Risk of Covid-19 in shielded and care home patients - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Risk of Covid-19 in shielded and care home patients - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"Early in the Covid-19 pandemic, the elderly and people who were clinically extremely vulnerable were asked to shield to reduce their risks of Covid-19 infection and its complications. We evaluated the effectiveness of shielding in a study published recently in the journal BJGP Open. We found that Covid-19 rates were much higher in the shielded [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Centre\" \/>\n<meta property=\"article:published_time\" content=\"2021-09-09T15:33:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-09-09T16:30:41+00:00\" \/>\n<meta name=\"author\" content=\"Azeem Majeed\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Azeem Majeed\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/\"},\"author\":{\"name\":\"Azeem Majeed\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\"},\"headline\":\"Risk of Covid-19 in shielded and care home patients\",\"datePublished\":\"2021-09-09T15:33:19+00:00\",\"dateModified\":\"2021-09-09T16:30:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/\"},\"wordCount\":223,\"commentCount\":0,\"keywords\":[\"Shielding\"],\"articleSection\":[\"Coronavirus\",\"Health\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/\",\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/\",\"name\":\"Risk of Covid-19 in shielded and care home patients - Medical Centre\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#website\"},\"datePublished\":\"2021-09-09T15:33:19+00:00\",\"dateModified\":\"2021-09-09T16:30:41+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2021\\\/09\\\/09\\\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Risk of Covid-19 in shielded and care home patients\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#website\",\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/\",\"name\":\"Medical Centre\",\"description\":\"Updates from Imperial College London&#039;s Professor of Primary Care\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\",\"name\":\"Azeem Majeed\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g\",\"caption\":\"Azeem Majeed\"},\"description\":\"I am Professor of Primary Care and Public Health, and Head of the Department of Primary Care &amp; Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.\",\"sameAs\":[\"http:\\\/\\\/www.imperial.ac.uk\\\/people\\\/a.majeed\"],\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/author\\\/amajeed\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Risk of Covid-19 in shielded and care home patients - Medical Centre","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/","og_locale":"en_GB","og_type":"article","og_title":"Risk of Covid-19 in shielded and care home patients - Medical Centre","og_description":"Early in the Covid-19 pandemic, the elderly and people who were clinically extremely vulnerable were asked to shield to reduce their risks of Covid-19 infection and its complications. We evaluated the effectiveness of shielding in a study published recently in the journal BJGP Open. We found that Covid-19 rates were much higher in the shielded [&hellip;]","og_url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/","og_site_name":"Medical Centre","article_published_time":"2021-09-09T15:33:19+00:00","article_modified_time":"2021-09-09T16:30:41+00:00","author":"Azeem Majeed","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Azeem Majeed","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/#article","isPartOf":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/"},"author":{"name":"Azeem Majeed","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25"},"headline":"Risk of Covid-19 in shielded and care home patients","datePublished":"2021-09-09T15:33:19+00:00","dateModified":"2021-09-09T16:30:41+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/"},"wordCount":223,"commentCount":0,"keywords":["Shielding"],"articleSection":["Coronavirus","Health"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/","url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/","name":"Risk of Covid-19 in shielded and care home patients - Medical Centre","isPartOf":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website"},"datePublished":"2021-09-09T15:33:19+00:00","dateModified":"2021-09-09T16:30:41+00:00","author":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25"},"breadcrumb":{"@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2021\/09\/09\/risk-of-covid-19-in-shielded-and-nursing-care-home-patients\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/"},{"@type":"ListItem","position":2,"name":"Risk of Covid-19 in shielded and care home patients"}]},{"@type":"WebSite","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#website","url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/","name":"Medical Centre","description":"Updates from Imperial College London&#039;s Professor of Primary Care","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Person","@id":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/#\/schema\/person\/b22e0e53db849fda7de9e32c14d3df25","name":"Azeem Majeed","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d2985c036ad0b1b454e88876b26c4c477be22a2218f7b5ce5e589d35efd30d78?s=96&d=mm&r=g","caption":"Azeem Majeed"},"description":"I am Professor of Primary Care and Public Health, and Head of the Department of Primary Care &amp; Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.","sameAs":["http:\/\/www.imperial.ac.uk\/people\/a.majeed"],"url":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/author\/amajeed\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/692","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/users\/1115"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/comments?post=692"}],"version-history":[{"count":2,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/692\/revisions"}],"predecessor-version":[{"id":694,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/692\/revisions\/694"}],"wp:attachment":[{"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/media?parent=692"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/categories?post=692"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/tags?post=692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}