This essay considers the factors that have contributed to very high COVID-19 mortality in longer-term care facilities (LTCFs). We compare the demographic characteristics of LTCF residents with those of community-dwelling older adults, and then we review the evidence regarding prevalence and infection fatality rates (IFRs), including links to frailty and some comorbidities. Finally, we discuss policy measures that could foster the physical and mental health and well-being of LTCF residents in the present context and in potential future pandemics.

中文翻译：

---

长期护理机构中的 COVID-19 流行率和死亡率

本文考虑了导致长期护理机构 (LTCF) 中 COVID-19 死亡率极高的因素。我们比较了 LTCF 居民与社区老年人的人口统计学特征，然后我们回顾了有关患病率和感染死亡率 (IFR) 的证据，包括与虚弱和一些合并症的联系。最后，我们讨论了在当前背景下和未来潜在的流行病中可以促进 LTCF 居民身心健康和福祉的政策措施。