COVID-19 pandemic in the community-dwelling and Nursing home older adults in Iran

The epidemic of COVID-19 disease began in 2019 (January 10) in Wuhan, China, and quickly became a global problem. The rapid growth of this disease in Iran was from March 25, 2020, to April 15, 2020 (1). In addition to physical problems, the disease had many social, economic, and cultural consequences. The old people are one of the age groups that were less seen and more at risk. Iranian older adults need to be given more attention because of the growth rate (3.9%) of the aging population in Iran (3), and the Population aging ratio (9.2%) (4), there is also a high prevalence of underlying diseases in older adults. (Such as cardiovascular disease, hypertension, diabetes, etc.). According to the US Centers for Disease Control and Prevention, eight out of ten deaths occur in people over the age of 65 (5). Recommendations for the elderly generally include hand washing, staying at home, maintaining social distance (two meters), and hospitalization for the elderly including meeting restrictions, restrictions on activities at the center, and daily monitoring of symptoms in the elderly and center staff. Be. A study by McMichael reported that 101 seniors and 50 caregivers at the King Country Center were infected. The Case fatality rate (CFR) for COVID-19 was about 34 (33.7%) for the nursing home older adults and zero for the caregivers (6). In the study of Nikpouraghdam et al., The first wave of the disease was performed between February 19, 2020, and April 15, 2020. It was found that the mean age of 239 deaths was 65.38 ± 13.67 years and nearly 67 percent of deaths occurred over the age of 60 (7). According to the State Welfare Organization of Iran, the prevention strategies include: allocate 2$ to prevent COVID-19 disease in all care centers, providing the necessary training to the staff and families of hospitalized people, not accepting new cases and discharge until Secondary notification, elimination of unnecessary personnel traffic and permanent presence of personnel, provision of special instructions for the elderly were performed in all care centers (8). According to the data, about 87 elderly people and 68 caregivers of the Kahrizak Charity foundation have been infected with COVID-19 (9). Twenty-seven elderly people have died (10), therefore, the CFR is about 31%. Unfortunately, the available data is very limited. It is not yet possible to give an accurate interpretation of the status of COVID-19 pandemic in the community-dwelling and Nursing home older adults in Iran.