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Chapter 64 - Epidemic and Pandemic Impacts on the Elderly Population

from Section IV - Principles of Care for the Elderly

Published online by Cambridge University Press:  30 June 2022

By
Amanda A. Kovacich ,
William Fischer  and
C. Adrian Austin
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

Infectious pandemics have had a significant negative impact on economies and health-care systems around the world repeatedly throughout history. Patients with advanced age are commonly disproportionately affected by pandemics. Health-care providers for older patients may be the first to recognize emerging infectious emergencies and play a critical role for older patients during infectious threats. This chapter outlines historical infectious outbreaks, epidemics, and pandemics and their impact on older patients. The chapter further outlines the risks of pandemics to older patients, describes key response strategies, and guides preparedness of the geriatric care provider for future infectious public health emergencies.

Keywords

pandemicemerging infectious diseasegeriatricspreparednesspublic health
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 771 - 779
Publisher: Cambridge University Press
Print publication year: 2022

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References

Jamison, DT, Gelband, H, Horton, S, et al. Disease Control Priorities: Improving Health and Reducing Poverty. Washington, DC: World Bank, 2017.Google Scholar
Lekamwasam, R, Lekamwasam, S. Effects of COVID-19 pandemic on health and wellbeing of older people: A comprehensive review. Ann Geriatr Med Res. 2020; 24(3):166–172.Google Scholar
CDC. Principles of Epidemiology in Public Health Practice, 3rd edition. Atlanta, GA: CDC, 2012.Google Scholar
Kelsey, JL, Whittemore, AS, Evans, AS, Thompson, WD. Methods in Observational Epidemiology, 2nd edition. Oxford: Oxford University Press, 1996.Google Scholar
WHO Coronavirus Disease (COVID-19) Dashboard. World Health Organization. https://covid19.who.int/?gclid=CjwKCAjwsan5BRAOEiwALzomXw6LptkP6YmvOAyvTT3G7KkHd6PfOSdqM0vuf11-iKllrlLfZ9RVMhoCPAoQAvD_BwE.Google Scholar
Verity, R, Okell, LC, Dorigatti, I, et al. Estimates of the severity of coronavirus disease 2019: A model-based analysis. Lancet Infect Dis. 2020; 20(6):669–677.CrossRefGoogle ScholarPubMed
Zhou, F, Yu, T, Du, R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet. 2020; 395(10229):1054–1062.Google Scholar
Wu, Z, McGoogan, JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020; 323(13):1239–1242.Google Scholar
Zhang, J, Litvinova, M, Liang, Y, et al. Changes in contact patterns shape the dynamics of the COVID-19 outbreak in China. Science. 2020; 368(6498):1481–1486.Google Scholar
Smorenberg, A, Peters, EJ, van Daele, P, Nossent, EJ, Muller, M. How does SARS-CoV-2 target the elderly patients? A review on potential mechanisms increasing disease severity. Eur J Intern Med. 2021; 83:1–5.Google Scholar
To, KK, Tsang, OT, Leung, WS, et al. Temporal profiles of viral load in posterior oropharyngeal saliva samples and serum antibody responses during infection by SARS-CoV-2: An observational cohort study. Lancet Infect Dis. 2020; 20(5):565–574.Google Scholar
Liu, Y, Yan, LM, Wan, L, et al. Viral dynamics in mild and severe cases of COVID-19. Lancet Infect Dis. 2020; 20(6):656–657.CrossRefGoogle ScholarPubMed
Hofman, MR, van den Hanenberg, F, Sierevelt, IN, Tulner, CR. Elderly patients with an atypical presentation of illness in the emergency department. Neth J Med. 2017 (Jul.); 75(6):241–246.Google Scholar
Olde Rikkert, MGM, Vingerhoets, RW, van Geldorp, N, de Jong, E, Maas, HAAM. Atypical clinical picture of COVID-19 in older patients. Ned Tijdschr Geneeskd. 2020 (Apr.); 164.Google Scholar
Wang, XQ, Song, G, Yang, Z, et al. Association between ageing population, median age, life expectancy and mortality in coronavirus disease (COVID-19). Aging (Albany NY). 2020; 12(24):24570–24578.Google Scholar
HIV.gov. A timeline of HIV and AIDS. www.hiv.gov/hiv-basics/overview/history/hiv-and-aids-timeline.Google Scholar
CDC. The AIDS epidemic in the United States, 1981–early 1990s. www.cdc.gov/museum/online/story-of-cdc/aids/index.html.Google Scholar
Barré-Sinoussi, F, Ross, AL, Delfraissy, JF. Past, present and future: 30 years of HIV research. Nat Rev Microbiol. 2013; 11(12):877–883.Google Scholar
Coffin, JM, Varmus, HE, eds. Retroviruses. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory Press, 1997.Google Scholar
Althoff, KN, Gebo, KA, Gange, SJ, et al. CD4 count at presentation for HIV care in the United States and Canada: Are those over 50 years more likely to have a delayed presentation? AIDS Res Ther. 2010 (Dec.); 7:45.Google Scholar
CDC. HIV and Older Americans, 2020. www.cdc.gov/hiv/pdf/group/age/olderamericans/cdc-hiv-older-americans.pdf.Google Scholar
Cherry, JD, Krogstad, P. SARS: The first pandemic of the 21st century. Pediatr Res. 2004 (Jul.); 56(1):1–5.Google Scholar
Cherry, JD. The chronology of the 2002–2003 SARS mini pandemic. Paediatr Respir Rev. 2004 (Dec.); 5(4):262–269.Google Scholar
Yang, Y, Peng, F, Wang, R, et al. The deadly coronaviruses: The 2003 SARS pandemic and the 2020 novel coronavirus epidemic in China. J Autoimmun. 2020; 109:102434.CrossRefGoogle ScholarPubMed
Chung, JC. How do older people react to severe acute respiratory syndrome? J Am Geriatr Soc. 2003 (Aug.); 51(8):1183–1184.CrossRefGoogle ScholarPubMed
Chan, SM, Chiu, FK, Lam, CW, Leung, PY, Conwell, Y. Elderly suicide and the 2003 SARS epidemic in Hong Kong. Int J Geriatr Psychiatry. 2006 (Feb.); 21(2):113–118.Google Scholar
Yip, PS, Cheung, YT, Chau, PH, Law, YW. The impact of epidemic outbreak: the case of severe acute respiratory syndrome (SARS) and suicide among older adults in Hong Kong. Crisis. 2010; 31(2):86–92.Google Scholar
Cheung, YT, Chau, PH, Yip, PS. A revisit on older adults’ suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong. Int J Geriatr Psychiatry. 2008 (Dec.); 23(12):1231–1238.Google Scholar
Peng, EY, Lee, MB, Tsai, ST, et al. Population-based post-crisis psychological distress: An example from the SARS outbreak in Taiwan. J Formos Med Assoc. 2010 (Jul.); 109(7):524–532.Google Scholar
CDC. History of 1918 flu pandemic. www.cdc.gov/flu/pandemic-resources/1918-commemoration/1918-pandemic-history.htm.Google Scholar
CDC. WHO pandemic declaration. www.cdc.gov/h1n1flu/who.Google Scholar
Lemaitre, M, Carrat, F. Comparative age distribution of influenza morbidity and mortality during seasonal influenza epidemics and the 2009 H1N1 pandemic. BMC Infect Dis. 2010 (Jun.); 10:162.Google Scholar
Shrestha, SS, Swerdlow, DL, Borse, RH, et al. Estimating the burden of 2009 pandemic influenza A (H1N1) in the United States (April 2009–April 2010). Clin Infect Dis. 2011 (Jan.); 52 (Suppl. 1):S75–82.Google Scholar
CDC. 2009 H1N1 influenza vaccine and people 65 years and older. www.cdc.gov/h1n1flu/vaccination/vaccine_seniors.htm.Google Scholar
Skountzou, I, Koutsonanos, DG, Kim, JH, et al. Immunity to pre-1950 H1N1 influenza viruses confers cross-protection against the pandemic swine-origin 2009: A (H1N1) influenza virus. J Immunol. 2010 (Aug.); 185(3):1642–1649.Google Scholar
Morens, DM, Taubenberger, JK, Harvey, HA, Memoli, MJ. The 1918 influenza pandemic: Lessons for 2009 and the future. Crit Care Med. 2010 (Apr.); 38(4 Suppl.):e10–20.Google Scholar
CDC. 2014–2016 Ebola outbreak in West Africa. www.cdc.gov/vhf/ebola/history/2014–2016-outbreak/index.html.Google Scholar
World Health Organization. Ebola virus disease. www.who.int/news-room/fact-sheets/detail/ebola-virus-disease.Google Scholar
United Nations. Security Council Report. www.securitycouncilreport.org/un-documents/health-crises.Google Scholar
Aylward, B, Barboza, P, Bawo, L, et al. Ebola virus disease in West Africa: The first 9 months of the epidemic and forward projections. N Engl J Med. 2014; 371(16):1481–1495.Google Scholar
Rajagopalan, S. Tuberculosis and aging: A global health problem. Clin Infect Dis. 2001 (Oct.); 33(7):1034–1039.Google Scholar
Murasko, DM, Bernstein, ED, Gardner, EM, et al. Role of humoral and cell-mediated immunity in protection from influenza disease after immunization of healthy elderly. Exp Gerontol. 2002 (Jan.–Mar.); 37(2–3):427–439.CrossRefGoogle ScholarPubMed
Divo, MJ, Martinez, CH, Mannino, DM. Ageing and the epidemiology of multimorbidity. Eur Respir J. 2014 (Oct.); 44(4):1055–1068.Google Scholar
Jackson, MM, Fierer, J. Infections and infection risk in residents of long-term care facilities: A review of the literature, 1970–1984. Am J Infect Control. 1985 (Apr.); 13(2):63–77.Google Scholar
Schneider, EL. Infectious diseases in the elderly. Ann Intern Med. 1983 (Mar.); 98(3):395–400.Google Scholar
Donovan, NJ, Wu, Q, Rentz, DM, Sperling, RA, Marshall, GA, Glymour, MM. Loneliness, depression and cognitive function in older U.S. adults. Int J Geriatr Psychiatry. 2017; 32(5):564–573.Google Scholar
SAMHSA. Tips for social distancing, quarantine, and isolation during an infectious disease outbreak. https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-01-01-007_2.pdf.Google Scholar
Lee, K, Jeong, GC, Yim, J. Consideration of the psychological and mental health of the elderly during COVID-19: A theoretical review. Int J Environ Res Public Health. 2020 (Nov.); 17(21):8098.Google Scholar
CDC. Coronavirus disease 2019 (COVID-19) preparedness checklist for nursing homes and other long-term care settings. www.cdc.gov/coronavirus/2019-ncov/downloads/novel-coronavirus-2019-Nursing-Homes-Preparedness-Checklist_3_13.pdf.Google Scholar

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