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Getting Old Needs a New Look

Covid-19 has exposed the lethal vulnerabilities of nursing homes and assisted-living facilities. Can better design make aging safer?

The pandemic has exacerbated issues like social isolation in U.S. nursing homes and assisted-living facilities. But problems with the living situations of older Americans long predate the coronavirus.   

The pandemic has exacerbated issues like social isolation in U.S. nursing homes and assisted-living facilities. But problems with the living situations of older Americans long predate the coronavirus.   

Photographer: Erin Clark/The Boston Globe via Getty Images

Corrected

In at least one way, the United States’s tragic response to the coronavirus hasn’t been an outlier: Just like in the rest of the world, the consequences of the pandemic were amplified inside living facilities for older adults.

As of August 13, at least 68,000 residents and workers in long-term care facilities in the U.S. have died from the coronavirus, according to New York Times research, a number that comprises more than 40% of the nation’s total. That percentage that’s been matched or exceeded by other countries across the globe. In Europe, half of all Covid-19 deaths happened in nursing homes and long-term care facilities, according to the World Health Organization. In Canada, which has been far more effective at containing the disease82 percent of the country’s deaths have been concentrated among these facilities.