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EpiPulse.
We know these are busy times and we thank you very much in advance for your shared information. We look
forward to hearing from you.
Kind regards,
 and 
ECDC Logo
European Centre for
Disease Prevention and Control (ECDC)

Gustav III:s boulevard 40, 169 73 Solna, Sweden
Emergency Preparedness and Response Support, PHF
Phone +46 (0)8 58 60 10 00 / Fax +46 (0)8 58 60 10 01
Phone 
www.ecdc.europa eu
@ecdc europa.eu
Follow ECDC on:
From: 
@ecdc.europa.eu> 
Sent: lunedì 9 agosto 2021 15:15
To:
@sanidad.gob.es' 
@sanidad.gob.es>; 
@msssi.es' 
@msssi.es>;
@sanidad.gob.es' 
@sanidad.gob.es>; 
@mscbs.es
mscbs.es>;
@mscbs.es' 
@mscbs.es>; 
@isciii.es' 
@isciii.es>;
@isciii.es' 
@isciii.es>;
@isciii.es' 
@isciii.es>; 
@isciii.es'
@isciii.es>
Cc: 
@mscbs.es' 
@mscbs.es>; PHE Manager <xxx.xxxxxxx@xxxx.xxxxxx.xx>; PHE Technical
Group <xxx.xxxxxxxxx.xxxxx@xxxx.xxxxxx.xx>; 
Subject: For action: Spain: breakthrough SARS-CoV-2 outbreaks in LTCFs
Dear Colleagues in Spain,
During its routine epidemic intelligence screening ECDC identified a number of SARS-CoV-2 outbreaks in
Spanish long-term care facilities (LCTFs) with complete vaccination coverage among LTCF residents, reported
by media sources:
Un brote de 57 contagios en una residencia de la población valenciana de Navarrés | Comunidad Valenciana |
EL PAÍS (elpais.com)
8 residencias de Madrid suspenden las visitas por brotes de coronavirus (antena3.com)
Long-term care facilities indeed remain vulnerable sites for SARS-CoV-2 introduction and spread, especially due
to the circulation of SARS-CoV-2 variants and considering the possible waning immunity in this population
which was often vaccinated first.
We wanted to follow up on this event to see if we might learn more from you and therefore we would like to
know if you have considered reporting the cases through the ECDC LTCF reporting protocol via EpiPulse and/or
notifying it via EWRS.
We understand that not all the information might be available to you at this time, but we would be grateful if
you could report any information that you may have.
We know these are busy times and we thank you very much in advance for your shared information. We look
forward to hearing from you.
Please do let us know if you would prefer to have a short teleconference with us to discuss about the points
above and/or to explore how ECDC could support you in the investigation, reporting and response options.
Kind regards,
 and 
on behalf of the ECDC PHE Technical team
Emergency Preparedness and Response Support, PHF

Room numbe
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