"IT SMELLED LIKE death," says Stephanie (not her real name) of her first day at Camilla Care Community, a nursing home in Mississauga, a city in Canada. She and other care workers were sent to help out at the 236-bed facility in April as covid-19 ripped through its narrow corridors and crowded wards. Dozens of staff fell ill or refused to work. By mid-July nearly one-third of the residents had died. Outside, on a patch of grass, 69 small white crosses commemorate them. Across the rich world nearly half of all deaths from covid-19 have happened in care and nursing homes, even though less than 1% of people live in them. In Canada 80% of all the deaths from covid-19 have happened in places such as Camilla (see chart 1 on next page). In Britain the pathogen has killed an estimated 5% of all people living in such institutions. The problem is not only that the residents' age makes them particularly vulnerable, but also that their living arrangements created opportunities for the virus to spread. Countries with fewer care homes have had fewer covid-19 deaths, all else being equal. The number of care-home beds explains 28% of the variation in death rates among European countries and 16% among American states, according to a study by Neil Gandal and colleagues at Tel Aviv University.
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机译：“它像死亡一样闻起来，”她的第一天在Camilla Care Community的第一天说，这是一个加拿大的一个城市的Mississauga的疗养院的第一天。她和其他护理工作者被送到4月份的236床设施，因为Covid-19通过狭窄的走廊和拥挤的病房撕裂。数十名员工堕落或拒绝工作。到7月中旬，居民的近三分之一已经死亡。外面，在一片草地上，69个小白色十字架纪念他们。在富裕的世界中，在Covid-19的所有死亡中都发生了近一半，也发生在护理和养老院，即使不到1％的人住在他们身上。在加拿大的80％的Covid-19中的所有死亡发生在卡米拉等地方（见下一页的图表1）。英国，病原体已造成估计5％的所有居住在此类机构中的5％。问题不仅仅是居民的年龄使他们特别脆弱，而且他们的生活安排为病毒传播的机会创造了机会。护理房屋较少的国家有更少的Covid-19死亡，其他一切都是平等的。根据Tel Aviv大学的Neil Gandal及其同事的研究，护理家庭床的数量介绍了欧洲国家的死亡率和16％的死亡率的变化。
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