Beyond Vaccines: Rethinking Testing in Long-Term Care COVID-19 has affected us all, but a great deal of the impact has been on older adults, and especially those living in long-term care homes. By Jennifer Zelmer and David Mowat COVID-19 has affected us all, but a great deal of the impact has been on older adults, and especially those living in long-term care homes. Eight in 10 deaths from COVID-19 in the first wave of the pandemic in Canada came from long-term care residences. Spread of COVID-19 in these settings has proven challenging to control. Vaccines offer hope for the future and are beginning to roll out, but they are not a panacea.