Homeless Shelter Characteristics and Prevalence of SARS-CoV-2.
Identifieur interne : 000106 ( Main/Corpus ); précédent : 000105; suivant : 000107Homeless Shelter Characteristics and Prevalence of SARS-CoV-2.
Auteurs : Rebecca Karb ; Elizabeth Samuels ; Rahul Vanjani ; Catherine Trimbur ; Anthony NapoliSource :
- The western journal of emergency medicine [ 1936-9018 ] ; 2020.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Cross-Sectional Studies (MeSH), Female (MeSH), Health Policy (MeSH), Health Status Disparities (MeSH), Health Surveys (MeSH), Homeless Persons (statistics & numerical data), Housing (statistics & numerical data), Humans (MeSH), Infection Control (methods), Male (MeSH), Middle Aged (MeSH), Pandemics (prevention & control), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Pneumonia, Viral (transmission), Prevalence (MeSH), Rhode Island (epidemiology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Rhode Island.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Infection Control.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- statistics & numerical data : Homeless Persons, Housing.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adolescent, Adult, Aged, Aged, 80 and over, Betacoronavirus, Cross-Sectional Studies, Female, Health Policy, Health Status Disparities, Health Surveys, Humans, Male, Middle Aged, Prevalence, Young Adult.
Abstract
INTRODUCTION
The unfolding COVID-19 pandemic has predictably followed the familiar contours of well established socioeconomic health inequities, exposing and often amplifying preexisting disparities. People living in homeless shelters are at higher risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) compared to the general population. The purpose of this study was to identify shelter characteristics that may be associated with higher transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
METHODS
We conducted a cross-sectional assessment of five congregate shelters in Rhode Island. Shelter residents 18 years old and older were tested for SARS-CoV-2 from April 19-April 24, 2020. At time of testing, we collected participant characteristics, symptomatology, and vital signs. Shelter characteristics and infection control strategies were collected through a structured phone questionnaire with shelter administrators.
RESULTS
A total of 299 shelter residents (99%, 299/302) participated. Thirty-five (11.7%) tested positive for SARS-CoV-2. Shelter-level prevalence ranged from zero to 35%. Symptom prevalence did not vary by test result. Shelters with positive cases of SARS-CoV-2 were in more densely populated areas, had more transient resident populations, and instituted fewer physical distancing practices compared to shelters with no cases.
CONCLUSION
SARS-CoV-2 prevalence varies with shelter characteristics but not individual symptoms. Policies that promote resident stability and physical distancing may help reduce SARS-CoV-2 transmission. Symptom screening alone is insufficient to prevent SARS-CoV-2 transmission. Frequent universal testing and congregate housing alternatives that promote stability may help reduce spread of infection.
DOI: 10.5811/westjem.2020.7.48725
PubMed: 32970553
PubMed Central: PMC7514394
Links to Exploration step
pubmed:32970553Le document en format XML
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Providence, Rhode Island.</nlm:affiliation></affiliation></author><author><name sortKey="Trimbur, Catherine" sort="Trimbur, Catherine" uniqKey="Trimbur C" first="Catherine" last="Trimbur">Catherine Trimbur</name><affiliation><nlm:affiliation>Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island.</nlm:affiliation></affiliation></author><author><name sortKey="Napoli, Anthony" sort="Napoli, Anthony" uniqKey="Napoli A" first="Anthony" last="Napoli">Anthony Napoli</name><affiliation><nlm:affiliation>Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32970553</idno><idno type="pmid">32970553</idno><idno type="doi">10.5811/westjem.2020.7.48725</idno><idno type="pmc">PMC7514394</idno><idno 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first="Rahul" last="Vanjani">Rahul Vanjani</name><affiliation><nlm:affiliation>Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island.</nlm:affiliation></affiliation></author><author><name sortKey="Trimbur, Catherine" sort="Trimbur, Catherine" uniqKey="Trimbur C" first="Catherine" last="Trimbur">Catherine Trimbur</name><affiliation><nlm:affiliation>Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island.</nlm:affiliation></affiliation></author><author><name sortKey="Napoli, Anthony" sort="Napoli, Anthony" uniqKey="Napoli A" first="Anthony" last="Napoli">Anthony Napoli</name><affiliation><nlm:affiliation>Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The western journal of emergency medicine</title><idno type="eISSN">1936-9018</idno><imprint><date 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(diagnosis)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Pneumonia, Viral (transmission)</term><term>Prevalence (MeSH)</term><term>Rhode Island (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Rhode Island</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Homeless Persons</term><term>Housing</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Policy</term><term>Health Status Disparities</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>The unfolding COVID-19 pandemic has predictably followed the familiar contours of well established socioeconomic health inequities, exposing and often amplifying preexisting disparities. People living in homeless shelters are at higher risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) compared to the general population. The purpose of this study was to identify shelter characteristics that may be associated with higher transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted a cross-sectional assessment of five congregate shelters in Rhode Island. Shelter residents 18 years old and older were tested for SARS-CoV-2 from April 19-April 24, 2020. At time of testing, we collected participant characteristics, symptomatology, and vital signs. Shelter characteristics and infection control strategies were collected through a structured phone questionnaire with shelter administrators.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 299 shelter residents (99%, 299/302) participated. Thirty-five (11.7%) tested positive for SARS-CoV-2. Shelter-level prevalence ranged from zero to 35%. Symptom prevalence did not vary by test result. Shelters with positive cases of SARS-CoV-2 were in more densely populated areas, had more transient resident populations, and instituted fewer physical distancing practices compared to shelters with no cases.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>SARS-CoV-2 prevalence varies with shelter characteristics but not individual symptoms. Policies that promote resident stability and physical distancing may help reduce SARS-CoV-2 transmission. Symptom screening alone is insufficient to prevent SARS-CoV-2 transmission. Frequent universal testing and congregate housing alternatives that promote stability may help reduce spread of infection.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32970553</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>01</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1936-9018</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>Aug</Month><Day>17</Day></PubDate></JournalIssue><Title>The western journal of emergency medicine</Title><ISOAbbreviation>West J Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Homeless Shelter Characteristics and Prevalence of SARS-CoV-2.</ArticleTitle><Pagination><MedlinePgn>1048-1053</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5811/westjem.2020.7.48725</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The unfolding COVID-19 pandemic has predictably followed the familiar contours of well established socioeconomic health inequities, exposing and often amplifying preexisting disparities. People living in homeless shelters are at higher risk of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) compared to the general population. The purpose of this study was to identify shelter characteristics that may be associated with higher transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a cross-sectional assessment of five congregate shelters in Rhode Island. Shelter residents 18 years old and older were tested for SARS-CoV-2 from April 19-April 24, 2020. At time of testing, we collected participant characteristics, symptomatology, and vital signs. Shelter characteristics and infection control strategies were collected through a structured phone questionnaire with shelter administrators.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 299 shelter residents (99%, 299/302) participated. Thirty-five (11.7%) tested positive for SARS-CoV-2. Shelter-level prevalence ranged from zero to 35%. Symptom prevalence did not vary by test result. Shelters with positive cases of SARS-CoV-2 were in more densely populated areas, had more transient resident populations, and instituted fewer physical distancing practices compared to shelters with no cases.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">SARS-CoV-2 prevalence varies with shelter characteristics but not individual symptoms. Policies that promote resident stability and physical distancing may help reduce SARS-CoV-2 transmission. Symptom screening alone is insufficient to prevent SARS-CoV-2 transmission. Frequent universal testing and congregate housing alternatives that promote stability may help reduce spread of infection.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Karb</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Samuels</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vanjani</LastName><ForeName>Rahul</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Trimbur</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Alpert School of Medicine of Brown University, Department of Internal Medicine, Providence, Rhode Island.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Napoli</LastName><ForeName>Anthony</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Alpert School of Medicine of Brown University, Department of Emergency Medicine, Providence, Rhode Island.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>West J Emerg 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