Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS
Identifieur interne : 000978 ( Istex/Corpus ); précédent : 000977; suivant : 000979Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS
Auteurs : Cheryl S. Leung ; Minnie M. Ho ; Alex Kiss ; Adi V. Gundlapalli ; Stephen W. HwangSource :
- Journal of Urban Health [ 1099-3460 ] ; 2008-05-01.
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Abstract
Abstract: During the 2003 severe acute respiratory syndrome (SARS) outbreak in Toronto, the potential introduction of SARS into the homeless population was a serious concern. Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals.
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DOI: 10.1007/s11524-008-9270-2
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Leung</name><affiliation><mods:affiliation>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Ho, Minnie M" sort="Ho, Minnie M" uniqKey="Ho M" first="Minnie M." last="Ho">Minnie M. Ho</name><affiliation><mods:affiliation>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Kiss, Alex" sort="Kiss, Alex" uniqKey="Kiss A" first="Alex" last="Kiss">Alex Kiss</name><affiliation><mods:affiliation>Department of Research Design and Biostatistics, Sunnybrook Health Sciences Centre, Toronto, Canada</mods:affiliation></affiliation></author><author><name sortKey="Gundlapalli, Adi V" sort="Gundlapalli, Adi V" uniqKey="Gundlapalli A" first="Adi V." last="Gundlapalli">Adi V. Gundlapalli</name><affiliation><mods:affiliation>Wasatch Homeless Health Care, Inc., Salt Lake City, UT, USA</mods:affiliation></affiliation><affiliation><mods:affiliation>Division of Clinical Epidemiology, University of Utah School of Medicine, Salt Lake City, UT, USA</mods:affiliation></affiliation></author><author><name sortKey="Hwang, Stephen W" sort="Hwang, Stephen W" uniqKey="Hwang S" first="Stephen W." last="Hwang">Stephen W. Hwang</name><affiliation><mods:affiliation>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: hwangs@smh.toronto.on.ca</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Urban Health</title><title level="j" type="sub">Bulletin of the New York Academy of Medicine</title><title level="j" type="abbrev">J Urban Health</title><idno type="ISSN">1099-3460</idno><idno type="eISSN">1468-2869</idno><imprint><publisher>Springer US; http://www.springer-ny.com</publisher><pubPlace>Boston</pubPlace><date type="published" when="2008-05-01">2008-05-01</date><biblScope unit="volume">85</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="402">402</biblScope><biblScope unit="page" to="410">410</biblScope></imprint><idno type="ISSN">1099-3460</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1099-3460</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Contact tracing</term><term>Disease outbreaks</term><term>Homeless persons</term><term>Human</term><term>Influenza</term><term>Patient isolation</term><term>Quarantine</term><term>Severe acute respiratory syndrome.</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: During the 2003 severe acute respiratory syndrome (SARS) outbreak in Toronto, the potential introduction of SARS into the homeless population was a serious concern. Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals.</div></front></TEI><istex><corpusName>springer-journals</corpusName><author><json:item><name>Cheryl S. Leung</name><affiliations><json:string>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>Minnie M. 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Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals.</abstract><qualityIndicators><score>7.918</score><pdfWordCount>3686</pdfWordCount><pdfCharCount>24989</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>495.326 x 720 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>186</abstractWordCount><abstractCharCount>1308</abstractCharCount><keywordCount>8</keywordCount></qualityIndicators><title>Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS</title><genre><json:string>research-article</json:string></genre><host><title>Journal of Urban Health</title><language><json:string>unknown</json:string></language><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><issn><json:string>1099-3460</json:string></issn><eissn><json:string>1468-2869</json:string></eissn><journalId><json:string>11524</json:string></journalId><volume>85</volume><issue>3</issue><pages><first>402</first><last>410</last></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Epidemiology</value></json:item><json:item><value>Health Informatics</value></json:item><json:item><value>Public Health/Gesundheitswesen</value></json:item></subject></host><ark><json:string>ark:/67375/VQC-76L1R2J0-0</json:string></ark><publicationDate>2008</publicationDate><copyrightDate>2008</copyrightDate><doi><json:string>10.1007/s11524-008-9270-2</json:string></doi><id>E3454778F1282FB0F39541306B7A2BAE57A799F9</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-76L1R2J0-0/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-76L1R2J0-0/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/VQC-76L1R2J0-0/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://scientific-publisher.data.istex.fr">Springer US; 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Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Contact tracing</term></item><item><term>Disease outbreaks</term></item><item><term>Homeless persons</term></item><item><term>Human</term></item><item><term>Influenza</term></item><item><term>Patient isolation</term></item><item><term>Quarantine</term></item><item><term>Severe acute respiratory syndrome.</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Epidemiology</term></item><item><term>Health Informatics</term></item><item><term>Public Health/Gesundheitswesen</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-10-23">Created</change><change 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DisplayOrder="Western"><GivenName>Cheryl</GivenName><GivenName>S.</GivenName><FamilyName>Leung</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Minnie</GivenName><GivenName>M.</GivenName><FamilyName>Ho</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>Alex</GivenName><FamilyName>Kiss</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff3 Aff4"><AuthorName DisplayOrder="Western"><GivenName>Adi</GivenName><GivenName>V.</GivenName><FamilyName>Gundlapalli</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1 Aff5" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Stephen</GivenName><GivenName>W.</GivenName><FamilyName>Hwang</FamilyName><Degrees>MD, MPH</Degrees></AuthorName><Contact><Phone>+1-416-8645991</Phone><Fax>+1-416-8645485</Fax><Email>hwangs@smh.toronto.on.ca</Email></Contact></Author><Affiliation ID="Aff1"><OrgDivision>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute</OrgDivision><OrgName>St. Michael’s Hospital</OrgName><OrgAddress><Street>30 Bond Street</Street><City>Toronto</City><State>Ontario</State><Postcode>M5B 1W8</Postcode><Country Code="CA">Canada</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgDivision>Department of Research Design and Biostatistics</OrgDivision><OrgName>Sunnybrook Health Sciences Centre</OrgName><OrgAddress><City>Toronto</City><Country Code="CA">Canada</Country></OrgAddress></Affiliation><Affiliation ID="Aff3"><OrgName>Wasatch Homeless Health Care, Inc.</OrgName><OrgAddress><City>Salt Lake City</City><State>UT</State><Country Code="US">USA</Country></OrgAddress></Affiliation><Affiliation ID="Aff4"><OrgDivision>Division of Clinical Epidemiology</OrgDivision><OrgName>University of Utah School of Medicine</OrgName><OrgAddress><City>Salt Lake City</City><State>UT</State><Country Code="US">USA</Country></OrgAddress></Affiliation><Affiliation ID="Aff5"><OrgDivision>Division of General Internal Medicine, Department of Medicine</OrgDivision><OrgName>University of Toronto</OrgName><OrgAddress><City>Toronto</City><Country Code="CA">Canada</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading><Para>During the 2003 severe acute respiratory syndrome (SARS) outbreak in Toronto, the potential introduction of SARS into the homeless population was a serious concern. Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (<Emphasis Type="Italic">n</Emphasis> = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals.</Para></Abstract><KeywordGroup Language="En"><Heading>Keywords</Heading><Keyword>Contact tracing</Keyword><Keyword>Disease outbreaks</Keyword><Keyword>Homeless persons</Keyword><Keyword>Human</Keyword><Keyword>Influenza</Keyword><Keyword>Patient isolation</Keyword><Keyword>Quarantine</Keyword><Keyword>Severe acute respiratory syndrome.</Keyword></KeywordGroup><ArticleNote Type="Misc"><SimplePara>Leung, Ho, and Hwang are with the Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Ontario, Canada; Kiss is with the Department of Research Design and Biostatistics, Sunnybrook Health Sciences Centre, Toronto, Canada; Gundlapalli is with the Wasatch Homeless Health Care, Inc., Salt Lake City, UT, USA; Gundlapalli is with the Division of Clinical Epidemiology, University of Utah School of Medicine, Salt Lake City, UT, USA; Hwang is with the Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Canada.</SimplePara></ArticleNote></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Homelessness and the Response to Emerging Infectious Disease Outbreaks: Lessons from SARS</title></titleInfo><name type="personal"><namePart type="given">Cheryl</namePart><namePart type="given">S.</namePart><namePart type="family">Leung</namePart><affiliation>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Minnie</namePart><namePart type="given">M.</namePart><namePart type="family">Ho</namePart><affiliation>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alex</namePart><namePart type="family">Kiss</namePart><affiliation>Department of Research Design and Biostatistics, Sunnybrook Health Sciences Centre, Toronto, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Adi</namePart><namePart type="given">V.</namePart><namePart type="family">Gundlapalli</namePart><affiliation>Wasatch Homeless Health Care, Inc., Salt Lake City, UT, USA</affiliation><affiliation>Division of Clinical Epidemiology, University of Utah School of Medicine, Salt Lake City, UT, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">Stephen</namePart><namePart type="given">W.</namePart><namePart type="family">Hwang</namePart><namePart type="termsOfAddress">MD, MPH</namePart><affiliation>Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, 30 Bond Street, M5B 1W8, Toronto, Ontario, Canada</affiliation><affiliation>Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Canada</affiliation><affiliation>E-mail: hwangs@smh.toronto.on.ca</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer US; http://www.springer-ny.com</publisher><place><placeTerm type="text">Boston</placeTerm></place><dateCreated encoding="w3cdtf">2007-10-23</dateCreated><dateIssued encoding="w3cdtf">2008-05-01</dateIssued><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: During the 2003 severe acute respiratory syndrome (SARS) outbreak in Toronto, the potential introduction of SARS into the homeless population was a serious concern. Although no homeless individual in Toronto contracted SARS, the outbreak highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people. We conducted key informant interviews with homeless service providers and public health officials (n = 17) and identified challenges specific to the homeless population in the areas of communication, infection control, isolation and quarantine, and resource allocation. Planning for future outbreaks should take into account the need to (1) develop systems that enable rapid two-way communication between public health officials and homeless service providers, (2) ensure that homeless service providers have access to infection control supplies and staff training, (3) prepare for possible homeless shelter closures due to staff shortages or high attack rates among clients, and (4) plan for where and how clinically ill homeless individuals will be isolated and treated. The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals.</abstract><subject lang="en"><genre>Keywords</genre><topic>Contact tracing</topic><topic>Disease outbreaks</topic><topic>Homeless persons</topic><topic>Human</topic><topic>Influenza</topic><topic>Patient isolation</topic><topic>Quarantine</topic><topic>Severe acute respiratory syndrome.</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Urban Health</title><subTitle>Bulletin of the New York Academy of Medicine</subTitle></titleInfo><titleInfo type="abbreviated"><title>J Urban Health</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2008-04-23</dateIssued><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Epidemiology</topic><topic>Health Informatics</topic><topic>Public Health/Gesundheitswesen</topic></subject><identifier type="ISSN">1099-3460</identifier><identifier type="eISSN">1468-2869</identifier><identifier type="JournalID">11524</identifier><identifier type="IssueArticleCount">15</identifier><identifier type="VolumeIssueCount">6</identifier><part><date>2008</date><detail type="volume"><number>85</number><caption>vol.</caption></detail><detail type="issue"><number>3</number><caption>no.</caption></detail><extent unit="pages"><start>402</start><end>410</end></extent></part><recordInfo><recordOrigin>The New York Academy of Medicine, 2008</recordOrigin></recordInfo></relatedItem><identifier type="istex">E3454778F1282FB0F39541306B7A2BAE57A799F9</identifier><identifier type="ark">ark:/67375/VQC-76L1R2J0-0</identifier><identifier type="DOI">10.1007/s11524-008-9270-2</identifier><identifier type="ArticleID">9270</identifier><identifier type="ArticleID">s11524-008-9270-2</identifier><accessCondition type="use and reproduction" contentType="copyright">The New York Academy of Medicine, 2008</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>The New York Academy of Medicine, 2008</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-76L1R2J0-0/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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