Homeless Shelter Characteristics and Prevalence of SARS-CoV-2.
Homeless Shelter Characteristics and Prevalence of SARS-CoV-2.
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DOI：
10.5811/westjem.2020.7.48725
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发表时间：
2020-08-17
期刊：
影响因子：
--
通讯作者：
Napoli A
中科院分区：
文献类型：
--
作者：
Karb R;Samuels E;Vanjani R;Trimbur C;Napoli A
可以预见，正在上演的COVID-19大流行遵循了众所周知的社会经济卫生不平等的轮廓，暴露并往往扩大了先前存在的差距。与普通人群相比，生活在无家可归者收容所的人感染严重急性呼吸综合征冠状病毒2 （SARS-CoV-2）的风险更高。本研究的目的是确定可能与严重急性呼吸综合征冠状病毒2 （SARS-CoV-2）更高传播率相关的庇护所特征。我们对罗德岛州的五个收容所进行了横断面评估。从2020年4月19日至4月24日，18岁及以上的避难所居民接受了SARS-CoV-2检测。在测试时，我们收集了参与者的特征、症状和生命体征。通过与收容所管理人员进行结构化电话问卷调查，收集收容所特征和感染控制策略。共有299名收容所居民（99%,299/302）参与了调查。35人（11.7%）检测出SARS-CoV-2阳性。庇护所水平的患病率从零到35%不等。症状的发生率不随测试结果而变化。与没有病例的庇护所相比，有SARS-CoV-2阳性病例的庇护所位于人口更密集的地区，有更多的暂住人口，并且采取的物理距离措施更少。SARS-CoV-2的流行率因庇护所特征而异，但与个体症状无关。促进居民稳定和保持身体距离的政策可能有助于减少新冠病毒的传播。仅凭症状筛查不足以预防SARS-CoV-2的传播。频繁的普遍检测和促进稳定的聚集性住房选择可能有助于减少感染的传播。
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). 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. 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. 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.
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影响因子：
12.7
作者：
Brown RT;Miao Y;Mitchell SL;Bharel M;Patel M;Ard KL;Grande LJ;Blazey-Martin D;Floru D;Steinman MA
通讯作者：
Steinman MA
影响因子：
33.9
作者：
Tobolowsky, Farrell A.;Gonzales, Elysia;Kay, Meagan
通讯作者：
Kay, Meagan
影响因子：
3.3
作者：
Schinka, John A.;Leventhal, Katherine C.;Casey, Roger
通讯作者：
Casey, Roger
影响因子：
1.9
作者：
Jones, Charlotte A.;Perera, Arjuna;Davachi, Shahnaz
通讯作者：
Davachi, Shahnaz
影响因子：
33.9
作者：
Mosites, Emily;Parker, Erin M.;Peacock, Georgina
通讯作者：
Peacock, Georgina