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10.1093/cid/ciaa1340

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suck abstract from ncbi


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pmid32898272      Clin+Infect+Dis 2021 ; 73 (9): e2978-e2984
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  • Coronavirus Disease 2019 (COVID-19) Prevalences Among People Experiencing Homelessness and Homelessness Service Staff During Early Community Transmission in Atlanta, Georgia, April-May 2020 #MMPMID32898272
  • Yoon JC; Montgomery MP; Buff AM; Boyd AT; Jamison C; Hernandez A; Schmit K; Shah S; Ajoku S; Holland DP; Prieto J; Smith S; Swancutt MA; Turner K; Andrews T; Flowers K; Wells A; Marchman C; Laney E; Bixler D; Cavanaugh S; Flowers N; Gaffga N; Ko JY; Paulin HN; Weng MK; Mosites E; Morris SB
  • Clin Infect Dis 2021[Nov]; 73 (9): e2978-e2984 PMID32898272show ga
  • BACKGROUND: In response to reported coronavirus disease 2019 (COVID-19) outbreaks among people experiencing homelessness (PEH) in other US cities, we conducted multiple, proactive, facility-wide testing events for PEH living sheltered and unsheltered and homelessness service staff in Atlanta, Georgia. We describe the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) prevalence and associated symptoms, and review shelter infection prevention and control (IPC) policies. METHODS: PEH and staff were tested for SARS-CoV-2 by reverse transcription polymerase chain reaction (RT-PCR) during 7 April-6 May 2020. A subset of PEH and staff was screened for symptoms. Shelter assessments were conducted concurrently at a convenience sample of shelters using a standardized questionnaire. RESULTS: Overall, 2875 individuals at 24 shelters and 9 unsheltered outreach events underwent SARS-CoV-2 testing, and 2860 (99.5%) had conclusive test results. The SARS-CoV-2 prevalences were 2.1% (36/1684) among PEH living sheltered, 0.5% (3/628) among PEH living unsheltered, and 1.3% (7/548) among staff. Reporting fever, cough, or shortness of breath in the last week during symptom screening was 14% sensitive and 89% specific for identifying COVID-19 cases, compared with RT-PCR. Prevalences by shelter ranged 0-27.6%. Repeat testing 3-4 weeks later at 4 shelters documented decreased SARS-CoV-2 prevalences (0-3.9%). Of 24 shelters, 9 completed shelter assessments and implemented IPC measures as part of the COVID-19 response. CONCLUSIONS: PEH living in shelters experienced a higher SARS-CoV-2 prevalence compared with PEH living unsheltered. Facility-wide testing in congregate settings allowed for the identification and isolation of COVID-19 cases, and is an important strategy to interrupt SARS-CoV-2 transmission.
  • |*COVID-19[MESH]
  • |*Ill-Housed Persons[MESH]
  • |COVID-19 Testing[MESH]
  • |Georgia/epidemiology[MESH]
  • |Humans[MESH]
  • |Prevalence[MESH]


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