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10.9778/cmajo.20200165

http://scihub22266oqcxt.onion/10.9778/cmajo.20200165
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33293331!7743908!33293331
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suck abstract from ncbi


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pmid33293331      CMAJ+Open 2020 ; 8 (4): E819-E824
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  • Outbreak of SARS-CoV-2 infection at a large refugee shelter in Toronto, April 2020: a clinical and epidemiologic descriptive analysis #MMPMID33293331
  • Redditt V; Wright V; Rashid M; Male R; Bogoch I
  • CMAJ Open 2020[Oct]; 8 (4): E819-E824 PMID33293331show ga
  • BACKGROUND: There is high risk of transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in congregate settings, including shelters. This study describes a coronavirus disease 2019 (COVID-19) outbreak and corresponding reported symptomatology at a shelter in Toronto. METHODS: This clinical and epidemiologic analysis focuses on a COVID-19 outbreak at a dedicated refugee shelter in downtown Toronto. All adult residents on site at the shelter were offered SARS-CoV-2 testing on Apr. 20, 2020. At the time of testing, residents were screened for 3 typical COVID-19 symptoms (fever, cough and shortness of breath). Among those who tested positive, a more comprehensive clinical assessment was conducted 1 day after testing and a standardized 15-item symptom screen was administered by telephone 14 days after testing. We report rates of positive test results and clinical symptoms with each assessment interval. RESULTS: Of the 63 adult residents on site at the shelter, 60 agreed to be tested. Among those tested, 41.7% (n = 25) were positive for SARS-CoV-2 infection. Of those who tested positive (n = 25), 20.0% (n = 5) reported fever, cough or shortness of breath at the time of testing. On more detailed assessment 1 day later, 70.8% (17/24) reported a broader range of symptoms. During the 14 days after testing, 87.5% (21/24) reported symptoms of infection. INTERPRETATION: We found a high rate of SARS-CoV-2 infection in this shelter population. Our study underscores the high risk of SARS-CoV-2 transmission in congregate living settings and the importance of mobilizing timely testing and management of symptomatic, paucisymptomatic and asymptomatic residents in shelters.
  • |Adult[MESH]
  • |COVID-19 Testing/methods[MESH]
  • |COVID-19/diagnosis/*epidemiology/*transmission/virology[MESH]
  • |Canada/epidemiology[MESH]
  • |Cough/epidemiology[MESH]
  • |Disease Outbreaks/*prevention & control/statistics & numerical data[MESH]
  • |Dyspnea/epidemiology[MESH]
  • |Female[MESH]
  • |Fever/epidemiology[MESH]
  • |Housing[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Refugees/*statistics & numerical data[MESH]


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