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10.1097/PHH.0000000000001349

http://scihub22266oqcxt.onion/10.1097/PHH.0000000000001349
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33762544!10878749!33762544
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suck abstract from ncbi


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pmid33762544      J+Public+Health+Manag+Pract 2021 ; 27 (3): 285-294
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  • Establishment of Isolation and Noncongregate Hotels During COVID-19 and Symptom Evolution Among People Experiencing Homelessness-Atlanta, Georgia, 2020 #MMPMID33762544
  • Montgomery MP; Paulin HN; Morris A; Cotton A; Speers A; Boyd AT; Buff AM; Mathews D; Wells A; Marchman C; Gaffga N; Bamrah Morris S; Cavanaugh SS
  • J Public Health Manag Pract 2021[May]; 27 (3): 285-294 PMID33762544show ga
  • CONTEXT: Local agencies across the United States have identified public health isolation sites for individuals with coronavirus disease 2019 (COVID-19) who are not able to isolate in residence. PROGRAM: We describe logistics of establishing and operating isolation and noncongregate hotels for COVID-19 mitigation and use the isolation hotel as an opportunity to understand COVID-19 symptom evolution among people experiencing homelessness (PEH). IMPLEMENTATION: Multiple agencies in Atlanta, Georgia, established an isolation hotel for PEH with COVID-19 and noncongregate hotel for PEH without COVID-19 but at risk of severe illness. PEH were referred to the isolation hotel through proactive, community-based testing and hospital-based testing. Daily symptoms were recorded prospectively. Disposition location was recorded for all clients. EVALUATION: During April 10 to September 1, 2020, 181 isolation hotel clients (77 community referrals; 104 hospital referrals) were admitted a median 3 days after testing. Overall, 32% of community referrals and 7% of hospital referrals became symptomatic after testing positive; 83% of isolation hotel clients reported symptoms at some point; 93% completed isolation. Among 302 noncongregate hotel clients, median stay was 18 weeks; 61% were discharged to permanent housing or had a permanent housing discharge plan. DISCUSSION: Overall, a high proportion of PEH completed isolation at the hotel, suggesting a high level of acceptability. Many PEH with COVID-19 diagnosed in the community developed symptoms after testing, indicating that proactive, community-based testing can facilitate early isolation. Noncongregate hotels can be a useful COVID-19 community mitigation strategy by bridging PEH at risk of severe illness to permanent housing.
  • |*Guidelines as Topic[MESH]
  • |*Social Isolation[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*prevention & control[MESH]
  • |Disease Management[MESH]
  • |Female[MESH]
  • |Georgia/epidemiology[MESH]
  • |Housing/*standards/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Ill-Housed Persons/*statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Public Health/*standards/statistics & numerical data[MESH]
  • |Quarantine/*standards/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]


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