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COVID-19 outbreak at a large homeless shelter in Boston: Implications for universal testing
Travis P Baggett.
Harrison Keyes.
Nora Sporn.
Jessie M Gaeta.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.04.12.20059618
The circumstances of homelessness create the potential for rapid transmission of SARS-CoV-2 in this vulnerable population. Upon observing a cluster of COVID-19 cases from a single large homeless shelter in Boston, Boston Health Care for the Homeless Program conducted symptom assessments and polymerase chain reaction (PCR) testing for SARS-CoV-2 among all guests residing at the shelter over a 2-day period. Of 408 participants, 147 (36.0%) were PCR-positive for SARS-CoV-2. COVID-positive individuals were more likely to be male (p<0.001) but did not differ significantly from COVID-negative individuals with respect to other demographic and clinical characteristics. Cough (7.5%), shortness of breath (1.4%), and fever (0.7%) were all uncommon among COVID-positive individuals. Our findings illustrate the rapidity with which COVID-19 can be widely transmitted in a homeless shelter setting and suggest that universal PCR testing, rather than a symptom triggered approach, may be a better strategy for identifying and mitigating COVID-19 among people experiencing homelessness.
www.medrxiv.org
2020
Artículo
https://www.medrxiv.org/content/10.1101/2020.04.12.20059618v1.full.pdf
Inglés
VIRUS RESPIRATORIOS
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