☆ 4.5 Review

COVID-19 in the homeless population: a scoping review and meta-analysis examining differences in prevalence, presentation, vaccine hesitancy and government response in the first year of the pandemic

BMC INFECTIOUS DISEASES (2023)

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Summary: This study systematically assessed the quality of Local Outbreak Control Plans (LOCPs) produced by local authorities in England and identified significant variations in reporting high-risk settings and groups. The suggested recommendations may improve future LOCP updates.

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PUBLIC HEALTH (2022)

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Summary: This report highlights the public health response to a COVID-19 outbreak in a San Francisco shelter, emphasizing the limited effectiveness of case investigation, person-based contact tracing and symptom screening, and the benefits of mass testing in outbreak response.

CLINICAL INFECTIOUS DISEASES (2021)

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Paulina Przydzial et al.

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Maryam Alavi et al.

Summary: Iran is among the hardest-hit countries by the COVID-19 pandemic, particularly affecting marginalized populations like drug users. A comprehensive response to the crisis necessitates broad collaboration and creativity from both government and non-government organizations. An initiative has been launched to bring together harm reduction stakeholders in an effort to develop an equitable response to the pandemic amidst experiences of social and economic marginalization.

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Lourdes Aguilar et al.

Summary: The study found an increase in relapses and psychopathological instability in patients during the last five weeks of the ten-week study period. Face-to-face visits were necessary, with the most common psychopathology being depressive disorder. Interventions with patients increased, while social workers' efforts intensified after the seventh week. There was a decrease in response to calls, and ODC had to attend to patients needing treatment for the first time.

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Summary: The BPM COVID Response Team, established by Ventura County Medical Center and Ventura County Health Care Agency, conducted testing for over 150 homeless individuals over four weeks, identifying 24 positive cases, and providing temporary housing for more than 400 people across three cities in Ventura, California.

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Monitoring for COVID-19 by universal testing in a homeless shelter in Germany: a prospective feasibility cohort study

Andreas K. Lindner et al.

Summary: Voluntary universal testing for COVID-19 is feasible in homeless shelters. Flexible approaches, considering the level of community transmission, available resources, and local recommendations, will be needed for universal testing in high-risk facilities. Adapted strategies, such as assisted self-collection of specimens and barrier-free communication, may help overcome implementation barriers in homeless shelters.

BMC INFECTIOUS DISEASES (2021)

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Adaptation of a System of Treatment for Substance Use Disorders During the COVID-19 Pandemic

Miriam Komaromy et al.

Summary: The Grayken Center for Addiction at Boston Medical Center swiftly innovated during the COVID-19 outbreak by offering telehealth services and maintaining focus on patients, especially those experiencing homelessness or with complex problems. Various measures were taken to ensure patient safety and continued access to treatment.

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Social vulnerability and COVID-19: A call to action for paediatric clinicians Comment

Michael Prodanuk et al.

Summary: The COVID-19 pandemic has disproportionately affected socially vulnerable children, particularly those experiencing homelessness. A holistic approach and cross-sectoral partnerships are urgently needed to address the increased vulnerabilities and unintended consequences. Direct support for families in clinical settings and advocacy for appropriate isolation facilities for homeless patients are critical steps in supporting this population.

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Summary: The study systematically reviewed the prevalence, presentation, and outcome of COVID-19 in cancer patients. The pooled prevalence of cancer as a comorbidity in COVID-19 hospitalised patients was 2.6%, with higher rates in Western countries than in China. Common clinical symptoms in cancer patients with COVID-19 include fever, dyspnea, chest tightness, and decreased arterial oxygen saturation. The in-hospital mortality risk among COVID-19 patients with cancer was 14.1%.

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Malik Sallam

Summary: COVID-19 vaccine acceptance rates are generally high worldwide, but low rates are reported in the Middle East, Russia, Africa, and certain European countries. This could pose a significant challenge in global efforts to control the pandemic. More studies are recommended to address COVID-19 vaccine hesitancy in different regions.

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Tanvi A. Ingle et al.

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COVID-19 vaccine hesitancy among persons living in homeless shelters in France

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Summary: This study compared contact tracing among people experiencing homelessness (PEH) and the general population in Salt Lake County, Utah, revealing that PEH were more difficult to contact, follow up at the end of isolation, and provided fewer contacts per case. The findings suggest that a location-based approach should be used for contact tracing among PEH, along with a person-based approach when resources permit.

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Summary: The study found that 48% of people experiencing homelessness in Los Angeles have some level of vaccine hesitancy towards COVID-19 vaccines, with most hesitancy based on hypothetical offers. Those with high COVID-19 threat perception were less hesitant towards vaccines, while those who frequently practiced protective behaviors were more likely to be hesitant.

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