tetano
Editor, Senior Moderator
Am J Public Health
. 2024 Aug 28:e1-e9.
doi: 10.2105/AJPH.2024.307801. Online ahead of print. Interventions to Mitigate the Impact of COVID-19 Among People Experiencing Sheltered Homelessness: Chicago, Illinois, March 1, 2020-May 11, 2023
Lauren Tietje[SUP] 1 [/SUP], Isaac Ghinai[SUP] 1 [/SUP], Antea Cooper[SUP] 1 [/SUP], Elizabeth L Tung[SUP] 1 [/SUP], Brian Borah[SUP] 1 [/SUP], Michelle Funk[SUP] 1 [/SUP], Divya Ramachandran[SUP] 1 [/SUP], Ben Gerber[SUP] 1 [/SUP], Bernice Man[SUP] 1 [/SUP], Rebecca Singer[SUP] 1 [/SUP], Elizabeth Bell[SUP] 1 [/SUP], Angela Moss[SUP] 1 [/SUP], Andrew Weidemiller[SUP] 1 [/SUP], Mehreen Chaudhry[SUP] 1 [/SUP], Frances Lendacki[SUP] 1 [/SUP], Rachel Bernard[SUP] 1 [/SUP], Stephanie Gretsch[SUP] 1 [/SUP], Kayla English[SUP] 1 [/SUP], Thomas D Huggett[SUP] 1 [/SUP], Mary Tornabene[SUP] 1 [/SUP], Caroline Cool[SUP] 1 [/SUP], Wayne M Detmer[SUP] 1 [/SUP], Mary Kate Schroeter[SUP] 1 [/SUP], Stockton Mayer[SUP] 1 [/SUP], Elizabeth Davis[SUP] 1 [/SUP], Josh Boegner[SUP] 1 [/SUP], Erik Elias Glenn[SUP] 1 [/SUP], Gregory Phillips 2nd[SUP] 1 [/SUP], Suzanne Falck[SUP] 1 [/SUP], Lindsay Barranco[SUP] 1 [/SUP], Karrie-Ann Toews[SUP] 1 [/SUP]
Affiliations
Objectives. To compare the incidence, case-hospitalization rates, and vaccination rates of COVID-19 between people experiencing sheltered homelessness (PESH) and the broader community in Chicago, Illinois, and describe the impact of a whole community approach to disease mitigation during the public health emergency. Methods. Incidence of COVID-19 among PESH was compared with community-wide incidence using case-based surveillance data from March 1, 2020, to May 11, 2023. Seven-day rolling means of COVID-19 incidence were assessed for the overall study period and for each of 6 distinct waves of COVID-19 transmission. Results. A total of 774 009 cases of COVID-19 were detected: 2579 among PESH and 771 430 in the broader community. Incidence and hospitalization rates per 100 000 in PESH were more than 5 times higher (99.84 vs 13.94 and 16.88 vs 2.14) than the community at large in wave 1 (March 1, 2020-October 3, 2020). This difference decreased through wave 3 (March 7, 2021-June 26, 2021), with PESH having a lower incidence rate per 100 000 than the wider community (8.02 vs 13.03). Incidence and hospitalization of PESH rose again to rates higher than the broader community in waves 4 through 6 but never returned to wave 1 levels. Throughout the study period, COVID-19 incidence among PESH was 2.88 times higher than that of the community (70.90 vs 24.65), and hospitalization was 4.56 times higher among PESH (7.51 vs 1.65). Conclusions. Our findings suggest that whole-community approaches can minimize disparities in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission between vulnerable populations and the broader community, and reinforce the benefits of a shared approach that include multiple partners when addressing public health emergencies in special populations. (Am J Public Health. Published online ahead of print August 28, 2024:e1-e9. https://doi.org/10.2105/
. 2024 Aug 28:e1-e9.
doi: 10.2105/AJPH.2024.307801. Online ahead of print. Interventions to Mitigate the Impact of COVID-19 Among People Experiencing Sheltered Homelessness: Chicago, Illinois, March 1, 2020-May 11, 2023
Lauren Tietje[SUP] 1 [/SUP], Isaac Ghinai[SUP] 1 [/SUP], Antea Cooper[SUP] 1 [/SUP], Elizabeth L Tung[SUP] 1 [/SUP], Brian Borah[SUP] 1 [/SUP], Michelle Funk[SUP] 1 [/SUP], Divya Ramachandran[SUP] 1 [/SUP], Ben Gerber[SUP] 1 [/SUP], Bernice Man[SUP] 1 [/SUP], Rebecca Singer[SUP] 1 [/SUP], Elizabeth Bell[SUP] 1 [/SUP], Angela Moss[SUP] 1 [/SUP], Andrew Weidemiller[SUP] 1 [/SUP], Mehreen Chaudhry[SUP] 1 [/SUP], Frances Lendacki[SUP] 1 [/SUP], Rachel Bernard[SUP] 1 [/SUP], Stephanie Gretsch[SUP] 1 [/SUP], Kayla English[SUP] 1 [/SUP], Thomas D Huggett[SUP] 1 [/SUP], Mary Tornabene[SUP] 1 [/SUP], Caroline Cool[SUP] 1 [/SUP], Wayne M Detmer[SUP] 1 [/SUP], Mary Kate Schroeter[SUP] 1 [/SUP], Stockton Mayer[SUP] 1 [/SUP], Elizabeth Davis[SUP] 1 [/SUP], Josh Boegner[SUP] 1 [/SUP], Erik Elias Glenn[SUP] 1 [/SUP], Gregory Phillips 2nd[SUP] 1 [/SUP], Suzanne Falck[SUP] 1 [/SUP], Lindsay Barranco[SUP] 1 [/SUP], Karrie-Ann Toews[SUP] 1 [/SUP]
Affiliations
- PMID: 39197136
- DOI: 10.2105/AJPH.2024.307801
Objectives. To compare the incidence, case-hospitalization rates, and vaccination rates of COVID-19 between people experiencing sheltered homelessness (PESH) and the broader community in Chicago, Illinois, and describe the impact of a whole community approach to disease mitigation during the public health emergency. Methods. Incidence of COVID-19 among PESH was compared with community-wide incidence using case-based surveillance data from March 1, 2020, to May 11, 2023. Seven-day rolling means of COVID-19 incidence were assessed for the overall study period and for each of 6 distinct waves of COVID-19 transmission. Results. A total of 774 009 cases of COVID-19 were detected: 2579 among PESH and 771 430 in the broader community. Incidence and hospitalization rates per 100 000 in PESH were more than 5 times higher (99.84 vs 13.94 and 16.88 vs 2.14) than the community at large in wave 1 (March 1, 2020-October 3, 2020). This difference decreased through wave 3 (March 7, 2021-June 26, 2021), with PESH having a lower incidence rate per 100 000 than the wider community (8.02 vs 13.03). Incidence and hospitalization of PESH rose again to rates higher than the broader community in waves 4 through 6 but never returned to wave 1 levels. Throughout the study period, COVID-19 incidence among PESH was 2.88 times higher than that of the community (70.90 vs 24.65), and hospitalization was 4.56 times higher among PESH (7.51 vs 1.65). Conclusions. Our findings suggest that whole-community approaches can minimize disparities in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission between vulnerable populations and the broader community, and reinforce the benefits of a shared approach that include multiple partners when addressing public health emergencies in special populations. (Am J Public Health. Published online ahead of print August 28, 2024:e1-e9. https://doi.org/10.2105/