Infectious Disease

Day by day check-ups and different foster houses may decrease the SARS-CoV-2 price in homeless shelters

January 11, 2021

1 min read

Source / information

Disclosure:
Baggett reports that he received personal fees from UpToDate outside of the work submitted. In the study you will find all relevant financial information from all other authors.

ADD SUBJECT TO EMAIL ALARMS

Receive an email when new articles are published

Please enter your email address to receive an email when new articles are published . “data-action =” subscribe “> subscribe

We could not process your request. Please try again later. If you continue to have this problem, please contact customerservice@slackinc.com.

Back to Healio

Daily symptom screening and the use of non-clinical alternative care facilities could lower SARS-CoV-2 rates and costs among adults in homeless shelters, according to a model study published on JAMA Network Open.

“The overcrowded conditions of homeless shelters put this population at increased risk of developing COVID-19.” Travis P. Baggett, MD, MPH, Assistant Professor of Medicine at Harvard Medical School and Medical Officer at Boston Health Care for the Homeless Program, and colleagues wrote. “The high exposure of sheltered homeless to COVID-19 underscores the urgent need to understand the clinical outcomes and costs of CDC-recommended and other prevention and treatment strategies.”

Baggett and colleagues used a decision analysis model to simulate a group of 2,258 adults living in homeless shelters across Boston. They adjusted cohort characteristics and costs from the Boston Health Care Homeless Program, and collected data on disease progression and outcomes from national databases and published literature.

Compared to no interventions, daily symptom screening with alternative care facilities – such as large tents or off-hospital facilities – for confirmed COVID-19 or pending testing was a 37% decrease in infections (1,954 versus 1,239) and 46% lower costs ($ 6.1 million versus $ 3.27 million), the researchers reported.

PCR testing every 2 weeks was associated with a greater decrease in infection. Temporary placement with a PCR test every 2 weeks was found to be the most effective method, but it was significantly more expensive than the other interventions, according to the study.

“This analysis does not take into account any other potential physical or mental health benefits of temporary placement,” the researchers wrote. “Ultimately, broader supportive housing policies for people affected by homelessness should consider more than just COVID-19 mitigation, as the COVID-19 pandemic is one of the many health risks associated with homelessness.”

ADD SUBJECT TO EMAIL ALARMS

Receive an email when new articles are published

Please enter your email address to receive an email when new articles are published . “data-action =” subscribe “> subscribe

We could not process your request. Please try again later. If you continue to have this problem, please contact customerservice@slackinc.com.

Back to Healio

COVID-19 Resource Center

COVID-19 Resource Center

Related Articles