Interventions to Mitigate the Impact of COVID-19 Among People Experiencing Sheltered Homelessness: Chicago, Illinois, March 1, 2020–May 11, 2023

Details

• Alternative Title:
  Am J Public Health
• Personal Author:
  Tietje, Lauren ; Ghinai, Isaac ; Cooper, Antea ; Tung, Elizabeth L. ; Borah, Brian ; Funk, Michelle ; Ramachandran, Divya ; Gerber, Ben ; Man, Bernice ; Singer, Rebecca ; Bell, Elizabeth ; Moss, Angela ; Weidemiller, Andrew ; Chaudhry, Mehreen ; Lendacki, Frances ; Bernard, Rachel ; Gretsch, Stephanie ; English, Kayla ; Huggett, Thomas D. ; Tornabene, Mary ; Cool, Caroline ; Detmer, Wayne M. ; Schroeter, Mary Kate ; Mayer, Stockton ; Davis, Elizabeth ; Boegner, Josh ; Glenn, Erik Elias ; Phillips, Gregory ; Falck, Suzanne ; Barranco, Lindsay ; Toews, Karrie-Ann
  More +
• Description:
  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 774009 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.
• Subjects:
  • Humans
  • COVID-19
  • Chicago
  • Ill-Housed Persons
  • Incidence
  • Hospitalization
  • SARS-CoV-2
  • Adult
  • Male
  • Middle Aged
  More +
• Source:
  Am J Public Health. 114(Suppl 7):S590-S598
• Pubmed ID:
  39197136
• Pubmed Central ID:
  PMC11424243
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  114
• Download URL:
  https://stacks.cdc.gov/view/cdc/164025/cdc_164025_DS1.pdf
• File Type:
  [PDF - 340.85 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:50f40feb395e7f9eeda01db678666c8e480d5f0c6be4249e2aef25d4a9a0c8c25dbb84d3333a588f2206eaa311608790921e92501eebdbf2e4944c25efe5f08f