Dutch municipalities provided emergency accommodations with more space for all PEH, irrespective of insurance and legal status, to be able to accommodate people who were unable to follow the “stay-home” measure. It might be that the extra strategies set in place to control COVID-19 among PEH during the lockdown periods, such as those implemented in the UK, resulted in limited transmission. In the Netherlands, no major outbreaks among visitors attending homelessness services had been identified since the start of the pandemic until December 2021, contrary to the situation in the US. The authors suggest that this low percentage may have been due to the policy pandemic response for PEH, moving away from communal accommodation to offering PEH private rooms to reduce the risk of SARS-CoV-2 transmission. In contrast, a population-based study from Wales, United Kingdom (UK) using routinely collected administrative data found that the SARS-CoV-2 PCR positivity rate among PEH was comparable to that of the general population (5.0% versus 5.6% between March 2020 and March 2021). A study conducted across nine Dutch cities during the first wave reported a SARS-CoV-2 PCR positivity rate of 17% among PEH with COVID-related symptoms or who had a close contact with individuals with COVID-19 and visited the ‘street doctors’, which was higher than the rate found among the general population during that period. The highest SARS-CoV-2 PCR positivity rate was found among PEH in homelessness facilities where overcrowding from sharing of dormitories and communal (e.g. A study in Marseille, France, conducted during the same time period indicated a somewhat lower SARS-CoV-2 PCR positivity rate in a subsample of PEH, at 9%. These studies were however carried out in centers where COVID-19 outbreaks were taking place. current infection) among PEH than among the general population, with 16% testing positive in San Francisco and 36% in Boston. Studies conducted during the first epidemic wave of SARS-CoV-2 infections in the US showed higher PCR positivity rates (i.e. Moreover, the lockdown measures used to control SARS-CoV-2 infections resulted in diminished access to services for PEH in many countries. People experiencing homelessness (PEH) may be at increased risk of SARS-CoV-2 infection and severe COVID-19 disease due to certain attributes of their lifestyle, which include lack of living accommodation, increased prevalence of chronic and physical conditions, and limited access to health care. ![]() van Duijnhoven, Conceptualization, Resources, Writing – review & editing,Īnd Maria Prins, Conceptualization, Investigation, Methodology, Supervision, Writing – review & editing ![]() Mariken van der Lubben, Funding acquisition, Writing – review & editing, Bruisten, Writing – review & editing,Īlje P. Marcel Buster, Conceptualization, Writing – review & editing,Ĭhrista van Dijk, Conceptualization, Investigation, Writing – review & editing,Īnders Boyd, Formal analysis, Writing – review & editing, Booij, Conceptualization, Investigation, Project administration, Writing – review & editing,ĭylan Price, Conceptualization, Investigation, Resources, Writing – review & editing, Campman, Formal analysis, Methodology, Writing – original draft, Writing – review & editing, (Daniela) van Santen, Conceptualization, Supervision, Writing – review & editing, # Ellen Generaal, Conceptualization, Data curation, Funding acquisition, Investigation, Project administration, Resources, Supervision, Writing – original draft, Writing – review & editing, #
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