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Establishment of Isolation and Noncongregate Hotels During COVID-19 and Symptom Evolution Among People Experiencing Homelessness-Atlanta, Georgia, 2020.
Montgomery, Martha P; Paulin, Heather N; Morris, Asher; Cotton, Afrika; Speers, Austin; Boyd, Andrew T; Buff, Ann M; Mathews, Darlene; Wells, Alyssa; Marchman, Cathryn; Gaffga, Nicholas; Bamrah Morris, Sapna; Cavanaugh, Sean S.
  • Montgomery MP; COVID-19 Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Montgomery, Paulin, Boyd, Buff, Gaffga, Bamrah Morris, and Cavanaugh); Partners for HOME, Atlanta, Georgia (Mr Morris and Ms Marchman); Fulton County Board of Health, Atlanta, Georgia (Ms Cotton); Georgia Department of Public Health, Atlanta, Georgia (Ms Speers); Darlene Mathews, Incorporated, Atlanta, Georgia (Ms Mathews); and Mercy Care, Atlanta, Georgia (Ms Wells).
J Public Health Manag Pract ; 27(3): 285-294, 2021.
Article in English | MEDLINE | ID: covidwho-1150043
Semantic information from SemMedBD (by NLM)
1. Symptoms PROCESS_OF Persons
Subject
Symptoms
Predicate
PROCESS_OF
Object
Persons
2. COVID-19 PROCESS_OF Persons
Subject
COVID-19
Predicate
PROCESS_OF
Object
Persons
3. Isolation procedure TREATS COVID-19
Subject
Isolation procedure
Predicate
TREATS
Object
COVID-19
4. COVID-19 PROCESS_OF Atlanta
Subject
COVID-19
Predicate
PROCESS_OF
Object
Atlanta
5. COVID-19 COEXISTS_WITH Symptoms
Subject
COVID-19
Predicate
COEXISTS_WITH
Object
Symptoms
6. COVID-19 PROCESS_OF Community
Subject
COVID-19
Predicate
PROCESS_OF
Object
Community
7. Symptoms PROCESS_OF Persons
Subject
Symptoms
Predicate
PROCESS_OF
Object
Persons
8. COVID-19 PROCESS_OF Persons
Subject
COVID-19
Predicate
PROCESS_OF
Object
Persons
9. Isolation procedure TREATS COVID-19
Subject
Isolation procedure
Predicate
TREATS
Object
COVID-19
10. COVID-19 PROCESS_OF Atlanta
Subject
COVID-19
Predicate
PROCESS_OF
Object
Atlanta
11. COVID-19 COEXISTS_WITH Symptoms
Subject
COVID-19
Predicate
COEXISTS_WITH
Object
Symptoms
12. COVID-19 PROCESS_OF Community
Subject
COVID-19
Predicate
PROCESS_OF
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Community
ABSTRACT
CONTEXT Local agencies across the United States have identified public health isolation sites for individuals with coronavirus disease 2019 (COVID-19) who are not able to isolate in residence. PROGRAM We describe logistics of establishing and operating isolation and noncongregate hotels for COVID-19 mitigation and use the isolation hotel as an opportunity to understand COVID-19 symptom evolution among people experiencing homelessness (PEH). IMPLEMENTATION Multiple agencies in Atlanta, Georgia, established an isolation hotel for PEH with COVID-19 and noncongregate hotel for PEH without COVID-19 but at risk of severe illness. PEH were referred to the isolation hotel through proactive, community-based testing and hospital-based testing. Daily symptoms were recorded prospectively. Disposition location was recorded for all clients. EVALUATION During April 10 to September 1, 2020, 181 isolation hotel clients (77 community referrals; 104 hospital referrals) were admitted a median 3 days after testing. Overall, 32% of community referrals and 7% of hospital referrals became symptomatic after testing positive; 83% of isolation hotel clients reported symptoms at some point; 93% completed isolation. Among 302 noncongregate hotel clients, median stay was 18 weeks; 61% were discharged to permanent housing or had a permanent housing discharge plan.

DISCUSSION:

Overall, a high proportion of PEH completed isolation at the hotel, suggesting a high level of acceptability. Many PEH with COVID-19 diagnosed in the community developed symptoms after testing, indicating that proactive, community-based testing can facilitate early isolation. Noncongregate hotels can be a useful COVID-19 community mitigation strategy by bridging PEH at risk of severe illness to permanent housing.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Social Isolation / Homeless Persons / Quarantine / Public Health / Guidelines as Topic / COVID-19 / Housing Type of study: Diagnostic study / Clinical Practice Guide / Prognostic study / Qualitative research Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: J Public Health Manag Pract Journal subject: Public Health / Health Services Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Social Isolation / Homeless Persons / Quarantine / Public Health / Guidelines as Topic / COVID-19 / Housing Type of study: Diagnostic study / Clinical Practice Guide / Prognostic study / Qualitative research Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: J Public Health Manag Pract Journal subject: Public Health / Health Services Year: 2021 Document Type: Article