Interventions to Mitigate the Impact of Covid-19 Among People Experiencing Sheltered Homelessness

Chicago, Illinois, March 1, 2020–May 11, 2023

Bibliographic Data

ID11024764
AuthorsLauren Tietje (0000-0001-7447-0572, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Isaac Ghinai (0000-0003-1322-1331, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Antea Cooper (0009-0007-5474-6886, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Elizabeth L Tung (0000-0001-6898-1106, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Brian Borah (0000-0002-9958-1719, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Michelle Funk (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Divya Ramachandran (0000-0001-6311-9795), Ben S Gerber (0000-0003-4367-6396, The Centers), Ben Gerber (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Bernice Man (0000-0003-2134-6943, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Rebecca Singer (0000-0003-3530-762X, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Elizabeth Bell (0000-0003-1021-9287, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Angela Moss (0000-0001-6503-0129, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Andrew Weidemiller (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Mehreen Chaudhry (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Frances Lendacki (0000-0003-1167-8709, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Rachel Bernard (0000-0001-9129-5083, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Stephanie Gretsch (0000-0002-4798-4575, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Kayla English (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Thomas D Huggett (0009-0000-2945-4645, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Mary Tornabene (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Caroline Cool (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Wayne M Detmer (0009-0009-2143-4039, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Mary Kate Schroeter (0000-0002-7503-9626, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Stockton Mayer (0000-0002-0647-8000, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Elizabeth Davis (0009-0009-6468-9752, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Josh Boegner (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Erik Elias Glenn (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), G Phillips (0000-0001-8396-1170, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Suzanne Falck (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Lindsay Barranco (Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...), Karrie-Ann Toews (0009-0001-7087-4067, Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben...)
Year2024
Volume114
IssueS7
PagesS590-S598
Publication date2024-10-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307801
PMID39197136
OpenAlexW4401941378
LanguageEN
References cited7

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. 2024;114(S7):S590–S598. https://doi.org/10.2105/AJPH.2024.307801 )

Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Incidence (geometry) · Infectious disease (medical specialty) · Psychiatry · Psychological intervention · Public health · Transmission (telecommunications) · Demography · Epidemiology · Food Security and Health in Diverse Populations · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Internal Medicine · Medicine · Gerontology

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