{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T22:10:24Z","timestamp":1772835024594,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In response to reported coronavirus disease 2019 (COVID-19) outbreaks among people experiencing homelessness (PEH) in other US cities, we conducted multiple, proactive, facility-wide testing events for PEH living sheltered and unsheltered and homelessness service staff in Atlanta, Georgia. We describe the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) prevalence and associated symptoms, and review shelter infection prevention and control (IPC) policies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>PEH and staff were tested for SARS-CoV-2 by reverse transcription polymerase chain reaction (RT-PCR) during 7 April\u20136 May 2020. A subset of PEH and staff was screened for symptoms. Shelter assessments were conducted concurrently at a convenience sample of shelters using a standardized questionnaire.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 2875 individuals at 24 shelters and 9 unsheltered outreach events underwent SARS-CoV-2 testing, and 2860 (99.5%) had conclusive test results. The SARS-CoV-2 prevalences were 2.1% (36\/1684) among PEH living sheltered, 0.5% (3\/628) among PEH living unsheltered, and 1.3% (7\/548) among staff. Reporting fever, cough, or shortness of breath in the last week during symptom screening was 14% sensitive and 89% specific for identifying COVID-19 cases, compared with RT-PCR. Prevalences by shelter ranged 0\u201327.6%. Repeat testing 3\u20134 weeks later at 4 shelters documented decreased SARS-CoV-2 prevalences (0\u20133.9%). Of 24 shelters, 9 completed shelter assessments and implemented IPC measures as part of the COVID-19 response.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>PEH living in shelters experienced a higher SARS-CoV-2 prevalence compared with PEH living unsheltered. Facility-wide testing in congregate settings allowed for the identification and isolation of COVID-19 cases, and is an important strategy to interrupt SARS-CoV-2 transmission.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/cid\/ciaa1340","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T19:15:13Z","timestamp":1599074113000},"page":"e2978-e2984","source":"Crossref","is-referenced-by-count":30,"title":["Coronavirus Disease 2019 (COVID-19) Prevalences Among People Experiencing Homelessness and Homelessness Service Staff During Early Community Transmission in Atlanta, Georgia, April\u2013May 2020"],"prefix":"10.1093","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3039-2661","authenticated-orcid":false,"given":"Jane C","family":"Yoon","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha P","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann M","family":"Buff","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew T","family":"Boyd","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calla","family":"Jamison","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, Centers for 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of Health, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David P","family":"Holland","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, USA"},{"name":"Fulton County Board of Health, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Prieto","sequence":"additional","affiliation":[{"name":"Fulton County Board of Health, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasha","family":"Smith","sequence":"additional","affiliation":[{"name":"Fulton County Board of Health, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A","family":"Swancutt","sequence":"additional","affiliation":[{"name":"Fulton County Board of Health, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Turner","sequence":"additional","affiliation":[{"name":"Fulton County Board of Health, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Andrews","sequence":"additional","affiliation":[{"name":"Mercy Care, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Flowers","sequence":"additional","affiliation":[{"name":"Mercy Care, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa","family":"Wells","sequence":"additional","affiliation":[{"name":"Mercy Care, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathryn","family":"Marchman","sequence":"additional","affiliation":[{"name":"Partners for HOME, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emaline","family":"Laney","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3140-9530","authenticated-orcid":false,"given":"Danae","family":"Bixler","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Cavanaugh","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Flowers","sequence":"additional","affiliation":[{"name":"Coronavirus Disease 2019 (COVID-19) Emergency Response, 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