{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T10:05:44Z","timestamp":1771409144341,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:00:00Z","timestamp":1710979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:00:00Z","timestamp":1710979200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>\n                      Louse\u2010borne\n                      <jats:italic>Bartonella quintana<\/jats:italic>\n                      infection and flea\u2010borne murine typhus are two potentially serious vector\u2010borne diseases that have led to periodic outbreaks among people experiencing homelessness in the United States. Little is known about louse\u2010 and flea\u2010borne disease awareness and prevention among staff who provide services to the population. We surveyed staff in seven US states to identify gaps in knowledge and prevention practices for these diseases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>Surveys were administered to 333 staff at 89 homeless shelters and outreach teams in California, Colorado, Georgia, Maryland, Minnesota, New York and Washington from August 2022 to April 2023. Most participants (&gt;68%) agreed that body lice and fleas are a problem for people experiencing homelessness. About half were aware that diseases could be transmitted by these vectors; however, most could not accurately identify which diseases. Less than a quarter of staff could describe an appropriate protocol for managing body lice or fleas. Misconceptions included that clients must isolate or be denied services until they are medically cleared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings reveal significant knowledge gaps among staff who provide services to people experiencing homelessness in the prevention and control of louse\u2010 and flea\u2010borne diseases. This demonstrates an urgent need for staff training to both reduce disease and prevent unnecessary restrictions on services and housing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/zph.13125","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T23:54:28Z","timestamp":1711065268000},"page":"642-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Knowledge and practices related to louse\u2010 and flea\u2010borne diseases among staff providing services to people experiencing homelessness in the United States"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1203-2443","authenticated-orcid":false,"given":"Shannan N.","family":"Rich","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Epidemiology and Laboratory Workforce Branch, Division of Workforce Development, National Center for State, Tribal, Local, and Territorial (STLT) Public Health Infrastructure and Workforce Centers for Disease Control and Prevention  Atlanta Georgia USA"},{"name":"Bacterial Diseases Branch, Division of Vector\u2010Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention  Fort Collins Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0118-2726","authenticated-orcid":false,"given":"Ann","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Epidemiology and Laboratory Workforce Branch, Division of Workforce Development, National Center for State, Tribal, Local, and Territorial (STLT) Public Health Infrastructure and Workforce Centers for Disease Control and Prevention  Atlanta Georgia USA"},{"name":"Rickettsial Zoonoses Branch, Division of Vector\u2010Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bree","family":"Dell","sequence":"additional","affiliation":[{"name":"Communicable Disease Epidemiology &amp; Immunization Section Public Health \u2013 Seattle &amp; King County  Seattle Washington State USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Henderson","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz Medical Campus at Colorado State University  Fort Collins Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydney","family":"Adams","sequence":"additional","affiliation":[{"name":"Rickettsial Zoonoses Branch, Division of Vector\u2010Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention  Atlanta Georgia USA"},{"name":"Oak Ridge Institute for Science and Education (ORISE)  Oak Ridge Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolette","family":"Bestul","sequence":"additional","affiliation":[{"name":"Rickettsial Zoonoses Branch, Division of Vector\u2010Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Grano","sequence":"additional","affiliation":[{"name":"Communicable Disease Branch Colorado Department of Public Health &amp; Environment  Denver Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briana","family":"Sprague","sequence":"additional","affiliation":[{"name":"Communicable Disease Branch Colorado Department of Public Health &amp; Environment  Denver Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josh","family":"Leopold","sequence":"additional","affiliation":[{"name":"Infectious Disease Epidemiology, Prevention, and Control Division Minnesota Department of Health  Saint Paul Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth K.","family":"Schiffman","sequence":"additional","affiliation":[{"name":"Infectious Disease Epidemiology, Prevention, and Control Division Minnesota Department of Health  Saint Paul Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Lomeli","sequence":"additional","affiliation":[{"name":"Medical and Preventive Services Fulton County Board of Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Zadeh","sequence":"additional","affiliation":[{"name":"Medical and Preventive Services Fulton County Board of Health  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jemma","family":"Alarc\u00f3n","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Epidemiology and Laboratory Workforce Branch, Division of Workforce Development, National Center for State, Tribal, Local, and Territorial (STLT) Public Health Infrastructure and Workforce Centers for Disease Control and Prevention  Atlanta Georgia USA"},{"name":"Acute Communicable Disease Control Program Los Angeles County Department of Public Health  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umme\u2010Aiman","family":"Halai","sequence":"additional","affiliation":[{"name":"Acute Communicable Disease Control Program Los Angeles County Department of Public Health  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon\u2010Sung","family":"Nam","sequence":"additional","affiliation":[{"name":"Epidemic Intelligence Service, Epidemiology and Laboratory Workforce Branch, Division of Workforce Development, National Center for State, Tribal, Local, and Territorial (STLT) Public Health Infrastructure and 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(n.d.).National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Division of Vector\u2010Borne Diseases (DVBD).Bartonella quintanainfection. 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