COVID-19 screening strategies for exiled persons must be planned in advance and include multiple actors, not only healthcare professionals.
Dissemination of COVID-19 cases depends on pre-existing social and hygienic conditions, with little impact of the actual screening process.
Efficacy is optimal when information on the screening objectives, including sanitary upgrading to reduce probability of transmission, is well understood.
Purpose of the research
We describe two interventions to screen for SARS-CoV-2 in two squats of exiled persons in France following the diagnosis of symptomatic COVID-19 cases.
In squat A, 50 (25%) persons were screened; 19 were found positive, and three accepted a transfer. In squat B, 65 (54%) persons were screened at three different times, and only two were found positive.
Discrepant outcomes may reflect different levels of sanitation, prevention, and acceptance of interventions. Refusal to be transferred to specific COVID-19 homes if tested positive underscores the importance of local sanitary solutions for all. Cross-curricular strategies addressed to exiled persons are essential means of providing medical and public health solutions designed to deter COVID-19 outbreaks in these populations.Le texte complet de cet article est disponible en PDF.
Keywords : COVID-19, Infection, Homeless, Migrant