COVID-19: The forgotten cases of hidden exiles - 08/05/21

Doi : 10.1016/j.idnow.2021.01.008

C. Le Bihan ^a, V. Faucherre ^b, V. Le Moing ^a, A. Mehenni ^c, D. Nantes ^c, A. Da Silva ^d, C. Jaume ^c, F. Lassalle ^e, A. Makinson ^a,^⁎
^a Department of infectious and tropical diseases and COVID medical department, InsermU1175, University of Montpellier and Saint-Éloi University Hospital, 34295 Montpellier, France
^b Internal medicine department, University Hospital Montpellier, 34295 Montpellier, France
^c General medical supervisor, Médecins du monde Association, Montpellier, France
^d General medicine, Adages association, Montpellier, France
^e Department of emergency medicine, University Hospital Montpellier, 34295 Montpellier, France

^⁎Corresponding author.

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Highlights

•	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.

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Abstract

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.

Principal results

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.

Major conclusions

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.

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Keywords : COVID-19, Infection, Homeless, Migrant

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Vol 51 - N° 4

P. 387-390 - juin 2021 Retour au numéro

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COVID-19: The forgotten cases of hidden exiles - 08/05/21

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