In this study the authors present the findings of a large-scale serosurvey of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among people experiencing homelessness and precarious housing in the greater Paris region. More than half of those sampled had SARS-CoV-2 immunoglobulin (Ig)G antibodies, reflecting a substantially higher burden of previous SARS-CoV-2 infection than that seen in the general population.
COVID-19 and Homeless/Marginalized
The COVID-19 pandemic is largely concentrated in cities and urban areas, with around 2,600 cities globally reporting at least one case of the disease. While the epicentre of the global health crisis is still Europe and North America, its impact on developing countries may be more devastating, especially for the poorest. The 1 billion+ people living in slums and slum-like settings in developing countries, where population density is high, are those most at-risk and least prepared.
Women, the elderly, adolescents, youth, and children, persons with disabilities, indigenous populations, refugees, migrants, and minorities experience the highest degree of socio-economic marginalization. Marginalized people become even more vulnerable in emergencies.
Ongoing marginalization or discrimination in societies around the world, caused and perpetuated in large part by unfair public policies, leads to certain people and groups having more or less access to resources and services based on their social class, race/ethnicity, gender, religion, migrant or citizenship status, ability, or other aspects of their identities.
What does COVID-19 mean for the three quarters of a billion of the world’s inhabitants who live below the poverty line?
For the large number of low-income country residents who live in informal settlements, or slums, will be ill-served by well-publicized measures that rely on the stockpiling of food, the availability of savings, the ability to work from home, and the need to keep your distance even from close relatives.
This interim guidance is based on what is currently known about coronavirus disease 2019 (COVID-19). The Centers for Disease Control and Prevention (CDC) will update this interim guidance as needed and as additional information becomes available.