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Coronavirus Disease 2019 Outbreak in a San Francisco Homeless Shelter

Elizabeth Imbert, Patrick Kinley, Ashley Scarborough, Caroline Cawley, Madeline Sankaran, Sarah N. Cox, Margot Kushel, Juliet Stoltey, Stephanie E. Cohen, Jonathan D. Fuchs

2020Clinical Infectious Diseases111 citationsDOIOpen Access PDF

Abstract

We report the public health response to a coronavirus disease 2019 (COVID-19) outbreak in a San Francisco shelter where 67% of residents and 17% of staff tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe the limited utility of case investigation, person-based contact tracing and symptom screening, and the benefits of mass testing in outbreak response.

Topics & Concepts

OutbreakContact tracingCoronavirusCoronavirus disease 2019 (COVID-19)Public healthSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakMedicineDiseaseVirologyEnvironmental healthInfectious disease (medical specialty)Internal medicineNursingCOVID-19 epidemiological studiesHomelessness and Social IssuesCOVID-19 and Mental Health