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Shigellosis outbreak among persons experiencing homelessness-San Diego County, California, October-December 2021.
Ohlsen, Elizabeth C; Angel, Kristen; Maroufi, Azarnoush; Kao, Annie; Victorio, Maria J; Cua, Lynnie S; Kimura, Akiko; Vanden Esschert, Kayla; Logan, Naeemah; McMichael, Temet M; Beatty, Mark E; Shah, Seema.
Afiliación
  • Ohlsen EC; Epidemic Intelligence Service, San Diego, CA, USA.
  • Angel K; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Maroufi A; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
  • Kao A; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
  • Victorio MJ; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
  • Cua LS; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
  • Kimura A; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
  • Vanden Esschert K; California Department of Public Health, Richmond, CA, USA.
  • Logan N; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • McMichael TM; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Beatty ME; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
  • Shah S; County of San Diego Health and Human Services Agency, San Diego, CA, USA.
Epidemiol Infect ; 152: e61, 2023 Oct 23.
Article en En | MEDLINE | ID: mdl-37869979
During October 2021, the County of San Diego Health and Human Services Agency identified five cases of shigellosis among persons experiencing homelessness (PEH). We conducted an outbreak investigation and developed interventions to respond to shigellosis outbreaks among PEH. Confirmed cases occurred among PEH with stool-cultured Shigella sonnei; probable cases were among PEH with Shigella-positive culture-independent diagnostic testing. Patients were interviewed to determine infectious sources and risk factors. Fifty-three patients were identified (47 confirmed, 6 probable); 34 (64%) were hospitalised. None died. No point source was identified. Patients reported inadequate access to clean water and sanitation facilities, including public restrooms closed because of the COVID-19 pandemic. After implementing interventions, including handwashing stations, more frequent public restroom cleaning, sanitation kit distribution, and isolation housing for ill persons, S. sonnei cases decreased to preoutbreak frequencies. Improving public sanitation access was associated with decreased cases and should be considered to prevent outbreaks among PEH.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Disentería Bacilar Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Mala Vivienda / Disentería Bacilar Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido