Possible Undetected Monkeypox Infections Among Homeless Persons

Conceptos Básicos

Possible undetected monkeypox infections among homeless persons highlight the need for community outreach and prevention interventions.

Resumen

The content discusses a study conducted by the CDC to assess the prevalence of monkeypox infections among homeless individuals in San Francisco. The study aimed to identify possible undetected monkeypox infections and understand the transmission pathways among this vulnerable population.

Abstract and Introduction

• Monkeypox outbreak in 2022 caused by Orthopoxvirus.
• Disproportionate impact on homeless individuals.
• Lack of knowledge on monkeypox prevalence and transmission among homeless.
• Importance of vaccination and prevention interventions.

Study Conducted

• CDC field team conducted a seroprevalence survey in San Francisco.
• 209 participants from various homeless sites.
• 2.5% had detectable antiorthopoxvirus IgG antibody.
• 1.4% had detectable antiorthopoxvirus IgM.
• Three possible undetected monkeypox infections identified.

Collaboration and Survey

• Collaboration between SFDPH and organizations serving homeless.
• Survey included demographic questions and behaviors related to transmission.
• Blood specimens tested for IgG and IgM.
• Participants compensated with grocery store gift cards.

Results and Analysis

• 284 participants recruited, 273 analyzed.
• Majority were male, non-Hispanic White.
• 40% reported previous vaccination against smallpox or monkeypox.
• 60% had no reported vaccination.
• Three possible undetected monkeypox infections identified.

Transmission Pathways

• Participants with possible infections had shared utensils and touched individuals with rashes.
• No reported sexual contact or specific high-risk behaviors.

Estadísticas

"Among 80 participants aged <50 years who did not report smallpox or mpox vaccination or previous mpox infection, two (2.5%) had detectable antiorthopoxvirus immunoglobulin (Ig) G antibody."
"Among 73 participants who did not report mpox vaccination or previous mpox infection and who were tested for IgM, one (1.4%) had detectable antiorthopoxvirus IgM."
"These results suggest that three possible undetected mpox infections occurred among a sample of persons experiencing homelessness."

Citas

"These results suggest that three possible undetected mpox infections occurred among a sample of persons experiencing homelessness."
"During July–October 2022, the San Francisco Department of Public Health (SFDPH) identified cases of mpox among persons who were experiencing homelessness."

Ideas clave extraídas de

Possible Undetected Mpox Infection Among Homeless Persons

by Caroline J. ... a las www.medscape.com 05-15-2023

http://www.medscape.com/viewarticle/989192

Consultas más profundas

How can healthcare systems improve access to vaccination for homeless populations

Healthcare systems can improve access to vaccination for homeless populations by implementing targeted outreach programs that bring vaccinations directly to homeless shelters, encampments, and service centers. Mobile vaccination clinics can be set up in these locations to provide easy access to vaccines. Additionally, healthcare providers can collaborate with community organizations that serve the homeless population to increase awareness about the importance of vaccination and address any concerns or barriers that homeless individuals may have. Offering flexible vaccination schedules, providing transportation assistance, and ensuring that vaccines are offered free of charge can also help improve access for homeless populations.

What are the challenges in identifying and preventing infectious diseases among homeless individuals

Identifying and preventing infectious diseases among homeless individuals present several challenges. Homeless populations often face barriers to healthcare access, including lack of insurance, transportation, and stable housing. This can result in delayed diagnosis and treatment of infectious diseases. Additionally, homeless individuals may have underlying health conditions, such as mental illness or substance use disorders, that can complicate the management of infectious diseases. Lack of access to basic hygiene facilities and overcrowded living conditions in shelters or encampments can also contribute to the spread of infectious diseases among homeless populations. Addressing these challenges requires a comprehensive approach that includes targeted outreach, education, and access to healthcare services tailored to the unique needs of homeless individuals.

How can public health initiatives better address the unique needs of marginalized communities

Public health initiatives can better address the unique needs of marginalized communities, including homeless populations, by adopting a culturally sensitive and community-centered approach. This involves actively engaging with community leaders, organizations, and individuals to understand the specific challenges and barriers faced by marginalized communities. Public health programs should be designed in collaboration with community members to ensure that interventions are culturally appropriate and address the root causes of health disparities. Providing education on preventive measures, offering accessible healthcare services, and addressing social determinants of health, such as housing insecurity and poverty, are essential components of public health initiatives aimed at improving the health outcomes of marginalized communities. By prioritizing equity and inclusivity, public health initiatives can effectively address the unique needs of marginalized populations and reduce health disparities.