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Émilie Mosnier, Cyril Farnarier, Marine Mosnier

Sante Publique (Vandoeuvre-Les-Nancy, France)

|June 20, 2022

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Mobile outreach teams provided tailored COVID-19 testing and monitoring for homeless individuals in Marseille. This approach addressed healthcare gaps and aimed to mitigate the impact of the pandemic on this vulnerable population.

Area of Science:

Public Health
Infectious Disease Epidemiology
Social Determinants of Health

Background:

Homeless populations face heightened COVID-19 infection risk due to challenging living conditions hindering prevention.
Precarious housing situations exacerbate vulnerability to infectious diseases like COVID-19.

Purpose of the Study:

To implement adapted COVID-19 testing and monitoring strategies for homeless individuals in Marseille.
To address the specific healthcare needs of people experiencing homelessness during the pandemic.

Main Methods:

Coordinated 18 support organizations for the homeless.
Trained personnel and provided rapid serological and antigenic tests.
Deployed a mobile outreach team offering point-of-care PCR testing, prevention, and case monitoring.

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Main Results:

The intervention demonstrated good participant acceptability and field organization.
Mobile teams successfully provided COVID-19 testing, including PCR, and monitoring.
Lack of adequate accommodation was identified as a significant barrier to care.

Conclusions:

COVID-19 highlighted existing healthcare access issues for homeless people.
Specialized mobile outreach teams are crucial for managing infectious disease impacts in this high-risk group.