Alliance for Pandemic Preparedness

March 3, 2021

Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness

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  • Among people who were referred to isolation and quarantine (I/Q) hotels in San Francisco from hospitals, outpatient settings, and public health surveillance, 81% completed their recommended I/Q course. The retrospective cohort study found that of the 1,009 I/Q hotel guests, 501 (50%) were persons experiencing sheltered (n=295) or unsheltered (n=206) homelessness, 33% had other medical disorders, 25% had mental health disorders, and 26% had substance use disorders. The factors that were most strongly associated with premature discontinuation were unsheltered homelessness (aOR=4.5) and quarantine status (compared to isolation) (aOR=2.6). 

Fuchs et al. (Mar 2, 2021). Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness. JAMA Network Open. https://doi.org/10.1001/jamanetworkopen.2021.0490