2020 Q3 BQ Journal Vol 40 - 13

Morbidity and Mortality Weekly Report

TABLE. SARS-CoV-2 testing among residents and staff members at 19 homeless shelters in four U.S. cities with community transmission of
COVID-19, March 27-April 15, 2020
City

No. of
shelters assessed

Residents
No. tested

Date of testing

Shelters reporting ≥2 cases in 2 weeks preceding testing
Seattle
3
Mar 30-Apr 8
Boston
1
Apr 2-3
San Francisco
1
Apr 4-15
Subtotal
5
March 30-Apr 15
Shelters reporting 1 case in 2 weeks preceding testing
Seattle
12
Mar 27-Apr 15
Shelters reporting no cases in 2 weeks preceding testing
Atlanta
2
Apr 8-9
Total
19
Mar 27-Apr 15

Staff members

No. (%) positive

No. tested

No. (%) positive

179
408
143
730

31 (17)
147 (36)
95 (66)
273 (37)

35
50
63
148

6 (17)
15 (30)
10 (16)
31 (21)

213

10 (5)

106

1 (1)

249
1,192

10 (4)
293 (25)

59
313

1 (2)
33 (11)

Abbreviation: COVID-19 = coronavirus disease 2019.

COVID-19 Homelessness Team

References

Ann Buff, CDC COVID-19 Emergency Response; Calla
Jamison, CDC COVID-19 Emergency Response; Ruthanne
Marcus, CDC COVID-19 Emergency Response; Carol Y.
Rao, CDC COVID-19 Emergency Response; Julie L. Self,
CDC COVID-19 Emergency Response; Farrell Tobolowsky,
CDC COVID-19 Emergency Response; Samantha Williams, CDC
COVID-19 Emergency Response; Meagan Kay, Public Health -
Seattle & King County, Naveena Bobba, San Francisco Department
of Public Health; Stephanie Cohen, San Francisco Department of
Public Health; Jonathan Fuchs, San Francisco Department of Public
Health; Trang Nguyen, San Francisco Department of Public Health;
Julie Stoltey, San Francisco Department of Public Health.

1. US Department of Housing and Urban Development. 2017 annual
homeless assessment report to Congress. Part 1: point-in-time estimates
of homelessness. Washington, DC: US Department of Housing
and Urban Development; 2017. https://www.hudexchange.info/
resource/5639/2017-ahar-part-1-pit-estimates-of-homelessness-in-the-us/
2. USAFacts. Confirmed cases dataset. Seattle, WA: USAFacts; 2020. https://
usafacts.org/visualizations/coronavirus-covid-19-spread-map/
3. Fazel S, Geddes JR, Kushel M. The health of homeless people in highincome countries: descriptive epidemiology, health consequences, and
clinical and policy recommendations. Lancet 2014;384:1529-40. https://
doi.org/10.1016/S0140-6736(14)61132-6
4. CDC COVID-19 Response Team. Preliminary estimates of the prevalence
of selected underlying health conditions among patients with coronavirus
disease 2019-United States, February 12-March 28, 2020. MMWR
Morb Mortal Wkly Rep 2020;69:382-6. https://doi.org/10.15585/
mmwr.mm6913e2
5. Kimball A, Hatfield KM, Arons M, et al.; Public Health - Seattle &
King County; CDC COVID-19 Investigation Team. Asymptomatic and
presymptomatic SARS-CoV-2 infections in residents of a long-term care
skilled nursing facility-King County, Washington, March 2020. MMWR
Morb Mortal Wkly Rep 2020;69:377-81. https://doi.org/10.15585/
mmwr.mm6913e1

Corresponding author: Emily Mosites, lwx7@cdc.gov, 907-346-0570.
1CDC COVID-19 Emergency Response; 2Boston Health Care for the Homeless
Program; 3Boston Medical Center; 4Massachusetts General Hospital, Boston,
Massachusetts; 5Harvard Medical School, Boston, Massachusetts; 6University
of California San Francisco; 7San Francisco Department of Public Health;
8Public Health - Seattle & King County, Washington; 9Epidemic Intelligence
Service, CDC; 10St. Joseph's Health System, Atlanta, Georgia.

All authors have completed and submitted the International
Committee of Medical Journal Editors form for disclosure of
potential conflicts of interest. Travis Baggett reports receipt of
royalties from UpToDate for authorship of a topic review on health
care of homeless persons in the United States. No other potential
conflicts of interest were disclosed.

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MMWR / May 1, 2020 / Vol. 69 / No. 17

US Department of Health and Human Services/Centers for Disease Control and Prevention

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2020 Q3 BQ Journal Vol 40

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