Despite the “migrants and COVID-19” topic has been neglected since felt marginal concerning other aspects of the SARS-CoV-2 pandemic, it represents a relevant public health issue in the European countries. This report describes COVID-19 containment strategies adopted in a large Italian reception center hosting recently arrived asylum-seeker migrants. Risk assessment and prevention measures adopted were described. Geo-spatial epidemiological analysis of the outbreak was reported. Significant gaps in the knowledge of self-protection measures from contagious diseases and in the perception of the pandemic risk were observed in migrants; health promotion activities, targeted to remove cultural barriers and improve behaviors appropriate to individual protection, were able to fulfill this gap. In low-resource settings, especially in closed communities, the implementation of social distancing strategies, the systematic use of individual protection devices, and active syndromic surveillance are essential tools to limit the risk of outbreaks. In the event of an outbreak, it is relevant to rapidly activate containment procedures based on systematic screening, isolation, and quarantine, taking into consideration the limits of tracing contacts within a closed community. Not being able to trace certain contacts, the geo-spatial epidemiological analysis of cases distribution could be key in the management of the outbreak. Interestingly, positive cases identified in our facility were all clinically pauci-symptomatic or asymptomatic. Dedicated strategies are needed to minimize the chance of SARS-CoV-2 transmission in a limited space such as reception centers and a vulnerable population such as migrants.

SARS-CoV-2 Among Migrants Recently Arrived in Europe From Low- and Middle-Income Countries: Containment Strategies and Special Features of Management in Reception Centers / Fabris, S.; D'Ettorre, G.; Spagnolello, O.; Russo, A.; Lopalco, M.; D'Agostino, F.; Vassalini, P.; Celani, L.; Aronica, R.; Gabrielli, S.; D'Ettorre, G.; Angeletti, S.; Mastroianni, C. M.; Ciccozzi, M.; Ceccarelli, G.. - In: FRONTIERS IN PUBLIC HEALTH. - ISSN 2296-2565. - 9:(2021), pp. 1-10. [10.3389/fpubh.2021.735601]

SARS-CoV-2 Among Migrants Recently Arrived in Europe From Low- and Middle-Income Countries: Containment Strategies and Special Features of Management in Reception Centers

Fabris S.;d'Ettorre G.;Spagnolello O.;Russo A.;Vassalini P.;Celani L.;Aronica R.;Gabrielli S.;d'Ettorre G.;Mastroianni C. M.;Ciccozzi M.;Ceccarelli G.
2021

Abstract

Despite the “migrants and COVID-19” topic has been neglected since felt marginal concerning other aspects of the SARS-CoV-2 pandemic, it represents a relevant public health issue in the European countries. This report describes COVID-19 containment strategies adopted in a large Italian reception center hosting recently arrived asylum-seeker migrants. Risk assessment and prevention measures adopted were described. Geo-spatial epidemiological analysis of the outbreak was reported. Significant gaps in the knowledge of self-protection measures from contagious diseases and in the perception of the pandemic risk were observed in migrants; health promotion activities, targeted to remove cultural barriers and improve behaviors appropriate to individual protection, were able to fulfill this gap. In low-resource settings, especially in closed communities, the implementation of social distancing strategies, the systematic use of individual protection devices, and active syndromic surveillance are essential tools to limit the risk of outbreaks. In the event of an outbreak, it is relevant to rapidly activate containment procedures based on systematic screening, isolation, and quarantine, taking into consideration the limits of tracing contacts within a closed community. Not being able to trace certain contacts, the geo-spatial epidemiological analysis of cases distribution could be key in the management of the outbreak. Interestingly, positive cases identified in our facility were all clinically pauci-symptomatic or asymptomatic. Dedicated strategies are needed to minimize the chance of SARS-CoV-2 transmission in a limited space such as reception centers and a vulnerable population such as migrants.
2021
asylum seekers and migrant; COVID-19; global health; infection prevention and control; migrant reception center; outbreak; SARS-CoV-2; surveillance; developing countries; europe; humans; SARS-CoV-2; COVID-19; transients and migrants
01 Pubblicazione su rivista::01a Articolo in rivista
SARS-CoV-2 Among Migrants Recently Arrived in Europe From Low- and Middle-Income Countries: Containment Strategies and Special Features of Management in Reception Centers / Fabris, S.; D'Ettorre, G.; Spagnolello, O.; Russo, A.; Lopalco, M.; D'Agostino, F.; Vassalini, P.; Celani, L.; Aronica, R.; Gabrielli, S.; D'Ettorre, G.; Angeletti, S.; Mastroianni, C. M.; Ciccozzi, M.; Ceccarelli, G.. - In: FRONTIERS IN PUBLIC HEALTH. - ISSN 2296-2565. - 9:(2021), pp. 1-10. [10.3389/fpubh.2021.735601]
File allegati a questo prodotto
File Dimensione Formato  
Fabris_Sars-cov-2_2021.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Creative commons
Dimensione 1.34 MB
Formato Adobe PDF
1.34 MB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1609230
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 2
social impact