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

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 cen...

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Autores principales:	Silvia Fabris, Gabriella d'Ettorre, Ornella Spagnolello, Alessandro Russo, Maurizio Lopalco, Fausto D'Agostino, Paolo Vassalini, Luigi Celani, Raissa Aronica, Simona Gabrielli, Gabriele d'Ettorre, Silvia Angeletti, Claudio M. Mastroianni, Massimo Ciccozzi, Giancarlo Ceccarelli
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	COVID-19 SARS-CoV-2 outbreak migrant reception center asylum seekers and migrant global health Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ea153f9bf5fa473b92bbe0dbb09a8d53
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spelling	oai:doaj.org-article:ea153f9bf5fa473b92bbe0dbb09a8d532021-12-01T16:16:37ZSARS-CoV-2 Among Migrants Recently Arrived in Europe From Low- and Middle-Income Countries: Containment Strategies and Special Features of Management in Reception Centers2296-256510.3389/fpubh.2021.735601https://doaj.org/article/ea153f9bf5fa473b92bbe0dbb09a8d532021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.735601/fullhttps://doaj.org/toc/2296-2565Despite 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.Silvia FabrisSilvia FabrisGabriella d'EttorreGabriella d'EttorreOrnella SpagnolelloAlessandro RussoMaurizio LopalcoFausto D'AgostinoFausto D'AgostinoPaolo VassaliniPaolo VassaliniLuigi CelaniRaissa AronicaSimona GabrielliSimona GabrielliGabriele d'EttorreSilvia AngelettiClaudio M. MastroianniClaudio M. MastroianniMassimo CiccozziGiancarlo CeccarelliGiancarlo CeccarelliGiancarlo CeccarelliGiancarlo CeccarelliFrontiers Media S.A.articleCOVID-19SARS-CoV-2outbreakmigrant reception centerasylum seekers and migrantglobal healthPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 SARS-CoV-2 outbreak migrant reception center asylum seekers and migrant global health Public aspects of medicine RA1-1270
spellingShingle	COVID-19 SARS-CoV-2 outbreak migrant reception center asylum seekers and migrant global health Public aspects of medicine RA1-1270 Silvia Fabris Silvia Fabris Gabriella d'Ettorre Gabriella d'Ettorre Ornella Spagnolello Alessandro Russo Maurizio Lopalco Fausto D'Agostino Fausto D'Agostino Paolo Vassalini Paolo Vassalini Luigi Celani Raissa Aronica Simona Gabrielli Simona Gabrielli Gabriele d'Ettorre Silvia Angeletti Claudio M. Mastroianni Claudio M. Mastroianni Massimo Ciccozzi Giancarlo Ceccarelli Giancarlo Ceccarelli Giancarlo Ceccarelli Giancarlo Ceccarelli 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
description	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.
format	article
author	Silvia Fabris Silvia Fabris Gabriella d'Ettorre Gabriella d'Ettorre Ornella Spagnolello Alessandro Russo Maurizio Lopalco Fausto D'Agostino Fausto D'Agostino Paolo Vassalini Paolo Vassalini Luigi Celani Raissa Aronica Simona Gabrielli Simona Gabrielli Gabriele d'Ettorre Silvia Angeletti Claudio M. Mastroianni Claudio M. Mastroianni Massimo Ciccozzi Giancarlo Ceccarelli Giancarlo Ceccarelli Giancarlo Ceccarelli Giancarlo Ceccarelli
author_facet	Silvia Fabris Silvia Fabris Gabriella d'Ettorre Gabriella d'Ettorre Ornella Spagnolello Alessandro Russo Maurizio Lopalco Fausto D'Agostino Fausto D'Agostino Paolo Vassalini Paolo Vassalini Luigi Celani Raissa Aronica Simona Gabrielli Simona Gabrielli Gabriele d'Ettorre Silvia Angeletti Claudio M. Mastroianni Claudio M. Mastroianni Massimo Ciccozzi Giancarlo Ceccarelli Giancarlo Ceccarelli Giancarlo Ceccarelli Giancarlo Ceccarelli
author_sort	Silvia Fabris
title	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
title_short	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
title_full	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
title_fullStr	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
title_full_unstemmed	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
title_sort	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
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/ea153f9bf5fa473b92bbe0dbb09a8d53
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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

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