California races to defend homeless population from COVID-19
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California public health officials and advocates for the homeless are scrambling to figure out how to shield a potential spread of COVID-19 from reaching some of the state’s most vulnerable populations: people living in shelters, cars or in encampments.
More than half a million people in the U.S. are homeless, meaning they often lack access to basic sanitation, get limited medical care and lack access to running water while sometimes living in close quarters.
“The biggest thing that the CDC or anybody has said is hygiene, hygiene, hygiene,” said Dr. Danielle Williams, a family physician at Roots Community Health Center in East Oakland. “But how can you do that if you don’t have access to water or shower?”
Williams and her team visit camps twice a week in a mobile clinic to treat patients. They’ve been warning encampment residents about the virus, but they note that those residents can’t do much without more washing stations.
The U.S. Department of Housing and Urban Development has released an infectious disease toolkit report, advising local counties on best practices for preventing and managing the spread of disease within encampments.
“Whether encampments are sanctioned or unsanctioned, developing and enforcing sanitation guidelines is essential to prevent disease spread,” the report says.
The city of Berkeley has installed 20 sanitation centers at encampments, Sacramento County has ordered batches of Purell for homeless residents and in San Francisco, Mayor London Breed released $5 million for hygiene at shelters and residential hotels. She said the city will also use RVs to isolate homeless individuals if they test positive for COVID-19.
“We need to be prepared for any situation. And that’s exactly what we’re doing,” said Breed.
Other homelessness advocates are working to get the word out to people living at encampments.
“It’s extremely concerning. That’s why we should be trying to take this seriously,” said Dale Smith, an organizer for the Wood Street encampment, a sprawling camp in West Oakland with about 100 people currently living there.
“It’s potentially going to affect a lot of people around here. Because there’s only one port-a-potty that’s barely used and a hand washing station that doesn’t work either. That’s definitely far from sufficient,” he added.
At another encampment in South Berkeley, Kent Dull said he’s been homeless for five years and worries that his Parkinson’s disease makes him more vulnerable to the virus. “It’s not easy to change your whole lifestyle to wipe up everything you see,” Dull said.
Leslie Degen, another resident at the camp, had also heard about the novel coronavirus. “I just continue to do what I do, which is try to treat my body good and wash my hands and that’s about it,” he said.
In California, most of the state’s 150,000 homeless people are living unsheltered, outside or in structures not meant for human habitation.
“What these emergencies highlight is our basic failure of our system to serve the most vulnerable amongst us,” said Dr. Joshua Bamberger, associate director of the UCSF Benioff Homelessness and Housing Initiative. He highlighted the need to develop an outbreak preparedness plan that accounts for unique issues related to homeless people.
“If we can use these emergencies to improve the long-term health of vulnerable populations, then it can be a wake-up call,” said Bamberger.
COVID-19 Economy FAQs
What’s the outlook for vaccine supply?
Chief executives of America’s COVID-19 vaccine makers promised in congressional testimony to deliver the doses promised to the U.S. government by summer. The projections of confidence come after months of supply chain challenges and companies falling short of year-end projections for 2020. What changed? In part, drugmakers that normally compete are now actually helping one another. This has helped solve several supply chain issues, but not all of them.
How has the pandemic changed scientific research?
Over the past year, while some scientists turned their attention to COVID-19 and creating vaccines to fight it, most others had to pause their research — and re-imagine how to do it. Social distancing, limited lab capacity — “It’s less fun, I have to say. Like, for me the big part of the science is discussing the science with other people, getting excited about projects,” said Isabella Rauch, an immunologist at Oregon Health & Science University in Portland. Funding is also a big question for many.
What happened to all of the hazard pay essential workers were getting at the beginning of the pandemic?
Almost a year ago, when the pandemic began, essential workers were hailed as heroes. Back then, many companies gave hazard pay, an extra $2 or so per hour, for coming in to work. That quietly went away for most of them last summer. Without federal action, it’s mostly been up to local governments to create programs and mandates. They’ve helped compensate front-line workers, but they haven’t been perfect. “The solutions are small. They’re piecemeal,” said Molly Kinder at the Brookings Institution’s Metropolitan Policy Program. “You’re seeing these innovative pop-ups because we have failed overall to do something systematically.”
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