Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries

The feasibility of non-pharmacological public health interventions (NPIs) such as physical distancing or isolation at home to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission in low-resource countries is unknown. Household survey data from 54 African countries were u...

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Main Authors: Brewer, TF, Zhang, M, Gordon, D, Chung, RY-N, Dejene, N, Fonta, CL, Grieve, T, Halleröd, B, Harris, R, Lanau, A, Leibbrandt, M, Mekonen, Y, Muguni, B, Najera, H, Nandy, S, Heymann, SJ
Format: Journal article
Language:English
Published: Cambridge University Press 2021
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author Brewer, TF
Zhang, M
Gordon, D
Chung, RY-N
Dejene, N
Fonta, CL
Grieve, T
Halleröd, B
Harris, R
Lanau, A
Leibbrandt, M
Mekonen, Y
Muguni, B
Najera, H
Nandy, S
Heymann, SJ
author_facet Brewer, TF
Zhang, M
Gordon, D
Chung, RY-N
Dejene, N
Fonta, CL
Grieve, T
Halleröd, B
Harris, R
Lanau, A
Leibbrandt, M
Mekonen, Y
Muguni, B
Najera, H
Nandy, S
Heymann, SJ
author_sort Brewer, TF
collection OXFORD
description The feasibility of non-pharmacological public health interventions (NPIs) such as physical distancing or isolation at home to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission in low-resource countries is unknown. Household survey data from 54 African countries were used to investigate the feasibility of SARS-CoV-2 NPIs in low-resource settings. Across the 54 countries, approximately 718 million people lived in households with ⩾6 individuals at home (median percentage of at-risk households 56% (95% confidence interval (CI), 51% to 60%)). Approximately 283 million people lived in households where ⩾3 people slept in a single room (median percentage of at-risk households 15% (95% CI, 13% to 19%)). An estimated 890 million Africans lack on-site water (71% (95% CI, 62% to 80%)), while 700 million people lacked in-home soap/washing facilities (56% (95% CI, 42% to 73%)). The median percentage of people without a refrigerator in the home was 79% (95% CI, 67% to 88%), while 45% (95% CI, 39% to 52%) shared toilet facilities with other households. Individuals in low-resource settings have substantial obstacles to implementing NPIs for mitigating SARS-CoV-2 transmission. These populations urgently need to be prioritised for coronavirus disease 2019 vaccination to prevent disease and to contain the global pandemic.
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spelling oxford-uuid:be3ab061-5b31-4cdb-a06a-027985ab15a12023-06-05T16:01:56ZHousing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:be3ab061-5b31-4cdb-a06a-027985ab15a1EnglishSymplectic ElementsCambridge University Press2021Brewer, TFZhang, MGordon, DChung, RY-NDejene, NFonta, CLGrieve, THalleröd, BHarris, RLanau, ALeibbrandt, MMekonen, YMuguni, BNajera, HNandy, SHeymann, SJThe feasibility of non-pharmacological public health interventions (NPIs) such as physical distancing or isolation at home to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission in low-resource countries is unknown. Household survey data from 54 African countries were used to investigate the feasibility of SARS-CoV-2 NPIs in low-resource settings. Across the 54 countries, approximately 718 million people lived in households with ⩾6 individuals at home (median percentage of at-risk households 56% (95% confidence interval (CI), 51% to 60%)). Approximately 283 million people lived in households where ⩾3 people slept in a single room (median percentage of at-risk households 15% (95% CI, 13% to 19%)). An estimated 890 million Africans lack on-site water (71% (95% CI, 62% to 80%)), while 700 million people lacked in-home soap/washing facilities (56% (95% CI, 42% to 73%)). The median percentage of people without a refrigerator in the home was 79% (95% CI, 67% to 88%), while 45% (95% CI, 39% to 52%) shared toilet facilities with other households. Individuals in low-resource settings have substantial obstacles to implementing NPIs for mitigating SARS-CoV-2 transmission. These populations urgently need to be prioritised for coronavirus disease 2019 vaccination to prevent disease and to contain the global pandemic.
spellingShingle Brewer, TF
Zhang, M
Gordon, D
Chung, RY-N
Dejene, N
Fonta, CL
Grieve, T
Halleröd, B
Harris, R
Lanau, A
Leibbrandt, M
Mekonen, Y
Muguni, B
Najera, H
Nandy, S
Heymann, SJ
Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
title Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
title_full Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
title_fullStr Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
title_full_unstemmed Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
title_short Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
title_sort housing sanitation and living conditions affecting sars cov 2 prevention interventions in 54 african countries
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