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

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• dc.contributor.author Brewer, Timothy F.
• dc.contributor.author Zhang, Mary
• dc.contributor.author Gordon, David
• dc.contributor.author Chung, Roger Yat-Nork
• dc.contributor.author Dejene, Negussie
• dc.contributor.author Fonta, Cynthia L.
• dc.contributor.author Grieve, Tigist
• dc.contributor.author Halleröd, Björn
• dc.contributor.author Harris, Richard
• dc.contributor.author Lanau, Alba
• dc.contributor.author Leibbrandt, Murray
• dc.contributor.author Mekonen, Yehualashet
• dc.contributor.author Muguni, Bongai
• dc.contributor.author Najera, Hector
• dc.contributor.author Nandy, Shailen
• dc.contributor.author Heymann, Jody
• dc.date.accessioned 2023-05-17T05:59:33Z
• dc.date.available 2023-05-17T05:59:33Z
• dc.date.issued 2021
• dc.description.abstract 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Brewer TF, Zhang M, Gordon D, Chung RYN, 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. Epidemiol Infect. 2021;149:e183. DOI: 10.1017/s0950268821001734
• dc.identifier.doi http://dx.doi.org/10.1017/s0950268821001734
• dc.identifier.issn 0950-2688
• dc.identifier.uri http://hdl.handle.net/10230/56853
• dc.language.iso eng
• dc.publisher Cambridge University Press
• dc.relation.ispartof Epidemiology & Infection. 2021;149:e183.
• dc.rights © The Author(s), 2021. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword COVID-19
• dc.subject.keyword non-pharmacologic interventions
• dc.subject.keyword prevention
• dc.subject.keyword Africa
• dc.subject.keyword public health
• dc.title Housing, sanitation and living conditions affecting SARS-CoV-2 prevention interventions in 54 African countries
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion