Department of Sense Organs, Sapienza University of Rome, Italy.
Primary Care Services, Eleemosynaria Apostolica, Vatican City State, Italy.
Ann Glob Health. 2021 Jan 27;87(1):11. doi: 10.5334/aogh.3186.
The United Nations 2030 Agenda for Sustainable Development promotes the "Leaving no one behind" principle and sets goals in areas of critical importance. This principle has become extraordinarily important during the COVID-19 pandemic, and is especially relevant for fragile populations, such as people experiencing homelessness. Homeless persons live in congregate and poor hygiene settings that may favor virus transmission, often have underling physical and mental comorbidities that place them at high risk of severe forms of COVID-19, and have limited access to public healthcare and social services. In addition, the homeless are often overlooked by safety and health monitoring actions. All of these factors, taken together, place homeless persons at high risk of being left behind. It is therefore of utmost importance to put in place adequate public health measures to limit spread of infection among homeless persons, rapidly identify and isolate asymptomatic and minimally symptomatic subjects, promptly and appropriately treat positive cases, and correctly handle the entire socioeconomic environment of vulnerable people.
联合国 2030 年可持续发展议程倡导“不让任何人掉队”原则,并设定了各个关键领域的目标。在新冠疫情期间,这一原则变得格外重要,对于脆弱人群,如无家可归者,更是如此。无家可归者居住在卫生条件差、人员密集的环境中,这可能有利于病毒传播,他们往往存在潜在的身体和精神共病,患严重新冠病毒感染的风险很高,并且获得公共医疗和社会服务的机会有限。此外,无家可归者往往容易被安全和健康监测措施所忽视。所有这些因素加在一起,使无家可归者面临被遗忘的高风险。因此,至关重要的是采取适当的公共卫生措施,以限制感染在无家可归者中的传播,快速识别和隔离无症状和症状轻微的患者,及时、恰当地治疗阳性病例,并正确处理弱势群体的整个社会经济环境。