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Research

Outbreak of SARS-CoV-2 infection at a large refugee shelter in Toronto, April 2020: a clinical and epidemiologic descriptive analysis

Vanessa Redditt, Vanessa Wright, Meb Rashid, Roy Male and Isaac Bogoch
December 08, 2020 8 (4) E819-E824; DOI: https://doi.org/10.9778/cmajo.20200165
Vanessa Redditt
Crossroads Clinic (Redditt, Wright, Rashid, Male), Women’s College Hospital; Department of Family & Community Medicine (Redditt, Rashid), and Lawrence S. Bloomberg Faculty of Nursing (Wright), University of Toronto; Divisions of General Internal Medicine and Infectious Diseases (Bogoch), University Health Network; Faculty of Medicine (Bogoch), University of Toronto, Toronto, Ont.
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Vanessa Wright
Crossroads Clinic (Redditt, Wright, Rashid, Male), Women’s College Hospital; Department of Family & Community Medicine (Redditt, Rashid), and Lawrence S. Bloomberg Faculty of Nursing (Wright), University of Toronto; Divisions of General Internal Medicine and Infectious Diseases (Bogoch), University Health Network; Faculty of Medicine (Bogoch), University of Toronto, Toronto, Ont.
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Meb Rashid
Crossroads Clinic (Redditt, Wright, Rashid, Male), Women’s College Hospital; Department of Family & Community Medicine (Redditt, Rashid), and Lawrence S. Bloomberg Faculty of Nursing (Wright), University of Toronto; Divisions of General Internal Medicine and Infectious Diseases (Bogoch), University Health Network; Faculty of Medicine (Bogoch), University of Toronto, Toronto, Ont.
MD
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Roy Male
Crossroads Clinic (Redditt, Wright, Rashid, Male), Women’s College Hospital; Department of Family & Community Medicine (Redditt, Rashid), and Lawrence S. Bloomberg Faculty of Nursing (Wright), University of Toronto; Divisions of General Internal Medicine and Infectious Diseases (Bogoch), University Health Network; Faculty of Medicine (Bogoch), University of Toronto, Toronto, Ont.
MD
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Isaac Bogoch
Crossroads Clinic (Redditt, Wright, Rashid, Male), Women’s College Hospital; Department of Family & Community Medicine (Redditt, Rashid), and Lawrence S. Bloomberg Faculty of Nursing (Wright), University of Toronto; Divisions of General Internal Medicine and Infectious Diseases (Bogoch), University Health Network; Faculty of Medicine (Bogoch), University of Toronto, Toronto, Ont.
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    Figure 1:

    Flow chart showing study participants included in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing, and participants who tested positive for SARS-CoV-2 infection and were followed for clinical reassessment posttesting (day 1 and day 14).

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    Table 1:

    Characteristics and initial symptoms of shelter residents who underwent SARS-CoV-2 testing on Apr. 20, 2020

    CharacteristicNo. (%) of residents
    Total
    n = 60
    Positive SARS-CoV-2 test
    n = 25
    Negative SARS-CoV-2 test
    n = 35
    Age, mean ± SD, yr36.0 ± 10.038.7 ± 11.034.1 ± 8.8
    Sex
     Male48 (80.0)22 (88.0)26 (74.3)
     Female12 (20.0)3 (12.0)9 (25.7)
    Symptoms at time of testing
     Fever3 (5.0)2 (8.0)1 (2.9)
     Cough3 (5.0)3 (12.0)0
     Shortness of breath000
    • Note: SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2, SD = standard deviation.

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    Table 2:

    Clinical symptoms of shelter residents who tested positive for SARS-CoV-2 on Apr. 20, 2020 (n = 24)*

    Clinical symptomNo. (%) of residents
    On day 1 posttestingAny time during 14 days posttestingOn day 14 posttesting
    Asymptomatic7 (29.2)3 (12.5)15 (62.5)
    Any symptoms17 (70.8)21 (87.5)9 (37.5)
     Fever7 (29.2)8 (33.3)0
     Cough6 (25.0)5 (20.8)4 (16.7)
     Shortness of breath01 (4.2)0
     Chills2 (8.3)3 (12.5)0
     Myalgias6 (25.0)6 (25.0)2 (8.3)
     Headache8 (33.3)14 (58.3)0
     Sore throat6 (25.0)6 (25.0)0
     New loss of taste1 (4.2)10 (41.7)3 (12.5)
     New loss of smell1 (4.2)7 (29.2)1 (4.2)
     New nasal congestion1 (4.2)6 (25.0)1 (4.2)
     Diarrhea1 (4.2)3 (12.5)0
     Malaise3 (12.5)5 (20.8)1 (4.2)
     Dizziness1 (4.2)4 (16.7)1 (4.2)
     Nausea and/or vomiting02 (8.3)1 (4.2)
     Chest pain/tightness1 (4.2)4 (16.7)0
     Other3 (12.5)7 (29.2)2 (8.3)
    • Note: SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2.

    • ↵* One individual of the 25 who tested positive could not be contacted after initial testing.

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CMAJ Open: 8 (4)
Vol. 8, Issue 4
1 Oct 2020
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Outbreak of SARS-CoV-2 infection at a large refugee shelter in Toronto, April 2020: a clinical and epidemiologic descriptive analysis
Vanessa Redditt, Vanessa Wright, Meb Rashid, Roy Male, Isaac Bogoch
Oct 2020, 8 (4) E819-E824; DOI: 10.9778/cmajo.20200165

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Outbreak of SARS-CoV-2 infection at a large refugee shelter in Toronto, April 2020: a clinical and epidemiologic descriptive analysis
Vanessa Redditt, Vanessa Wright, Meb Rashid, Roy Male, Isaac Bogoch
Oct 2020, 8 (4) E819-E824; DOI: 10.9778/cmajo.20200165
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