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Volume 14, Number 9—September 2008

Preventing and Controlling Emerging and Reemerging Transmissible Diseases in the Homeless

Sékéné Badiaga, Didier Raoult, and Philippe BrouquiComments to Author 
Author affiliations: Assistance Publique – Hôpitaux de Marseille, Marseille, France (S. Badiaga, D. Raoult, P. Brouqui); Université de la Méditerranée, Marseille, France (D. Raoult, P. Brouqui)

Main Article

Table 1

Communicable infections associated with homelessness*

Specific infections Transmission route Risk factors for infection spreading References
HIV, hepatitis B, STIs STIs Sexual risk behavior traits: homosexuality/bisexuality, multiple sexual partners, crack and/or cocaine use, street sex work (6,9,10)
HIV, hepatitis C, hepatitis B, hepatitis A Blood-borne infections Drug risk behavioral traits: sharing syringe, needle, and rinse water (6,810)
Tuberculosis, influenza, diphtheria, pneumococcal pneumonia Airborne infections Overcrowding in shelters, alcohol abuse, drug addiction, malnutrition, HIV (3,7,17,2325)
Scabies, body louse infestation Skin infections Overcrowding in shelters, lack of personal hygiene, poor clothing and bedding hygiene. (5,11,1315,18)
Bartonella quintana infection, epidemic typhus Louse-borne infections High prevalence of body louse infestation (5,1315)

*STIs, sexually transmitted infections.

Main Article

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