Lucie Richard
lucierichard.bsky.social
Lucie Richard
@lucierichard.bsky.social
Senior Research Associate, Adjunct Scientist & Health Geographer focussed on homelessness @ MAP Centre for Urban Health Solutions

Chercheuse adjointe axée sur la santé des personnes en situation d'itinérance en Ontario
📖 You can read the full study here: journals.plos.org/plosone/arti...

🙏 Thank you to the research team & especially the participants of the Ku-gaa-gii pimitizi-win study, who made this and many other studies possible! 🙏

#Homelessness #COVID19 #HealthEquity #Toronto
Incidence and factors associated with SARS-CoV-2 infection and re-infection among people experiencing homelessness in Toronto, Canada: A prospective cohort study
People experiencing homelessness are at elevated risk of SARS-CoV-2 infection, yet estimates generally exclude re-infections and rely on data sources affected by testing policies or study timing. In t...
journals.plos.org
February 28, 2025 at 10:31 PM
𝗪𝗵𝘆 𝘁𝗵𝗶𝘀 𝗺𝗮𝘁𝘁𝗲𝗿𝘀

☑️ COVID-19 burden has been severely underreported among people experiencing homelessness in Canada

☑️ Existing studies on post-infection outcomes—eg. deaths, Long COVID—may also be inaccurate because of this.

We'll address this 2nd point soon in upcoming reports —stay tuned.
February 28, 2025 at 10:30 PM
Even more concerning: this was measured while Toronto invested big $ in distancing hotels (which actually did decrease risk, vs masking which had no effect). Those protections are being dropped now, so infections are likely even higher today.
February 28, 2025 at 10:30 PM
The main highlight of the paper?

We identified 🚨𝟵𝟳 𝗶𝗻𝗳𝗲𝗰𝘁𝗶𝗼𝗻𝘀/𝟭𝟬𝟬 𝗽𝗲𝗿𝘀𝗼𝗻 𝘆𝗲𝗮𝗿𝘀🚨 post-Omicron, which is at least 𝟰𝘅 𝗵𝗶𝗴𝗵𝗲𝗿 than previous PCR-based estimates for our region. Reinfections were a big part of this, with some folks getting COVID two or even three times.
February 28, 2025 at 10:29 PM
Great summary. COHB to house every single person, as crazy $$ as that'd be, would still be better than continuing to warehouse people semi-permanently as is clearly happening now, both from a human & cost perspective. Sadly, prevailing political winds mean we'll keep doing the cruel/expensive thing?
January 17, 2025 at 7:57 PM
You didn't miss it. A lot is implied, methods-wise. The way I interpret the results is including anyone with at least one day of homelessness. Otherwise you get into wondering what the minimum should be.

But the more I think about It the more I want to just ask them about all these things.
January 10, 2025 at 7:15 PM
Not sure. TSSS documented over 22K unique clients in '23 for Toronto. I'm sitting on some health based numbers suggesting the true number could be as high as 27K tho, so 80k being the bottom for ON sounds about right.

Still, maybe we should petition helpseeker to release their full methodology
January 10, 2025 at 5:15 PM
I'd wager if there were confidence intervals applied to the estimates that they'd be fairly wide.
January 9, 2025 at 10:12 PM
100%, the "technical appendix" sucked. It's too bad, after the 240k fiasco I'm more hesitant to accept stuff at face value. The number is vraisemblable at least?

It'll depend on whether data pts could be linked across regions. Otherwise they'd have to assume no mid-year migrations for a start.
January 9, 2025 at 9:54 PM
Yeah there's no way this doesn't get contested as unconstitutional. Wtf
December 12, 2024 at 6:48 PM
Eee, hopefully you're ok!
December 12, 2024 at 6:29 PM
I mean I get it but compared to momentum from what felt like not so long ago... 😭
December 7, 2024 at 12:53 PM
I cannot believe in end of 2024 we are here. Still.
December 7, 2024 at 12:51 PM
Sometimes "cut cheque" solutions work, like CERB (for a literal public health emergency) or CCB (to literally raise kids out of poverty).

But here, this does stink of desperation. The focus doesn't seem to be on providing a better social safety net at all.
November 28, 2024 at 5:05 PM