1/ Q: How is #COVID19 affecting international slum communities?
A: TL, DR. COVID-19 has disproportionately affected the lives & health of residents of slum communities, or informal settlements characterized by poverty, lack of basic services, crowding, unstable homes.
A: TL, DR. COVID-19 has disproportionately affected the lives & health of residents of slum communities, or informal settlements characterized by poverty, lack of basic services, crowding, unstable homes.
2/ Unfortunately, we don't have great data on what's happening in most of the informal settlements around the 🌎. One study found that nearly 57% of 7000 Mumbai slum residents tested + for antibodies in July, compared to only 17% in its non-slum regions. cnn.it/3qkEdEL
3/ This highlights the vast disparities in who is likely to contract #COVID in Mumbai. While some have interpreted high seroprevalence to indicate that these communities are approaching herd immunity, others have cautioned that this result may reflect a high # of false positives.
4/ According to a pre-print in @TheLancet , India is not even close to herd immunity, with only about 7% of adults having tested +. Rather than waiting for herd immunity, we are hopeful about a widely distributed, safe, effective, & affordable vaccine. bit.ly/3mtSb4N
5/ We don’t need perfect data to know enough that there's a lot of work to be done among the world’s most vulnerable. A recent @WorldBank document summarizes many of the reasons why slum residents are at high risk, in addition to offering dozens of mitigation strategies.
6/ Some successful approaches learned from dealing with Ebola include: effective treatment of patients, resources for testing & isolation, involvement of non-governmental actors to build trust & provide clear communication, and the provision of childcare. bit.ly/3fUiDlq
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