The Hutterian Safety Council has established a COVID-19 taskforce to provide guidance for communities to best prevent and cope with COVID-19
Only one published study has investigated the prevalence of coronaviruses in relation to influenza vaccination/infection in Hutterite populations. This study found that coronaviruses are much less prevalent than influenza, entero/rhinoviruses and pediatric RSV and that it occurred in all age groups.
This study also found a high degree of co-circulation of other respiratory viruses along with influenza, which invites the questioning of signs/symptoms falsely attributed to influenza and therefore influencing empiric use of antivirals
Most studies available focus on influenza, polio and other common vaccine-preventable childhood communicable disease
One study assessing influenza in Hutterite populations found that the immunization of children and adolescents led to a protective effect among the community over multiple years of seasonal influenza and provided ~60% herd protection
Okpalauwaekwe, U; Reeder, B; Howell-Spooner, B; Miller, L. How are Hutterite colonies responding to and coping with COVID-19 prevention and outbreaks? 2020 Jun 12; Document no.: PH061201 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 16 p. (CEST rapid review report)
Vulnerable populations such as those experiencing homelessness are 20 times more likely to be hospitalised due to COVID-19, 10 times more likely to require intensive care for COVID-19 and 5 times more likely to die within 21 days of a positive test for COVID-19
Many organizations advocate for socially vulnerable populations to be considered priority populations due to their oftencomplex health needs and inability to fully execute best practices for infection prevention and control
Past experiences from Hepatitis vaccination (requiring 3 injections) and H1N1 pandemic influenza vaccination indicate that partnering with community organizations to provide vaccinations in shelters, community centers and other frequently accessed places along with education and access to known, trusted healthcare providers greatly increase the uptake of vaccination among socially vulnerable populations
Beyond sheltered populations experiencing homelessness, considerations for equitable vaccination programs for the general population should include plans for accessibility for all, including underserved geographic regions
Badea, A; Reeder, B; Hanson, L; Miller, L; Howell-Spooner, B. What are the vaccination strategies for vulnerable populations? 2021 Mar 12; Document no.: PH030401 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2020. 33 p. (CEST rapid review report)