A preventive approach is the most effective and humane strategy for management of infectious disease in shelter populations. Strategies for prevention include reduction of environmental contamination and support of the host immune response. This article provides recommendations regarding selected environmental and host determinants of disease, including management of population density, sanitation and disinfection, disease recognition, segregation and isolation, air quality, stress reduction and environmental enrichment, vaccination, and nutrition.
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St Michaels Hosp, Ctr Res Inner City Hlth, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Univ Toronto, Fac Med, Toronto, ON, CanadaSt Michaels Hosp, Ctr Res Inner City Hlth, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Hwang, Stephen W.
Kiss, Alex
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Sunnybrook Hlth Sci Ctr, Dept Res Design & Biostat, Toronto, ON M4N 3M5, CanadaSt Michaels Hosp, Ctr Res Inner City Hlth, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Kiss, Alex
Ho, Minnie M.
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Inst Clin Evaluat Sci, Toronto, ON, CanadaSt Michaels Hosp, Ctr Res Inner City Hlth, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Ho, Minnie M.
Leung, Cheryl S.
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机构:St Michaels Hosp, Ctr Res Inner City Hlth, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada
Leung, Cheryl S.
Gundlapalli, Adi V.
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Wasatch Homeless Hlth Care Inc, Salt Lake City, UT USA
Univ Utah, Sch Med, Salt Lake City, UT USASt Michaels Hosp, Ctr Res Inner City Hlth, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada