COVID-19 Impact in the Italian Reception System for Migrants during the Nationwide Lockdown: A National Observational Study

• Published in: International journal of environmental research and public health Vol. 18; no. 23; p. 12380
• Main Authors: Sisti, Leuconoe Grazia, Di Napoli, Anteo, Petrelli, Alessio, Rossi, Alessandra, Diodati, Alessandra, Menghini, Martina, Mirisola, Concetta, Costanzo, Gianfranco
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 25.11.2021; MDPI
• Subjects: Coronaviruses; COVID-19; COVID-19 vaccines; Geographical distribution; Migrants; Migration; Observational studies; Pandemics; Polls & surveys; Population; Public health; Questionnaires; Refugee camps; Saturation index; Severe acute respiratory syndrome coronavirus 2; Italy; Europe
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph182312380

From the beginning of the COVID-19 pandemic, attention was raised to protect vulnerable populations, including migrants and refugees (M&R), with the claim to leave no one behind in the pandemic response. In particular, concern was expressed in M&R’s reception centres since several COVID-19 outbreaks had been observed in Europe. Our study aimed to evaluate the impact of COVID-19 in the Italian reception system in the first pandemic wave in terms of incidence and health outcomes. A national survey focusing on the lockdown period of early 2020 was performed among reception centre managers. The survey achieved reaching around 70% of reception facilities and hosts. A national cumulative incidence of 400 positive cases per 100,000 and a north–south geographical gradient were observed. Sixty-eight facilities out of the 5038 participating in the survey reported confirmed cases and few COVID-19 clusters were detected especially in accommodations with the highest facility saturation index. Positive migrants were hospitalised in 25.9% of cases and no COVID-19 related deaths were observed. The study highlighted a cumulative incidence of cases and a geographical distribution similar to that of the general resident population, showing a global COVID-19 resilience in the Italian reception system in the period of observation, well beyond the expectations.