Managing Shigellosis Outbreaks Among Persons Experiencing Homelessness

The Shigellosis Outbreak Management Toolkit supports public health agencies in investigating and controlling shigellosis outbreaks among people experiencing homelessness (PEH). It provides practical checklists, investigation guidance, sanitation protocols, and more for effective outbreak response.

Why public health investigation teams should use this toolkit

Shigellosis outbreaks among PEH can be difficult to investigate due to limited access to hygiene facilities, complex social needs, and barriers to healthcare. This toolkit delivers targeted strategies for navigating these challenges, including best practices for interviewing, alternative data collection methods, cleaning and hygiene guidance, isolation considerations, and field‑ready control measures. It helps public health teams reach hard‑to‑engage populations and implement interventions in shelters, encampments, and other high‑risk environments.

Key features of the toolkit

• Evidence-Based Guidance: Incorporates lessons learned from real-world outbreak responses in counties across the United States. 
• Comprehensive Coverage: Addresses all aspects of outbreak management from initial response through case investigation, laboratory testing, education, and communication strategies.

• Practical Tools: Includes ready-to-use checklists, questionnaires, educational materials, and communication templates specifically designed for PEH populations.

Who should use the toolkit?

Primary audience: Public health agencies responding to shigellosis outbreaks among PEH.

Secondary audience: Healthcare facility leadership, homeless services providers, parks & recreation staff, and other partners involved in outbreak response.