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Chatper 11 : Human Domiciles
Domiciliary spread is by droplets, skin contact, shared objects, sex, and foods. Hazards include crowding, lack of tap water and sanitation, rodents on the premises, and sites close to mosquito-breeding sites. This chapter focuses exposure to regular domiciles; substandard domiciles; homeless persons; refugees and relief camps; orphans and adoptees; adults in long-term care; detention facilities and hotel accommodation. Droplet-spread viruses of regular domiciles circulate in substandard homes, in general, at an earlier age and higher rate. Displaced persons carry agents enzootic or endemic at their home places and acquired in transit. In emergency camps, acute and chronic infections coexist. Hotel-based outbreakswithworldwidemedia attention include legionellosis and SARS. Hotel malaria was assumed after excluding alternative routes of acqusition, and when an American who on return from Mozambique stayed at the same hotel came down with malaria.