Online Exhibit: Effects of COVID-19 on Homeless Health PhotoVoice Project

In the online exhibit, Picturing COVID-19 through the Eyes of the Homeless, inhabitants of Peace Village, a homeless encampment in Rochester, NY, shared photos and stories about how the novel coronavirus affected their health and health care. The unsheltered homeless may be considerably vulnerable to contracting the virus due to crowded living spaces, improper hygiene and inadequate access to healthcare.

The photographers created this exhibit using PhotoVoice, a community based participatory research method, during the peak transmission period in New York State. Photographers met individually with the research team to discuss the pictures they captured. At the end of the project, they titled and captioned their photos for this online Digital Scholar exhibit. This website showcases some of the pictures that were taking over National Public Health Week.

Photo analysis revealed four emergent categories: (1) mental health exacerbations, (2) maintaining cleanliness and hygiene, (3) health equity and (4) protection and security. Positive photos (e.g., shelters staying open, personal isolated space) and negative photos (e.g., untreated mental health conditions, shelter instability) represented the diverse perspectives the participants took when considering how the pandemic influenced their health. The following recommendations were made to the Peace Village, Inc. Board of Directors to further address the needs of the inhabitants: offering instructions to assemble safe face masks and fact sheets regarding COVID-19 on the Welcome Board, strengthening relationships with local Street Outreach programs, and finding staff to monitor the encampment. This pilot study proves the effectiveness of using PhotoVoice methodology to address health needs of the homeless in the era of COVID-19.

You Got To Do What You Got To Do

“Only way to make money since everything is shut down. You have to pick up cans or pick up trash to make money. That cart will be sold once I get enough metal in it, you know, I’ll be able to get cigarettes. I’m stocking up if the grocery stores close down with boxed and canned food in the crate. Once the stores close down, that’s when hell will break use. When everything shuts down, you just gotta do what you gotta do to survive. Bare necessities. I have a lot of good friends in a lot of places, this encampment will have enough food for 100 people for 2 weeks. People have to get off their asses and do what they have to do. Stop bitching and complaining. Everyone cries they are broke but they’re not willing to work, just flying signs and begging people they work for. Coronavirus is just a big scam to me. Just another thing that was created. 15 years ago, I heard they were going to do global depopulation by 1/3 of the population. If I die from this virus, its one thing, as long as I don’t die from something stupid or from someone else.”

World War Z

“I took this picture to show how easy I can make a mask. It helps me stay away from the virus and stay healthy. Being that I’m the age of 50, a diabetic, asthmatic, and a smoker, I gotta stay safe. That’s all I can say. The best way I know how, as far as me being homeless. But we do need to use more protection, masks and gloves to be healthy. I wash my hands and take it very seriously because it going to get worse. It reminds me a lot of that movie, World War Z, where the virus spread so quick. This is going to get worse as we don’t have a cure for it.”

Talk More, Save More

“Instead of using public phones, I use this cell phone on a daily basis. I always make sure to sanitize my hands after using it. Having the portable battery helps me avoid public places too. I found out about the coronavirus through my dad. He called me on this phone and now he keeps me up to date since he’s on top of what’s going on. Communication helps the world not spread the disease. Also, I have access to medical personell and have a list of my medical, if im sick and dont know whats going on with me they can look at my history and see whats going on. I can explain that to first responders.”

Live or Die

“This is very serious. I don’t even think words alone can define the seriousness and severity of it. People are losing their lives here the amount is doubling maybe even tripling. It’s very serious. At the hospital, I did see people who were experiencing the full extent of the virus and it was not pretty. If people aren’t trying to get masks, gloves and cleaning supplies, that’s just showing their lack of care for themselves and anyone else. We need more of that PPE, yessir. No one is exempt from this virus. Race, color, degree, origin, it doesn’t discriminate. I am defining the reality right now. This is very real. Its not pretty and its not meant to be pretty. We can put on the face mask and some people can say, ‘Oh that looks cool,’ but this isn’t about cool. This is about life or death.”

Healthy Habits are Possible

“Theres ways homeless can stay safe. Keeping clean, hands away from your face, washing, sanitizing anything. If we use the hand sanitizer, gloves and mask, we’ll be able to beat it. It’s always important to wash my hands everyday. It keeps me safe to use soap, hand sanitizer, and other steps to not get the virus. It’s not too hard to get them because I stock up on them in the dollar store. Using and having this stuff right here, its accessible, easy to get to and keeping my health and others around me safe.”

Corona Team

“Clothes not only smell good, but this stuff kills a lot of germs. It’s helpful if you use it correctly. I usually wash my clothes with the bleach thoroughly because you never know who had them before donating. With this virus, you can be out in public and someone can cough on you and you can end up bringing it back to your bed from your clothes. You need to keep yourself clean to keep yourself healthy. Homeless people don’t know how to use these cleaning supplies. People don’t use it, just take it and put it in storage.”