| Autor: |
Martinez HE; Colorado Department of Public Health and Environment, Denver, Colorado, USA.; Council of State and Territorial Epidemiologists, Atlanta, Georgia, USA., Marshall KE; Colorado Department of Public Health and Environment, Denver, Colorado, USA.; Centers for Disease Control and Prevention, Epidemic Intelligence Service, Atlanta, Georgia, USA., Showell VW 4th; Colorado Department of Public Health and Environment, Denver, Colorado, USA., Tate JE; Centers for Disease Control and Prevention COVID-19 Response Team, Atlanta, Georgia, USA., Kirking HL; Centers for Disease Control and Prevention COVID-19 Response Team, Atlanta, Georgia, USA., Broudy M; Colorado Department of Public Health and Environment, Denver, Colorado, USA., Matzinger SR; Colorado Department of Public Health and Environment, Denver, Colorado, USA., Burakoff A; Colorado Department of Public Health and Environment, Denver, Colorado, USA., Deng L; Centers for Disease Control and Prevention COVID-19 Response Team, Atlanta, Georgia, USA., Payne DC; Centers for Disease Control and Prevention COVID-19 Response Team, Atlanta, Georgia, USA., Fleming-Dutra K; Centers for Disease Control and Prevention COVID-19 Response Team, Atlanta, Georgia, USA., Jervis RH; Colorado Department of Public Health and Environment, Denver, Colorado, USA. |
| Abstrakt: |
In 2020-2021, a Colorado corrections facility experienced four COVID-19 outbreaks. Case counts, attack rates (ARs) in people who are detained or incarcerated (PDI), and mitigation measures used in each outbreak were compared to evaluate effects of combined strategies. Serial PCR testing, isolation/quarantine, and masking were implemented in outbreak 1. Daily staff antigen testing began in outbreak 2. Facility-wide COVID-19 vaccination started in outbreak 3 and coverage increased by the end of outbreak 4 (PDI: <1% to 59%, staff: 27% to 40%). Despite detection of variants of concern, outbreaks 3 and 4 had 97% lower PDI ARs (both 1%) than outbreak 2 (29%). Daily staff testing and increasing vaccination coverage, with other outbreak mitigation strategies, are important to reduce COVID-19 transmission in congregate settings. |
