COVID-19 within a large UK prison with a high number of vulnerable adults, march to june 2020: An outbreak investigation and screening event
| Autor: | Ravikumar Balakrishnan, Ian Palmer, Helen Burr, Vince Tanti, Eleanor Blakey, Tony Jewell, Sue Doolan, Amy Trindall, Jennifer Wilburn |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Adult Male medicine.medical_specialty Epidemiology 030106 microbiology Attack rate Outbreak investigation Prison health Disease Article Disease Outbreaks lcsh:Infectious and parasitic diseases 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors mental disorders medicine Humans Mass Screening lcsh:RC109-216 030212 general & internal medicine Nose Aged Aged 80 and over Transmission (medicine) business.industry SARS-CoV-2 Incidence (epidemiology) Public health Outbreak COVID-19 General Medicine Middle Aged United Kingdom Infectious Diseases medicine.anatomical_structure Prisons Emergency medicine Female business |
| Zdroj: | International Journal of Infectious Diseases, Vol 104, Iss, Pp 349-353 (2021) International Journal of Infectious Diseases |
| ISSN: | 1201-9712 |
| Popis: | Highlights • Most residents who displayed symptoms were in the high-risk category (62.1%). • Most symptomatic residents and staff were from wings I and L. • A universal screening event in the prison detected no positive cases of COVID-19. • COVID-19 outbreaks in prisons can be quickly contained by a multi-agency response. Objective To describe the public health response to COVID-19 within a large prison with a high number of clinically vulnerable residents. Design An outbreak investigation was undertaken among all residents and staff. A screening event involved nose and throat swab samples from residents and staff, examined by polymerase chain reaction (PCR). An electronic questionnaire regarding risk factors was distributed to staff. Results 58 residents out of 1,156 (5.0%, 95% CI: 3.8 – 6.3) and 129 staff out of 510 (25.3%, 95% CI: 21.5 – 29.1) displayed COVID-19 symptoms, including six and eight confirmed, respectively. Residents reported cough symptoms with no fever (29.3%), followed by a cough and fever (15.5%). 62.1% of symptomatic residents were 50 years or older, placing them in the group at risk for severe COVID-19 disease. Wing I had the highest attack rate (12.5%). 1,063 individuals were swabbed during the 5-day screening event, and all had negative swab results. Conclusion The findings were consistent with the hypothesis of a propagating outbreak with decreasing incidence since the peak date of onset. COVID-19 transmission within a high-risk setting was quickly contained, and an explosive outbreak was prevented through a multi-agency public health response. |
| Databáze: | OpenAIRE |
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