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Implementation of novel and conventional outbreak control measures in managing COVID-19 outbreaks in a large UK prison
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Coleman, Paul, Pailing, Adam, Roy, Anjana, O’Moore, Éamonn, Chandan, Joht Singh, Lumby, Victoria, Newton, Paul N., Taylor, Anna K., Robinson, Esther R., Swindells, Jonathon, Dowle, Sarah and Gajraj, Roger (2022) Implementation of novel and conventional outbreak control measures in managing COVID-19 outbreaks in a large UK prison. BMC Public Health, 22 (1). 677. doi:10.1186/s12889-022-12991-7 ISSN 1471-2458.
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Official URL: https://doi.org/10.1186/s12889-022-12991-7
Abstract
Background
Outbreak control measures during COVID-19 outbreaks in a large UK prison consisted of standard (e.g., self-isolation) and novel measures, including establishment of: (i) reverse cohorting units for accommodating new prison admissions; (ii) protective isolation unit for isolating symptomatic prisoners, and (iii) a shielding unit to protect medically vulnerable prisoners.
Methods
Single-centre prospective longitudinal study (outbreak control study), implementing novel and traditional outbreak control measures to prevent a SARS-COV-2 outbreak. The prison held 977 prisoners and employed 910 staff at that start of the outbreak.
Results
120 probable and 25 confirmed cases among prisoners and staff were recorded between March and June 2020 during the first outbreak. Over 50% of initial cases among prisoners were on the two wings associated with the index case.
During the second outbreak, 182 confirmed cases were recorded after probable reintroduction from a staff member. Widespread testing identified 145 asymptomatic prisoners, 16.9% of the total prisoner cases. The cohorting units prevented re-infection from new prison admissions and the shielding unit had no COVID-19 infections linked to either outbreak.
Conclusions
Identifying and isolating infected prisoners, cohorting new admissions and shielding vulnerable individuals helped prevent uncontrollable spread of SARS-COV-2. These novel and cost-effective approaches can be implemented in correctional facilities globally.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
| SWORD Depositor: | Library Publications Router | ||||||
| Library of Congress Subject Headings (LCSH): | COVID-19 (Disease) , COVID-19 (Disease) -- Prevention -- Great Britain, COVID-19 (Disease) -- Health aspects, Prisoners -- Health and hygiene -- Great Britain, Prisoners -- Medical care -- Great Britain | ||||||
| Journal or Publication Title: | BMC Public Health | ||||||
| Publisher: | BioMed Central | ||||||
| ISSN: | 1471-2458 | ||||||
| Official Date: | 7 April 2022 | ||||||
| Dates: |
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| Volume: | 22 | ||||||
| Number: | 1 | ||||||
| Article Number: | 677 | ||||||
| DOI: | 10.1186/s12889-022-12991-7 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 8 April 2022 | ||||||
| Date of first compliant Open Access: | 8 April 2022 |
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