1. Rapid Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 in Detention Facility, Louisiana, USA, May–June, 2020
- Author
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Theresa Sokol, Farrell A Tobolowsky, Mariel Marlow, Ying Tao, Sean Simonson, Krista Queen, Jonathan M. Wortham, Ha Tran, Mitsuki Koh, Clinton R. Paden, Danielle Haydel, Jacqueline E. Tate, Brett Whitaker, Henry Njuguna, Kiva A Fisher, Rena Fukunaga, Reena H Doshi, Anna Uehara, Jeremy A W Gold, Azaibi Tamin, Jing Zhang, Kathryn G. Curran, Allison E James, Jennifer L Harcourt, Kaylee Kim, Suxiang Tong, Megan J. Wallace, Melissa M. Coughlin, Natalie J. Thornburg, Keith Bordelon, and Rachel Silver
- Subjects
Male ,Epidemiology ,correctional facilities ,lcsh:Medicine ,medicine.disease_cause ,Disease Outbreaks ,law.invention ,COVID-19 Testing ,0302 clinical medicine ,law ,Infection control ,Cumulative incidence ,Prospective Studies ,030212 general & internal medicine ,Statistics & numerical data ,Coronavirus ,Incidence ,Incidence (epidemiology) ,transmission ,detention facilities ,serial testing ,Infectious Diseases ,coronavirus disease ,Specimen collection ,Female ,severe acute respiratory syndrome coronavirus 2 ,Adult ,Microbiology (medical) ,medicine.medical_specialty ,coronaviruses ,030231 tropical medicine ,lcsh:Infectious and parasitic diseases ,respiratory infections ,03 medical and health sciences ,Quarantine ,Disease Transmission, Infectious ,medicine ,Rapid Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 in Detention Facility, Louisiana, USA, May–June, 2020 ,Humans ,lcsh:RC109-216 ,viruses ,SARS-CoV-2 ,business.industry ,Research ,lcsh:R ,COVID-19 ,Outbreak ,Louisiana ,United States ,zoonoses ,Prisons ,Emergency medicine ,business - Abstract
To assess transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a detention facility experiencing a coronavirus disease outbreak and evaluate testing strategies, we conducted a prospective cohort investigation in a facility in Louisiana, USA. We conducted SARS-CoV-2 testing for detained persons in 6 quarantined dormitories at various time points. Of 143 persons, 53 were positive at the initial test, and an additional 58 persons were positive at later time points (cumulative incidence 78%). In 1 dormitory, all 45 detained persons initially were negative; 18 days later, 40 (89%) were positive. Among persons who were SARS-CoV-2 positive, 47% (52/111) were asymptomatic at the time of specimen collection; 14 had replication-competent virus isolated. Serial SARS-CoV-2 testing might help interrupt transmission through medical isolation and quarantine. Testing in correctional and detention facilities will be most effective when initiated early in an outbreak, inclusive of all exposed persons, and paired with infection prevention and control.
- Published
- 2021