SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence
Objectives: To assess SARS-CoV-2 prevalence and health outcomes among inmates over 60 years during a COVID-19 outbreak in a major penitentiary complex in the Federal District, Brazil. Methods: A mass test campaign was performed on May 13, 2020, using antibody-detection rapid tests for asymptomatic i...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-10-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971221002988 |
| _version_ | 1818953998171897856 |
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| author | Fernando A. Gouvea-Reis Lairton S. Borja Patrícia O. Dias Danniely C.S. Silva Jadher Percio Cássio Peterka Guilherme O. Silva Raphael N.P. Adjuto Glaucia B. Tavares Mayana B. Cunha Claudia Feres Janaína de Oliveira Giselle Sodré Wallace dos Santos Camile de Moraes |
| author_facet | Fernando A. Gouvea-Reis Lairton S. Borja Patrícia O. Dias Danniely C.S. Silva Jadher Percio Cássio Peterka Guilherme O. Silva Raphael N.P. Adjuto Glaucia B. Tavares Mayana B. Cunha Claudia Feres Janaína de Oliveira Giselle Sodré Wallace dos Santos Camile de Moraes |
| author_sort | Fernando A. Gouvea-Reis |
| collection | DOAJ |
| description | Objectives: To assess SARS-CoV-2 prevalence and health outcomes among inmates over 60 years during a COVID-19 outbreak in a major penitentiary complex in the Federal District, Brazil. Methods: A mass test campaign was performed on May 13, 2020, using antibody-detection rapid tests for asymptomatic inmates and reverse transcriptase-polymerase chain reaction testing for those who were symptomatic. Those with negative results were retested on June 16. Inmates were interviewed to characterise background health conditions and the presence of symptoms. Results: A total of 159 inmates were evaluated. In the first mass testing, 79.9% (127/159) of inmates had been infected, of whom 53.5% (68/127) reported symptoms. In the second testing round, 17 new cases were identified, increasing the total to 90.6% (144/159) of inmates with a positive result. Comorbidities were present in 67.3% of inmates; 2 hospitalisations and no COVID-related deaths were recorded. Conclusion: More than 90% of inmates aged >60 years were infected with SARS-CoV-2 during the outbreak. Periodic health monitoring, active case finding and early care for symptomatic patients contributed to positive post-infection outcomes. Such measures must be considered essential for the surveillance of COVID-19 in environments with limited capacity to promote social distance, such as penitentiary institutions. |
| first_indexed | 2024-12-20T10:15:10Z |
| format | Article |
| id | doaj.art-7482229b94aa422a854a565b51d0a2c4 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-12-20T10:15:10Z |
| publishDate | 2021-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-7482229b94aa422a854a565b51d0a2c42022-12-21T19:44:06ZengElsevierInternational Journal of Infectious Diseases1201-97122021-10-01110S25S27SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalenceFernando A. Gouvea-Reis0Lairton S. Borja1Patrícia O. Dias2Danniely C.S. Silva3Jadher Percio4Cássio Peterka5Guilherme O. Silva6Raphael N.P. Adjuto7Glaucia B. Tavares8Mayana B. Cunha9Claudia Feres10Janaína de Oliveira11Giselle Sodré12Wallace dos Santos13Camile de Moraes14Ministério da Saúde, Departamento de Saúde Ambiental, do Trabalhador e de Vigilância das Emergências em Saúde Pública, Coordenação Geral de Emergências em Saúde Pública, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde, Brasília, Distrito Federal, Brazil; Corresponding author at: EpiSUS — Programa de Epidemiologia de Campo Aplicada aos Serviços do SUS, Secretaria de Vigilância em Saúde, Ministério da Saúde, Edifício PO700, 6 andar. SRTV 702, Via W 5 Norte, Brasília, Distrito Federal, Brazil.Ministério da Saúde, Departamento de Saúde Ambiental, do Trabalhador e de Vigilância das Emergências em Saúde Pública, Coordenação Geral de Emergências em Saúde Pública, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde, Brasília, Distrito Federal, BrazilMinistério da Saúde, Departamento de Saúde Ambiental, do Trabalhador e de Vigilância das Emergências em Saúde Pública, Coordenação Geral de Emergências em Saúde Pública, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde, Brasília, Distrito Federal, BrazilMinistério da Saúde, Departamento de Saúde Ambiental, do Trabalhador e de Vigilância das Emergências em Saúde Pública, Coordenação Geral de Emergências em Saúde Pública, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde, Brasília, Distrito Federal, BrazilMinistério da Saúde, Departamento de Saúde Ambiental, do Trabalhador e de Vigilância das Emergências em Saúde Pública, Coordenação Geral de Emergências em Saúde Pública, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria de Vigilância Epidemiológica, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, Brazil; Universidade de Brasília, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilSecretaria de Estado da Saúde do Distrito Federal, Diretoria Regional de Atenção Primária à Saúde, Superintendência da Região de Saúde Leste, Brasília, Distrito Federal, BrazilMinistério da Saúde, Departamento de Saúde Ambiental, do Trabalhador e de Vigilância das Emergências em Saúde Pública, Coordenação Geral de Emergências em Saúde Pública, Programa de Treinamento em Epidemiologia Aplicada aos Serviços do Sistema Único de Saúde, Brasília, Distrito Federal, BrazilObjectives: To assess SARS-CoV-2 prevalence and health outcomes among inmates over 60 years during a COVID-19 outbreak in a major penitentiary complex in the Federal District, Brazil. Methods: A mass test campaign was performed on May 13, 2020, using antibody-detection rapid tests for asymptomatic inmates and reverse transcriptase-polymerase chain reaction testing for those who were symptomatic. Those with negative results were retested on June 16. Inmates were interviewed to characterise background health conditions and the presence of symptoms. Results: A total of 159 inmates were evaluated. In the first mass testing, 79.9% (127/159) of inmates had been infected, of whom 53.5% (68/127) reported symptoms. In the second testing round, 17 new cases were identified, increasing the total to 90.6% (144/159) of inmates with a positive result. Comorbidities were present in 67.3% of inmates; 2 hospitalisations and no COVID-related deaths were recorded. Conclusion: More than 90% of inmates aged >60 years were infected with SARS-CoV-2 during the outbreak. Periodic health monitoring, active case finding and early care for symptomatic patients contributed to positive post-infection outcomes. Such measures must be considered essential for the surveillance of COVID-19 in environments with limited capacity to promote social distance, such as penitentiary institutions.http://www.sciencedirect.com/science/article/pii/S1201971221002988COVID-19Severe acute respiratory syndrome coronavirus 2OutbreakPrisonsPublic healthBrazil |
| spellingShingle | Fernando A. Gouvea-Reis Lairton S. Borja Patrícia O. Dias Danniely C.S. Silva Jadher Percio Cássio Peterka Guilherme O. Silva Raphael N.P. Adjuto Glaucia B. Tavares Mayana B. Cunha Claudia Feres Janaína de Oliveira Giselle Sodré Wallace dos Santos Camile de Moraes SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence International Journal of Infectious Diseases COVID-19 Severe acute respiratory syndrome coronavirus 2 Outbreak Prisons Public health Brazil |
| title | SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence |
| title_full | SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence |
| title_fullStr | SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence |
| title_full_unstemmed | SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence |
| title_short | SARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence |
| title_sort | sars cov 2 among inmates aged over 60 during a covid 19 outbreak in a penitentiary complex in brazil positive health outcomes despite high prevalence |
| topic | COVID-19 Severe acute respiratory syndrome coronavirus 2 Outbreak Prisons Public health Brazil |
| url | http://www.sciencedirect.com/science/article/pii/S1201971221002988 |
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