COVID-19 community spread and consequences for prison case rates

<h4>Background</h4> COVID-19 and mass incarceration are closely intertwined with prisons having COVID-19 case rates much higher than the general population. COVID-19 has highlighted the relationship between incarceration and health, but prior work has not explored how COVID-19 spread in...

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Main Authors: Katherine LeMasters, Shabbar Ranapurwala, Morgan Maner, Kathryn M. Nowotny, Meghan Peterson, Lauren Brinkley-Rubinstein
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007382/?tool=EBI
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author Katherine LeMasters
Shabbar Ranapurwala
Morgan Maner
Kathryn M. Nowotny
Meghan Peterson
Lauren Brinkley-Rubinstein
author_facet Katherine LeMasters
Shabbar Ranapurwala
Morgan Maner
Kathryn M. Nowotny
Meghan Peterson
Lauren Brinkley-Rubinstein
author_sort Katherine LeMasters
collection DOAJ
description <h4>Background</h4> COVID-19 and mass incarceration are closely intertwined with prisons having COVID-19 case rates much higher than the general population. COVID-19 has highlighted the relationship between incarceration and health, but prior work has not explored how COVID-19 spread in communities have influenced case rates in prisons. Our objective was to understand the relationship between COVID-19 case rates in the general population and prisons located in the same county. <h4>Methods</h4> Using North Carolina’s (NC) Department of Health and Human Services data, this analysis examines all COVID-19 tests conducted in NC from June-August 2020. Using interrupted time series analysis, we assessed the relationship between substantial community spread (50/100,000 detected in the last seven days) and active COVID-19 case rates (cases detected in the past 14 days/100,000) within prisons. <h4>Results</h4> From June-August 2020, NC ordered 29,605 tests from prisons and detected 1,639 cases. The mean case rates were 215 and 427 per 100,000 in the general and incarcerated population, respectively. Once counties reached substantial COVID-19 spread, the COVID-19 prison case rate increased by 118.55 cases per 100,000 (95% CI: -3.71, 240.81). <h4>Conclusions</h4> Community COVID-19 spread contributes to COVID-19 case rates in prisons. In counties with prisons, community spread should be closely monitored. Stringent measures within prisons (e.g., vaccination) and decarceration should be prioritized to prevent COVID-19 outbreaks.
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spelling doaj.art-89ddfd9188ca45cea96652317bd422942022-12-22T02:39:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01174COVID-19 community spread and consequences for prison case ratesKatherine LeMastersShabbar RanapurwalaMorgan ManerKathryn M. NowotnyMeghan PetersonLauren Brinkley-Rubinstein<h4>Background</h4> COVID-19 and mass incarceration are closely intertwined with prisons having COVID-19 case rates much higher than the general population. COVID-19 has highlighted the relationship between incarceration and health, but prior work has not explored how COVID-19 spread in communities have influenced case rates in prisons. Our objective was to understand the relationship between COVID-19 case rates in the general population and prisons located in the same county. <h4>Methods</h4> Using North Carolina’s (NC) Department of Health and Human Services data, this analysis examines all COVID-19 tests conducted in NC from June-August 2020. Using interrupted time series analysis, we assessed the relationship between substantial community spread (50/100,000 detected in the last seven days) and active COVID-19 case rates (cases detected in the past 14 days/100,000) within prisons. <h4>Results</h4> From June-August 2020, NC ordered 29,605 tests from prisons and detected 1,639 cases. The mean case rates were 215 and 427 per 100,000 in the general and incarcerated population, respectively. Once counties reached substantial COVID-19 spread, the COVID-19 prison case rate increased by 118.55 cases per 100,000 (95% CI: -3.71, 240.81). <h4>Conclusions</h4> Community COVID-19 spread contributes to COVID-19 case rates in prisons. In counties with prisons, community spread should be closely monitored. Stringent measures within prisons (e.g., vaccination) and decarceration should be prioritized to prevent COVID-19 outbreaks.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007382/?tool=EBI
spellingShingle Katherine LeMasters
Shabbar Ranapurwala
Morgan Maner
Kathryn M. Nowotny
Meghan Peterson
Lauren Brinkley-Rubinstein
COVID-19 community spread and consequences for prison case rates
PLoS ONE
title COVID-19 community spread and consequences for prison case rates
title_full COVID-19 community spread and consequences for prison case rates
title_fullStr COVID-19 community spread and consequences for prison case rates
title_full_unstemmed COVID-19 community spread and consequences for prison case rates
title_short COVID-19 community spread and consequences for prison case rates
title_sort covid 19 community spread and consequences for prison case rates
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007382/?tool=EBI
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AT kathrynmnowotny covid19communityspreadandconsequencesforprisoncaserates
AT meghanpeterson covid19communityspreadandconsequencesforprisoncaserates
AT laurenbrinkleyrubinstein covid19communityspreadandconsequencesforprisoncaserates