tetano
Editor, Senior Moderator
Int J Infect Dis
. 2021 Apr 9;S1201-9712(21)00298-8.
doi: 10.1016/j.ijid.2021.03.080. Online ahead of print.
SARS-CoV-2 among inmates over 60 years of age during a COVID-19 outbreak in a penitentiary complex in Brazil: positive health outcomes despite high prevalence
Fernando A Gouvea-Reis[SUP] 1 [/SUP], Lairton S Borja[SUP] 2 [/SUP], Patr?cia O Dias[SUP] 2 [/SUP], Danniely C S Silva[SUP] 2 [/SUP], Jadher Percio[SUP] 2 [/SUP], C?ssio Peterka[SUP] 3 [/SUP], Guilherme O Silva[SUP] 4 [/SUP], Raphael N P Adjuto[SUP] 4 [/SUP], Glaucia B Tavares[SUP] 4 [/SUP], Mayana B Cunha[SUP] 5 [/SUP], Claudia Feres[SUP] 4 [/SUP], Jana?na de Oliveira[SUP] 4 [/SUP], Giselle Sodr?[SUP] 4 [/SUP], Wallace Dos Santos[SUP] 4 [/SUP], Camile de Moraes[SUP] 2 [/SUP]
Affiliations
Abstract
Objectives: To assess SARS-CoV-2 prevalence and health outcomes among inmates over 60 years of age 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, with the use of antibody-detection rapid tests for asymptomatic inmates and RT-PCR for symptomatic. Those with negative results were retested on June 16. Inmates were interviewed for the characterization of background health conditions and the presence of symptoms.
Results: A total of 159 inmates were evaluated. In the first mass testing, we found that 79.9% (127/159) had been infected and 53.5% (68/127) of those reported symptoms. There were 17 new cases after the second testing, meaning 90.6% (144/159) of inmates had some positive result. Comorbidities were present in 67.3%; two hospitalizations and no COVID-related deaths were recorded.
Conclusion: More than 90% of inmates over the age of 60 were infected with SARS-CoV-2 during the outbreak. Periodic health monitoring, active case finding and early care for symptomatic patients were the main actions that contributed to positive post-infection outcomes. Such measures must be considered as essential components for the surveillance of COVID-19 in environments with limited capacity to promote social distance, such as penitentiary institutions.
Keywords: Brazil; COVID-19; outbreak; prisons; public health; severe acute respiratory syndrome coronavirus 2.
. 2021 Apr 9;S1201-9712(21)00298-8.
doi: 10.1016/j.ijid.2021.03.080. Online ahead of print.
SARS-CoV-2 among inmates over 60 years of age during a COVID-19 outbreak in a penitentiary complex in Brazil: positive health outcomes despite high prevalence
Fernando A Gouvea-Reis[SUP] 1 [/SUP], Lairton S Borja[SUP] 2 [/SUP], Patr?cia O Dias[SUP] 2 [/SUP], Danniely C S Silva[SUP] 2 [/SUP], Jadher Percio[SUP] 2 [/SUP], C?ssio Peterka[SUP] 3 [/SUP], Guilherme O Silva[SUP] 4 [/SUP], Raphael N P Adjuto[SUP] 4 [/SUP], Glaucia B Tavares[SUP] 4 [/SUP], Mayana B Cunha[SUP] 5 [/SUP], Claudia Feres[SUP] 4 [/SUP], Jana?na de Oliveira[SUP] 4 [/SUP], Giselle Sodr?[SUP] 4 [/SUP], Wallace Dos Santos[SUP] 4 [/SUP], Camile de Moraes[SUP] 2 [/SUP]
Affiliations
- PMID: 33845196
- DOI: 10.1016/j.ijid.2021.03.080
Abstract
Objectives: To assess SARS-CoV-2 prevalence and health outcomes among inmates over 60 years of age 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, with the use of antibody-detection rapid tests for asymptomatic inmates and RT-PCR for symptomatic. Those with negative results were retested on June 16. Inmates were interviewed for the characterization of background health conditions and the presence of symptoms.
Results: A total of 159 inmates were evaluated. In the first mass testing, we found that 79.9% (127/159) had been infected and 53.5% (68/127) of those reported symptoms. There were 17 new cases after the second testing, meaning 90.6% (144/159) of inmates had some positive result. Comorbidities were present in 67.3%; two hospitalizations and no COVID-related deaths were recorded.
Conclusion: More than 90% of inmates over the age of 60 were infected with SARS-CoV-2 during the outbreak. Periodic health monitoring, active case finding and early care for symptomatic patients were the main actions that contributed to positive post-infection outcomes. Such measures must be considered as essential components for the surveillance of COVID-19 in environments with limited capacity to promote social distance, such as penitentiary institutions.
Keywords: Brazil; COVID-19; outbreak; prisons; public health; severe acute respiratory syndrome coronavirus 2.