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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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	COVID-19 Severe acute respiratory syndrome coronavirus 2 Outbreak Prisons Public health Brazil Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/7482229b94aa422a854a565b51d0a2c4
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spelling	oai:doaj.org-article:7482229b94aa422a854a565b51d0a2c42021-11-06T04:21:32ZSARS-CoV-2 among inmates aged over 60 during a COVID-19 outbreak in a penitentiary complex in Brazil: Positive health outcomes despite high prevalence1201-971210.1016/j.ijid.2021.03.080https://doaj.org/article/7482229b94aa422a854a565b51d0a2c42021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221002988https://doaj.org/toc/1201-9712Objectives: 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.Fernando A. Gouvea-ReisLairton S. BorjaPatrícia O. DiasDanniely C.S. SilvaJadher PercioCássio PeterkaGuilherme O. SilvaRaphael N.P. AdjutoGlaucia B. TavaresMayana B. CunhaClaudia FeresJanaína de OliveiraGiselle SodréWallace dos SantosCamile de MoraesElsevierarticleCOVID-19Severe acute respiratory syndrome coronavirus 2OutbreakPrisonsPublic healthBrazilInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 110, Iss , Pp S25-S27 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 Severe acute respiratory syndrome coronavirus 2 Outbreak Prisons Public health Brazil Infectious and parasitic diseases RC109-216
spellingShingle	COVID-19 Severe acute respiratory syndrome coronavirus 2 Outbreak Prisons Public health Brazil Infectious and parasitic diseases RC109-216 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
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.
format	article
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
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_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_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_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
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/7482229b94aa422a854a565b51d0a2c4
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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

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