Ten Urgent Priorities Based on Lessons Learned From More Than a Half Million Known COVID-19 Cases in US Prisons
Ten Urgent Priorities Based on Lessons Learned From More Than a Half Million Known COVID-19 Cases in US Prisons
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DOI：
10.2105/ajph.2021.306221
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发表时间：
2021-06-01
影响因子：
12.7
通讯作者：
Williams, Brie
中科院分区：
文献类型：
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作者：
Barnert, Elizabeth;Kwan, Ada;Williams, Brie
COVID-19正在肆虐美国监狱。监狱居民和工作人员必须优先接种疫苗，但病毒迅速变异和持续高传播率需要紧急协调的公共卫生应对措施。根据迄今为止从疫情中积累的知识，我们确定了10个应对监狱COVID-19的紧迫公共卫生优先事项：（1）加速减少人口，同时提供社区重返支助，（2）改善监狱通风系统，（3）确保适当使用口罩，（4）限制设施之间的转移，（5）加强公共卫生部门与监狱领导层之间的伙伴关系，（6）引入或维持有效的职业健康计划，（7）确保监禁患者获得先进的护理规划流程，并划定患者的医疗保健权利，（8）加强监狱领导层与被监禁者之间的伙伴关系，（9）为监狱居民和工作人员提供紧急心理健康支持，（10）致力于公共问责制和透明度。专注的监狱领导人无法单独完成这些公共卫生优先事项。我们必须动员监狱领导人、工作人员和居民、公共卫生部门、社区倡导者和政策制定者共同努力，解决这一流行病在美国监狱中的巨大影响。
COVID-19 is ravaging US prisons. Prison residents and staff must be prioritized for vaccination, but a rapidly mutating virus and high rates of continued spread require an urgent, coordinated public health response. Based on knowledge accumulated from the pandemic thus far, we have identified 10 pressing public health priorities for responding to COVID-19 in prisons: (1) accelerate population reduction coupled with community reentry support, (2) improve prison ventilation systems, (3) ensure appropriate mask use, (4) limit transfers between facilities, (5) strengthen partnerships between public health departments and prison leadership, (6) introduce or maintain effective occupational health programs, (7) ensure access to advance care planning processes for incarcerated patients and delineation of patient health care rights, (8) strengthen partnerships between prison leadership and incarcerated people, (9) provide emergency mental health support for prison residents and staff, and (10) commit to public accountability and transparency.Dedicated prison leaders cannot accomplish these public health priorities alone. We must mobilize prison leaders, staff, and residents; public health departments; community advocates; and policymakers to work together to address the pandemic's outsized impact in US prisons.