Mitigating COVID-19 transmission in U.S. jails

减少美国监狱中的 COVID-19 传播

• 批准号: 10356361
• 负责人: Kyle Jeanne Popovich
• 金额: $ 2.14万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-27 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10356361
• 关键词: Access to Information; Accounting; Address; Adherence; Administrative Supplement; Admission activity; Age; Amplifiers; Attention; Award; COVID-19; Characteristics; Communities; Country; County; Crowding; Data; Data Set; Databases; Decision Making; Discharge Plannings; Epidemic; Event; Family; Future; Genomics; Health; Hospitals; Imprisonment; Individual; Infection; Infection Control; Infection prevention; Influenza; Infrastructure; Intake; Intervention; Jail; Lead; Modeling; Movement; Natural History; Neighborhoods; Output; Parents; Play; Poverty; Prevalence; Prevention strategy; Prisons; Public Health; Publishing; Quarantine; Readiness; Research; Resources; Risk; Role; SARS-CoV-2 transmission; Safety; Seasons; Serology; Study models; Symptoms; Testing; Time; Viral; acquired immunity; base; community intervention; community transmission; cooking; coronavirus disease; density; falls; housing instability; infection burden; inner city; methicillin resistant Staphylococcus aureus; offender; pandemic disease; pathogen; pathogenic virus; personal protective equipment; prevent; recidivism; respiratory pathogen; screening; tool; transmission process

Project Summary Congregate settings, such as large urban jails, have been significantly impacted by COVID. While prevention strategies from hospitals can be implemented, there are unique challenges to preventing transmission within jails that warrant additional attention. Our primary objective of this supplement is to model infection prevention and mitigations strategies for COVID in a large urban jail. Specifically, we will test strategies that have been employed at the jail at (1) admission to the jail, (2) during incarceration, and (3) at discharge to gauge the impact each strategy has had and to forecast downstream impact of COIVID in jails. We will also examine the impact of COVID spread in jails on the burden of infection in the community. One major strategy employed across the country to reduce spread within jails is to encourage release of low-risk, nonviolent offenders. However, the downstream impact in the community of this intervention is unknown and it is critical to examine what intermediate steps may be necessary, i.e. a ‘step-down’ quarantine period. Given the central role the jail is hypothesized to play in propagating the spread of MRSA to high-poverty, inner-city neighborhoods, our proposal to examine COVID has significant

项目概要 大型城市监狱等聚集场所受到新冠疫情的严重影响。预防的同时 医院的策略可以实施，但防止内部传播存在独特的挑战 值得额外关注的监狱。我们此补充的主要目的是模拟感染预防 以及大型城市监狱中新冠疫情的缓解策略。具体来说，我们将测试已经制定的策略 在 (1) 入狱时、(2) 监禁期间和 (3) 出狱时在监狱工作，以衡量 每个策略产生的影响并预测 COIVID 对监狱的下游影响。我们还将检查 新冠病毒在监狱中的传播对社区感染负担的影响。采用一项主要策略 在全国范围内减少监狱内的传播是为了鼓励释放低风险、非暴力罪犯。 然而，这种干预措施对社区的下游影响尚不清楚，检查这一点至关重要 可能需要采取哪些中间步骤，即“逐步下降”的隔离期。鉴于监狱的核心作用 假设它在将 MRSA 传播到高度贫困的市中心社区方面发挥了作用，我们的 检查新冠病毒的提议具有重大意义