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

项目摘要 聚集场所，如大型城市监狱，受到COVID的严重影响。虽然预防 医院的策略可以实施，但在预防内部传播方面存在独特的挑战。 监狱需要额外的关注。我们这个补充的主要目标是模拟感染预防 和缓解新冠肺炎的策略。具体来说，我们将测试已经被 在监狱雇用（1）进入监狱，（2）在监禁期间，（3）在释放时，以衡量 影响，并预测COIVID在监狱中的下游影响。我们亦会研究 COVID在监狱中的传播对社区感染负担的影响。采用的一项主要战略 在全国范围内减少监狱内的蔓延是为了鼓励释放低风险，非暴力罪犯。 然而，这种干预对社区的下游影响尚不清楚，因此必须研究 可能需要采取哪些中间步骤，即“逐步减少”的隔离期。考虑到监狱的核心作用 假设在传播MRSA传播到高贫困，市中心社区，我们的 研究COVID的建议具有重要意义