MMWR Morb Mortal Wkly Rep. 2021 Apr 23;70(16):589-594. doi: 10.15585/mmwr.mm7016a3.
As of April 16, 2021, U.S. correctional and detention facilities reported 399,631 cases of COVID-19 in incarcerated persons, resulting in 2,574 deaths (1). During July 14-November 30, 2020, COVID-19 was diagnosed in 382 persons incarcerated in Idaho correctional facilities with work-release programs. Work-release programs (which place incarcerated persons in community businesses) have social and economic benefits, but might put participants at increased risk for bidirectional transmission of SARS-CoV-2, the virus that causes COVID-19. The Idaho Department of Correction (IDOC) operates 13 state-run correctional facilities, including six low-security facilities dedicated to work-release programs. This report describes COVID-19 outbreaks in five IDOC facilities with work-release programs,* provides the mitigation strategies that IDOC implemented, and describes the collaborative public health response. As of November 30, 2020, 382 outbreak-related COVID-19 cases were identified among incarcerated persons in five Idaho correctional facilities with work-release programs; two outbreaks were linked to food processing plants. Mitigation strategies that helped to control outbreaks in IDOC facilities with work-release programs included isolation of persons with COVID-19, identification and quarantine of close contacts, mass testing of incarcerated persons and staff members, and temporary suspension of work-release programs. Implementation of public health recommendations for correctional and detention facilities with work-release programs, including mass testing and identification of high-risk work sites, can help mitigate SARS-CoV-2 outbreaks. Incarcerated persons participating in work-release should be included in COVID-19 vaccination plans.
截至 2021 年 4 月 16 日,美国惩教和拘留设施报告了 399631 例囚犯感染 COVID-19,导致 2574 人死亡(1)。2020 年 7 月 14 日至 11 月 30 日,在爱达荷州有工作释放计划的惩教设施中,有 382 名被监禁的人被诊断出患有 COVID-19。工作释放计划(将囚犯置于社区企业中)具有社会和经济效益,但可能使参与者面临 SARS-CoV-2 双向传播的风险增加,SARS-CoV-2 是导致 COVID-19 的病毒。爱达荷州惩教部(IDOC)运营着 13 所州立惩教设施,其中包括 6 所专门从事工作释放计划的低安全设施。本报告描述了五个有工作释放计划的 IDOC 设施中的 COVID-19 疫情爆发情况,提供了 IDOC 实施的缓解策略,并描述了协作性公共卫生应对措施。截至 2020 年 11 月 30 日,在爱达荷州有工作释放计划的五个惩教设施中,有 382 例与疫情相关的 COVID-19 病例被确认为被监禁者;两起疫情与食品加工厂有关。有助于控制 IDOC 有工作释放计划的设施中疫情爆发的缓解策略包括对 COVID-19 患者进行隔离,确定并隔离密切接触者,对囚犯和工作人员进行大规模检测,以及临时暂停工作释放计划。对有工作释放计划的惩教和拘留设施实施公共卫生建议,包括大规模检测和确定高风险工作场所,可以帮助控制 SARS-CoV-2 疫情爆发。参与工作释放的囚犯应被纳入 COVID-19 疫苗接种计划。