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巴西圣埃斯皮里图州监狱系统中 COVID-19 感染的流行情况:被剥夺自由者和司法工作者。

Prevalence of COVID-19 infection in the prison system in Espírito Santo/Brazil: persons deprived of liberty and justice workers.

机构信息

Laboratório de Epidemiologia, Universidade Federal do Espírito Santo - Vitória (ES), Brasil.

Secretaria de Estado da Justiça do Espírito Santo - Vitória (ES), Brasil.

出版信息

Rev Bras Epidemiol. 2021 Dec 1;24:e210053. doi: 10.1590/1980-549720210053. eCollection 2021 Sep 1.

Abstract

OBJECTIVE

To present a prevalence study held in prisons and estimate the percentage of persons deprived of liberty, health professionals, and prison officers infected with SARS-CoV-2 in Espírito Santo (ES).

METHODS

This is a prevalence study with a sample from 34 ES prisons, stratified between August 31 and September 4, 2020, following the Population-based age-stratified seroepidemiological investigation protocol for COVID-19 virus infection. The participants were interviewed and underwent rapid tests to detect immunoglobulin G and M in the groups mentioned.

RESULTS

Among 1,830 individuals (311 health professionals, 675 prison officers, and 844 persons deprived of liberty - PDL), the prevalence of COVID-19 infection was 11.89% for health professionals, 22.07% for prison officers, and 31.64% for PDL. Most interviewees were male, aged 21 to 40 years, had completed elementary school and higher education, were multiracial, and situated in the Metropolitan area of Vitória.

CONCLUSION

The prevalence was higher among persons deprived of liberty in the closed regime in all regions, as well as prison officers working in the semi-open regime, particularly in the North region. As for the comparison between regimes and regions, differences were identified between PDL groups with positive test results. Effectively combating COVID-19 within the prison system requires prison release actions, testing, and mass vaccination, as well as other health actions.

摘要

目的

介绍一项在监狱中进行的患病率研究,并估计巴西圣埃斯皮里图州(ES)被剥夺自由者、卫生专业人员和监狱官员中感染 SARS-CoV-2 的人数比例。

方法

这是一项患病率研究,样本来自 ES 的 34 所监狱,于 2020 年 8 月 31 日至 9 月 4 日分层,采用基于人群的分层年龄血清流行病学调查方案来检测 COVID-19 病毒感染。对参与者进行访谈并进行快速检测,以检测上述各组的免疫球蛋白 G 和 M。

结果

在 1830 名个体(311 名卫生专业人员、675 名监狱官员和 844 名被剥夺自由者[PDL])中,卫生专业人员的 COVID-19 感染患病率为 11.89%,监狱官员为 22.07%,PDL 为 31.64%。大多数受访者为男性,年龄在 21 至 40 岁之间,完成了小学和高等教育,属于多种族,位于维多利亚大都市区。

结论

在所有地区的封闭制度中,被剥夺自由者的患病率更高,在半开放制度中工作的监狱官员的患病率更高,特别是在北部地区。关于制度和地区之间的比较,阳性检测结果的 PDL 组之间存在差异。要在监狱系统内有效控制 COVID-19,需要采取监狱释放行动、检测和大规模疫苗接种以及其他卫生行动。

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