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通过普遍检测在无症状人群中发现的与惩教设施暴发相关的 COVID-19 病例:佛蒙特州,2020 年。

Correctional-Facility-Outbreak-Associated COVID-19 Cases Among Asymptomatic Persons Identified Through Universal Testing: Vermont, 2020.

机构信息

Vermont Department of Health, Burlington, Vermont, USA.

Epidemic Intelligence Service, Center for Surveillance, Epidemiology and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

出版信息

J Correct Health Care. 2022 Jun;28(3):155-163. doi: 10.1089/jchc.20.10.0093. Epub 2022 Mar 9.

Abstract

On April 6, 2020, a confirmed COVID-19 case in a correctional facility employee (Staff A) was reported to the Vermont Department of Health (VDH). Staff A worked in the facility while symptomatic, without reporting symptoms, for 10 days. VDH and the facility conducted two facility-wide testing events, implemented symptom monitoring, and initiated contact tracing. All 197 incarcerated persons and 115 (71%) staff were tested for SARS-CoV-2; 45 (23%) incarcerated persons and 17 (10%) staff had positive results (confirmed case), of whom 37 (82%) incarcerated persons and 1 (6%) staff had asymptomatic infections. Case detection enabled isolation of incarcerated persons and staff, work exclusion of staff with COVID-19, and quarantine of staff and incarcerated persons who had close contact with persons with COVID-19. Broad-based SARS-CoV-2 testing identified more cases than symptom monitoring.

摘要

2020 年 4 月 6 日,佛蒙特州卫生部(VDH)报告了一起惩教设施员工(员工 A)确诊的 COVID-19 病例。员工 A 在出现症状时没有报告症状,在设施中工作了 10 天。VDH 和该设施进行了两次全设施检测活动,实施了症状监测,并启动了接触者追踪。对 197 名被监禁者和 115 名(71%)工作人员进行了 SARS-CoV-2 检测;45 名被监禁者和 17 名(10%)工作人员的检测结果呈阳性(确诊病例),其中 37 名被监禁者和 1 名(6%)工作人员无症状感染。病例检测使被监禁者和工作人员得到了隔离,有 COVID-19 症状的工作人员被排除工作,与 COVID-19 患者有密切接触的工作人员和被监禁者被隔离。基于广泛的 SARS-CoV-2 检测发现了比症状监测更多的病例。

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