Norbert Wiener Private University. Lima. Perú.
National Prison Institute of Peru Peru.
Rev Esp Sanid Penit. 2022 Jan-Apr;24(1):15-22. doi: 10.18176/resp.00045.
To describe the clinical and epidemiological characteristics of inmates who were infected and died from COVID-19 in Peruvian prisons from April to October 2020.
Descriptive, cross-sectional, retrospective study with a secondary data source. All the inmates who were infected and died from COVID-19 in Peruvian prisons during the study period were considered. The information was collected through the validated data collection sheet and was analyzed with descriptive statistics applying the SPSS v26 software.
37,103 (42.3%) inmates were analyzed out of a prison population of 87,754. All of them reactive to the rapid test, with a mean age of 39.9 ± 12.6 years; 95.5% were male. 60.1% were IgG reactive; 36.1% were IgM/IgG reactive and 3.8% were IgM reactive. 20.1% of reactive inmates had COVID-19 symptoms at the time of testing. The most frequent symptoms were headache (55.6%), general malaise (49.7%), fever (49.0%) and cough (48.0%). Among the risk factors for COVID-19 were: age over 60 years (8.4%), high blood pressure (2.8%) and diabetes mellitus (2.4%). 445 deaths were registered. Total fatality reached 1.2% of the number of infected. The highest number of deaths was recorded in April and May (89 and 162, respectively).
The study findings imply different approaches to managing epidemics in the prison context compared to the general population. The short and long term scenarios are uncertain, but the need to reorganize the prison health system, and to prioritise and modernise it are evident. The long-delayed reform of the prison system and the measures that set out to contain the spread of the COVID-19 disease in prisons are related processes in this regard.
描述 2020 年 4 月至 10 月期间秘鲁监狱中感染 COVID-19 并死亡的囚犯的临床和流行病学特征。
这是一项描述性、横断面、回顾性研究，使用了二级数据源。研究期间，所有在秘鲁监狱中感染 COVID-19 并死亡的囚犯均被视为研究对象。通过经过验证的数据收集表收集信息，并使用 SPSS v26 软件进行描述性统计分析。
在所分析的 87754 名囚犯中，有 37103 名（42.3%）囚犯对快速检测呈反应性，平均年龄为 39.9 ± 12.6 岁；95.5%为男性。60.1%的人 IgG 呈反应性；36.1%的人 IgM/IgG 呈反应性，3.8%的人 IgM 呈反应性。在接受检测时，20.1%的反应性囚犯出现 COVID-19 症状。最常见的症状是头痛（55.6%）、全身不适（49.7%）、发热（49.0%）和咳嗽（48.0%）。COVID-19 的危险因素包括：年龄超过 60 岁（8.4%）、高血压（2.8%）和糖尿病（2.4%）。共登记 445 例死亡。总病死率达到感染人数的 1.2%。死亡人数最多的是 4 月和 5 月（分别为 89 例和 162 例）。
研究结果表明，在监狱环境中管理传染病需要采取与一般人群不同的方法。短期和长期情况尚不确定，但显然需要重组监狱卫生系统，并优先考虑和现代化该系统。监狱系统的长期拖延改革以及为遏制 COVID-19 在监狱中的传播而采取的措施在这方面是相关的过程。
