National Center for Epidemiology, Institute of Health Carlos III, Madrid, Spain; CIBER Thematic Area of Infectious Diseases (CIBERINFEC), Madrid, Spain.
General Subdirectorate of Penitentiary Health, General Secretariat of Penitentiary Institutions, Madrid, Spain.
Public Health. 2023 May;218:45-52. doi: 10.1016/j.puhe.2023.02.013. Epub 2023 Feb 22.
Our aim was to describe the epidemiological characteristics of COVID-19 cases in prison inmates in Spain and the control measures implemented to response to this public health challenge.
Retrospective observational study.
All COVID-19-confirmed cases reported to the Spanish information system in prisons between March 2020 and June 2022 were analyzed. Prevention plans and protocols established by penitentiary and health authorities were reviewed. Likewise, information on vaccines administered to prison inmates was described.
A total of 8500 COVID-19 cases were reported to penitentiary public health surveillance. The overall cumulative incidence (CI) was 2054.18 cases per 10,000 inmate population. By epidemic periods, the average weekly CI was 1.15 per 10,000 inmate population during the first period, 6.91 during the second, 25.18 during the third, 3.53 during the fourth, 23.27 during the fifth, 34.72 during the sixth and 25.68 during the seventh period. The median age of cases was 49.2 years, 69.1% was born in Spain, 64.1% was asymptomatic and 16 cases died. Ninety-four percent were vaccinated. Control measures such as lockdown, suspending visitation rights and confining inmates in their cells were adopted at the beginning of the pandemic. These measures changed in accordance with the COVID-19 situation in the general population with a view to restoring the inmates' rights.
The COVID-19 pandemic has had a moderate incidence in Spanish prisons. Hospitalization and CFR were lower than the general population. The control measures adopted against COVID-19 have contributed to preventing and controlling the number of cases in prisons.
本研究旨在描述西班牙监狱囚犯中 COVID-19 病例的流行病学特征，以及为应对这一公共卫生挑战而采取的控制措施。
回顾性观察性研究。
分析了 2020 年 3 月至 2022 年 6 月期间向西班牙监狱信息系统报告的所有 COVID-19 确诊病例。审查了监狱和卫生当局制定的预防计划和方案。同样，还描述了向监狱囚犯接种的疫苗信息。
向监狱公共卫生监测报告了 8500 例 COVID-19 病例。囚犯人群的总累积发病率（CI）为每 10000 名囚犯 2054.18 例。按流行期划分，第一期平均每周 CI 为每 10000 名囚犯 1.15 例，第二期为 6.91 例，第三期为 25.18 例，第四期为 3.53 例，第五期为 23.27 例，第六期为 34.72 例，第七期为 25.68 例。病例的中位年龄为 49.2 岁，69.1%出生于西班牙，64.1%无症状，16 例死亡。94%的人接种了疫苗。大流行初期，采取了封锁、暂停探视权和将囚犯禁闭在牢房等控制措施。这些措施根据一般人群中的 COVID-19 情况进行了调整，旨在恢复囚犯的权利。
COVID-19 大流行在西班牙监狱中的发病率适中。住院率和病死率均低于一般人群。针对 COVID-19 采取的控制措施有助于预防和控制监狱中的病例数量。
