Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA; Duke Center for Childhood Obesity Research, Duke University, Durham, NC, USA.
Public Health. 2024 Jul;232:82-85. doi: 10.1016/j.puhe.2024.04.013. Epub 2024 May 14.
In this study, we describe community-based nonpharmaceutical interventions (NPIs) incorporated into COVID-19 mitigation protocols, and SARS-CoV-2 incidence at five faith-based summer camps in the US.
Retrospective cohort study.
Six southeastern states within the United States (13 sites) were assessed from May 30 to August 14, 2021 (13 sites; N = 13,132; May-August 2021). Camp mitigation policies and NPIs (including masking, vaccinations, meal arrangements, physical distancing, pre-arrival testing, symptom screening, quarantine/isolation, and ventilation upgrades), and SARS-CoV-2 infections were tracked at each site.
The symptomatic primary case attack rate was 24.7 (range: 0.0-120.0) cases per 100,000 people per week. Fewer infections were observed in camps with greater mitigation protocols.
These findings suggest that nonpharmaceutical mitigation can promote stable access to youth programs for historically vaccine-hesitant subgroups. Policy recommendations for nonpharmaceutical interventions to prevent respiratory viral transmission in overnight youth faith-based camp settings may include outdoor activities, accessible symptomatic tests, prearrival testing, indoor mask use, small cohorts, physical distancing, and protocols to minimize staff exposures during time off.
本研究描述了纳入 COVID-19 缓解方案中的基于社区的非药物干预(NPIs),以及美国五个信仰类夏令营中 SARS-CoV-2 的发病率。
回顾性队列研究。
2021 年 5 月 30 日至 8 月 14 日,对美国东南部的六个州(13 个地点)进行了评估(13 个地点;N=13132;2021 年 5 月至 8 月)。对每个地点的营地缓解政策和 NPIs(包括口罩、疫苗接种、膳食安排、身体距离、出发前检测、症状筛查、检疫/隔离和通风升级)以及 SARS-CoV-2 感染情况进行了跟踪。
有症状的主要病例发病率为每 10 万人每周 24.7(范围:0.0-120.0)例。具有更大缓解方案的营地感染人数较少。
这些发现表明,非药物缓解措施可以促进对历史上对疫苗持怀疑态度的亚组稳定获得青年项目。防止夜间青年信仰类营地呼吸道病毒传播的非药物干预政策建议可能包括户外活动、可及的有症状检测、出发前检测、室内戴口罩、小群体、身体距离以及减少员工在休息时间暴露的协议。