Rapid Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 in Detention Facility, Louisiana, USA, May-June, 2020.

Abstract:

:To assess transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a detention facility experiencing a coronavirus disease outbreak and evaluate testing strategies, we conducted a prospective cohort investigation in a facility in Louisiana, USA. We conducted SARS-CoV-2 testing for detained persons in 6 quarantined dormitories at various time points. Of 143 persons, 53 were positive at the initial test, and an additional 58 persons were positive at later time points (cumulative incidence 78%). In 1 dormitory, all 45 detained persons initially were negative; 18 days later, 40 (89%) were positive. Among persons who were SARS-CoV-2 positive, 47% (52/111) were asymptomatic at the time of specimen collection; 14 had replication-competent virus isolated. Serial SARS-CoV-2 testing might help interrupt transmission through medical isolation and quarantine. Testing in correctional and detention facilities will be most effective when initiated early in an outbreak, inclusive of all exposed persons, and paired with infection prevention and control.

journal_name

Emerg Infect Dis

authors

Wallace M,James AE,Silver R,Koh M,Tobolowsky FA,Simonson S,Gold JAW,Fukunaga R,Njuguna H,Bordelon K,Wortham J,Coughlin M,Harcourt JL,Tamin A,Whitaker B,Thornburg NJ,Tao Y,Queen K,Uehara A,Paden CR,Zhang J,Tong S

doi

10.3201/eid2702.204158

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

421-429

issue

2

eissn

1080-6040

issn

1080-6059

journal_volume

27

pub_type

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