Summary of recommendations for managing infectious outbreaks in prison
Recommendation | TB | Influenza | Measles, mumps, varicella | Adenovirus | COVID-19 (hypothetical impact) |
Interagency collaboration | ++ | * | * | * | ++ |
Health communication | ++ | * | * | * | ++ |
Screening for contagious diseases | |||||
Symptoms | + | + | – | + | + (Marginal) |
Diagnostic | + | + | + | * | + |
Immune status | – | – | ++ | – | Unclear |
Restrictions, isolation and quarantine | ++ | + | ++ | + | ++ |
Contact tracing | ++ | – | + | + | ++ |
Immunisation programmes | – | + | ++ | – | – |
Epidemiological surveillance | ++ | ++ | ++ | – | ++ |
Prison-specific guidelines | + | + | + | + | + |
Appropriate treatment | ++ | +/- | – | – | – |
-No current potential impact; +limited impact; ++likely impact; *data inadequate to formulate robust recommendation. All recommendations with the exception of the COVID-19 ones are based on the literature identified from the review. COVID-19 recommendations stem from consensus based on considering general literature on COVID-19 and one included study.70 BJ and JF reviewed this literature, considered its applicability, and formulated the recommendations jointly.
TB, tuberculosis.