SARS-CoV-2 时代城市监狱居民的动态接触网络

IF 3 3区 医学 Q2 INFECTIOUS DISEASES
Samuel M. Jenness , Karina Wallrafen-Sam , Isaac Schneider , Shanika Kennedy , Matthew J. Akiyama , Anne C. Spaulding
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引用次数: 0

摘要

背景在监狱和看守所等拘禁环境中,传染病的传播因过度拥挤和医疗条件有限等因素而加剧。这些环境中社会接触网络的具体特征尚未得到充分描述,尤其是在大规模呼吸道传染病爆发的背景下。本研究旨在量化佐治亚州亚特兰大市富尔顿县监狱内的接触网络动态。花名册包括居民详细信息、牢房位置和人口统计信息。本次分析涉及 6702 名男性囚犯,历时 140,901 人天。我们评估了网络统计数据,包括程度、混合率和解散率(在监狱内外的流动)。我们比较了两个不同时期(2022 年 1 月和 2022 年 4 月)的结果,以了解网络结构在 SARS-CoV-2 Omicron 变异高峰期间和之后的潜在反应。虽然平均程度随年龄的增长而增加,但老年居民在 Omicron 峰值期间的程度较低。街区级网络的平均程度高于小区级网络。累积度分布在 1 月到 4 月间有所增加,这表明疫情爆发后接触的增加。年龄偏好混合很强,尤其是年轻居民。结论尽管在奥密克龙疫情高峰期网络特征有所下降,但富尔顿县监狱内的接触网络仍为传染病的传播提供了理想的条件。特定年龄的混合模式表明存在无意的年龄隔离,这可能会限制疾病向年长居民的传播。这项研究强调了对囚禁环境中的接触网络进行持续监测的必要性,并为疫情建模和干预策略(包括隔离、消除人口和疫苗接种)提供了宝贵的见解,为了解此类环境中的疾病动态奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dynamic contact networks of residents of an urban jail in the era of SARS-CoV-2

Background

In custodial settings such as jails and prisons, infectious disease transmission is heightened by factors such as overcrowding and limited healthcare access. Specific features of social contact networks within these settings have not been sufficiently characterized, especially in the context of a large-scale respiratory infectious disease outbreak. The study aims to quantify contact network dynamics within the Fulton County Jail in Atlanta, Georgia.

Methods

Jail roster data were utilized to construct social contact networks. Rosters included resident details, cell locations, and demographic information. This analysis involved 6702 male residents over 140,901 person days. Network statistics, including degree, mixing, and dissolution (movement within and out of the jail) rates, were assessed. We compared outcomes for two distinct periods (January 2022 and April 2022) to understand potential responses in network structures during and after the SARS-CoV-2 Omicron variant peak.

Results

We found high cross-sectional network degree at both cell and block levels. While mean degree increased with age, older residents exhibited lower degree during the Omicron peak. Block-level networks demonstrated higher mean degrees than cell-level networks. Cumulative degree distributions increased from January to April, indicating heightened contacts after the outbreak. Assortative age mixing was strong, especially for younger residents. Dynamic network statistics illustrated increased degrees over time, emphasizing the potential for disease spread.

Conclusions

Despite some reduction in network characteristics during the Omicron peak, the contact networks within the Fulton County Jail presented ideal conditions for infectious disease transmission. Age-specific mixing patterns suggested unintentional age segregation, potentially limiting disease spread to older residents. This study underscores the necessity for ongoing monitoring of contact networks in carceral settings and provides valuable insights for epidemic modeling and intervention strategies, including quarantine, depopulation, and vaccination, laying a foundation for understanding disease dynamics in such environments.Top of Form

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来源期刊
Epidemics
Epidemics INFECTIOUS DISEASES-
CiteScore
6.00
自引率
7.90%
发文量
92
审稿时长
140 days
期刊介绍: Epidemics publishes papers on infectious disease dynamics in the broadest sense. Its scope covers both within-host dynamics of infectious agents and dynamics at the population level, particularly the interaction between the two. Areas of emphasis include: spread, transmission, persistence, implications and population dynamics of infectious diseases; population and public health as well as policy aspects of control and prevention; dynamics at the individual level; interaction with the environment, ecology and evolution of infectious diseases, as well as population genetics of infectious agents.
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