背景:全球有超过1100万人被监禁,在监护环境中预防和控制COVID-19是公共卫生应对措施的重要组成部分。考虑到在这些环境中快速传播的风险,重要的是要知道在大流行的早期阶段有什么指导来应对COVID-19。我们试图识别,整理,并总结2020年前六个月在监护环境中预防和控制COVID-19的指导。我们对同行评审和灰色文献进行了系统的搜索,并手动搜索相关网站,以识别截至2020年6月30日的出版物,概述在监护环境中预防和/或控制COVID-19的建议。我们归纳地开发了一个编码框架,并使用传统的内容分析评估了建议。
结果:我们确定了201个合格出版物,包含19个领域的374个独特建议,包括:准备;物理环境;案例识别,筛选,和管理;沟通;外部访问和访问;心理和情感支持;娱乐,legal,和卫生服务适应;脱节;释放和社区重返社会;劳动力后勤;监测和信息共享;独立监测;补偿措施;解除控制措施;评估;和关键人群/环境。我们发现了一些相互矛盾的建议。
结论:本审查中确定的建议的广度反映了COVID-19在监护环境中反应的复杂性。尽管在大流行早期有全面的指导,在全球执行建议的预防和控制措施方面仍然存在重要差距,在有证据评估其减少COVID-19疾病的有效性的情况下,对被拘留者和工作人员的影响,和执行。
BACKGROUND: With over 11 million people incarcerated globally, prevention and control of COVID-19 in custodial settings is a critical component of the public health response. Given the risk of rapid transmission in these settings, it is important to know what guidance existed for responding to COVID-19 in the early stages of the pandemic. We sought to identify, collate, and summarise guidance for the prevention and control of COVID-19 in custodial settings in the first six months of 2020. We conducted a systematic search of peer-reviewed and grey literature, and manually searched relevant websites to identify publications up to 30 June 2020 outlining recommendations to prevent and/or control COVID-19 in custodial settings. We inductively developed a coding framework and assessed recommendations using conventional content analysis.
RESULTS: We identified 201 eligible publications containing 374 unique recommendations across 19 domains including: preparedness; physical environments; case identification, screening, and management; communication; external access and visitation; psychological and emotional support; recreation, legal, and health service adaptation; decarceration; release and community reintegration; workforce logistics; surveillance and information sharing; independent monitoring; compensatory measures; lifting control measures; evaluation; and key populations/settings. We identified few conflicting recommendations.
CONCLUSIONS: The breadth of recommendations identified in this review reflects the complexity of COVID-19 response in custodial settings. Despite the availability of comprehensive guidance early in the pandemic, important gaps remain in the implementation of recommended prevention and control measures globally, and in the availability of evidence assessing their effectiveness on reducing COVID-19 disease, impact on people in custody and staff, and implementation.