Tuberculosis Outbreak in a State Prison System — Washington, 2021–2022

Stalter, Randy M; Pecha, Monica; Dov, Lana; Miller, D. H.; Ghazal, Zainab; Wortham, Jonathan M.; Althomsons, Sandy; Deutsch-Feldman, Molly; Stewart, Rebekah J; Felix, Derrick; Hsu, Sophia; Strick, Lara

doi:10.15585/mmwr.mm7212a3

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Higher proportions of TB cases among persons experiencing homelessness or residing in correctional or long-term care facilities might be partially explained by transmission events in congregate settings. For example, gaps in TB infection control practices when resources were diverted to COVID-19 prevention and control efforts likely led to a TB outbreak in at least one state’s prison system during 2021–2022 ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis — United States, 2022

Schildknecht¹,

Pratt²,

Feng³

et al. 2023

MMWR Morb. Mortal. Wkly. Rep.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis — United States, 2022

Schildknecht¹,

Pratt²,

Feng³

et al. 2023

MMWR Morb. Mortal. Wkly. Rep.

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“…In late 2021, staffing shortages, challenges with TB diagnosis, especially amid a concurrent respiratory disease outbreak, and delayed annual TB screenings contributed to a TB outbreak within WADOC, the state’s largest TB outbreak in 20 years. Details about the TB outbreak and Centers for Disease Control and Prevention (CDC) on-site assistance are described elsewhere ( 2 ). Building on years of partnership and trust between WADOC and WADOH before and during the COVID-19 pandemic, the agencies adapted approaches from the COVID-19 outbreak response to strengthen the TB outbreak response.…”

mentioning

confidence: 99%

Lessons Learned from Public Health and State Prison Collaborations during COVID-19 Pandemic and Multifacility Tuberculosis Outbreak, Washington, USA

Gurrey,

Strick,

Dov

et al. 2024

Emerg. Infect. Dis.

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The large COVID-19 outbreaks in prisons in the Washington (USA) State Department of Corrections (WADOC) system during 2020 highlighted the need for a new public health approach to prevent and control COVID-19 transmission in the system’s 12 facilities. WADOC and the Washington State Department of Health (WADOH) responded by strengthening partnerships through dedicated corrections-focused public health staff, improving cross-agency outbreak response coordination, implementing and developing corrections-specific public health guidance, and establishing collaborative data systems. The preexisting partnerships and trust between WADOC and WADOH, strengthened during the COVID-19 response, laid the foundation for a collaborative response during late 2021 to the largest tuberculosis outbreak in Washington State in the past 20 years. We describe challenges of a multiagency collaboration during 2 outbreak responses, as well as approaches to address those challenges, and share lessons learned for future communicable disease outbreak responses in correctional settings.

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Infection Prevention and Control in Correctional Settings

Kendig,

Bur,

Zaslavsky

2024

Emerg. Infect. Dis.

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Correctional facilities house millions of residents in communities throughout the United States. Such congregate settings are critical for national infection prevention and control (IPC) efforts. Carceral settings can be sites where infectious diseases are detected in patient populations who may not otherwise have access to health care services, and as highlighted by the COVID-19 pandemic, where outbreaks of infectious diseases may result in spread to residents, correctional staff, and the community at large. Correctional IPC, while sharing commonalities with IPC in other settings, is unique programmatically and operationally. In this article, we identify common challenges with correctional IPC program implementation and recommend action steps for advancing correctional IPC as a national public health priority.

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Tuberculosis Outbreak in a State Prison System — Washington, 2021–2022

Cited by 3 publications

References 6 publications

Tuberculosis — United States, 2022

Tuberculosis — United States, 2022

Lessons Learned from Public Health and State Prison Collaborations during COVID-19 Pandemic and Multifacility Tuberculosis Outbreak, Washington, USA

Infection Prevention and Control in Correctional Settings

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