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COVID-19 pandemic in prison: prevention strategies in a state of the Legal Amazon

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Summary:Context: Brazil has the third largest prison population in the world, with 773,000 people incarcerated, according to the Federal Government.  Objective: To present prevention strategies in a Regional Penal Unit (UPR) in the State of Tocantins. Methodology: This is a cross-sectional study, carried out in the database and internal flows for control measures of COVID-19 in the institution, in the period between March 2020 and January 2022. Results: The study shows a reduction of prisoners in the period studied with the lowest prevalence in 2021 (634; ± 45.85%).  The prison population of the study has a young profile (n=328; 50.0%), black or brown (n=517; 79.0%), poor (n=318; 57.0%) and with low schooling (n=355; 53.0%). Therefore, care flows were elaborated and standardized for greater objectivity and promptness in maintaining the health of the Freedom Deprived and the servants in the UPR.  Conclusion: Prisons are prone to a high risk of transmission of Covid-19, in view of their space limitations and precarious environmental and hygienic conditions. The recommendations for the control and management of SARS-CoV-2 infection should consider some peculiarities of the prison, such as: identification of symptomatic, serial testing of shared housing contacts and immediate isolation. Finally, the elaboration of educational/informative materials, as well as the standardization of care flows, is fundamental for a better resolution in the face of a new and complex situation.
Main Authors:Sabino-de-Lima , Thiago Oliveira
Other Authors:Barasuol , Aldair Martins; Maciel, Erika da Silva; Paro, Marcelo Laurito; Quaresma , Fernando Rodrigues Peixoto
Subject:Educação em Saúde Covid-19 Direito sanitário. Educación en Salud Covid-19 Derecho sanitario. Health Education Covid-19 Health law.
Year:2022
Country:Brazil
Document type:article
Access type:unknown
Associated institution:IBICT
Language:Portuguese
Origin:Oasisbr
Description
Summary:Context: Brazil has the third largest prison population in the world, with 773,000 people incarcerated, according to the Federal Government.  Objective: To present prevention strategies in a Regional Penal Unit (UPR) in the State of Tocantins. Methodology: This is a cross-sectional study, carried out in the database and internal flows for control measures of COVID-19 in the institution, in the period between March 2020 and January 2022. Results: The study shows a reduction of prisoners in the period studied with the lowest prevalence in 2021 (634; ± 45.85%).  The prison population of the study has a young profile (n=328; 50.0%), black or brown (n=517; 79.0%), poor (n=318; 57.0%) and with low schooling (n=355; 53.0%). Therefore, care flows were elaborated and standardized for greater objectivity and promptness in maintaining the health of the Freedom Deprived and the servants in the UPR.  Conclusion: Prisons are prone to a high risk of transmission of Covid-19, in view of their space limitations and precarious environmental and hygienic conditions. The recommendations for the control and management of SARS-CoV-2 infection should consider some peculiarities of the prison, such as: identification of symptomatic, serial testing of shared housing contacts and immediate isolation. Finally, the elaboration of educational/informative materials, as well as the standardization of care flows, is fundamental for a better resolution in the face of a new and complex situation.

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