[Control of SARS-CoV-2 in prisons]

Area of Science:

• Public Health
• Infectious Disease Epidemiology
• Criminology

Background:

• Penitentiary institutions are high-risk environments for SARS-CoV-2 transmission due to limited space and suboptimal hygiene.
• The global COVID-19 pandemic highlighted the vulnerability of prison populations.

Purpose of the Study:

• To review and synthesize control and management strategies for SARS-CoV-2 infection in Spanish and international prisons.
• To identify common recommendations and discrepancies in managing COVID-19 within correctional facilities.

Main Methods:

• A systematic literature review was conducted using databases like Global Health, SCOPUS, Medline, and EMBASE.
• Keywords and Medical Subject Headings (MeSH) related to COVID-19 and prisons were utilized.
• National and international guidelines, alongside country-specific documents, were analyzed.

Main Results:

• Most industrialized nations, excluding the US in certain contexts, have successfully managed COVID-19 epidemics in prisons.
• Recommendations for control measures largely align, with minor differences noted in population screening strategies.
• Limited data exists regarding COVID-19 control in prisons within socioeconomically disadvantaged countries.

Conclusions:

• SARS-CoV-2 control in prisons necessitates adapting general public health recommendations to the unique prison environment.
• Collaboration between health and prison administrations is crucial for issuing and implementing effective strategies.
• Adherence to the Mandela Rules (Standard Minimum Rules for the Treatment of Prisoners) is essential.