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Published on: May 15, 2020
COVID-19 Case Rates After Surveillance and Vaccinations in a Statewide Psychiatric Hospital System.
Thomas E Smith1, Ian T Rodgers1, Daniel J Silverman1
1Thomas E. Smith, Ian T. Rodgers, Mark Olfson, Lisa B. Dixon, and Melanie M. Wall are with the New York State Psychiatric Institute, New York, NY. Daniel J. Silverman and Sally R. Dreslin are with the New York State Office of Mental Health, Albany, NY.
Implementing rapid testing, vaccination, and quarantine in New York psychiatric hospitals significantly reduced COVID-19 infections among patients and staff. These public health interventions are crucial for protecting vulnerable populations in mental health facilities.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Mental Health Services
Background:
- Individuals with serious mental illness (SMI) face heightened vulnerability to COVID-19.
- Psychiatric hospitals require targeted strategies to mitigate viral transmission.
- The COVID-19 pandemic posed a significant risk to institutionalized populations.
Purpose of the Study:
- To evaluate the effectiveness of public health interventions in reducing COVID-19 spread within New York State psychiatric hospitals.
- To assess the impact of rapid testing, quarantine, and vaccination on infection rates in inpatients and staff.
- To provide evidence for prioritizing these interventions in similar healthcare settings.
Main Methods:
- Implementation of rapid COVID-19 testing for patients and staff.
- Mandatory quarantine protocols for exposed individuals.
- Rollout of vaccination programs for eligible patients and staff.
- Monitoring of infection rates from November 2020 to February 2021.
Main Results:
- A 96% decrease in COVID-19 infection rates among inpatients.
- A 71% decrease in COVID-19 infection rates among staff.
- A 6% decrease in the overall New York State population case rate during the study period.
Conclusions:
- Rapid testing, quarantine, and vaccination are highly effective in controlling COVID-19 outbreaks in psychiatric hospitals.
- These interventions should be prioritized to protect vulnerable individuals in state-operated mental health facilities.
- Successful implementation demonstrates the feasibility and impact of comprehensive infection control measures.
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