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The Implementation of CDC COVID-19 Recommendations for Testing, Isolation, Quarantine and Movement at Emergency
Nirma D Bustamante1, Erin Sauber-Schatz2, Deborah Lee2
1Centers for Disease Control and Prevention (CDC), 1600 Clifton Rd, Atlanta, GA, 30329, USA. okl6@cdc.gov.
Insights
The COVID-19 Zone Plan (ZP) potentially reduced virus transmission in Emergency Intake Sites (EIS) for Unaccompanied Children. Smaller facilities may be better during health crises.
Area of Science:
- Public Health
- Epidemiology
- Emergency Management
Background:
- Emergency Intake Sites (EIS) were established in March 2021 to manage a surge of Unaccompanied Children at the US-Mexico border.
- The COVID-19 Zone Plan (ZP) was implemented to mitigate virus transmission within these facilities.
Purpose of the Study:
- To analyze the impact of the ZP on COVID-19 positivity rates.
- To evaluate the influence of venue type and bed capacity on transmission within EIS.
Main Methods:
- Analysis of COVID-19 cumulative percent positivity across 11 EIS from April 1 to May 31, 2021.
- Comparison of positivity rates between sites that implemented the ZP and those that did not, controlling for venue type and bed capacity.
Main Results:
- Overall COVID-19 positivity was 2.47%.
- Sites with the ZP had lower positivity (1.83%) compared to sites without (2.83%).
- A lower 7-day moving average of positivity was observed at sites utilizing the ZP.
Conclusions:
- The ZP showed a potential effect in reducing COVID-19 positivity within EIS.
- Venue type and bed capacity may also influence transmission rates.
- Smaller intake facilities could be more suitable during public health emergencies.
Abstract:
In March 2021, Emergency Intake Sites (EIS) were created to address capacity shortfalls during a surge of Unaccompanied Children at the Mexico-United States land border. The COVID-19 Zone Plan (ZP) was developed to decrease COVID-19 transmission. COVID-19 cumulative percent (%) positivity was analyzed to evaluate the impact of the ZP, venue type and bed capacity across EIS from April 1-May 31, 2021. Results: Of 11 EIS sites analyzed, 54% implemented the recommended ZP. The overall % positivity was 2.47% (95% CI 2.39-2.55). The % positivity at EIS with the ZP, 1.83% (95% CI 1.71-1.95), was lower than that at EIS without the ZP, 2.83%, ( 95% CI 2.72-2.93), and showed a lower 7-day moving average of % positivity. Conclusion: Results showed a possible effect of the ZP on % positivity when controlling for venue type and bed capacity in a specific EIS group comparison, indicating that all three variables could have had effect on % positivity. They also showed that smaller intake facilities may be recommendable during public health emergencies.
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