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COVID-19 Case Fatality Rates in the Texas Prison System
Jacques Baillargeon1,2, Lannette C Linthicum3, John S Pulvino2
1Department of Epidemiology, School of Public and Population Health, University of Texas Medical Branch at Galveston, Galveston, Texas, USA.
Summary
The case fatality rate (CFR) for COVID-19 was lower in the Texas prison population compared to the non-incarcerated population. However, further research is needed to understand the reasons for this difference in infection fatality rates.
Area of Science:
- Public Health
- Epidemiology
- Correctional Healthcare
Background:
- The case fatality rate (CFR) is crucial for assessing infectious agent lethality in correctional settings.
- Incarceration has been linked to increased COVID-19 incidence and mortality.
- Comparing CFRs helps understand disease impact across different populations.
Purpose of the Study:
- To compare age-adjusted COVID-19 mortality rates between the Texas prison and non-incarcerated populations.
- To analyze the case fatality rate (CFR) in incarcerated versus non-incarcerated individuals.
Main Methods:
- Retrospective cohort study design.
- Analysis of age-adjusted mortality data for COVID-19 cases.
- Comparison of CFR between Texas prison and non-incarcerated populations (January 2020 - December 2021).
Main Results:
- The Texas prison population exhibited a substantially lower age-adjusted CFR for COVID-19 compared to the non-incarcerated population across study periods.
- Age-adjusted mortality rates due to COVID-19 differed between the two populations.
Conclusions:
- While the Texas prison population showed a lower COVID-19 CFR, definitive conclusions are limited by unmeasured confounding factors like comorbidities and disease severity.
- Future research should investigate health system factors influencing infectious disease outcomes in correctional facilities.
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