在美国移民拘留中心内,疫苗可以预防的3种传染病的流行病学
Ribhav Gupta1,2,3, Dean Winslow4,5,6,7, Ronit Gupta8,9
1Department of Medicine, University of Minnesota School of Medicine, Minneapolis.
JAMA network open
|October 22, 2025
概括
美国移民和海关执法局 (ICE) 拘留的移民面临疫苗可预防疾病的风险,如流感,疹和A型肝炎. 建议采取分离和改善感染控制等缓解策略,以保护被拘留者和工作人员.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 美国移民和海关执法局 (ICE) 拘留的移民由于拥挤的条件和有限的医疗保健机会,容易受到可预防的感染.
- 疫情后拘留人数持续增加,引发人们对这些设施内感染性疾病爆发的持续风险的担忧.
研究的目的:
- 评估三个主要的疫苗可预防疾病的流行病学模式:流感,病和A型肝炎.
- 分析ICE拘留设施内这些疾病的季节性和地理空间趋势.
主要方法:
- 一个案例系列研究分析了ICE设施的2019年1月至2023年10月的数据.
- 包括所有在被拘留者中报告的流感,病和甲型肝炎病例.
- 结果包括每月病例数,每10万人月率,爆发频率和持续时间以及季节性/地理空间模式.
主要成果:
- 从2019年至2023年,在20个ICE设施报告了2035例流感,252例病和486例甲型肝炎病例.
- 发生了79次流感,16次病和33次甲型肝炎疫情,持续时间不同.
- 疾病发病率显示季节性变化,反映了国家趋势,但没有确定任何重要的地理空间集群.
结论:
- 在ICE拘留设施中,疫苗可预防的传染病负担因季节和设施而异.
- 实施一些措施,如解散群体,减少拥挤,接种疫苗和加强感染控制至关重要.
- 这些干预措施对于保护被拘留的移民和设施工作人员的健康至关重要.
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