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Genomic Epidemiology of Severe Acute Respiratory Syndrome Coronavirus 2 in a County Jail
Journal article   Open access   Peer reviewed

Genomic Epidemiology of Severe Acute Respiratory Syndrome Coronavirus 2 in a County Jail

Timileyin Adediran, Chad Zawitz, Ali Piriani, Emily Bendict, Stephanie Thiede, Hannah Barbian, Alla Aroutcheva, Stefan J. Green, Sharon Welbel, Robert A. Weinstein, …
Open forum infectious diseases, Vol.11(2), p.ofad675
02/01/2024
DOI: 10.1093/ofid/ofad675
PMCID: PMC10878058
PMID: 38379564
url
https://doi.org/10.1093/ofid/ofad675View
Published (Version of record) Open Access

Abstract

Background: In the coronavirus disease 2019 (COVID-19) pandemic, correctional facilities are potential hotspots for transmission. We examined the genomic epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) early in the pandemic in one of the country's largest urban jails. Methods: Existing SARS-CoV-2 isolates from 131 detainees at the Cook County Jail in Chicago, Illinois, from March 2020 through May 2020 were analyzed by whole-genome sequencing. Contemporaneous isolates from Rush University Medical Center (Chicago, Illinois) and the Global Initiative on Sharing All Influenza Data (GISAID) were used to identify genetic clusters containing only jail isolates. Transmission windows were identified for each pair of detainees using the date of the SARS-CoV-2-positive test and location data to determine if detainees overlapped in the jail, within a specific building, or within particular living units during transmission windows. Results: We identified 29 jail-only clusters that contained 75 of the 132 SARS-CoV-2 isolates from detainees; of these clusters, 17 (58.6%) had individuals who overlapped in the jail during putative transmission windows. Focusing on specific buildings revealed that 2 buildings, a single- and double-cell style of housing. were associated with having detainees infected with similar SARS-CoV-2 genomes during their infectious time period (P < .001). Conclusions: Our findings suggest that there was transmission of SARS-CoV-2 in the jail, in the setting of extensive importation of COVID-19 from the community. Numerous infection control practices at intake and during incarceration were implemented in the jail to limit viral spread. Our study shows the importance of genomic analysis in this type of settings and how it can be utilized within infection control protocols.
Immunology Infectious Diseases Life Sciences & Biomedicine Microbiology Science & Technology

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