Original Article

Public Health Measures and SARS-CoV-2 Cases in the Juvenile Justice System: Implications for Pandemic Response in the Detention Setting

Authors: Asha Davidson, MD, MPH, Shelley Aggarwal, MD, MS, Mona Eissa, MD, PhD, Laura Benjamins, MD, MPH, John Will, MPA, Rebecca Beyda, MD, MS

Abstract

Objective: The purpose of this study was to examine severe acute respiratory syndrome-coronavirus-2 case positivity in juvenile justice facilities of two different states alongside institutional, local, and state public health policies during the first 6 months of the coronavirus disease 2019 pandemic.

Methods: This retrospective chart review examined two large, urban juvenile justice centers in California and Texas. Positive intake or day 12 tests were considered suggestive of community-acquired severe acute respiratory syndrome-coronavirus-2 infection. Researchers examined state and county restrictions, closings, and openings. The study included all of the youths 10 to 18 years residing in the facilities between March and August 2020. The main outcomes measured case positivity in each facility and compared it with community positivity rates and state public health measures.

Results: In total, 530 youth were included (Texas, n = 319; California, n = 211). The Texas facility reported a higher number of positive cases (24) versus the California facility (3) (P < 0.05). Of the positive youth, 70% were asymptomatic, and none required hospitalization. Intake and day 12 tests were positive in <1% of California youth compared with a rate of 4% in Texas (P < 0.05). California and Texas instituted mask mandates in May and July 2020, respectively. California restricted indoor capacity until August, but Texas varied from 25% to 75% capacity through July.

Conclusions: The Texas facility reported a higher percentage of community-acquired infections compared with California, coinciding with reopening measures in Texas. Texas also enacted a mask mandate later than California. These public health measures, among other factors, likely contributed to higher community rates in Texas, thereby affecting rates among the detained youth.
Posted in: Infectious Disease138

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References

1. World Health Organization. WHO coronavirus (COVID-19) dashboard. https://covid19.who.int/. Accessed June 9, 2021.
 
2. Ingraham NE, Purcell LN, Karam BS, et al. Racial and ethnic disparities in hospital admissions from COVID-19: determining the impact of neighborhood deprivation and primary language. J Gen Intern Med 2021;36:3462–3470.
 
3. Office of Juvenile Justice and Delinquency Prevention. Data snapshots show COVID-19 impact in juvenile justice facilities. https://ojjdp.ojp.gov/news/juvjust/data-snapshots-show-covid-19-impact-juvenile-justice-facilities. Published July 21, 2021. Accessed February 1, 2022.
 
4. Hawks L, Woolhandler S, McCormick D. COVID-19 in prisons and jails in the United States. JAMA Intern Med 2020;180:1041–1042.
 
5. Rovner J. COVID-19 in juvenile facilities. https://www.sentencingproject.org/issues/covid-19. Published May 18, 2021. Accessed June 9, 2021.
 
6. American Academy of Pediatrics. Responding to the needs of youth involved with the justice system during the COVID-19 pandemic. hhttps://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/responding-to-the-needs-of-youth-involved-with-the-justice-system--during-the-covid-19-pandemic. Published August 25, 2020. Accessed June 16, 2021.
 
7. Owen MC, Wallace SB. Advocacy and collaborative health care for justice-involved youth. Pediatrics 2020;146:e20201755.
 
8. Wallace M, James AE, Silver R, et al. Rapid transmission of severe acute respiratory syndrome coronavirus 2 in detention facility, Louisiana, USA, May-June, 2020. Emerg Infect Dis 2021;27:421–429.
 
9. Society for Adolescent Health and Medicine. SAHM calls for action to protect justice-involved youth. 2020. https://www.adolescenthealth.org/About-SAHM/Press-Releases/COVID-19-Pandemic-Response-II-Calls-for-Action-to.aspx. Published August 26, 2020. Accessed June 9, 2021.
 
10. Gagnon JC. The solitary confinement of incarcerated American youth during COVID-19. Psychiatry Res 2020;291:113219.
 
11. Wasilczuk M. Lessons from Disaster: Assessing the COVID19 Response in Youth Jails & Prisons. https://scholarcommons.sc.edu/cgi/viewcontent.cgi?article=2450&amp;context=law_facpub. Published 2021. Accessed February 1, 2022.
 
12. Centers for Disease Control and Prevention. Isolation and precautions for people with COVID-19. hhttps://www.cdc.gov/coronavirus/2019-ncov/your-health/isolation.html. Updated August 11, 2022. Accessed June 16, 2021.
 
13. Lauer SA, Grantz KH, Bi Q, et al. The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann Intern Med 2020;172:577–582.
 
14. Public Health–Seattle and King County. Health alert network: Update and interim guidance on outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. https://kingcounty.gov/depts/health/communicable-diseases/health-care-providers/advisories/2020/17-jan.aspx. Updated January 17, 2020. Accessed June 16, 2021.
 
15. Santa Clara County Public Health. Emergency Operations Center. COVID-19 data and reports. https://covid19.sccgov.org/dashboards. Accessed April 14, 2021.
 
16. Texas Health and Human Services, Texas Department of State Health Services. Texas COVID-19 data. https://www.dshs.texas.gov/covid-19-coronavirus-disease-2019/texas-covid-19-data. Accessed April 20, 2021.
 
17. Order of the Health Officer of the County of Santa Clara. Emergency Operations Center, Santa Clara County Public Health; 2020. https://covid19.sccgov.org/sites/g/files/exjcpb766/files/03-16-20-Health-Officer-Order-to-Shelter-in-Place.pdf. Accessed June 9, 2021.
 
18. City of Houston, Texas, Office of the Mayor. Mayor Turner asks Houstonians to follow "stay home, work safe" order. https://www.houstontx.gov/mayor/press/2020/stay-home-work-safe-order.html. Published March 24, 2020. Accessed June 9, 2021.
 
19. Juvenile Justice Santa Clara County. 2019 annual report. https://probation.sccgov.org/sites/g/files/exjcpb721/files/Juvenile%20Justice%20Annual%20Report_2019.pdf. Published August 2020. Accessed August 24, 2021.
 
20. Harris County Juvenile Probation Department. 2019 annual report. https://hcjpd.harriscountytx.gov/Published%20Reports/Annual%20Report%202019.pdf Published 2020. Accessed August 24, 2021.
 
21. Development Services Group, Inc. Disproportionate Minority Contact. Washington, DC: Office of Juvenile Justice and Delinquency Prevention, 2014. https://ojjdp.ojp.gov/sites/g/files/xyckuh176/files/media/document/disproportionate_minority_contact.pdf. Accessed June 9, 2021.
 
22. Nelson B, Kaminsky D. A COVID-19 crisis in US jails and prisons. Cancer Cytopathol 2020;128:513–514.
 
23. Qureshi N, Cardenas C, Tran ND, et al. Implementation of a COVID-19 infection control plan in a large urban jail system. Public Health Rep 2022;137:442–448.
 
24. Mantovani A, Rinaldi E, Zusi C, et al. Coronavirus disease 2019 (COVID-19) in children and/or adolescents: a meta-analysis. Pediatr Res 2021;89:733–737.
 
25. Williams PCM, Howard-Jones AR, Hsu P, et al. SARS-CoV-2 in children: spectrum of disease, transmission and immunopathological underpinnings. Pathology 2020;52:801–808.
 
26. Barsky BA, Reinhart E, Farmer P, et al. Vaccination plus decarceration —stopping Covid-19 in jails and prisons. N Engl J Med 2021;384: 1583–1585.
 
27. Opening the State of Texas: Executive Orders Related to Opening the State of Texas. In: Services TDoSH, editor: Texas Department of State Health Services; 2020. https://gov.texas.gov/uploads/files/press/EO-GA-30_expanded_openings_COVID-19.pdf. Accessed June 16, 2021.
 
28. Mitchell SH, Bulger EM, Duber HC, et al. Western Washington state COVID-19 experience: keys to flattening the curve and effective health system response. J Am Coll Surg 2020;231:316–324.e1.