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Volume 31, Number 8—August 2025

Synopsis

Surveillance of Viral Respiratory Infections within Maximum-Security Prison, Australia

Nicolas M. LegrandComments to Author , Rowena A. Bull, Behzad Hajarizadeh, Andrew R. Lloyd, Kirsty Johnston, Katya Issa, Christine Harvey, Alicia Arnott, Dominic E. Dwyer, Vitali Sintchenko, Luke Grant, Gregory J. Dore, John Kaldor, and Marianne Martinello
Author affiliation: University of New South Wales, Sydney, New South Wales, Australia (N.M. Legrand, R.A. Bull, B. Hajarizadeh, A.R. Lloyd, G.J. Dore, J. Kaldor, M. Martinello); St Vincent’s Correctional Health, Sydney (K. Johnston, K. Issa); New South Wales Ministry of Health, Sydney (C. Harvey); New South Wales Health Pathology, Sydney (A. Arnott, D.E. Dwyer, V. Sintchenko); University of Sydney, Sydney (D.E. Dwyer, V. Sintchenko); Corrective Services New South Wales, Sydney (L. Grant).

Main Article

Table 1

Demographic and clinical characteristics of incarcerated persons with SARS-CoV-2 in maximum-security prison, Australia, 2021*

Case characteristics Value, n = 169
Age group
18–29 65 (38)
30–39 62 (36)
40–49 26 (17)
50–59 13 (8)
>60
3 (2)
Likely source of infection acquisition
Prison 153 (92)
Community
16 (8)
Housing location
General unit 69 (41)
Quarantine unit
100 (59)
Cellmate placement in 14 days before date of infection
Housed alone 20 (12)
Housed with COVID-19 positive cellmate 47 (28)
Housed with COVID-19 negative cellmate
102 (60)
Duration of incarceration before diagnosis, d
Median (IQR) 47 (19–100)
Range
0–804
SARS-CoV-2 vaccination status at time of diagnosis
2 doses, >2 weeks after second dose 8 (5)
2 doses, <2 weeks after second dose 5 (3)
1 dose 45 (27)
0 doses
111 (66)
Disease severity
Asymptomatic 43 (25)
Mild 114 (68)
Moderate 7 (4)
Severe 1 (1)
Unknown
4 (2)
Symptomatic at diagnosis 62 (37)
Symptomatic ever
122 (72)
Reason for testing
Mass testing schedule 140 (83)
Entry screening 7 (4)
Quarantine screening 18 (11)
Symptom driven, close contact, or both
4 (2)
SARS-CoV-2 Delta subvariant
130 35 (21)
130.18 11 (7)
130.34 65 (38)
130.74 17 (10)
Missing 41 (24)

*Values are no. (%) except as indicated. IQR, interquartile range.

Main Article

Page created: June 13, 2025
Page updated: July 16, 2025
Page reviewed: July 16, 2025
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