Characterization of community-wide transmission of SARS-CoV-2 in congregate living settings and local public health-coordinated response during the initial phase of the COVID-19 pandemic.

Influenza and Other Respiratory Viruses
Pauline D TerebuhTerrence Allan

Abstract

Clusters of COVID-19 cases amplify the pandemic and are critical targets for intervention, but comprehensive cluster-level data are not collected systematically by federal or most state public health entities. This analysis characterizes COVID-19 clusters among vulnerable populations housed in congregate living settings across an entire community and describes early mitigation efforts. The Cuyahoga County Board of Health identified and interviewed COVID-19 cases and exposed contacts, assessing possible connections to congregate living facilities within its jurisdiction from March 7, 2020, to May 15, 2020, during the first phase of the pandemic, while state of Ohio stay-at-home orders were in effect. A multi-disciplinary team-based response network was mobilized to support active case finding and develop facility-focused containment strategies. We identified a cascade of 45 COVID-19 clusters across community facilities (corrections, nursing, assisted living, intermediate care, extended treatment, shelters, group homes). Attack rates were highest within small facilities (P < .01) and large facilities requiring extensive support to implement effective containment measures. For 25 clusters, we identified an index case who frequentl...Continue Reading

References

Mar 28, 2020·MMWR. Morbidity and Mortality Weekly Report·Temet M McMichaelUNKNOWN Public Health – Seattle & King County, EvergreenHealth, and CDC COVID-19 Investigation Team
Apr 3, 2020·MMWR. Morbidity and Mortality Weekly Report·Anne KimballUNKNOWN CDC COVID-19 Investigation Team
May 15, 2020·MMWR. Morbidity and Mortality Weekly Report·Megan WallaceMariel Marlow

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Citations

Aug 18, 2021·Gaceta sanitaria·María Victoria Zunzunegui
Nov 21, 2021·Community Mental Health Journal·Kathleen A CrapanzanoRebecca Hammarlund

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