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We performed a retrospective chart review of the results of an ongoing universal SARS-CoV-2 testing program for New Jersey correctional system HCWs and describe their presenting symptoms, perceived exposure, and demographic characteristics during the initial (March 15, 2020, to August 31, 2020) and Omicron (March 1, 2022, to August 31, 2022) COVID-19 surges. Analysis included 123 eligible records. In both surges, nurses had a high proportion of infections and cough was the most commonly reported symptom. Fever was more than twice as commonly reported in the initial surge. During the Omicron surge, nasal symptoms predominated (39.5% [95% CI: 28.4\u201351.4]) compared with the initial surge (8.5% [95% CI: 2.4\u201320.4]). Perceived exposure source was predominantly work related during the initial surge and multiple other sources of exposure were identified during the Omicron surge. Ninety-six percent of HCWs received a COVID-19 booster shot by February 2022. The reinfection rate was less than 10% for our initial cohort. Presenting symptoms correlated with the circulating variant. Mass vaccination of staff, the lower virulence of the Omicron variant, and possibly prior infection likely contributed to the milder illness experienced during the Omicron surge.<\/jats:p>","DOI":"10.1089\/jchc.23.09.0072","type":"journal-article","created":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T14:51:56Z","timestamp":1712242316000},"page":"158-166","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of COVID-19 Symptoms in Correctional Health Care Workers During the Initial and Omicron Surges"],"prefix":"10.1177","volume":"30","author":[{"given":"Maryam","family":"Yassa","sequence":"first","affiliation":[{"name":"Department of Environmental and Occupational Medicine, Robert Wood Johnson Medical School, Piscataway, New Jersey, USA."},{"name":"Environmental and Occupational Health and Justice, School of Public Health, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith M.","family":"Graber","sequence":"additional","affiliation":[{"name":"Environmental and Occupational Health Sciences Institute, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."},{"name":"Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Black","sequence":"additional","affiliation":[{"name":"Environmental and Occupational Health Sciences Institute, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Dos Santos Brandao De Resende","sequence":"additional","affiliation":[{"name":"Environmental and Occupational Health Sciences Institute, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3063-8545","authenticated-orcid":false,"given":"Alicia","family":"Legard","sequence":"additional","affiliation":[{"name":"Environmental and Occupational Health Sciences Institute, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0847-5516","authenticated-orcid":false,"given":"Julie","family":"Caruth","sequence":"additional","affiliation":[{"name":"Environmental and Occupational Health and Justice, School of Public Health, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."},{"name":"Environmental and Occupational Health Sciences Institute, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/mco2.115"},{"key":"e_1_3_6_3_1","doi-asserted-by":"crossref","unstructured":"Al Maqbali M. 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