{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:44:21Z","timestamp":1773787461928,"version":"3.50.1"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Correctional centres (termed here \u2018prisons\u2019) are at high risk of COVID-19 and have featured major outbreaks worldwide. Inevitable close contacts, frequent inmate movements, and a disproportionate burden of co-morbidities mean these environments need to be prioritised in any public health response to respiratory pathogens such as COVID-19. We developed an individual-based SARS-CoV-2 transmission model for the prison system in New South Wales, Australia \u2010 incorporating all 33 correctional centres, 13,458 inmates, 578 healthcare and 6,909 custodial staff. Potential COVID-19 disease outbreaks were assessed under various mitigation strategies, including quarantine on entry, isolation of cases, rapid antigen testing of staff, as well as immunisation.Without control measures, the model projected a peak of 472 new infections daily by day 35 across the prison system, with all inmates infected by day 120. The most effective individual mitigation strategies were high immunisation coverage and prompt lockdown of centres with infected inmates which reduced outbreak size by 62\u201373%. Other than immunisation, the combination of quarantine of inmates at entry, isolation of proven or suspected cases, and widespread use of personal protective equipment by staff and inmates was the most effective strategy. High immunisation coverage mitigates the spread of COVID-19 within and between correctional settings but is insufficient alone. Maintaining quarantine and isolation, along with high immunisation levels, will allow correctional systems to function with a low risk of outbreaks. These results have informed public health policy for respiratory pathogens in Australian correctional systems.<\/jats:p>","DOI":"10.1371\/journal.pone.0303062","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T18:23:43Z","timestamp":1715970223000},"page":"e0303062","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Controlling COVID-19 outbreaks in the correctional setting: A mathematical modelling study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-348X","authenticated-orcid":true,"given":"Neil Arvin","family":"Breta\u00f1a","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2829-6694","authenticated-orcid":true,"given":"Jisoo 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facilities and prisons?","volume":"16","author":"HCJ Tsoungui Obama","year":"2021","journal-title":"PloS one"},{"key":"pone.0303062.ref017","article-title":"Mitigating outbreaks in congregate settings by decreasing the size of the susceptible population","author":"S Blumberg","year":"2021","journal-title":"medRxiv"},{"key":"pone.0303062.ref018","article-title":"The COVID-19 Incarceration Model: a tool for corrections staff to analyze outbreaks of COVID-19","author":"JA Kwon","year":"2021","journal-title":"medRxiv"},{"issue":"5","key":"pone.0303062.ref019","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1111\/add.14830","article-title":"Combined treatment and prevention strategies for hepatitis C virus elimination in the prisons in New South Wales: a modelling study","volume":"115","author":"NA Bretana","year":"2020","journal-title":"Addiction"},{"key":"pone.0303062.ref020","author":"NA Bretana","year":"2022","journal-title":"COVID prison 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NSW prisons \u2010 a day in the life. 2020. https:\/\/www.dcj.nsw.gov.au\/news-and-media\/media-releases\/nsw-prisons-a-day-in-the-life."},{"issue":"8","key":"pone.0303062.ref022","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1038\/s41591-020-0962-9","article-title":"Age-dependent effects in the transmission and control of COVID-19 epidemics","volume":"26","author":"NG Davies","year":"2020","journal-title":"Nat Med"},{"key":"pone.0303062.ref023","article-title":"SARS-CoV-2 transmission dynamics in South Africa and epidemiological characteristics of the Omicron variant","author":"W Yang","year":"2021","journal-title":"medRxiv"},{"key":"pone.0303062.ref024","unstructured":"Centers for Disease Control and Prevention. 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