{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T05:32:14Z","timestamp":1773293534830,"version":"3.50.1"},"reference-count":35,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T00:00:00Z","timestamp":1604102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Background: The emergency linked to the spread of COVID-19 in Italy has led to inevitable consequences on the penitentiary system. The risks of this emergency in prisons is mainly related to the problem of persistent overcrowding that makes social distancing difficult and the isolation of any contagion hard to arrange. The Department of Protection for Adults and Minors of the ASL Salerno Criminal Area has taken steps in order to perform screening operations and minimize the risks for prisoners and operators. (2) Methods: We conducted a two-phase observational study. In the first phase, we offered and then executed serum COVID-19 screening to all the convicted inmates. For those who had a doubtful or positive result, a swab was executed in the shortest time possible. In the second phase, a pharyngeal swab was offered and executed to all the police officers, the penitentiary administrative staff and the medical personnel working in the prison. (3) Results: In the first phase, we executed 485 COVID-19 blood tests on prisoners, 3 (0.61%) of which were positive. The three positive inmates underwent nasopharyngeal swabbing, which ultimately were negative. After that, we executed 276 nasopharyngeal swabs on the prison personnel, penitentiary administrative staff and medical personnel\u2014all were negative. (4) Conclusion: All tests (blood tests and swabs) that were carried out on the prisoners and on the staff were negative for COVID-19. We believe that all prisons in Italy and in the world should take action to ensure preventive and control measures in order to safeguard the health of the prison population and of all the people who work there.<\/jats:p>","DOI":"10.3390\/ijerph17218033","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T21:39:56Z","timestamp":1604180396000},"page":"8033","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["COVID-19 Risk Management and Screening in the Penitentiary Facilities of the Salerno Province in Southern Italy"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2624-9958","authenticated-orcid":false,"given":"Antonio Maria","family":"Pagano","sequence":"first","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aniello","family":"Maiese","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology, Medical, Molecular and Critical Area, University of Pisa, 56126 Pisa PI, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8499-5428","authenticated-orcid":false,"given":"Carmine","family":"Izzo","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"},{"name":"Internal Medicine and Hepatology Division, Department of Medicine and Surgery, Scuola Medica Salernitana, 84081 Baronissi, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adamo","family":"Maiese","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Department of Clinical Governance, U.O.C. Legal Medicine, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcello","family":"Ametrano","sequence":"additional","affiliation":[{"name":"ASL Salerno, Presidio Ospedaliero di Agropoli, U.O.S. Laboratorio di Analisi, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"De Matteis","sequence":"additional","affiliation":[{"name":"Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Rosaria","family":"Attianese","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaia","family":"Busato","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"Caruso","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Cestari","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastiana De","family":"Biasi","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna De","family":"Chiara","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8392-330X","authenticated-orcid":false,"given":"Giuseppe","family":"De Matteis","sequence":"additional","affiliation":[{"name":"ASL SALERNO, Dipartimento delle Attivit\u00e0 Territoriali, U.O.S.D. Tutela Salute Adulti e Minori, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goffredo","family":"Goffredi","sequence":"additional","affiliation":[{"name":"ASL Salerno, Presidio Ospedaliero di Agropoli, U.O.S. Laboratorio di Analisi, 84124 Salerno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"La Russa","sequence":"additional","affiliation":[{"name":"Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00161 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"102433","DOI":"10.1016\/j.jaut.2020.102433","article-title":"The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak","volume":"109","author":"Rothan","year":"2020","journal-title":"J. Autoimmun."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Maiese, A., Manetti, A.C., La Russa, R., Di Paolo, M., Turillazzi, E., Frati, P., and Fineschi, V. (2020). Autopsy findings in COVID-19-related deaths: A literature review. Forensic Sci. Med. Pathol.","DOI":"10.1007\/s12024-020-00310-8"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"577","DOI":"10.7326\/M20-0504","article-title":"The Incubation Period of Coronavirus Disease 2019 (COVID-19) From Publicly Reported Confirmed Cases: Estimation and Application","volume":"172","author":"Lauer","year":"2020","journal-title":"Ann. Intern. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1007\/s11606-020-05762-w","article-title":"Review of the Clinical Characteristics of Coronavirus Disease 2019 (COVID-19)","volume":"35","author":"Jiang","year":"2020","journal-title":"J. Gen. Intern. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1002\/jmv.25748","article-title":"Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures","volume":"92","author":"Wang","year":"2020","journal-title":"J. Med. Virol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"313","DOI":"10.4014\/jmb.2003.03011","article-title":"Current Status of Epidemiology, Diagnosis, Therapeutics, and Vaccines for Novel Coronavirus Disease 2019 (COVID-19)","volume":"30","author":"Ahn","year":"2020","journal-title":"J. Microbiol. Biotechnol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"105955","DOI":"10.1016\/j.ijantimicag.2020.105955","article-title":"The epidemiology, diagnosis and treatment of COVID-19","volume":"55","author":"Zhai","year":"2020","journal-title":"Int. J. Antimicrob. Agents"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1038\/d41573-020-00151-8","article-title":"The COVID-19 vaccine development landscape","volume":"19","author":"Le","year":"2020","journal-title":"Nat. Rev. Drug Discov."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"105951","DOI":"10.1016\/j.ijantimicag.2020.105951","article-title":"Coronavirus disease 2019 (COVID-19): Current status and future perspectives","volume":"55","author":"Li","year":"2020","journal-title":"Int. J. Antimicrob. Agents"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1016\/S0140-6736(20)30627-9","article-title":"COVID-19 and Italy: What next?","volume":"395","author":"Remuzzi","year":"2020","journal-title":"Lancet"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e641","DOI":"10.1016\/S2214-109X(20)30110-8","article-title":"COVID-19 in Italy: Momentous decisions and many uncertainties","volume":"8","author":"Lazzerini","year":"2020","journal-title":"Lancet Glob. Health"},{"key":"ref_12","first-page":"287","article-title":"Another effect of CoViD-19: Turning on the lights on the Italian prison situation","volume":"111","author":"Camposeragna","year":"2020","journal-title":"Recenti Prog. Med."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Doyle, T.J. (2020). COVID-19, Prison Visits, and the Value of a Cup of Coffee. Ann. Intern. Med.","DOI":"10.7326\/M20-3073"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Caputo, F., Gratteri, S., Sacco, M.A., Scalise, C., Cacciatore, G., Bonetta, F., Zibetti, A., De Aloe, L., Sicilia, F., and Cordasco, F. (2020). Covid-19 emergency in prison: Current management and forensic perspectives. Med. Leg. J., 25817220923693.","DOI":"10.1177\/0025817220923693"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"m1551","DOI":"10.1136\/bmj.m1551","article-title":"Covid-19, prison crowding, and release policies","volume":"369","author":"Simpson","year":"2020","journal-title":"BMJ"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3399\/bjgpopen20X101106","article-title":"Prison and opportunities for the management of COVID-19","volume":"4","author":"Crowley","year":"2020","journal-title":"BJGP Open"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Cingolani, M., Caraceni, L., Cannovo, N., and Fedeli, P. (2020). The COVID-19 Epidemic and the Prison System in Italy. J. Correct. Health Care, 1078345820929733.","DOI":"10.1177\/1078345820929733"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/0025817220923697","article-title":"The risk of the \u2018prison-emptying\u2019 effect in Italy due to the Covid-19 pandemic","volume":"88","author":"Malta","year":"2020","journal-title":"Med. Leg. J."},{"key":"ref_19","first-page":"162","article-title":"Prisoners in a pandemic: We should think about detainees during Covid-19 outbreak","volume":"2","author":"Tozzo","year":"2020","journal-title":"Forensic Sci. Int."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/S1473-3099(20)30227-9","article-title":"Estimation of COVID-19 outbreak size in Italy","volume":"20","author":"Tuite","year":"2020","journal-title":"Lancet Infect. Dis."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Voller, F., Silvestri, C., Martino, G., Fanti, E., Bazzerla, G., Ferrari, F., Grignani, M., Libianchi, S., Pagano, A.M., and Scarpa, F. (2016). Health conditions of inmates in Italy. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-3830-2"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Nobile, C.G., Flotta, D., Nicotera, G., Pileggi, C., and Angelillo, I.F. (2011). Self-reported health status and access to health services in a sample of prisoners in Italy. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-529"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1177\/1078345810366867","article-title":"The health of Italian prison inmates today: A critical approach","volume":"16","author":"Esposito","year":"2010","journal-title":"J. Correct. Health Care"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1016\/S0140-6736(20)31015-1","article-title":"Preventing major outbreaks of COVID-19 in jails","volume":"395","author":"Okano","year":"2020","journal-title":"Lancet"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"480","DOI":"10.17269\/s41997-020-00359-6","article-title":"COVID-19: A prison-breaker?","volume":"111","author":"Dutheil","year":"2020","journal-title":"Can. J. Public Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"m1362","DOI":"10.1136\/bmj.m1362","article-title":"Fighting covid-19 outbreaks in prisons","volume":"369","author":"Yang","year":"2020","journal-title":"BMJ"},{"key":"ref_27","first-page":"e00083520","article-title":"COVID-19 in prisons: An impossible challenge for public health?","volume":"36","author":"Simas","year":"2020","journal-title":"Cad. Saude Publica"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1177\/1090198120927318","article-title":"Social Distancing and Incarceration: Policy and Management Strategies to Reduce COVID-19 Transmission and Promote Health Equity through Decarceration","volume":"47","author":"Henry","year":"2020","journal-title":"Health Educ. Behav."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"115161","DOI":"10.1016\/j.envpol.2020.115161","article-title":"Prevention and control of COVID-19 in nursing homes, orphanages, and prisons","volume":"266","author":"Wang","year":"2020","journal-title":"Environ. Pollut."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/1467-8322.12578","article-title":"Covid-19 pandemic and social distancing in prisons","volume":"36","year":"2020","journal-title":"Anthropol. Today"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2738","DOI":"10.1007\/s11606-020-05968-y","article-title":"Medical Isolation and Solitary Confinement: Balancing Health and Humanity in US Jails and Prisons during COVID-19","volume":"35","author":"Cloud","year":"2020","journal-title":"J. Gen. Intern. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e188","DOI":"10.1016\/S2468-2667(20)30058-X","article-title":"Prisons and custodial settings are part of a comprehensive response to COVID-19","volume":"5","author":"Kinner","year":"2020","journal-title":"Lancet Public Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1016\/j.amepre.2020.04.001","article-title":"COVID-19 and the Correctional Environment: The American Prison as a Focal Point for Public Health","volume":"58","author":"Lee","year":"2020","journal-title":"Am. J. Prev. Med."},{"key":"ref_34","unstructured":"Bahl, P., Doolan, C., de Silva, C., Chughtai, A.A., Bourouiba, L., and MacIntyre, C.R. (2020). Airborne or droplet precautions for health workers treating COVID-19?. J. Infect. Dis., jiaa189."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s40352-020-00119-1","article-title":"A call to protect patients, correctional staff and healthcare professionals in jails and prisons during the COVID-19 pandemic","volume":"8","author":"Oladeru","year":"2020","journal-title":"Health Justice"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/8033\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:27:31Z","timestamp":1760178451000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/8033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,31]]},"references-count":35,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["ijerph17218033"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17218033","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,31]]}}}