The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons

Detalhes bibliográficos
Autor(a) principal: Urrego, Juliana
Data de Publicação: 2015
Outros Autores: Ko, Albert Icksang, Carbone, Andrea da Silva Santos, Paião, Dayse Sanchez Guimarães, Sgarbi, Renata Viebrantz Enne, Yeckel, Catherine W, Andrews, Jason R, Croda, Julio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/19312
Resumo: Foundation for the Development of Teaching, Science, and Technology of the State of Mato Grosso do Sul (0067/12 and 0059/13); Secretariat of Health Surveillance, Brazilian Ministry of Health (20/2013); Ciências sem Fronteiras Program of the Brazilian National Research Council; Fogarty Global Health Equity Scholars Program (NIH 1 R25 TW009338); Jan A. J. Stolwijk Fellowship at the Yale School of Public Health (to J.U.); and National Institute of Allergy and Infectious Disease (K01 AI104411 to J.R.A.)
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spelling Urrego, JulianaKo, Albert IcksangCarbone, Andrea da Silva SantosPaião, Dayse Sanchez GuimarãesSgarbi, Renata Viebrantz EnneYeckel, Catherine WAndrews, Jason RCroda, Julio2017-06-06T13:05:14Z2017-06-06T13:05:14Z2015URREGO, J. et al. The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons. American Journal of Tropical Medicine and Hygiene, v. 93, n. 4, p. 739–746, 2015.0002-9637https://www.arca.fiocruz.br/handle/icict/1931210.4269/ajtmh.15-0166Foundation for the Development of Teaching, Science, and Technology of the State of Mato Grosso do Sul (0067/12 and 0059/13); Secretariat of Health Surveillance, Brazilian Ministry of Health (20/2013); Ciências sem Fronteiras Program of the Brazilian National Research Council; Fogarty Global Health Equity Scholars Program (NIH 1 R25 TW009338); Jan A. J. Stolwijk Fellowship at the Yale School of Public Health (to J.U.); and National Institute of Allergy and Infectious Disease (K01 AI104411 to J.R.A.)Yale School of Public Health. New Haven, CTYale School of Public Health. New Haven, CT / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilHospital Universitário de Dourados. Dourados, MS, BrasilHospital Universitário de Dourados. Dourados, MS, BrasilHospital Universitário de Dourados. Dourados, MS, BrasilYale School of Public Health. New Haven, CTStanford University School of Medicine. Stanford, CAUniversidade Federal da Grande Dourados. Faculdade de Ciências da Saúde. Dourados, MS, BrasilPrisoners have among the highest incidence of tuberculosis (TB) globally. However, the contribution of the prison environment on transmission is not well understood and structural characteristics have received little attention as effective epidemiological interventions in TB control. We evaluated architectural characteristics and estimated ventilation rates in 141 cells in three prisons in central west Brazil using steady-state exhaled carbon dioxide (CO2) levels. We used a modified Wells-Riley equation to estimate the probability of infection for inmates sharing a cell with an infectious case and projected the impact of interventions, including early diagnosis and improved ventilation. Overall, prison cells were densely populated (mean 2.1 m(2) per occupant) and poorly ventilated, with only three cells meeting World Health Organization (WHO) standards for per-person ventilation (60 L/s) applied in infection control settings. In the absence of interventions, projected mean risk of infection was 78.0% during a 6-month period. Decreasing time-to-diagnosis by 25% reduced transmission risk by 8.3%. Improving ventilation to WHO standards decreased transmission by 38.2%, whereas optimizing cross-ventilation reduced transmission by 64.4%. Prison environments promote high infection risk over short-time intervals. In this context, enhanced diagnostics have a limited impact on reducing transmission. Improving natural ventilation may be required to effectively control TB in prisons.engAmerican Society of Tropical Medicine and HygieneTuberculose PulmonarDiagnóstico precoceVentilaçãoFatores de riscoPrisõesHumanosBrasilTuberculosis PulmonaryEarly DiagnosisVentilationRisk FactorsPrisonsHumansBrazilTuberculose PulmonarDiagnóstico precoceVentilaçãoFatores de riscoPrisõesHumanosBrazilThe Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisonsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/19312/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALUrrego J The impact of ventilation....pdfUrrego J The impact of 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dc.title.pt_BR.fl_str_mv The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
title The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
spellingShingle The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
Urrego, Juliana
Tuberculose Pulmonar
Diagnóstico precoce
Ventilação
Fatores de risco
Prisões
Humanos
Brasil
Tuberculosis Pulmonary
Early Diagnosis
Ventilation
Risk Factors
Prisons
Humans
Brazil
Tuberculose Pulmonar
Diagnóstico precoce
Ventilação
Fatores de risco
Prisões
Humanos
Brazil
title_short The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
title_full The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
title_fullStr The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
title_full_unstemmed The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
title_sort The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
author Urrego, Juliana
author_facet Urrego, Juliana
Ko, Albert Icksang
Carbone, Andrea da Silva Santos
Paião, Dayse Sanchez Guimarães
Sgarbi, Renata Viebrantz Enne
Yeckel, Catherine W
Andrews, Jason R
Croda, Julio
author_role author
author2 Ko, Albert Icksang
Carbone, Andrea da Silva Santos
Paião, Dayse Sanchez Guimarães
Sgarbi, Renata Viebrantz Enne
Yeckel, Catherine W
Andrews, Jason R
Croda, Julio
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Urrego, Juliana
Ko, Albert Icksang
Carbone, Andrea da Silva Santos
Paião, Dayse Sanchez Guimarães
Sgarbi, Renata Viebrantz Enne
Yeckel, Catherine W
Andrews, Jason R
Croda, Julio
dc.subject.other.pt_BR.fl_str_mv Tuberculose Pulmonar
Diagnóstico precoce
Ventilação
Fatores de risco
Prisões
Humanos
Brasil
topic Tuberculose Pulmonar
Diagnóstico precoce
Ventilação
Fatores de risco
Prisões
Humanos
Brasil
Tuberculosis Pulmonary
Early Diagnosis
Ventilation
Risk Factors
Prisons
Humans
Brazil
Tuberculose Pulmonar
Diagnóstico precoce
Ventilação
Fatores de risco
Prisões
Humanos
Brazil
dc.subject.en.pt_BR.fl_str_mv Tuberculosis Pulmonary
Early Diagnosis
Ventilation
Risk Factors
Prisons
Humans
Brazil
dc.subject.decs.pt_BR.fl_str_mv Tuberculose Pulmonar
Diagnóstico precoce
Ventilação
Fatores de risco
Prisões
Humanos
Brazil
description Foundation for the Development of Teaching, Science, and Technology of the State of Mato Grosso do Sul (0067/12 and 0059/13); Secretariat of Health Surveillance, Brazilian Ministry of Health (20/2013); Ciências sem Fronteiras Program of the Brazilian National Research Council; Fogarty Global Health Equity Scholars Program (NIH 1 R25 TW009338); Jan A. J. Stolwijk Fellowship at the Yale School of Public Health (to J.U.); and National Institute of Allergy and Infectious Disease (K01 AI104411 to J.R.A.)
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2017-06-06T13:05:14Z
dc.date.available.fl_str_mv 2017-06-06T13:05:14Z
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dc.identifier.citation.fl_str_mv URREGO, J. et al. The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons. American Journal of Tropical Medicine and Hygiene, v. 93, n. 4, p. 739–746, 2015.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/19312
dc.identifier.issn.pt_BR.fl_str_mv 0002-9637
dc.identifier.doi.none.fl_str_mv 10.4269/ajtmh.15-0166
identifier_str_mv URREGO, J. et al. The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons. American Journal of Tropical Medicine and Hygiene, v. 93, n. 4, p. 739–746, 2015.
0002-9637
10.4269/ajtmh.15-0166
url https://www.arca.fiocruz.br/handle/icict/19312
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dc.publisher.none.fl_str_mv American Society of Tropical Medicine and Hygiene
publisher.none.fl_str_mv American Society of Tropical Medicine and Hygiene
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