The Impact of Ventilation and Early Diagnosis on Tuberculosis Transmission in Brazilian Prisons
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2015 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.4269/ajtmh.15-0166 |
| 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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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.) |
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2015 |
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2015 |
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2017-06-06T13:05:14Z |
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2017-06-06T13:05:14Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| 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. |
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https://www.arca.fiocruz.br/handle/icict/19312 |
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0002-9637 |
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10.4269/ajtmh.15-0166 |
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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 |
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American Society of Tropical Medicine and Hygiene |
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American Society of Tropical Medicine and Hygiene |
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