There are many opportunities for communicable diseases to be introduced into a correctional or detention facility, and these places are amplifiers of infectious disease because the conditions that keep disease from spreading are almost impossible to achieve in these facilities. Options for medical isolation are limited and vary from one facility to another. Some facilities are releasing inmates to help reduce congestion, as well as lowering rates of admissions and transfers. When decreasing density is not possible, other physical distancing practices should be observed. Whenever possible, arrange seating of chairs and tables to be least 6 feet (2 meters). Alter schedules to reduce mixing and close contact, such as staggering meal and activity times and forming small groups that regularly participate at the same times and do not mix. Minimize traffic in enclosed spaces, such as elevators and stairwells. Consider limiting the number of individuals in an elevator at one time and designating one directional stairwells, if possible. Ensure that social distancing can be maintained in shared rooms, such as television, game, or exercise rooms. Make sure that shared rooms in the facility have good air flow from an air conditioner or an opened window. Consider working with building maintenance staff to determine if the building ventilation system can be modified to increase ventilation rates or the percentage of outdoor air that circulates into the system. Clean and disinfect shared areas (laundry facilities, elevators, shared kitchens, exercise rooms, dining rooms) and frequently touched surfaces using EPA-registered disinfectants more than once a day if possible. Key words: prison, jail, release, inmate, offender
SNOMED_CT Problem=191415002 (PB0050); SNOMED_CT Cat-Tar=410344000 (CG0003, TG0030)
