MMWR News Synopsis
Friday, April 2, 2021
- Use of Selected Recommended Clinical Preventive Services — Behavioral Risk Factor Surveillance System, United States, 2018
- Community-Associated Outbreak of COVID-19 in a Correctional Facility — Utah, September 2020–January 2021
- Willingness to Receive a COVID-19 Vaccination Among Incarcerated or Detained Persons in Correctional and Detention Facilities — Four States, September–December 2020
- Rapid Spread of SARS-CoV-2 in a State Prison After Introduction by Newly Transferred Incarcerated Persons — Wisconsin, August 14–October 22, 2020
- Counties with High COVID-19 Incidence and Relatively Large Racial and Ethnic Minority Populations — United States, April 1–December 22, 2020 (Early Release March 24, 2021)
- Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the COVID-19 Pandemic — United States, August 2020–February 2021 (Early Release March 26, 2021)
- Interim Estimates of Vaccine Effectiveness of BNT162b2 and mRNA-1273 COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Health Care Personnel, First Responders, and Other Essential and Frontline Workers — Eight U.S. Locations, December 2020–March 2021 (Early Release March 29, 2021)
- QuickStats
Articles
Use of Selected Recommended Clinical Preventive Services — Behavioral Risk Factor Surveillance System, United States, 2018
CDC Media Relations
404-639-3286
During 2018, people without insurance, with lower income, and who live in rural communities were less likely to use 10 recommended clinical preventive services that have been shown to improve health and are cost effective. Disease prevention saves lives and money. Specific recommended clinical preventive services, such as cancer screenings and vaccinations, have been shown to improve health and to be cost effective. Efforts have been made to increase use of these recommended services, including the Patient Protection and Affordable Care Act, which required qualifying health plans to cover recommended services at no charge to patients. However, use remains lower than the national targets set by the HealthyPeople 2020 goals. This study examined the use of 10 clinical preventive services to identify factors that potentially influence use so that policy makers can develop effective improvement strategies. Lower use of clinical preventive services during 2018 was most associated with not having health insurance, followed by lower income level and living in a rural community.
Community-Associated Outbreak of COVID-19 in a Correctional Facility — Utah, September 2020–January 2021
CDC Media Relations
404-639-3286
A COVID-19 outbreak at a Utah correctional facility following community-associated sources of introduction – including a visit from a dental health care provider – shows how COVID-19 can spread quickly in correctional and detention facilities, leading to outbreaks. Using quarantine and isolation after an exposure is important to prevent introduction and spread of COVID-19 in correctional facilities. In March 2020, a Utah correctional facility implemented symptom and temperature screenings for staff and testing at intake for newly incarcerated or detained persons (IDPs). The facility also installed personal protective equipment stations, directed staff and IDPs to wear face coverings, and stopped nonessential visitations. On September 14, 2020, a visiting dental health care provider treated 10 IDPs in a dental clinic at the correctional facility. When screened at entry to the facility, the dental provider had no COVID-19 symptoms but developed symptoms that evening and received a positive test. On September 21, the roommate of an IDP who received dental treatment experienced COVID-19 symptoms and later tested positive. In the days that followed, the 10 IDPs who received dental treatment from the visiting HCP were tested and two tested positive. Although positive cases were isolated, the other IDPs with whom they had contact were not immediately quarantined. Meanwhile, six staff members of the facility reported symptoms. The outbreak spread rapidly, eventually affecting more than one half of residents. Infection could have spread from the dental provider or from correctional facility staff members who were exposed in the community. Because COVID-19 can spread quickly in correction and detention facilities, control measures are needed to prevent disease introduction in these settings. Once infection is introduced, prevention measures such as earlier quarantine of incarcerated persons who have been exposed, universal masking, maintaining physical distancing, attention to hand hygiene, and prior vaccination of incarcerated persons and staff can limit spread.
Willingness to Receive a COVID-19 Vaccination Among Incarcerated or Detained Persons in Correctional and Detention Facilities — Four States, September–December 2020
Marc Stern, Affiliate Assistant Professor, School of Public Health, University of Washington
Office Phone: (360) 701-6520 (Pacific Time)
Cell Phone: (360) 701-6520 (Pacific Time)
Email Address: mfstern@uw.edu
During 2018, people without insurance, with lower income, and who live in rural communities were less likely to use 10 recommended clinical preventive services that have been shown to improve health and are cost effective. Disease prevention saves lives and money. Specific recommended clinical preventive services, such as cancer screenings and vaccinations, have been shown to improve health and to be cost effective. Efforts have been made to increase use of these recommended services, including the Patient Protection and Affordable Care Act, which required qualifying health plans to cover recommended services at no charge to patients. However, use remains lower than the national targets set by the HealthyPeople 2020 goals. This study examined the use of 10 clinical preventive services to identify factors that potentially influence use so that policy makers can develop effective improvement strategies. Lower use of clinical preventive services during 2018 was most associated with not having health insurance, followed by lower income level and living in a rural community.
Rapid Spread of SARS-CoV-2 in a State Prison After Introduction by Newly Transferred Incarcerated Persons — Wisconsin, August 14–October 22, 2020
CDC Media Relations
404-639-3286
A COVID-19 outbreak at a Utah correctional facility following community-associated sources of introduction – including a visit from a dental health care provider – shows how COVID-19 can spread quickly in correctional and detention facilities, leading to outbreaks. Using quarantine and isolation after an exposure is important to prevent introduction and spread of COVID-19 in correctional facilities. In March 2020, a Utah correctional facility implemented symptom and temperature screenings for staff and testing at intake for newly incarcerated or detained persons (IDPs). The facility also installed personal protective equipment stations, directed staff and IDPs to wear face coverings, and stopped nonessential visitations. On September 14, 2020, a visiting dental health care provider treated 10 IDPs in a dental clinic at the correctional facility. When screened at entry to the facility, the dental provider had no COVID-19 symptoms but developed symptoms that evening and received a positive test. On September 21, the roommate of an IDP who received dental treatment experienced COVID-19 symptoms and later tested positive. In the days that followed, the 10 IDPs who received dental treatment from the visiting HCP were tested and two tested positive. Although positive cases were isolated, the other IDPs with whom they had contact were not immediately quarantined. Meanwhile, six staff members of the facility reported symptoms. The outbreak spread rapidly, eventually affecting more than one half of residents. Infection could have spread from the dental provider or from correctional facility staff members who were exposed in the community. Because COVID-19 can spread quickly in correction and detention facilities, control measures are needed to prevent disease introduction in these settings. Once infection is introduced, prevention measures such as earlier quarantine of incarcerated persons who have been exposed, universal masking, maintaining physical distancing, attention to hand hygiene, and prior vaccination of incarcerated persons and staff can limit spread.
Counties with High COVID-19 Incidence and Relatively Large Racial and Ethnic Minority Populations — United States, April 1–December 22, 2020 (Early Release March 24, 2021)
CDC Media Relations
404-639-3286
Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the COVID-19 Pandemic — United States, August 2020–February 2021 (Early Release March 26, 2021)
CDC Media Relations
404-639-3286
Interim Estimates of Vaccine Effectiveness of BNT162b2 and mRNA-1273 COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Health Care Personnel, First Responders, and Other Essential and Frontline Workers — Eight U.S. Locations, December 2020–March 2021 (Early Release March 29, 2021)
CDC Media Relations
404-639-3286
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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
CDC works 24/7 protecting America’s health, safety and security. Whether diseases start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC responds to America’s most pressing health threats. CDC is headquartered in Atlanta and has experts located throughout the United States and the world.
