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Prioritizing interventions for preventing COVID-19 outbreaks in military basic training

medRxiv
2021
  • 2
    Citations
  • 0
    Usage
  • 0
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    2
    • Citation Indexes
      2
      • CrossRef
        2
  • Mentions
    1
    • News Mentions
      1
      • News
        1

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Interventions for preventing COVID-19 outbreaks in military basic training

New research findings suggest that military basic training is a unique environment that necessitates the development of tailored solutions for minimizing COVID-19 outbreaks.

Article Description

Like other congregate living settings, military basic training has been subject to outbreaks of COVID-19. We sought to identify improved strategies for preventing outbreaks in this setting using an agent-based model of a hypothetical cohort of trainees on a U.S. Army post. Our analysis revealed unique aspects of basic training that require customized approaches to outbreak prevention, which draws attention to the possibility that customized approaches may be necessary in other settings, too. In particular, we showed that introductions by trainers and support staff may be a major vulnerability, given that those individuals remain at risk of community exposure throughout the training period. We also found that increased testing of trainees upon arrival could actually increase the risk of outbreaks, given the potential for false-positive test results to lead to susceptible individuals becoming infected in group isolation and seeding outbreaks in training units upon release. Until an effective transmission-blocking vaccine is adopted at high coverage by individuals involved with basic training, need will persist for non-pharmaceutical interventions to prevent outbreaks in military basic training. Ongoing uncertainties about virus variants and breakthrough infections necessitate continued vigilance in this setting, even as vaccination coverage increases.

Bibliographic Details

Guido España; T. Alex Perkins; Morgan E. Smith; Sean M. Moore; Simon Pollett; Paul O. Kwon; Tara L. Hall; Milford H. Beagle; Clinton K. Murray; Shilpa Hakre; Sheila Peel; Kayvon Modjarrad; Paul T. Scott

Cold Spring Harbor Laboratory

Medicine

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