Network Characteristics and Visualization of COVID-19 Outbreak in a Large Detention Facility in the United States — Cook County, Illinois, 2020

Abstract

What is already known about this topic? Network analyses and visualization can provide information about outbreak transmission dynamics. What is added by this report? Analysis of detained person and staff member movements during a COVID-19 outbreak at Cook County Jail in Illinois found fewer connections among detained persons with COVID-19 than expected, suggesting that interventions and medical isolation practices were effective at reducing transmission. Higher than expected connections were identified in staff member networks, suggesting occurrence of additional transmission and areas of focus for transmission interruption. What are the implications for public health practice? A network-informed approach can identify likely points of high transmission, enabling targeted interventions to reduce transmission, such as by reducing convening of staff members, closing breakrooms, and cessation of contact sports.