COVID-19 Among Workers in Meat and Poultry Processing Facilities ― 19 States, April 2020

Jonathan Dyal(Research Institute of Disinfectology Rospotrebnadzor), Michael P. Grant(Research Institute of Disinfectology Rospotrebnadzor), Kendra Broadwater(Research Institute of Disinfectology Rospotrebnadzor), Adam Bjork(Research Institute of Disinfectology Rospotrebnadzor), Michelle A. Waltenburg(Research Institute of Disinfectology Rospotrebnadzor), John D. Gibbins(Research Institute of Disinfectology Rospotrebnadzor), Christa Hale(Research Institute of Disinfectology Rospotrebnadzor), Maggie Silver(Research Institute of Disinfectology Rospotrebnadzor), Marc Fischer(Research Institute of Disinfectology Rospotrebnadzor), Jonathan Steinberg(Research Institute of Disinfectology Rospotrebnadzor), Colin Basler(Research Institute of Disinfectology Rospotrebnadzor), Jesica R. Jacobs(Research Institute of Disinfectology Rospotrebnadzor), Erin D. Kennedy(Research Institute of Disinfectology Rospotrebnadzor), Suzanne E. Tomasi(Research Institute of Disinfectology Rospotrebnadzor), Douglas Trout(Research Institute of Disinfectology Rospotrebnadzor), Jennifer Hornsby‐Myers(Research Institute of Disinfectology Rospotrebnadzor), Nadia Oussayef(Research Institute of Disinfectology Rospotrebnadzor), Lisa Delaney(Research Institute of Disinfectology Rospotrebnadzor), Ketki Patel(Research Institute of Disinfectology Rospotrebnadzor), Varun Shetty(Research Institute of Disinfectology Rospotrebnadzor), Kelly E. Kline(Research Institute of Disinfectology Rospotrebnadzor), Betsy Schroeder(Research Institute of Disinfectology Rospotrebnadzor), Rachel Herlihy(Research Institute of Disinfectology Rospotrebnadzor), Jennifer House(Research Institute of Disinfectology Rospotrebnadzor), Rachel H. Jervis(Research Institute of Disinfectology Rospotrebnadzor), Joshua L. Clayton(Research Institute of Disinfectology Rospotrebnadzor), Dustin Ortbahn(Research Institute of Disinfectology Rospotrebnadzor), Connie Austin(Research Institute of Disinfectology Rospotrebnadzor), Erica Berl(Research Institute of Disinfectology Rospotrebnadzor), Zack Moore(Research Institute of Disinfectology Rospotrebnadzor), Bryan Buss(Research Institute of Disinfectology Rospotrebnadzor), Derry Stover(Research Institute of Disinfectology Rospotrebnadzor), Ryan P. Westergaard(Research Institute of Disinfectology Rospotrebnadzor), Ian W. Pray(Research Institute of Disinfectology Rospotrebnadzor), Meghan DeBolt(Research Institute of Disinfectology Rospotrebnadzor), Amy Person(Research Institute of Disinfectology Rospotrebnadzor), Julie Gabel(Research Institute of Disinfectology Rospotrebnadzor), Theresa Kittle(Research Institute of Disinfectology Rospotrebnadzor), Pamela Hendren(Research Institute of Disinfectology Rospotrebnadzor), Charles Rhea(Research Institute of Disinfectology Rospotrebnadzor), Caroline Holsinger(Research Institute of Disinfectology Rospotrebnadzor), John Dunn(Research Institute of Disinfectology Rospotrebnadzor), George Turabelidze(Research Institute of Disinfectology Rospotrebnadzor), Farah Ahmed(Research Institute of Disinfectology Rospotrebnadzor), Siestke deFijter(Research Institute of Disinfectology Rospotrebnadzor), Caitlin Pedati(Research Institute of Disinfectology Rospotrebnadzor), Karyl T. Rattay(Research Institute of Disinfectology Rospotrebnadzor), Erica E. Smith(Research Institute of Disinfectology Rospotrebnadzor), Carolina Luna-Pinto(Research Institute of Disinfectology Rospotrebnadzor), Laura A. Cooley(Research Institute of Disinfectology Rospotrebnadzor), Sharon Saydah(Research Institute of Disinfectology Rospotrebnadzor), Nykiconia Preacely(Research Institute of Disinfectology Rospotrebnadzor), Ryan A. Maddox(Research Institute of Disinfectology Rospotrebnadzor), Elizabeth A. Lundeen(Research Institute of Disinfectology Rospotrebnadzor), Bradley Goodwin(Research Institute of Disinfectology Rospotrebnadzor), Sandor E. Karpathy(Research Institute of Disinfectology Rospotrebnadzor), Sean M. Griffing(Research Institute of Disinfectology Rospotrebnadzor), Mary M. Jenkins(Research Institute of Disinfectology Rospotrebnadzor), Garry Lowry(Research Institute of Disinfectology Rospotrebnadzor), Rachel D. Schwarz(Research Institute of Disinfectology Rospotrebnadzor), Jonathan S. Yoder(Research Institute of Disinfectology Rospotrebnadzor), Georgina Peacock(Research Institute of Disinfectology Rospotrebnadzor), Henry Walke(Research Institute of Disinfectology Rospotrebnadzor), Dale A. Rose(Research Institute of Disinfectology Rospotrebnadzor), Margaret A. Honein(Research Institute of Disinfectology Rospotrebnadzor)
MMWR Morbidity and Mortality Weekly Report
May 1, 2020
Cited by 364Open Access
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Abstract

Congregate work and residential locations are at increased risk for infectious disease transmission including respiratory illness outbreaks. SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is primarily spread person to person through respiratory droplets. Nationwide, the meat and poultry processing industry, an essential component of the U.S. food infrastructure, employs approximately 500,000 persons, many of whom work in proximity to other workers (1). Because of reports of initial cases of COVID-19, in some meat processing facilities, states were asked to provide aggregated data concerning the number of meat and poultry processing facilities affected by COVID-19 and the number of workers with COVID-19 in these facilities, including COVID-19-related deaths. Qualitative data gathered by CDC during on-site and remote assessments were analyzed and summarized. During April 9-27, aggregate data on COVID-19 cases among 115 meat or poultry processing facilities in 19 states were reported to CDC. Among these facilities, COVID-19 was diagnosed in 4,913 (approximately 3%) workers, and 20 COVID-19-related deaths were reported. Facility barriers to effective prevention and control of COVID-19 included difficulty distancing workers at least 6 feet (2 meters) from one another (2) and in implementing COVID-19-specific disinfection guidelines.* Among workers, socioeconomic challenges might contribute to working while feeling ill, particularly if there are management practices such as bonuses that incentivize attendance. Methods to decrease transmission within the facility include worker symptom screening programs, policies to discourage working while experiencing symptoms compatible with COVID-19, and social distancing by workers. Source control measures (e.g., the use of cloth face covers) as well as increased disinfection of high-touch surfaces are also important means of preventing SARS-CoV-2 exposure. Mitigation efforts to reduce transmission in the community should also be considered. Many of these measures might also reduce asymptomatic and presymptomatic transmission (3). Implementation of these public health strategies will help protect workers from COVID-19 in this industry and assist in preserving the critical meat and poultry production infrastructure (4).


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