Abstract

Tuberculosis Screening before Anti–Hepatitis C Virus Therapy in Prisons

Highlights

  • KEY MESSAGES Tuberculosis is an infectious disease transmitted in the air. Tuberculosis is reported to be up to 100 times more common in prison than in civilian populations. The spread of tuberculosis is made worse by the late diagnosis and treatment of infectious cases, and poor prison living conditions such as overcrowding. human immunodeficiency virus (HIV) infection dramatically increases the chance of developing active tuberculosis

  • HIV infection dramatically increases the chance of developing active tuberculosis

  • WHO Report on the Global Tuberculosis Epidemic

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Summary

OVERVIEW

A comprehensive package of medical and administrative interventions is necessary to control tuberculosis in prisons. The need to effectively address tuberculosis (TB) control in prisons in all countries is becoming increasingly understood by governments, National Tuberculosis Programmes (NTP’s), international organizations and donors. TB control in prisons must not be undertaken as an isolated technical programme It should form part of an integrated and comprehensive effort to improve health inside and outside prisons. The objective of this manual is to provide a practical tool for health workers considering embarking on TB control programmes in prisons, covering structural and administrative, as well as medical issues. Suggestions are made for field evaluation and, as more information comes to light, it is likely that more concrete recommendations can be provided in the future

INTRODUCTION
10. Levy M
29. Glaser JB
Levy M
15. Standard Minimum Rules for the Treatment of Prisoners
Conflicts of interest
Veeken H: Lurigancho prison
Pinet G
INTEGRATED TUBERCULOSIS CONTROL PROGRAMMES
Smith R
Stead WW
11. Tomasevski K
Reference population
Sampling strategy
The sample size
Enrolment
Questionnaire
Identifying TB cases
Confirmed tuberculosis cases
Documentation
Data management
ETHICAL CONSIDERATIONS
Dean AG et al
10.3.1 Direct smear microscopy of sputum using acid-fast stains
10.3.2 Culture
10.3.4 More specialized tests and alternative methods
10.3.5 Biochemical tests on serum samples
10.9.1 Infrastructure
10.9.2 Equipment and Materials
10.9.4 Transport and storage of specimens
10.9.5 Laboratory safety
10.10 LABORATORY DOCUMENTATION AND REPORTING
11 ORGANIZATION OF TUBERCULOSIS SERVICES IN PRISONS
11.10 HEALTH PERSONNEL
11.11.1 Stock management
Standard Minimum Rules for the Treatment of Prisoners
12.2.1 Case-finding through self-referral
12.2.2 Screening at entry to prison
12.2.3 Active case-finding in the imprisoned population
12.3.1 Basic principles
12.3.2 Identifying tuberculosis suspects
Method
12.3.3 Confirming tuberculosis cases
12.3.4 Arranging treatment
12.3.5 Documentation
Toman K
H3R3E3 or 5 HRE
13.5.1 Direct observation of treatment
13.5.3 Incentives and enablers for patients
13.5.4 Improving adherence to treatment post-release
13.10 TREATMENT OUTCOMES
13.12.1 Management of chronic cases
14.2.1 The importance of education
14.2.2 Who needs education?
14.2.3 Who should be the educators?
14.2.4 When should education be implemented?
14.2.5 Educational tools
14.3.1 The need for training
14.3.2 Who should be trained in which tasks?
14.3.3 How should training be performed?
15. Rieder HL
15.7.1 Other communicable diseases
15.7.2 Substance abuse
15.7.3 Violence
15.7.4 Psychological and psychiatric illness
Sepkowitz KA
20. Ten Dam HG
26. Dunn J
16.3.1 Recording - Screening and laboratory registers
16.3.2 Reporting – form TB07
15 Usually the annual TB cases are divided into 4 standardized cohorts
16.4.1 Recording - The TB register
16.4.2 Reporting - form TB08
16.4.3 Analysis
Full Text
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