A tuberculose nas prisões do Rio de Janeiro, Brasil: uma urgência de saúde pública

Abstract

The tuberculosis incidence rate in prisons in Rio de Janeiro State, Brazil, was 30 times higher in 2004 than in the general population and is probably underestimated, particularly given the difficult access to care in the prison setting. To obtain a better estimate, a survey used systematic X-ray screening and showed a prevalence rate of 4.6% in one such detention facility, A (n = 1,052). Two additional surveys, in facilities B (n = 590) and C (n = 1,372), showed even higher prevalence rates (6.3% and 8.6% respectively). A comparison of socio-demographic characteristics between A, B, and C showed a heterogeneous prison population. As compared to facility A, inmates in B and C come from poorer urban communities and have more frequent histories of incarceration and tuberculosis. These differences, consistent with the prevalence data, imply the necessary adaptation of tuberculosis control programs to each detention facility's epidemiological and socio-demographic profile.

Saúde em prisões: representações e práticas dos agentes de segurança penitenciária no Rio de Janeiro, Brasil

“…Em 2002, estudo exaustivo de uma prisão masculina (n = 1.047) mostrou soroprevalên-cia de 2,1% 11 . Em relação à tuberculose, em 2005 a taxa de incidência (3.532/100 mil) foi, nas prisões do Rio de Janeiro, cerca de 35 vezes superior 12 à do Estado 13 , e estudos de rastreamento de casos por exame radiológico do tórax mostram prevalências entre 4,6% e 8,6% 14 , conforme as prisões estudadas. Entre os tuberculosos, a soroprevalência de HIV medida em uma das prisões foi de 14,6% 11 .…”

Identification Of Health Disorders A Prison Population

“…In Brazil, although health professionals related to the prison system consider, for their experience, that TB is a major challenge among the detainees, the magnitude of the problem is little known by the absence, in most Brazilian states, specific monitoring programs epidemiological and fight against TB in the prison population [12]. Miranda and Zago [13] portray the origin of the prisoners as to access to health care by claiming that these people are from communities with limited access to health care, especially in relation to primary care, early detection and treatment of disease.…”

Atraso no diagnóstico da tuberculose em sistema prisional: a experiência do doente apenado

“…; (2) What did you feel that made you seek the health service? ; (3) Tell me what happened from the beginning of the disease until your first trip to the health service; and (4) Tell me about the way that you passed through the health services until you discovered that you had tuberculosis. In the analysis procedure, 11 working with the interrelated description and interpretation, the opacity of the language, the manifestation of the ideology, the production of meanings and the constitution of the subjects historical-social gestures of interpretation are used.…”

“…This situation produces risks for inmates becoming sick and creates favorable conditions for infection by Mycobacterium tuberculosis, and the spread of TB. [1][2][3][4] A systematic review regarding the incidence of TB in prisons, including twenty-three studies from different regions of the world, concluded that the transmission of TB in the prison population is higher than that related to the local general population. 5 The prevalence of TB among prisoners may be up to fifty times higher than the national averages.…”