Prevalence of Tuberculosis in a Prison in Tehran by Active Case Finding

Farhoudi, Behnam; SeyedAlinaghi, SeyedAhmad; Hosseini, Mostafa; Pahlaviani, Fatemeh Golsoorat; Firouzeh, Mona Mohammadi; Shahbazi, Mohammad; Mohraz, Minoo

doi:10.2174/1871526518666180507122425

Cited by 3 publications

(3 citation statements)

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“…Five papers related specifically to the prevalence of TB in prisons or in those with a history of incarceration; each paper related to a different country (India (26), China (27), Ethiopia (28), Iran (29) and Tunisia(30)). Tong et al (2019) (27) used cluster sampling methods to gather evidence of TB prevalence in two randomly chosen prisons in middle China.…”

Section: Prison Populationsmentioning

confidence: 99%

“…Compared with the province's and China's general population, prisoners had 1.65 (95% CI: 1.13,2.41) and 2.26 times (95% CI: 1.65,3.11) increased odds of having active TB respectively. Farhoudi et al (29) used active case finding to screen for TB-suspected prisoners (self-report in response to health care staff explanation of symptoms) in Great Tehran Prison who were then referred to a clinic for sputum testing: this method identified a 'low' prevalence of 6.5% (448/6,900) TB-suspected prisoners and only nine were subsequently diagnosed (0.13%).…”

Section: Prison Populationsmentioning

confidence: 99%

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Supportive and palliative care of adults with respiratory problems experiencing structural vulnerability from homelessness, prison or other criminal justice system involvement

Gardener

Kuhn

Micklewright

et al. 2020

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewThis review seeks to identify the current prevalence of potentially life-limiting respiratory conditions among those who have experienced homelessness, incarceration or had criminal justice involvement, and current developments in, and barriers to, delivery of supportive and palliative respiratory care to these populations. These structurally vulnerable populations are known to be growing, their health behaviours more risky, and their morbidity and mortality higher, with evidence of accelerated aging. Recent findingsMost studies identified investigated prevalence of respiratory conditions, which were found to be high. In contrast only one study directly explored supportive and palliative care (in a prison population

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Section: Prison Populationsmentioning

confidence: 99%

Section: Prison Populationsmentioning

confidence: 99%

Supportive and palliative care of adults with respiratory problems experiencing structural vulnerability from homelessness, prison or other criminal justice system involvement

Gardener

Kuhn

Micklewright

et al. 2020

Current Opinion in Supportive &Amp; Palliative Care

View full text Add to dashboard Cite

show abstract

“…Active health service provision (AHSP), a new model for Iranian health service provision, has previously been described in detail in national clinical guidelines [8] and aims to restructure the health service delivery system to actively and effectively find, treat and follow TB patients. The JHR 34,6 aim of this study was to compare the defined indicators of TB in the intervention and control prisons after implementation of AHSP for TB and HIV management in Iranian prisons.…”

Section: Introductionmentioning

confidence: 99%

Comparison of tuberculosis indicators after implementation of the clinical protocol for tuberculosis and HIV management in Iranian prisons: a quasi-experimental study

SeyedAlinaghi

Farhoudi

Ataeinia

et al. 2020

JHR

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PurposeThe aim of this study was to compare the defined indicators of tuberculosis (TB) control program in the intervention and control prisons, after implementation of the national clinical protocol for TB and HIV management in Iranian prisons, suggesting active health service provision in all steps of service provision.Design/methodology/approachThis was quasi-experimental study conducted among inmates of two prisons in Iran. Great Tehran prison was purposively chosen as the intervention prison and Karaj prison was purposively chosen as control prison as well. Intervention and control prisons were compared in terms of the TB indicators within three periods (before intervention, during implementation and follow-up period) from October 2013 to June 2014.FindingsNumber of inmates with TB symptoms who underwent TB workup was four times more in intervention prison compared to control prison (9.3 vs 2.5 cases out of 1,000 inmates per month in the case prison compared to the control prison). Such difference was also significant in the intervention prison, comparing before and during the intervention period. The patient finding in case prison increased significantly after the intervention (223.6 vs 81.8 cases out of 100,000 inmates per year). The number of TB cases who received HIV testing increased from 50 to 100%.Originality/valueActive health service provision has significantly improved indicators in the intervention prison. The authors recommend implementation of this guideline in all prisons of Iran. Integration of other diseases with high burden among prisoners is also recommended in the active health services provision.

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Medicine in the Penal System

Opitz‐Welke¹,

Lehmann

Seidel³

et al. 2018

Deutsches Ärzteblatt International

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Background: Infectious diseases, substance dependencies, and dental diseases are the most important health problems affecting incarcerated persons. In Germany, for example, prisoners are 48 to 69 times more likely to be infected with the hepatitis C virus (HCV) than the general population, and 7 to 12 times more likely to be infected with the human immunodeficiency virus (HIV). The prevalence of mental illnesses is also markedly higher in the incarcerated than in the general population. Methods: This review is based on pertinent publications retrieved by a selective search in two databases (PubMed and Google Scholar) for any of the terms "health care," "primary health care," "mental health care"; "infectious disease," "opioid maintenance treatment," and "severe mental disorder" in conjunction with "prison," "jail," "detention," and "incarceration." Results: Among prisoners in German prisons, approximately 20% consume heroin, 20-50% suffer from alcohol dependency and abuse, and 70-85% smoke. The prevalence of tuberculosis in German prisons in 2002 was 0.1%. The provision of needles to incarcerated persons has a preventive effect on infection with hepatitis C, hepatitis B, and HIV, yet programs of this type have been discontinued in most penal facilities. In a systematic review, psychotic disorders were found in 3.6% (95% confidence interval [CI]: [3.1; 4.2]) of male inmates and 3.9% [95% CI: 2.7; 5.0] of female inmates. 25% of incarcerated persons suffer from attention-deficit-hyperactivity disorder. Persons recently released from prison have an above average mortality, largely due to drug intoxication. Conclusion: An analysis of medical prescribing data reveals deficiencies in the provision of HCV treatment to all affected persons and in the provision of substitution treatment to persons with opiate dependency. In view of the known risks associated with imprisonment, greater emphasis should be placed on the provision of treatment for infectious diseases, substance dependencies, and mental illness, both in prison and in outpatient care after release.

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Prevalence of Tuberculosis in a Prison in Tehran by Active Case Finding

Cited by 3 publications

References 0 publications

Supportive and palliative care of adults with respiratory problems experiencing structural vulnerability from homelessness, prison or other criminal justice system involvement

Supportive and palliative care of adults with respiratory problems experiencing structural vulnerability from homelessness, prison or other criminal justice system involvement

Comparison of tuberculosis indicators after implementation of the clinical protocol for tuberculosis and HIV management in Iranian prisons: a quasi-experimental study

Medicine in the Penal System

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