An outbreak of syphilis in Alabama prisons: correctional health policy and communicable disease control.
@article{Wolfe2001AnOO,
title={An outbreak of syphilis in Alabama prisons: correctional health policy and communicable disease control.},
author={M I Wolfe and F Xu and P Patel and M O'Cain and Julia Ann Schillinger and Michael E. St. Louis and Lyn Finelli},
journal={American journal of public health},
year={2001},
volume={91 8},
pages={
1220-5
}
}OBJECTIVES
After syphilis outbreaks were reported at 3 Alabama State men's prisons in early 1999, we conducted an investigation to evaluate risk factors for syphilis infection and describe patterns of syphilis transmission.
METHODS
We reviewed medical, patient interview, and prison transfer records and documented sexual networks. Presumptive source cases were identified. Odds of exposure to unscreened jail populations and transfer from other prisons were calculated for case patients at 1…
71 Citations
[Characteristics of cases of infectious syphilis diagnosed in prisons, 2007-2008].
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Incidence of syphilis in prison is high, and many syphilis patients were detected through screening, highlighting the role of the Spanish prison health service in STI control.
HIV Transmission in a State Prison System, 1988–2005
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Half of all HIV seroconversions were identified when routine voluntary testing was offered, and seroconverters reduced their risks following their diagnosis, suggesting resistance testing before initiating antiretroviral therapy is important for newly-diagnosed inmates.
Syphilis Outbreak at a California Men’s Prison, 2007–2008
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Lack of adherence to surveillance and clinical management protocols likely contributed to this outbreak, which was curtailed by aggressive control measures.
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Part 2 of the select annotated bibliography on HIV/AIDS and HCV in prisons contains selected “essential” articles and reports that provide information about prevalence of HIV, HCV, and risk behaviours in prisons.
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The findings suggest that HIV is likely contracted by most inmates before their incarceration, largely due to same-sex activity.
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