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Incarcerated Persons

Fenced In: HIV/AIDS in the US Criminal Justice System

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This report discusses the structural barriers in correctional facilities when dealing with HIV and inmates. It states that four times as many people in prison have HIV than in the general population, which is a concern for everyone, not just those in prison.

Prisons and AIDS: UNAIDS Point of View

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This technical update reviews the incidence and prevalence of HIV in correctional facilities around the world and explains how this morbidity rate impacts the general public. The risk factors for HIV transmission in correctional facilities are reviewed and include drug injection, unprotected sexual relations, tattooing, skin piercing, blood brotherhood rites, lack of education, TB, and overcrowding. Suggestions for preventing the transmission of HIV in correctional settings are presented.

New Attitudes & Strategies: A Comprehensive Approach to Preventing Blood-Borne Infections Among IDUs

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This brochure discusses a comprehensive approach to preventing blood-borne infections among injection drug users (IDUs). It provides statistics on HIV/AIDS and hepatitis and briefly discusses the role of IDUs in the transmission of these blood-borne diseases. CDC is advocating a comprehensive approach to working with IDUs, which incorporates strategies that take into account the differing sociocultural characteristics of IDUs and incorporates several basic principles that serve as a framework for action.

Routine Jail-Based HIV Testing – Rhode Island, 2000-2007

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This report describes HIV testing by the Rhode Island Department of Corrections (RIDOC) to assess HIV case identification, characterize HIV risk factors, and estimate the proportion of detainees who might not have been tested if testing had been delayed. Since 1991, RIDOC has offered testing routinely to every person admitted as part of the initial medical evaluation conducted within 24 hours of jail admission. Records of HIV testing of detainees during 2000-2007 were reviewed. About 102,229 tests were administered, and 169 detainees were diagnosed.

Stepwise Approach for Detecting, Evaluating, and Treating Chronic Hepatitis B Virus Infection: Federal Bureau fo Prisons Clinical Practice Guidelines

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The Federal Bureau of Prisons (BOP) Stepwise Approach for Detecting, Evaluating, and Treating Chronic Hepatitis B Virus Infection provides recommendations for the medical management of federal inmates with chronic hepatitis B, or who are otherwise at risk of infection. The treatment of chronic hepatitis B in pregnancy or with hepatocellular carcinoma is beyond the scope of this guideline. For a more in-depth discussion of vaccination strategies and management of blood and body fluid exposures, the reader should refer to the BOP Clinical Practice Guidelines for those topics.

Evaluation and Treatment of Hepatitis C and Cirrhosis: Federal Bureau of Prisons Clinical Practice Guidelines

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This report presents guidelines for diagnosing, evaluating, and treating hepatitis C in persons incarcerated in Federal government prisons. It explains the transmission of hepatitis C virus (HCV), acute HCV infection and its treatment; chronic HCV infection; and a stepwise approach for detecting, evaluating, and treating chronic HCV infection. It discusses the direct-acting antiviral agents for treatment of chronic HCV infection that were FDA approved in May 2011, and their use, the indications and contraindications for triple therapy, managing side effects, and monitoring treatment response.

Disease Lockdown

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This newsletter is a publication featuring information and news about infectious diseases for personnel working in and with correctional facilities. The Spring 2012 issue features articles discussing STD statistics, hepatitis, and Florida's "STD Specialty Care Pilot Project."
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