TY - JOUR
T1 - Clinical care of incarcerated people with HIV, viral hepatitis, or tuberculosis
AU - Rich, Josiah D.
AU - Beckwith, Curt G.
AU - Macmadu, Alexandria
AU - Marshall, Brandon D.L.
AU - Brinkley-Rubinstein, Lauren
AU - Amon, Joseph J.
AU - Milloy, M. J.
AU - King, Maximilian R.F.
AU - Sanchez, Jorge
AU - Atwoli, Lukoye
AU - Altice, Frederick L.
N1 - Funding Information:
This paper and The Lancet Series on HIV and Prisoners were supported by: grants to the Center for Public Health and Human Rights at Johns Hopkins Bloomberg School of Public Health from: the National Institute on Drug Abuse; the Open Society Foundations; the United Nations Population Fund; the Johns Hopkins University Center for AIDS Research, a National Institute of Health (NIH)-funded programme (1P30AI094189). This report was also supported by: the National Institute on Drug Abuse ( K24DA022112, JDR, AM; R01DA030778, R01DA027211 DP2 DA040236, BDLM, MRFK; T32DA013911, R25DA035692, R25DA037190, LB-R; R01DA025943, R01DA029910, R01DA030768, R01DA033679, R01DA030762, R01AA018944, K24DA017072, FLA ), the National Institutes of Health ( R01DA021525, M-JM ), and by the infrastructure and resources provided by the Lifespan/Tufts/Brown Center for AIDS Research, a National Institutes of Health-funded programme ( P30AI42853, CGB ). The content is solely the responsibility of the authors and does not necessarily represent the official views of any of the funders.
Funding Information:
The institution of M-JM has received unstructured funding from National Green Biomed Ltd; this funding has partly supported his research. All other authors declare no competing interests.
Publisher Copyright:
© 2016 Elsevier Ltd
PY - 2016/9/10
Y1 - 2016/9/10
N2 - The burden of HIV/AIDS and other transmissible diseases is higher in prison and jail settings than in the non-incarcerated communities that surround them. In this comprehensive review, we discuss available literature on the topic of clinical management of people infected with HIV, hepatitis B and C viruses, and tuberculosis in incarcerated settings in addition to co-occurrence of one or more of these infections. Methods such as screening practices and provision of treatment during detainment periods are reviewed to identify the effect of community-based treatment when returning inmates into the general population. Where data are available, we describe differences in the provision of medical care in the prison and jail settings of low-income and middle-income countries compared with high-income countries. Structural barriers impede the optimal delivery of clinical care for prisoners, and substance use, mental illness, and infectious disease further complicate the delivery of care. For prison health care to reach the standards of community-based health care, political will and financial investment are required from governmental, medical, and humanitarian organisations worldwide. In this review, we highlight challenges, gaps in knowledge, and priorities for future research to improve health-care in institutions for prisoners.
AB - The burden of HIV/AIDS and other transmissible diseases is higher in prison and jail settings than in the non-incarcerated communities that surround them. In this comprehensive review, we discuss available literature on the topic of clinical management of people infected with HIV, hepatitis B and C viruses, and tuberculosis in incarcerated settings in addition to co-occurrence of one or more of these infections. Methods such as screening practices and provision of treatment during detainment periods are reviewed to identify the effect of community-based treatment when returning inmates into the general population. Where data are available, we describe differences in the provision of medical care in the prison and jail settings of low-income and middle-income countries compared with high-income countries. Structural barriers impede the optimal delivery of clinical care for prisoners, and substance use, mental illness, and infectious disease further complicate the delivery of care. For prison health care to reach the standards of community-based health care, political will and financial investment are required from governmental, medical, and humanitarian organisations worldwide. In this review, we highlight challenges, gaps in knowledge, and priorities for future research to improve health-care in institutions for prisoners.
UR - http://www.scopus.com/inward/record.url?scp=84986288222&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(16)30379-8
DO - 10.1016/S0140-6736(16)30379-8
M3 - Review article
C2 - 27427452
AN - SCOPUS:84986288222
SN - 0140-6736
VL - 388
SP - 1103
EP - 1114
JO - The Lancet
JF - The Lancet
IS - 10049
ER -
