Document Detail


Tuberculosis behind bars in Israel: policy making within a dynamic situation.
MedLine Citation:
PMID:  18494233     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The crowded environment of correctional facilities may enhance infectious diseases transmission, such as tuberculosis. OBJECTIVES: To define the tuberculosis burden in prisons in Israel, a country of low TB incidence (7.9 cases:100,000 population in 2004), in which about 13,000 inmates are being incarcerated annually, and to recommend policy adaptations for TB control. METHODS: All prison clinic lung records from 1998 through 2004 in Israel were reviewed to identify pulmonary TB patients. Additionally, we reviewed TB epidemiological investigation files from one northern prison (years 2002 through 2005) to evaluate possible transmission of the disease. RESULTS: During the study period 23 Israeli inmates had pulmonary TB (25 cases/100,000 prisoners), which was 3.5 times higher than in the general population. Of those, 18 (78%) were born in the Former Soviet Union and immigrated to Israel after 1990. Four pulmonary TB cases in the evaluated prison were reported, and 22% (149/670) of all inmates and staff were referred for treatment of latent TB infection. CONCLUSIONS: To prevent future TB cases, we recommend new prevention measures, including a symptom questionnaire for all new inmates and selective tuberculin skin testing for inmates infected with human immunodeficiency virus/AIDS, those who inject drugs, and those who emigrated from the former Soviet Union after 1990. New staff should be screened by the two-step tuberculin skin test and annual symptoms questionnaire thereafter. Incarceration may be used as a point of detection for TB and a window of opportunity for treatment in this hard-to-reach population.
Authors:
Zohar Mor; Alex Adler; Alex Leventhal; Irina Volovic; Edna Rosenfeld; Mark N Lobato; Daniel Chemtob
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Israel Medical Association journal : IMAJ     Volume:  10     ISSN:  1565-1088     ISO Abbreviation:  Isr. Med. Assoc. J.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-05-22     Completed Date:  2008-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100930740     Medline TA:  Isr Med Assoc J     Country:  Israel    
Other Details:
Languages:  eng     Pagination:  202-6     Citation Subset:  IM    
Affiliation:
Department of Tuberculosis and AIDS, Ministry of Health, Jerusalem, Israel. zohar.mor@moh.health.gov.il
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Communicable Disease Control / organization & administration*
Humans
Incidence
Israel / epidemiology
Male
Middle Aged
Policy Making*
Prisoners / statistics & numerical data*
Prisons / organization & administration
Risk Factors
Tuberculin Test
Tuberculosis, Pulmonary / diagnosis,  epidemiology*,  prevention & control
Comments/Corrections
Comment In:
Isr Med Assoc J. 2008 Mar;10(3):227-8   [PMID:  18494238 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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