Tuberculosis in prisons in sub-Saharan Africa - the need for improved health services, surveillance and control

O'Grady, Justin and Hoelscher, Michael and Atun, Rifat and Bates, Matthew and Mwaba, Peter and Kapata, Nathan and Ferrara, Giovanni and Maeurer, Markus and Zumla, Alimuddin (2011) Tuberculosis in prisons in sub-Saharan Africa - the need for improved health services, surveillance and control. TUBERCULOSIS, 91 (2). pp. 173-178. ISSN 1472-9792

Full content URL: https://www.tuberculosisjournal.com/article/S1472-...

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Item Type:Article
Item Status:Live Archive

Abstract

Prisons have long been associated with rapid transmission of infectious diseases. The HIV/AIDS epidemic in sub-Saharan Africa (SSA) has fuelled the spread of TB and HIV in prisons. The poor living conditions and ineffective health services in prisons in SSA are a major breeding ground of Mycobacterium tuberculosis (Mtb). The spread of TB between prisoners, prison staff and visitors and the emergence of drug-resistant TB in prisons now poses a threat to control efforts of national TB programmes in SSA. Accurate data required to develop appropriate interventions to tackle the ominous problem of TB in African prisons are scanty and unreliable. The health of prisoners is by default a neglected political issue. This article reviews the available literature on TB and drug-resistant TB in prisons from SSA countries, discusses the risk factors for acquiring TB and highlights the priorities for further translational research in prisons. Ethical issues pertaining to research on captive African populations are discussed. Scientific, political and funder attention is required urgently to improve prison health services. (C) 2010 Published by Elsevier Ltd.

Additional Information:The final published version of this article can be accessed online at https://www.tuberculosisjournal.com/article/S1472-9792(10)00141-1/fulltext
Keywords:Tuberculosi, Prisons, Drug-resistant TB, Sub-Saharan Africa, TB control, Human rights}
Subjects:A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Science > School of Life Sciences
ID Code:28404
Deposited On:23 Aug 2018 10:48

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