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Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees.

Publication ,  Journal Article
Dolan, K; Wirtz, AL; Moazen, B; Ndeffo-Mbah, M; Galvani, A; Kinner, SA; Courtney, R; McKee, M; Amon, JJ; Maher, L; Hellard, M; Beyrer, C; Altice, FL
Published in: Lancet
September 10, 2016

The prison setting presents not only challenges, but also opportunities, for the prevention and treatment of HIV, viral hepatitis, and tuberculosis. We did a comprehensive literature search of data published between 2005 and 2015 to understand the global epidemiology of HIV, hepatitis C virus (HCV), hepatitis B virus (HBV), and tuberculosis in prisoners. We further modelled the contribution of imprisonment and the potential impact of prevention interventions on HIV transmission in this population. Of the estimated 10·2 million people incarcerated worldwide on any given day in 2014, we estimated that 3·8% have HIV (389 000 living with HIV), 15·1% have HCV (1 546 500), 4·8% have chronic HBV (491 500), and 2·8% have active tuberculosis (286 000). The few studies on incidence suggest that intraprison transmission is generally low, except for large-scale outbreaks. Our model indicates that decreasing the incarceration rate in people who inject drugs and providing opioid agonist therapy could reduce the burden of HIV in this population. The prevalence of HIV, HCV, HBV, and tuberculosis is higher in prison populations than in the general population, mainly because of the criminalisation of drug use and the detention of people who use drugs. The most effective way of controlling these infections in prisoners and the broader community is to reduce the incarceration of people who inject drugs.

Duke Scholars

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Published In

Lancet

DOI

EISSN

1474-547X

Publication Date

September 10, 2016

Volume

388

Issue

10049

Start / End Page

1089 / 1102

Location

England

Related Subject Headings

  • United States
  • Tuberculosis
  • Substance Abuse, Intravenous
  • Prisoners
  • Prevalence
  • Humans
  • Hepatitis, Viral, Human
  • Hepatitis C
  • Hepatitis B
  • HIV Infections
 

Citation

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Chicago
ICMJE
MLA
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Dolan, K., Wirtz, A. L., Moazen, B., Ndeffo-Mbah, M., Galvani, A., Kinner, S. A., … Altice, F. L. (2016). Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees. Lancet, 388(10049), 1089–1102. https://doi.org/10.1016/S0140-6736(16)30466-4
Dolan, Kate, Andrea L. Wirtz, Babak Moazen, Martial Ndeffo-Mbah, Alison Galvani, Stuart A. Kinner, Ryan Courtney, et al. “Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees.Lancet 388, no. 10049 (September 10, 2016): 1089–1102. https://doi.org/10.1016/S0140-6736(16)30466-4.
Dolan K, Wirtz AL, Moazen B, Ndeffo-Mbah M, Galvani A, Kinner SA, et al. Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees. Lancet. 2016 Sep 10;388(10049):1089–102.
Dolan, Kate, et al. “Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees.Lancet, vol. 388, no. 10049, Sept. 2016, pp. 1089–102. Pubmed, doi:10.1016/S0140-6736(16)30466-4.
Dolan K, Wirtz AL, Moazen B, Ndeffo-Mbah M, Galvani A, Kinner SA, Courtney R, McKee M, Amon JJ, Maher L, Hellard M, Beyrer C, Altice FL. Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees. Lancet. 2016 Sep 10;388(10049):1089–1102.
Journal cover image

Published In

Lancet

DOI

EISSN

1474-547X

Publication Date

September 10, 2016

Volume

388

Issue

10049

Start / End Page

1089 / 1102

Location

England

Related Subject Headings

  • United States
  • Tuberculosis
  • Substance Abuse, Intravenous
  • Prisoners
  • Prevalence
  • Humans
  • Hepatitis, Viral, Human
  • Hepatitis C
  • Hepatitis B
  • HIV Infections