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Tuberculosis in Nazilli District Prison, Turkey, 1997-2001.

G Kiter1, S Arpaz, S Keskin

  • 1Medical Faculty of Pamukkale University, Chest Diseases Department, Denizli, Turkey. goksel.kiter@superonline.com

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
|February 18, 2003
PubMed
Summary

Tuberculosis screening in Nazilli District Prison revealed a high prevalence (341 per 100,000). Continued screening and passive case-finding are essential for effective tuberculosis control in correctional facilities.

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Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Prison Health

Background:

  • Tuberculosis (TB) poses a significant risk in congregate settings like prisons.
  • Effective screening programs are crucial for controlling TB transmission in correctional facilities.

Purpose of the Study:

  • To assess the prevalence and characteristics of tuberculosis (TB) among prisoners in Nazilli District Prison, Turkey.
  • To evaluate the effectiveness of a systematic TB screening program within a prison setting.

Main Methods:

  • Retrospective analysis of data from a 5-year (1997-2001) annual tuberculosis screening program.
  • Included miniature chest radiography, clinical evaluation, and bacteriological assessment for abnormalities.
  • Also considered passively diagnosed active TB cases.

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Main Results:

  • Screening achieved 99.8% coverage of the prison population.
  • Mean point prevalence of tuberculosis was 341 per 100,000 prisoners.
  • 13 active TB cases were identified, with 8 detected solely through screening.

Conclusions:

  • High TB prevalence necessitates ongoing screening and passive case-finding in prisons.
  • Treatment success rates were satisfactory, but further investigation into staff screening, contact tracing, and prevention is warranted.