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Alcohol Production, Prevention Strategies, and Inmate Knowledge About the Risk for Botulism From Pruno Consumption in
Laura E Adams1, Seema Yasmin2, Graham Briggs3
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA Arizona Department of Health Services, Phoenix, AZ, USA Maricopa County Department of Public Health, Phoenix, AZ, USA laura.adams@azdhs.gov.
Two botulism outbreaks in a prison were linked to illicit alcohol (pruno). Post-outbreak education significantly increased inmate botulism knowledge, with fliers and TV being preferred information sources.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Toxicology
Background:
- Botulism outbreaks can occur in closed communities.
- Illicitly brewed alcohol, known as pruno, poses a risk for botulism.
- Correctional facilities present unique challenges for public health interventions.
Purpose of the Study:
- To investigate botulism outbreaks linked to pruno consumption in a prison.
- To assess inmate knowledge of botulism before and after an education campaign.
- To identify preferred information channels for health education within the prison.
Main Methods:
- Conducted qualitative and quantitative surveys among inmates.
- Randomly selected 250 inmates for quantitative interviews (164 completed).
- Assessed botulism knowledge and preferred information sources.
Main Results:
- Two botulism outbreaks (12 cases) were associated with pruno consumption.
- Botulism knowledge increased significantly from 24% pre-outreach to 73% post-outreach (p < .01).
- Preferred information sources were handouts/fliers (52%) and prison TV (32%).
Conclusions:
- Pruno consumption is a significant risk factor for botulism in correctional settings.
- Targeted health education campaigns can effectively improve inmate knowledge.
- Utilizing accessible channels like fliers and prison TV is crucial for effective health communication.
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