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Related Experiment Videos

Tuberculosis surveillance in a state prison system.

S S Spencer1, A R Morton

  • 1New Mexico Corrections Department, Santa Fe 87503.

American Journal of Public Health
|April 1, 1989
PubMed
Summary
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A tuberculosis screening in New Mexico prisons found high rates of infection among inmates. New policies now include regular testing for inmates and staff to control the spread of tuberculosis in correctional facilities.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Correctional Healthcare

Background:

  • Tuberculosis (TB) skin test conversions were identified in four inmates at two New Mexico prisons.
  • This prompted a comprehensive TB screening across all state adult correctional facilities.

Purpose of the Study:

  • To assess the prevalence of tuberculosis infection in the New Mexico state prison system.
  • To identify previously unknown TB converters and reactors within correctional facilities.

Main Methods:

  • A mass TB screening program involving 2,240 inmates was conducted.
  • Tuberculin skin testing was administered to all inmates in adult correctional facilities.

Main Results:

  • High percentages of TB converters (6.8% and 6.3%) and reactors (14.4% and 12.2%) were found at the initial two prisons.

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  • No index cases, the initial source of infection, were identified during the screening.

    • Conclusions:

    • The study highlights a significant burden of tuberculosis infection within the prison population.
    • Revised state policy now mandates two-stage skin testing for new inmates, annual testing, and screening of all new correctional staff to improve TB control.