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Related Experiment Videos

Tuberculosis in a correctional facility

A R Pelletier1, G T DiFerdinando, A J Greenberg

  • 1Division of Field Epidemiology, National Center for Infectious Diseases, Atlanta, GA.

Archives of Internal Medicine
|December 13, 1993
PubMed
Summary
This summary is machine-generated.

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Jails can be reservoirs for tuberculosis (TB) transmission. An investigation found 24% of county TB cases were linked to a jail, highlighting the need for effective TB control programs within correctional facilities.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Disease Control

Background:

  • An investigation was launched following the identification of five suspected tuberculosis (TB) cases in a Nassau County jail within three weeks.
  • The study aimed to document TB cases linked to the jail, characterize affected inmates, and identify transmission factors.

Purpose of the Study:

  • To investigate the extent of tuberculosis (TB) infection and disease associated with a county jail.
  • To identify characteristics of inmates with TB disease and factors contributing to TB transmission within the jail setting.

Main Methods:

  • Matched county TB register with jail inmate files.
  • Reviewed medical records from hospitals, health department, and jail.
  • Conducted mass tuberculin skin testing for all inmates.

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Main Results:

  • 49 (24%) of 205 county TB cases were linked to the jail between 1988 and 1990.
  • 40 cases were among inmates, predominantly nonwhite, unmarried men, with high rates of injecting drug use and HIV positivity.
  • 20% of inmates tested positive for tuberculosis infection, and molecular typing suggested within-jail transmission.

Conclusions:

  • Jails can serve as significant reservoirs for tuberculosis (TB) transmission among inmates, staff, and the wider community.
  • Effective TB control programs are crucial in correctional facilities to prevent disease spread.
  • The findings underscore the importance of screening and intervention in jail settings to curb TB transmission.