P6.058 Universal HIV Screening of Inmates in Israeli Prisons: Should the Policy Be Updated?. (13th July 2013)
- Record Type:
- Journal Article
- Title:
- P6.058 Universal HIV Screening of Inmates in Israeli Prisons: Should the Policy Be Updated?. (13th July 2013)
- Main Title:
- P6.058 Universal HIV Screening of Inmates in Israeli Prisons: Should the Policy Be Updated?
- Authors:
- Mor, Z
Vider, H
Grotto, I
Aurkin, D Tischler - Abstract:
- Abstract : Background: HIV rates among inmates are mostly higher than the general population. Israel is a relative low-HIV prevalence country (107:100, 000 population, 2011 data). All criminal inmates incarcerated in prisons/gaols at the Israeli Prison Services (IPS) are routinely screened for HIV. This retrospective study evaluates the necessity of the current policy of universal HIV-testing policy. Methods: We reviewed all inmates diagnosed with HIV/AIDS upon incarceration in Israel between 2003 and 2010, and assessed their risk-behaviours and the date of diagnosis. Results: During the 8 years follow-up, 108, 866 new criminal inmates were incarcerated in 31 correctional facilities, and it is estimated that 95% of those were tested for HIV. Of those, 201 (0.2%) were tested positively with HIV, in a direct testing cost of 622, 000 (US$). Of all 201 HIV-infected inmates, 118 (58.7%) were intra-venous drug-users (IVDU), 55 (27.4%) originated in high-prevalence countries, 13 (6.5%) were men who have sex with men (MSM), 12 (6.0%) were heterosexuals not originating in endemic country, 2 (0.1%) the risk-group was undetermined and one (0.5%) was infected vertically. Of all 201 HIV-infected inmates, 157 (78.2%) were diagnosed in the community, prior to their imprisonment, and were re-tested in prison; while 44 (21.8%) were firstly diagnosed in prison. Of those 44 inmates, 25 (56.8%) were IVDU, 13 (29.5%) originated in endemic country, three (9.1%) were MSM and in two (4.5%) theAbstract : Background: HIV rates among inmates are mostly higher than the general population. Israel is a relative low-HIV prevalence country (107:100, 000 population, 2011 data). All criminal inmates incarcerated in prisons/gaols at the Israeli Prison Services (IPS) are routinely screened for HIV. This retrospective study evaluates the necessity of the current policy of universal HIV-testing policy. Methods: We reviewed all inmates diagnosed with HIV/AIDS upon incarceration in Israel between 2003 and 2010, and assessed their risk-behaviours and the date of diagnosis. Results: During the 8 years follow-up, 108, 866 new criminal inmates were incarcerated in 31 correctional facilities, and it is estimated that 95% of those were tested for HIV. Of those, 201 (0.2%) were tested positively with HIV, in a direct testing cost of 622, 000 (US$). Of all 201 HIV-infected inmates, 118 (58.7%) were intra-venous drug-users (IVDU), 55 (27.4%) originated in high-prevalence countries, 13 (6.5%) were men who have sex with men (MSM), 12 (6.0%) were heterosexuals not originating in endemic country, 2 (0.1%) the risk-group was undetermined and one (0.5%) was infected vertically. Of all 201 HIV-infected inmates, 157 (78.2%) were diagnosed in the community, prior to their imprisonment, and were re-tested in prison; while 44 (21.8%) were firstly diagnosed in prison. Of those 44 inmates, 25 (56.8%) were IVDU, 13 (29.5%) originated in endemic country, three (9.1%) were MSM and in two (4.5%) the risk-group was not determined. Conclusion: HIV-infection rate is prison is twice higher than the general population. The majority (98.5%) of all inmates was diagnosed prior to their incarceration or had a key risk-behaviour exposing them to HIV. Therefore, questioning each new inmate upon incarceration about previous HIV-diagnosis, and targeted testing for other inmates who are IVDU, MSM or originating in endemic countries for HIV can detect almost all HIV-infected prisoners, presuming they respond reliably. … (more)
- Is Part Of:
- Sexually transmitted infections. Volume 89(2013)Supplement 1
- Journal:
- Sexually transmitted infections
- Issue:
- Volume 89(2013)Supplement 1
- Issue Display:
- Volume 89, Issue 1 (2013)
- Year:
- 2013
- Volume:
- 89
- Issue:
- 1
- Issue Sort Value:
- 2013-0089-0001-0000
- Page Start:
- A387
- Page End:
- A387
- Publication Date:
- 2013-07-13
- Subjects:
- Prison -- screening
Sexually transmitted diseases -- Periodicals
HIV infections -- Periodicals
616.951005 - Journal URLs:
- http://sti.bmj.com/ ↗
http://www.ncbi.nlm.nih.gov/pmc/journals/176/ ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/sextrans-2013-051184.1211 ↗
- Languages:
- English
- ISSNs:
- 1368-4973
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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- 19026.xml