Abstract
Setting
Tuberculosis
(TB) is one of the major health problems in prisons.
Objective
This
study was done to assess the prevalence and determinants of active tuberculosis
in Ethiopian prisons.
Design
A
cross-sectional study was conducted from January 2013 to December 2013 in 13
zonal prisons. All incarcerated inmates underwent TB symptom screening
according to WHO criteria. From identified TB-suspects two sputum samples were
analyzed using smear microscopy and solid culture. A standardized questionnaire
assessing TB risk factors was completed for each TB suspect.
Results
765
(4.9%) TB suspects were identified among 15,495 inmates. 51 suspects were
already on anti-TB treatment (6.67%) and 20 (2.8%) new culture-confirmed TB
cases were identified in the study, resulting in an overall TB prevalence of
458.1/100,000 (95%CI: 350-560/100,000). Risk factors for active TB were alcohol
consumption, contact with a TB case before incarceration and no window in prison
cell. HIV prevalence was not different between TB suspects and active TB cases.
Further, the TB burden in prisons increased with advancing distance from the
capital Addis Ababa.
Conclusions
The overall TB prevalence in Ethiopian prisons was high
and extremely variable among different prisons. TB risk factors related to
conditions of prison facilities and the impact of implemented TB control
measures need to be further studied in order to improve TB control among
inmates.
Below: Total prisons included, inmates screened, identified suspects and detected TB cases were presented by absolute number
Full article at: http://goo.gl/pNkPBC
By:
Solomon Ali, Abraham Haileamlak, Andreas Wieser
College of Health Sciences,
Jimma University, Jimma City, Ethiopia
Andreas Wieser, Michael Pritsch, Norbert Heinrich, Thomas
Loscher, Michael Hoelscher, Andrea Rachow
Division of Infectious Diseases
and Tropical Medicine, Medical Centre of the University of Munich (LMU),
Munich, Germany
Andreas Wieser, Michael Pritsch, Norbert Heinrich, Michael
Hoelscher, Andrea Rachow
German Centre for Infection
Research (DZIF), partner site Munich, Germany
Solomon Ali
CIHLMU Center for International
Health, Ludwig-Maximilians-Universität, Munich, Germany
More at: https://twitter.com/hiv_insight
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