Tuberculosis in prison: What about after release? The example of French Guiana.
Glob Public Health
; 19(1): 2332969, 2024 01.
Article
in En
| MEDLINE
| ID: mdl-38529772
ABSTRACT
INTRODUCTION:
Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tuberculosis risk factors and determine annual incidences.METHODS:
A retrospective cohort study of tuberculosis cases was carried out at the Guiana prison between 2008 and 2020. Data were collected from prison registers and cross-referenced with the list of tuberculosis notifications in French Guiana.RESULTS:
A total of 36 cases of tuberculosis were studied. Incidence was high, at 263/100,000 per year, higher than elsewhere in France and comparable to that in Brazil. Despite visibly effective screening on entry, with little evidence of intra-prison circulation of tuberculosis, 39% of patients were diagnosed within two years of leaving prison (76% were symptomatic). This could be explained by the high prevalence of latent forms (LTI).DISCUSSION:
Continued screening on entry, in combination with annual radiological and clinical screening, and reinforced follow-up on release seem indicated to improve patient management and the search for possible LTI.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prisoners
/
Tuberculosis
Limits:
Humans
Country/Region as subject:
America do sul
/
Caribe ingles
/
Guyana
/
Guyana francesa
Language:
En
Journal:
Glob Public Health
Journal subject:
SAUDE PUBLICA
Year:
2024
Document type:
Article
Affiliation country:
Francia
Country of publication:
Reino Unido