The social dimensions in a prison setting impact the biomedical aspect of HCV by dramatically increasing an inmate’s risk of HCV transmission. Prisons socially determine the transmission of HCV infection among prison inmates in several ways. First and foremost, the use of unsterile drug needles and associated paraphernalia for illicit drugs leads to transmission of HCV among prison inmates (1). A high proportion of inmates are injection drug-users and addicted to various drugs. According to the Canadian Centre on Substance Abuse (CSSA), at least 7 of 10 offenders in the federal correctional system have engaged in drug use within the one-year period to their incarceration (2). Although the prison inmates do not have access to sterile needle equipment, they continue their habit during incarceration. This is due to the lack of health services for addiction management in most prisons, where the resources provided – if any – do not provide the adequate support required to cope with addictions treatment (1). Studies show that inmates are far less likely to benefit from health-education activities, such as drug abstinence counselling, without parallel medicine-based treatment (1). Drug addiction management treatment may include methadone or buprenorphine maintenance treatment (1). Second, a high proportion of …show more content…
This may include gang-affiliation tattooing, unprotected anal sex, and increased trafficking and use of illicit injection-drugs (7). All of these activities greatly magnify the inmate’s risk of contracting HCV due to the social dimensions in a prison environment. In most societies, the prison setting exacerbates existing health conditions of inmates and encourages high-risk behaviours that can lead to HCV transmission and disease
Vancouver Injection Drug User Study (VIDUS) is a project that gives a prospective study and has over 1500 IDU 's enlisted to assist since 1996 and gathers data on drug use, health, sexual activity, etc. Some of the topics discussed included: prison culture, availability and price of drugs and equipment, drug use, VIDUS shows that the risk of HIV infection indicated that incarcerated injection drug users were associated with a greater risk of 2.7 times (Small, Kain, Laliberte, Schechter, O 'Shaughnessy & Spittal, 2005).
Intravenous drug users are some of the individuals most susceptible for contracting and transmitting blood-borne diseases such as the human immunodeficiency virus (HIV), hepatitis B and hepatitis C. In Canada, there was an estimated 71,300 cases of HIV at the end of 2011 with an incidence of approximately 2,250 to 4,100 cases. IDUs account for 13.7% of Canadians living with HIV. Prevalence of hepatitis C virus (HVC) is currently
Hepatitis C has been referred to as a "Silent Epidemic," since it usually progresses slowly over many years. Most people who are infected with hepatitis C are not aware of any noticeable symptoms for as long as one to two decades after they are infected. In fact, by the time symptoms appear, the virus has probably already begun to damage the liver. If the liver is injured and stops functioning, death will always be the outcome (Lieber). Liver failure from chronic hepatitis C is one of the most common causes of liver transplants in the United States.
Sharing of needles used by injection drug users contributes heavily to the spread of blood-borne diseases, accounting for almost one third of new HIV infections outside sub-Saharan Africa (Ball, 2007). Various studies support that blood-borne disease transmission and contraction are strongly linked to injection drug use. A study conducted by Semaan et al. that analyzed data of 10,301 persons who inject drugs in revealed that 32% had shared syringes during the 12 months prior (Semaan et al., 2011). A second study involving 309 injection drug users found HIV, hepatitis B and hepatitis C prevalence of 42.4%, 80.9%, and 74.1%, respectively. The study also revealed that 63.8% of the participants engaged in indirect sharing practices within six months prior.
An increase in drug use, specifically opiates, has overwhelmed the United States. This behavior has led to a rise in the transmission of HIV/Hepatitis C which would be otherwise preventable. The needle exchange programs in Moorhead, Milwaukee, and Scott County are working to lower the transmission rate and increase participation in treatment programs.
The objective of this paper is to examine issues of health care inequity affecting the incarcerated Canadian population. We will be investigating the impacts of these health issues on the indicated vulnerable group, assessing how services and resources are currently distributed to deal with this issue, proposing public health responses to address the issue and also identifying what further research must be conducted to gain a better understanding of the issue.
Dominique Robert’s (2008) theoretical framework in the article “Prison and/as Public Health. Prison and Inmates as Vectors of Health in the New Public Health Era. The Case of Canadian Penitentiaries” focuses on structural elements that explain the use of correctional health care in the prison setting today and how this plays a role in the broader public health strategies in the outside community. He does this by explaining factors such as “the mobilisation of prison as a tool for the new public health” and "the production of inmates into healthcare ‘consumers’, along with the role of actuarial justice.”
this? Is it because quality inmate health care is vital to public health? Who decided what type of
The human papillomavirus (HPV) is a sexually transmitted disease (STD) that is very common throughout the United States and worldwide (World Health Organization (WHO), 2016). There are over 100 different forms of the virus with 13 of these types being capable of causing cancer (WHO, 2016). HPV can lead to the development of serious health problems. Theses health problems are especially an issue for adolescent women due to the highly increasing STD rates among this age group (Kostas-Polston, Johnson-Mallard & Berman, 2012). There is a vaccine for many of the common types of HPV, however, many parents are refusing to vaccinate their daughters for various reasons. With the rising cases of STDs, less birth
The following pages contain information on the AIDS and HIV epidemic within the United States prison system. The characteristics of these inmates will be discussed and how well this population adjusts to the environment. There are some treatments and services provided to these inmates in and outside the walls of the prison. The public views are not very friendly, but the criminal justice system is trying to make it easy for the inmates to return back to society with help on how to cope with the disease.
Hepatitis is inflammation of the liver. There are currently five known viruses that cause can hepatitis (Microbiology, 10e). The hepatitis C virus (HCV) is transmitted through contact with the blood of an infected person; however, it is now more commonly spread among IV drug users that share needles. Healthcare workers are also at risk for contracting HCV, but with standard precautions, the risk is low. “Prior to 1992, some people acquired the HCV infection from transfusions of blood or blood products. Since 1992, all blood products have been screened for HCV, and cases of HCV due to blood transfusion now are extremely rare. HCV can be passed from mother to unborn child. Approximately 4 out of every 100 infants born to HCV-positive mothers
The topic that I chose to research for my proposal is health care in the prison system. This is something that can vary drastically depending different details such as the specific prison, the management of the prison, as well as the needs of the inmates that could change for various reasons. It is generally believed that the health care that is available to inmates in both emergency situations as well as day-to-day medical needs is lacking compared to the health care that is available to the general public. The reasoning behind the quality of health care in the prison system can also be attributed to many different aspects such as an increase in inmates within the prison system, an increase in privately operated prisons that seek to make a profit, and the population of the prison system changing. There is now an increase in the elderly being incarcerated due to there being longer sentences which leads to there being an increase in age related health concerns that need to be taken care of within this growing population.
HCV entry is the first step of interactions between virus and the target cell that is required for initiation of infection. Several host cell surface molecules including glycosaminoglycans, CD81, scavenger receptor class B type I (SRBI), members of the claudin family (CLDN1, 6 and 9) and mannose-binding lectins DC-SIGN and L-SIGN have been identified as putative HCV receptors orcoreceptorsas shown in Figure 2(Barth et al., 2006).
Injection drug use has been the principal mode of transmission of HCV since the 1970's. In comparison to other viral infections, HCV is more rapidly acquired after initiation of intravenous drug use. In addition, rates of HCV among young injecting drug-users are four times higher than HIV infection. Studies of injection drug users have demonstrated that the prevalence of HCV infection in them is extremely high, with up to 90% having been exposed (Patrick et al., 2000). In addition, the incidence of new infections is also high, with seroconversion rates of 10-20 percent per year of injecting (Hahn.2001).
The aims and objectives of study 2 are to evaluate the effectiveness for addressing drug users’ HCV needs using expert in hepatitis and drug addiction and to know the types of services provided by HCV service delivery to the HCV positive injecting and non-injecting drug users in USA. Based on the objective, data collected must be from all HCV service delivery in all the states.