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BMJ. Feb 4, 1995; 310(6975): 289–292.
PMCID: PMC2548692

Outbreak of HIV infection in a Scottish prison.

Abstract

OBJECTIVE--To investigate the possible spread of HIV infection and its route of transmission among prison inmates. DESIGN--In response to an outbreak of acute clinical hepatitis B and two seroconversions to HIV infection, counselling and testing for HIV were offered to all inmates over a two week period in July 1993. Information was sought about drug injecting, sexual behaviour, and previous HIV testing. SETTING--HM Prison Glenochil in Scotland. SUBJECTS--Adult male prisoners. MAIN OUTCOME MEASURES--Uptake of HIV counselling and testing; occurrence and mode of HIV transmission within the prison. RESULTS--Of a total 378 inmates, 227 (60%) were counselled and 162 (43%) tested for HIV. Twelve (7%) of those tested were positive for antibody to HIV. One third (76) of those counselled had injected drugs at some time, of whom 33 (43%) had injected in Glenochil; all 12 seropositive men belonged to this latter group. Thirty two of these 33 had shared needles and syringes in the prison. A further two inmates who injected in the prison were diagnosed as positive for HIV two months previously. Evidence based on sequential results and time of entry into prison indicated that eight transmissions definitely occurred within prison in the first half of 1993. CONCLUSION--This is the first report of an outbreak of HIV infection occurring within a prison. Restricted access to injecting equipment resulted in random sharing and placed injectors at high risk of becoming infected with HIV. Measures to prevent further spread of infection among prison injectors are urgently required.

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Selected References

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  • Harding TW. AIDS in prison. Lancet. 1987 Nov 28;2(8570):1260–1263. [PubMed]
  • Bird AG, Gore SM, Jolliffe DW, Burns SM. Anonymous HIV surveillance in Saughton Prison, Edinburgh. AIDS. 1992 Jul;6(7):725–733. [PubMed]
  • Gellert GA, Maxwell RM, Higgins KV, Pendergast T, Wilker N. HIV infection in the Women's Jail, Orange County, California, 1985 through 1991. Am J Public Health. 1993 Oct;83(10):1454–1456. [PMC free article] [PubMed]
  • Hankins C, Gendron S, Handley M, Rouah F, O'Shaughnessy M. HIV-1 infection among incarcerated men--Quebec. Can Dis Wkly Rep. 1991 Oct 26;17(43):233–235. [PubMed]
  • Covell RG, Frischer M, Taylor A, Goldberg D, Green S, McKeganey N, Bloor M. Prison experience of injecting drug users in Glasgow. Drug Alcohol Depend. 1993 Mar;32(1):9–14. [PubMed]
  • Kennedy DH, Nair G, Elliott L, Ditton J. Drug misuse and sharing of needles in Scottish prisons. BMJ. 1991 Jun 22;302(6791):1507–1507. [PMC free article] [PubMed]
  • Dye S, Isaacs C. Intravenous drug misuse among prison inmates: implications for spread of HIV. BMJ. 1991 Jun 22;302(6791):1506–1506. [PMC free article] [PubMed]
  • Carvell AL, Hart GJ. Risk behaviours for HIV infection among drug users in prison. BMJ. 1990 May 26;300(6736):1383–1384. [PMC free article] [PubMed]
  • Power KG, Markova I, Rowlands A, McKee KJ, Anslow PJ, Kilfedder C. Intravenous drug use and HIV transmission amongst inmates in Scottish prisons. Br J Addict. 1992 Jan;87(1):35–45. [PubMed]
  • McKee KJ, Power KG. HIV/AIDS in prisons. Scott Med J. 1992 Oct;37(5):132–137. [PubMed]
  • Bird AG, Gore SM, Burns SM, Duggie JG. Study of infection with HIV and related risk factors in young offenders' institution. BMJ. 1993 Jul 24;307(6898):228–231. [PMC free article] [PubMed]
  • Horsburgh CR, Jr, Jarvis JQ, McArther T, Ignacio T, Stock P. Seroconversion to human immunodeficiency virus in prison inmates. Am J Public Health. 1990 Feb;80(2):209–210. [PMC free article] [PubMed]
  • Käll KI, Olin RG. HIV status and changes in risk behaviour among intravenous drug users in Stockholm 1987-1988. AIDS. 1990 Feb;4(2):153–157. [PubMed]
  • Richardson C, Ancelle-Park R, Papaevangelou G. Factors associated with HIV seropositivity in European injecting drug users. The European Community Study Group on HIV in Injecting Drug Users. AIDS. 1993 Nov;7(11):1485–1491. [PubMed]
  • Martin V, Bayas JM, Laliga A, Pumarola T, Vidal J, Jiménez de Anta MT, Salleras L. Seroepidemiology of HIV-1 infection in a Catalonian penitentiary. AIDS. 1990 Oct;4(10):1023–1026. [PubMed]
  • Choopanya K, Vanichseni S, Des Jarlais DC, Plangsringarm K, Sonchai W, Carballo M, Friedmann P, Friedman SR. Risk factors and HIV seropositivity among injecting drug users in Bangkok. AIDS. 1991 Dec;5(12):1509–1513. [PubMed]
  • Taylor A, Frischer M, Green ST, Goldberg D, McKeganey N, Gruer L. Low and stable prevalence of HIV among drug injectors in Glasgow. Int J STD AIDS. 1994 Mar-Apr;5(2):105–107. [PubMed]
  • Des Jarlais DC, Friedman SR, Choopanya K, Vanichseni S, Ward TP. International epidemiology of HIV and AIDS among injecting drug users. AIDS. 1992 Oct;6(10):1053–1068. [PubMed]
  • Tindall B, Cooper DA. Primary HIV infection: host responses and intervention strategies. AIDS. 1991 Jan;5(1):1–14. [PubMed]
  • Frerichs RR, Htoon MT, Eskes N, Lwin S. Comparison of saliva and serum for HIV surveillance in developing countries. Lancet. 1992 Dec 19;340(8834-8835):1496–1499. [PubMed]
  • Daar ES, Moudgil T, Meyer RD, Ho DD. Transient high levels of viremia in patients with primary human immunodeficiency virus type 1 infection. N Engl J Med. 1991 Apr 4;324(14):961–964. [PubMed]
  • Taylor A, Goldberg D, Frischer M, Emslie J, Green S, McKeganey N. Transmission of HIV in prison. Evidence of risk. BMJ. 1993 Sep 4;307(6904):623–623. [PMC free article] [PubMed]

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