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Am J Public Health. 2005 Oct;95(10):1739-40.

A missed opportunity: hepatitis C screening of prisoners.

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  • 1Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, 750 Washington St, Box 63, Boston, MA 02111, USA.


In 2003, the Centers for Disease Control and Prevention issued recommendations to screen all inmates with a history of injection drug use or other risk factors for hepatitis C. We compared self-reported risk factors for hepatitis C with serostatus from inmates in the Rhode Island Department of Corrections. Of the male inmates who were hepatitis C positive, 66% did not report injection drug use. Risk-based testing underestimates the hepatitis C virus (HCV) prevalence in correctional settings and limits the opportunity to diagnose and prevent hepatitis C infection.

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