Clin Infect Dis. 2002 Aug 1;35(3):305-12. Epub 2002 Jul 3.

Human immunodeficiency virus in correctional facilities: a review.

Spaulding A, Stephenson B, Macalino G, Ruby W, Clarke JG, Flanigan TP.

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Division of Infectious Disease, Brown University, Providence, RI, USA. Aspaulding@cdc.gov

Abstract

It is estimated that up to one-fourth of the people living with human immunodeficiency virus (HIV) infection in the United States pass through a correctional facility each year. The majority of persons who enter a correctional facility today will return home in the near future. Most inmates with HIV infection acquire it in the outside community; prison does not seem to be an amplifying reservoir. How correctional health services deal with the HIV-infected person has important implications to the overall care of HIV-infected people in the community. Routine HIV testing is well accepted. Combination antiretroviral therapy has been associated with a reduction in mortality in prisons. A link between area HIV specialists and correctional health care providers is an important partnership for ensuring that HIV-infected patients have optimal care both inside prison and after release.

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