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Medicineworld.org: HIV-AIDS in American prison system

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HIV-AIDS in American prison system




HIV/Aids is up to five times more prevalent in American prisons than in the general population. Adherence to therapy programs can be strictly monitored in prison. However, once prisoners are released, medical monitoring becomes problematic. A newly released study by Dr. Nitika Pant Pai an Assistant professor of Medicine and a medical scientist at the Research Institute of the MUHC suggests the majority (76%) of inmates take their antiretroviral therapy (ART) intermittently once they leave prison, representing a higher risk to the general population.



HIV-AIDS in American prison system

"Over a period of 9 years, we studied 512 HIV positive repeat offender inmates from the San Francisco County jail system," says Dr. Pant Pai. "Our results show that only 15% continuously took their ART between incarcerations or after their release." As per the study, reported in the journal PLoS one, these figures highlight a lack of effectiveness on the part of medical monitoring services for these people outside prison.

"Taking ART intermittently is a problem because it depletes the CD4 count - the immunizing cells that fight infection and increases the probability of developing resistance to the virus," says Dr. Pant Pai. "The risk for rapid disease progression becomes higher and presents a risk for public health transmission of HIV to their partners." As per the study those on intermittent treatment were 1.5 times more likely to have higher virus load than those on continuous treatment; those who never received treatment were 3 times more likely to have a higher VL.

"The optimal solution for treating patients and controlling the HIV/Aids epidemic in the USA is to ensure continuous treatment," explains Dr. Milton Estes, medical director of Forensic AIDS Project, San Francisco. "To achieve this we must work on various aspects of the prisoner's lives, such as marginalization, psychiatric problems and drug use, both before and after their departure from prison." As per Dr. Jacqueline Tulsky, senior author of the study, "This research highlights the need to examine ART policies inside and outside correctional settings with a view to establishing effective life long management of HIV in prisoners".

"This research is the first observational study in American prisons to evaluate the impact of antiretroviral therapy (ART) over a nine year period. It demonstrates the need for effective community transition and prison release programs to optimize ART given in jails," explains Dr. Pant Pai.


Posted by: Mark    Source




Did you know?
HIV/Aids is up to five times more prevalent in American prisons than in the general population. Adherence to therapy programs can be strictly monitored in prison. However, once prisoners are released, medical monitoring becomes problematic. A newly released study by Dr. Nitika Pant Pai an Assistant professor of Medicine and a medical scientist at the Research Institute of the MUHC suggests the majority (76%) of inmates take their antiretroviral therapy (ART) intermittently once they leave prison, representing a higher risk to the general population.

Medicineworld.org: HIV-AIDS in American prison system

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