Tuberculosis in prison: What about after release? The example of French Guiana
Introduction Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tube...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/17441692.2024.2332969 |
| _version_ | 1826950567249838080 |
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| author | Moise Niaux Mathilde Boutrou Marie Daniel Vanessa Schiemsky Evelyn Vierendeels Félix Djossou Mathieu Nacher Florence Huber Timothée Bonifay |
| author_facet | Moise Niaux Mathilde Boutrou Marie Daniel Vanessa Schiemsky Evelyn Vierendeels Félix Djossou Mathieu Nacher Florence Huber Timothée Bonifay |
| author_sort | Moise Niaux |
| collection | DOAJ |
| description | Introduction Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tuberculosis risk factors and determine annual incidences.Methods: A retrospective cohort study of tuberculosis cases was carried out at the Guiana prison between 2008 and 2020. Data were collected from prison registers and cross-referenced with the list of tuberculosis notifications in French Guiana.Results: A total of 36 cases of tuberculosis were studied. Incidence was high, at 263/100,000 per year, higher than elsewhere in France and comparable to that in Brazil. Despite visibly effective screening on entry, with little evidence of intra-prison circulation of tuberculosis, 39% of patients were diagnosed within two years of leaving prison (76% were symptomatic). This could be explained by the high prevalence of latent forms (LTI).Discussion Continued screening on entry, in combination with annual radiological and clinical screening, and reinforced follow-up on release seem indicated to improve patient management and the search for possible LTI. |
| first_indexed | 2024-04-24T19:11:15Z |
| format | Article |
| id | doaj.art-f07012a736dd41cab8816c729abafbc5 |
| institution | Directory Open Access Journal |
| issn | 1744-1692 1744-1706 |
| language | English |
| last_indexed | 2025-02-17T22:33:17Z |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Public Health |
| spelling | doaj.art-f07012a736dd41cab8816c729abafbc52024-12-03T19:27:47ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062024-12-0119110.1080/17441692.2024.2332969Tuberculosis in prison: What about after release? The example of French GuianaMoise Niaux0Mathilde Boutrou1Marie Daniel2Vanessa Schiemsky3Evelyn Vierendeels4Félix Djossou5Mathieu Nacher6Florence Huber7Timothée Bonifay8Centre Hospitalier Cayenne, Unité Sanitaire en Milieu Pénitentiaire, Guyane française, FranceCentre Hospitalier Cayenne, Unité de Maladies Infectieuses et Tropicales, Guyane française, FranceCentre Hospitalier Cayenne, Unité Sanitaire en Milieu Pénitentiaire, Guyane française, FranceCentre Hospitalier Cayenne, Unité Sanitaire en Milieu Pénitentiaire, Guyane française, FranceCentre Hospitalier Cayenne, Unité Sanitaire en Milieu Pénitentiaire, Guyane française, FranceCentre Hospitalier Cayenne, Unité de Maladies Infectieuses et Tropicales, Guyane française, FranceCentre d’Investigation Clinique Antilles Guyane, Guyane française, FranceCentre de Lutte Antituberculeuse, Croix Rouge Française Guyane, Guyane française, FranceCentre Hospitalier Cayenne, Unité Sanitaire en Milieu Pénitentiaire, Guyane française, FranceIntroduction Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tuberculosis risk factors and determine annual incidences.Methods: A retrospective cohort study of tuberculosis cases was carried out at the Guiana prison between 2008 and 2020. Data were collected from prison registers and cross-referenced with the list of tuberculosis notifications in French Guiana.Results: A total of 36 cases of tuberculosis were studied. Incidence was high, at 263/100,000 per year, higher than elsewhere in France and comparable to that in Brazil. Despite visibly effective screening on entry, with little evidence of intra-prison circulation of tuberculosis, 39% of patients were diagnosed within two years of leaving prison (76% were symptomatic). This could be explained by the high prevalence of latent forms (LTI).Discussion Continued screening on entry, in combination with annual radiological and clinical screening, and reinforced follow-up on release seem indicated to improve patient management and the search for possible LTI.https://www.tandfonline.com/doi/10.1080/17441692.2024.2332969TuberculosisprisonFrench Guianajailincidence |
| spellingShingle | Moise Niaux Mathilde Boutrou Marie Daniel Vanessa Schiemsky Evelyn Vierendeels Félix Djossou Mathieu Nacher Florence Huber Timothée Bonifay Tuberculosis in prison: What about after release? The example of French Guiana Global Public Health Tuberculosis prison French Guiana jail incidence |
| title | Tuberculosis in prison: What about after release? The example of French Guiana |
| title_full | Tuberculosis in prison: What about after release? The example of French Guiana |
| title_fullStr | Tuberculosis in prison: What about after release? The example of French Guiana |
| title_full_unstemmed | Tuberculosis in prison: What about after release? The example of French Guiana |
| title_short | Tuberculosis in prison: What about after release? The example of French Guiana |
| title_sort | tuberculosis in prison what about after release the example of french guiana |
| topic | Tuberculosis prison French Guiana jail incidence |
| url | https://www.tandfonline.com/doi/10.1080/17441692.2024.2332969 |
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