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The Status of TB Prevention and Control Measures in Large City and County Jails in the U.S.

The documents listed below are historical, archived information. The information contained in these documents, while accurate at the time of release, may not be the most current available.

Executive Summary

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Increase HIV Counseling and Testing

Because coinfection with HIV is the greatest risk factor for progressing from latent to active TB, and jail inmates tend to have relatively high rates of HIV infection, the risk of TB transmission in a jail setting is especially high. All but two jail systems had a policy of offering HIV testing to all inmates diagnosed with TB disease; however, less than half had policies of offering HIV testing to patients who have positive TST results. In the medical records examined, nearly 20 percent of inmates evaluated for TB disease were reported to be HIV positive; however, HIV status information was lacking in nearly one third of the records.

Specific Recommendation

  • Encourage HIV counseling and testing among inmates with TB disease and LTBI and among inmates at risk for HIV.

 

 
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