title: HIV and infectious disease care in jails and prisons: breaking down the walls with the help of academic medicine.
abstract: Health care within correctional facilities has traditionally been marginalized from excellence in academic medicine. The armamentarium of a medical school, which includes excellence in research, teaching and clinical care, can be successfully applied to the correctional setting both in the United States and internationally. At any one time, there are over 2 million people incarcerated in the US who are disproportionately poor and from communities of color. Rates of human immunodeficiency virus (HIV) and hepatitis C virus infection (HCV) in prisons are 5 and 17-28-times higher than in the general population, respectively. The correctional setting provides an excellent opportunity to screen for and treat sexually transmitted infections (STIs), HIV, HCV, chronic hepatitis B virus (HBV) infections and tuberculosis (TB) and to develop effective prevention programs.
authors.affiliation: The Warren Alpert Medical School of Brown University and TheMiriam Hospital, 164 Summit Avenue, Providence, RI 02906, USA. tflanigan@lifespan.org
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Flanigan
authors.forename: Nickolas
authors.initials: N
authors.lastname: Zaller
authors.forename: Lynn
authors.initials: L
authors.lastname: Taylor
authors.forename: Curt
authors.initials: C
authors.lastname: Beckwith
authors.forename: Landon
authors.initials: L
authors.lastname: Kuester
authors.forename: Josiah
authors.initials: J
authors.lastname: Rich
authors.forename: Charles C J
authors.initials: CC
authors.lastname: Carpenter
mesh_terms: D000046:Academic Medical Centers; D003141:Communicable Diseases / Q000453:epidemiology / Q000628:therapy*; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D006296:Health Services; D006801:Humans; D017053:Infection Control; D008403:Mass Screening; D011329:Prisoners; D011330:Prisons; D012237:Rhode Island / Q000453:epidemiology