title: Rapid HIV testing in large urban jails.
abstract: HIV prevalence is higher in jails than in the community, yet many jails do not conduct HIV testing. Jails in Baltimore, Maryland; Philadelphia, Pennsylvania; and the District of Columbia have implemented innovative rapid HIV testing programs. We have summarized the results of these programs, including the numbers of persons tested, rapid and confirmatory HIV test results, and numbers of persons newly diagnosed with HIV. We have described facilitators and challenges of implementation. These programs confirmed that rapid HIV testing in jails was feasible and identified undiagnosed HIV infection. Challenges included limited space to provide confidential rapid HIV testing and rapid turnover of detainees. Implementation required collaboration between local governments, health agencies, and correctional institutions. These programs serve as models for expanding rapid HIV testing in jails.
authors.affiliation: Division of Infectious Diseases, The Miriam Hospital/Alpert Medical School of Brown University, Providence, RI 02906, USA. cbeckwith@lifespan.org
authors.forename: Curt G
authors.initials: CG
authors.lastname: Beckwith
authors.forename: Amy
authors.initials: A
authors.lastname: Nunn
authors.forename: Sharon
authors.initials: S
authors.lastname: Baucom
authors.forename: Asresahegn
authors.initials: A
authors.lastname: Getachew
authors.forename: Akin
authors.initials: A
authors.lastname: Akinwumi
authors.forename: Bruce
authors.initials: B
authors.lastname: Herdman
authors.forename: Phil
authors.initials: P
authors.lastname: DiBartolo
authors.forename: Susan
authors.initials: S
authors.lastname: Spencer
authors.forename: Devon
authors.initials: D
authors.lastname: Brown
authors.forename: Henry
authors.initials: H
authors.lastname: Lesansky
authors.forename: Irene
authors.initials: I
authors.lastname: Kuo
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D001769:Blood / Q000821:virology; D001774:Blood Chemical Analysis; D003955:Diagnostic Tests, Routine / Q000379:methods*; D004219:District of Columbia / Q000453:epidemiology; D005260:Female; D015483:HIV Antibodies / Q000097:blood; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control; D006801:Humans; D008297:Male; D008396:Maryland / Q000453:epidemiology; D010414:Pennsylvania / Q000453:epidemiology; D011329:Prisoners / Q000706:statistics & numerical data*; D011330:Prisons / Q000458:organization & administration*; D015397:Program Evaluation
chemical_list: D015483:HIV Antibodies